{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T22:50:50Z","timestamp":1777330250696,"version":"3.51.4"},"reference-count":49,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,5,6]],"date-time":"2024-05-06T00:00:00Z","timestamp":1714953600000},"content-version":"vor","delay-in-days":5,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Child"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Chronic physical disease (CPD) makes life filled with many negative events in adolescents, but not all adolescents experiencing negative life events proceed to develop emotional distress, only those with low emotional distress tolerance (EDT). A valid and reliable scale to measure EDT in CPD adolescents is important for caring for their emotional distress. Therefore, the purpose of this study is to translate the 15\u2010item English version Distress Tolerance Scale (DTS) into a Chinese version and then validate the scale for measuring EDT of adolescents with CPD.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The 15\u2010item English version DTS was translated into a Chinese version using the translation guidelines for cross\u2010cultural research. Two cohorts of adolescents with CPD were recruited from four hospitals in southern Taiwan, with the first cohort including 124 adolescents with CPD employed to conduct exploratory factor analysis, corrected item\u2010total correlation and reliability testing, while the second cohort, consisting of 238 adolescents with CPD, was utilized to examine confirmatory factor analysis and concurrent validity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The two\u2010factor nine\u2010item Chinese version DTS for Adolescents with CPD (C\u2010DTS\u2010A) was developed. Lower scores of the C\u2010DTS\u2010A were significantly associated with higher diabetes distress, poorer self\u2010management, and worse glycaemic control; their correlation coefficients sequentially were \u2212.40, .17 and \u2212.23. Cronbach's \u03b1 and the test\u2013retest reliability of the two\u2010factor C\u2010DTS\u2010A ranged from .81 to .87 and from .79 to .89, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The two\u2010factor nine\u2010item C\u2010DTS\u2010A with good cross\u2010cultural translation quality was a reliable and valid scale to assess EDT for adolescents with CPD.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cch.13270","type":"journal-article","created":{"date-parts":[[2024,5,6]],"date-time":"2024-05-06T07:38:52Z","timestamp":1714981132000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Cross\u2010cultural translation and validation of the Chinese version Distress Tolerance Scale for adolescents with chronic physical disease"],"prefix":"10.1111","volume":"50","author":[{"given":"Shu\u2010Li","family":"Lee","sequence":"first","affiliation":[{"name":"School of Nursing Kaohsiung Medical University  Kaohsiung Taiwan"},{"name":"Department of Medical Research Kaohsiung Medical University Hospital  Kaohsiung Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Li\u2010Min","family":"Wu","sequence":"additional","affiliation":[{"name":"School of Nursing Kaohsiung Medical University  Kaohsiung Taiwan"},{"name":"Department of Medical Research Kaohsiung Medical University Hospital  Kaohsiung Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shu\u2010Yuan","family":"Lin","sequence":"additional","affiliation":[{"name":"School of Nursing Kaohsiung Medical University  Kaohsiung Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tzu\u2010Han","family":"Chen","sequence":"additional","affiliation":[{"name":"School of Nursing Kaohsiung Medical University  Kaohsiung Taiwan"},{"name":"Department of Neonatal Intensive Care Unit Kaohsiung Medical University Hospital  Kaohsiung Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7602-5592","authenticated-orcid":false,"given":"Wei\u2010Ting","family":"Lin","sequence":"additional","affiliation":[{"name":"School of Nursing Kaohsiung Medical University  Kaohsiung Taiwan"},{"name":"Department of Medical Research Kaohsiung Medical University Hospital  Kaohsiung Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,5,6]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/16506073.2021.1942541"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/02770903.2018.1520862"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1037\/emo00004"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10608-012-9497-9"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2007.04242.x"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s41030-021-00177-2"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaac.2019.10.010"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10802-012-9704-x"},{"issue":"3","key":"e_1_2_10_10_1","first-page":"38","article-title":"Investigating the role of difficulty in emotion regulation, distress tolerance and perceived stress in predicting treatment adherence in patients with type 2 diabetes","volume":"11","author":"Dourandish F.","year":"2022","journal-title":"Quarterly Journal of Nursing Management"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.23689"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc23-S014"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/15374416.2017.1405354"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/nur.4770140211"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/dme.12428"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.5888\/pcd11.140205"},{"key":"e_1_2_10_17_1","volume-title":"Multivariate data analysis","author":"Hair J. 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