{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T03:30:57Z","timestamp":1772767857665,"version":"3.50.1"},"reference-count":30,"publisher":"Journal of the ASEAN Federation of Endocrine Societies (JAFES)","license":[{"start":{"date-parts":[[2025,4,20]],"date-time":"2025-04-20T00:00:00Z","timestamp":1745107200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J ASEAN Fed Endocr Soc"],"abstract":"<jats:p>Introduction. Caring for persons with diabetes involves a holistic approach. Addressing diabetes distress is crucial to achieve optimal health outcomes for persons with diabetes. This study aims to validate a Filipino version of the diabetes distress scale (DDS). \u00a0Methodology. We conducted forward and backward translations to construct a Filipino version from the validated English questionnaire. We performed statistical analysis to check internal consistency and validation and to correlate diabetes distress with glycemic control based on the subjects\u2019 HbA1c levels.\nResults. We included one hundred and seventy patients (170) seen at the Outpatient Diabetes Clinic in the analysis. Of the participants, 13 (7.6%) have Type 1 Diabetes Mellitus (T1DM), while the rest have Type 2 (T2DM). We found physician distress (PD) to be significantly associated with having T1DM. All domains in the Filipino DDS showed good internal consistency, ranging from 0.81 to 0.85. We used factor analysis to extract four factors similar to the original diabetes distress scale. We did not find any significant correlation between diabetes distress and HbA1c level.\nConclusion. The Filipino DDS showed good internal reliability and had consistent results similar to the original diabetes distress scale. However, we did not find a significant correlation between diabetes-related distress and the HbA1c level.<\/jats:p>","DOI":"10.15605\/jafes.040.01.05","type":"journal-article","created":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T23:28:31Z","timestamp":1746142111000},"source":"Crossref","is-referenced-by-count":1,"title":["Validation of the Filipino Version of the Diabetes Distress Scale for Adult Patients with Diabetes seen at the Outpatient Department of a Tertiary Government Hospital in Quezon City, Philippines"],"prefix":"10.15605","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-6379-0666","authenticated-orcid":false,"given":"Margarette Rose","family":"Pajanel","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4720-5858","authenticated-orcid":false,"given":"Irish Judy","family":"Gonzales","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"6244","published-online":{"date-parts":[[2025,4,20]]},"reference":[{"key":"72033","unstructured":"1. International Diabetes Federation. Diabetes in the Philippines. Accessed May 14, 2021. https:\/\/idf.org\/our-network\/regions-and-members\/western-pacific\/members\/the-philippines\/"},{"key":"72035","unstructured":"2. Philippine Statistics Authority. 2024 Causes of death in the Philippines (Provisional as of 30 November 2024). Accessed April 4, 2025. https:\/\/psa.gov.ph\/content\/2024-causes-death-philippines-provisional-30-november-2024"},{"key":"72037","unstructured":"3. Jimeno CA, Kho SA, Matawaran BJ, Duante CA, Jasul GV. Prevalence of diabetes mellitus and pre-diabetes in the Philippines: A sub-study of the 7th national nutrition and health survey (2008). Philipp J Intern Med. 2015;53(2):1-8."},{"key":"72039","doi-asserted-by":"crossref","unstructured":"4. Bernabe-Dela Victoria GM, Dampil OA. Prevalence of depression among patients with type 2 diabetes mellitus and its associated clinical factors. J ASEAN Fed Endocr Soc. 2019;34(2):197-203. https:\/\/pubmed.ncbi.nlm.nih.gov\/33442156 https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7784119 https:\/\/doi.org\/10.15605\/jafes.034.02.11","DOI":"10.15605\/jafes.034.02.11"},{"key":"72041","doi-asserted-by":"crossref","unstructured":"5. Fisher L, Skaff MM, Mullan JT, et al. Clinical depression versus distress among patients with type 2 diabetes: Not just a question of semantics. Diabetes Care. 2007;30(3):542-8. https:\/\/pubmed.ncbi.nlm.nih.gov\/17327318 https:\/\/doi.org\/10.2337\/dc06-1614","DOI":"10.2337\/dc07-1165"},{"key":"72043","doi-asserted-by":"crossref","unstructured":"6. Owens-Gary MD, Zhang X, Jawanda S, Bullard KM, Allweiss P, Smith BD. The importance of addressing depression and diabetes distress in adults with type 2 diabetes. J Gen Intern Med. 2019;34(2):320-4. https:\/\/pubmed.ncbi.nlm.nih.gov\/30350030 https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6374277 https:\/\/doi.org\/10.1007\/s11606-018-4705-2","DOI":"10.1007\/s11606-018-4705-2"},{"key":"72045","doi-asserted-by":"crossref","unstructured":"7. Ascher-Svanum H, Zagar A, Jiang D, et al. Associations between glycemic control, depressed mood, clinical depression, and diabetes distress before and after insulin initiation: An exploratory, post hoc analysis. Diabetes Ther. 2015;6(3):303-16. https:\/\/pubmed.ncbi.nlm.nih.gov\/26159935 https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4575299 https:\/\/doi.org\/10.1007\/s13300-015-0118-y","DOI":"10.1007\/s13300-015-0118-y"},{"key":"72047","doi-asserted-by":"crossref","unstructured":"8. Powers MA, Richter SA, Ackard DM, Craft C. Diabetes distress among persons with type 1 diabetes. Diabetes Educ. 2017;43(1):105-13. https:\/\/pubmed.ncbi.nlm.nih.gov\/27932687 https:\/\/doi.org\/10.1177\/0145721716680888","DOI":"10.1177\/0145721716680888"},{"key":"72049","doi-asserted-by":"crossref","unstructured":"9. Lee J, Kim KH, Ahn JC, et al. Prevalence, awareness, treatment, and control of diabetes mellitus by depressive symptom severity: A cross-sectional analysis of NHANES 2011-2016. BMJ Open Diabetes Res Care. 2021;9(1):e002268. https:\/\/pubmed.ncbi.nlm.nih.gov\/34099441 https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC8186749 https:\/\/doi.org\/10.1136\/bmjdrc-2021-002268","DOI":"10.1136\/bmjdrc-2021-002268"},{"key":"72051","doi-asserted-by":"crossref","unstructured":"10. Totesora D, Ramos-Rivera MI, Villegas-Florencio MQ, Reyes-Sia PN. Association of diabetes-related emotional distress with diabetes self-care and glycemic control among adult patients with type 2 diabetes at a tertiary hospital in Manila, Philippines. J ASEAN Fed Endocr Soc. 2019;34(2):189-96. https:\/\/pubmed.ncbi.nlm.nih.gov\/33442155 https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7784174 https:\/\/doi.org\/10.15605\/jafes.034.02.10","DOI":"10.15605\/jafes.034.02.10"},{"key":"72053","doi-asserted-by":"crossref","unstructured":"11. Young-Hyman D, de Groot M, Hill-Briggs F, Gonzalez JS, Hood K, Peyrot M. Psychosocial care for people with diabetes: A position statement of the American Diabetes Association. Diabetes Care. 2016;39(12):2126-40. https:\/\/pubmed.ncbi.nlm.nih.gov\/27879358 https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5127231 https:\/\/doi.org\/10.2337\/dc16-2053","DOI":"10.2337\/dc16-2053"},{"key":"72055","doi-asserted-by":"crossref","unstructured":"12. Fenwick EK, Rees G, Holmes-Truscott E, Browne JL, Pouwer F, Speight J. What is the best measure for assessing diabetes distress? A comparison of the Problem Areas in Diabetes and Diabetes Distress Scale: Results from Diabetes MILES\u2013Australia. J Health Psychol. 2018;23(5):667-80. https:\/\/pubmed.ncbi.nlm.nih.gov\/27106085 https:\/\/doi.org\/10.1177\/1359105316642006","DOI":"10.1177\/1359105316642006"},{"key":"72057","doi-asserted-by":"crossref","unstructured":"13. Polonsky WH, Fisher L, Earles J, et al. Assessing psychosocial distress in diabetes: Development of the diabetes distress scale. Diabetes Care. 2005;28(3):626-31. https:\/\/pubmed.ncbi.nlm.nih.gov\/15735199 https:\/\/doi.org\/10.2337\/diacare.28.3.626","DOI":"10.2337\/diacare.28.3.626"},{"key":"72059","doi-asserted-by":"crossref","unstructured":"14. Schmitt A, Reimer A, Kulzer B, Haak T, Ehrmann D, Hermanns N. How to assess diabetes distress: comparison of the Problem Areas in Diabetes Scale (PAID) and the Diabetes Distress Scale (DDS). Diabet Med. 2016;33(6):835-43. https:\/\/pubmed.ncbi.nlm.nih.gov\/26287511 https:\/\/doi.org\/10.1111\/dme.12887","DOI":"10.1111\/dme.12887"},{"key":"72061","doi-asserted-by":"crossref","unstructured":"15. Farm BAS, Perwitasari DA, Thobari JA, Cao Q, Krabbe PF, Postma MJ. Translation, revision, and validation of the diabetes distress scale for Indonesian type 2 diabetic outpatients with various types of complications. Value Health Reg Issues. 2017;12:63-73. https:\/\/pubmed.ncbi.nlm.nih.gov\/28648318 https:\/\/doi.org\/10.1016\/j.vhri.2017.03.010","DOI":"10.1016\/j.vhri.2017.03.010"},{"key":"72063","doi-asserted-by":"crossref","unstructured":"16. Batais MA, Alosaimi FD, AlYahya AA, et al. Translation, cultural adaptation, and evaluation of the psychometric properties of an Arabic diabetes distress scale: A cross sectional study from Saudi Arabia. Saudi Med J. 2021;42(5):509-16. https:\/\/doi.org\/10.15537\/smj.2021.42.5.20200286. https:\/\/pubmed.ncbi.nlm.nih.gov\/33896780 https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC9149698 https:\/\/doi.org\/10.15537\/smj.2021.42.5.20200286","DOI":"10.15537\/smj.2021.42.5.20200286"},{"key":"72065","unstructured":"17. Chew BH, Mukhtar F, Sherina MS, Paimin F, Hassan NH, Jamaludin NK. The reliability and validity of the Malay version 17-item Diabetes Distress Scale. Malays Fam Physician. 2015;10(2):22-35. https:\/\/pubmed.ncbi.nlm.nih.gov\/27099658 https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4826578"},{"key":"72067","unstructured":"18. EF English Proficiency Index | EF Global Site (English). Accessed April 4, 2025. https:\/\/www.ef.com\/wwen\/epi\/regions\/asia\/philippines\/"},{"key":"72069","unstructured":"19. Philippine Statistics Authority. Tagalog is the most widely spoken language at home (2020 Census of Population and Housing). Accessed March 7, 2023. https:\/\/psa.gov.ph\/content\/tagalog-most-widely-spoken-language-home-2020-census-population-and-housing"},{"key":"72071","doi-asserted-by":"crossref","unstructured":"20. Wild D, Grove A, Martin M, et al. Principles of good practice for the translation and cultural adaptation process for patient-reported outcomes (PRO) measures: Report of the ISPOR task force for translation and cultural adaptation. Value Health. 2005;8(2):94-104. https:\/\/pubmed.ncbi.nlm.nih.gov\/15804318 https:\/\/doi.org\/10.1111\/j.1524-4733.2005.04054.x","DOI":"10.1111\/j.1524-4733.2005.04054.x"},{"key":"72073","unstructured":"21. Mokkink LB, Prinsen CAC, Patrick DL, et al. COSMIN methodology for systematic reviews of Patient-Reported Outcome Measures (PROMs): User Manual. Version 1.0. Accessed April 4, 2025. https:\/\/cosmin.nl\/wp-content\/uploads\/COSMIN-methodology-for-content-validity-user-manual-v1.pdf"},{"key":"72075","unstructured":"22. Polit D, Yang F. Measurement and the measurement of change: A primer for the health profession. Wolters Kluwer; 2016. https:\/\/tms.iau.ir\/file\/download\/page\/1635851220-measurment-and-the-meaurment-of-change.pdf"},{"key":"72077","doi-asserted-by":"crossref","unstructured":"23. Fayers PM, Machin D. Quality of life, the assessment, analysis and interpretation of patient-reported outcomes, 2nd ed. John Wiley and Sons; 2007.","DOI":"10.1002\/9780470024522"},{"key":"72079","doi-asserted-by":"crossref","unstructured":"24. Mundfrom DJ, Shaw DG, Ke TL. Minimum sample size recommendations for conducting factor analyses. Int J Test. 2005;5(2):159-68. https:\/\/doi.org\/10.1207\/s15327574ijt0502_4","DOI":"10.1207\/s15327574ijt0502_4"},{"key":"72081","unstructured":"25. Krabbe P. The measurement of health and health status, 1st ed. Elsevier Gezondheidszorg; 2016."},{"key":"72083","unstructured":"26. Menguito ML, Teng-Calleja M. Bahala na as an expression of the Filipino's courage, hope, optimism, self-efficacy and search for the sacred. Philipp J Psychol. 2010;43(1):1-26."},{"key":"72085","doi-asserted-by":"crossref","unstructured":"27. Cechetti JV, Pu\u00f1ales M, da Cunha LZV, Rigo L. Emotional distress in patients with type 1 diabetes mellitus. Spec Care Dentist. 2020;40(6):589-96. https:\/\/pubmed.ncbi.nlm.nih.gov\/32857430 https:\/\/doi.org\/10.1111\/scd.12516","DOI":"10.1111\/scd.12516"},{"key":"72087","doi-asserted-by":"crossref","unstructured":"28. Thanakwang K, Thinganjana W, Konggumnerd R. Psychometric properties of the Thai version of the Diabetes Distress Scale in diabetic seniors. Clin Interv Aging. 2014;9:1353-61. https:\/\/pubmed.ncbi.nlm.nih.gov\/25152617 https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4140395 https:\/\/doi.org\/10.2147\/CIA.S67200","DOI":"10.2147\/CIA.S67200"},{"key":"72089","doi-asserted-by":"crossref","unstructured":"29. Ting RZ, Nan H, Yu MW, et al. Diabetes-related distress and physical and psychological health in Chinese type 2 diabetic patients. Diabetes Care. 2011;34(5):1094-6. https:\/\/pubmed.ncbi.nlm.nih.gov\/21398526 https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3114496 https:\/\/doi.org\/10.2337\/dc10-1612","DOI":"10.2337\/dc10-1612"},{"key":"72091","doi-asserted-by":"crossref","unstructured":"30. Francisco MDD, Magnaye FMM, Molina AJR, Sandoval MAS. Diabetes distress sources among Filipinos with type 2 diabetes mellitus in the outpatient department of a tertiary government hospital. Acta Med Philipp. 2022;56(6):46-56. https:\/\/doi.org\/10.47895\/amp.v56i6.2992","DOI":"10.47895\/amp.v56i6.2992"}],"container-title":["Journal of the ASEAN Federation of Endocrine Societies"],"original-title":[],"link":[{"URL":"https:\/\/www.asean-endocrinejournal.org\/index.php\/JAFES\/article\/download\/2895\/4393","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.asean-endocrinejournal.org\/index.php\/JAFES\/article\/download\/2895\/4393","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T23:28:47Z","timestamp":1746142127000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.asean-endocrinejournal.org\/index.php\/JAFES\/article\/view\/2895"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,20]]},"references-count":30,"URL":"https:\/\/doi.org\/10.15605\/jafes.040.01.05","relation":{},"ISSN":["2308-118X","0857-1074"],"issn-type":[{"value":"2308-118X","type":"electronic"},{"value":"0857-1074","type":"print"}],"subject":[],"published":{"date-parts":[[2025,4,20]]}}}