{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T22:03:47Z","timestamp":1780092227678,"version":"3.54.0"},"reference-count":29,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2025,7,29]],"date-time":"2025-07-29T00:00:00Z","timestamp":1753747200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"SABIC Psychological Health Research and Applications Chair, Department of Psychiatry, College of Medicine, Deanship of Postgraduate Teaching, King Saud University"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Behavioral Sciences"],"abstract":"<jats:p>Objectives: The objective of this manuscript is to translate, adapt, and validate an Arabic version of the Diabetes Eating Problem Survey\u2014Revised (DEPS-R) questionnaire to assess disordered eating behaviors (DEBs) in adolescents with T1D in Saudi Arabia. Additionally, the study sought to estimate the prevalence of DEBs and analyze its associations with glycemic control and diabetes-related complications. Methods: A cross-cultural validation study was conducted following the COSMIN guidelines. The DEPS-R questionnaire was translated into Arabic through forward and backward translation involving expert panels, including psychiatrists, diabetologists, and linguists. A sample of 409 people with type 1 diabetes (PwT1D) (58.4% females) aged 12\u201320 years was recruited from outpatient diabetes clinics in the five main regions of Saudi Arabia. Participants completed the Arabic DEPS-R and the validated Arabic version of the SCOFF questionnaire. Sociodemographic, anthropometric, and biochemical data were collected, and statistical analyses, including confirmatory factor analysis (CFA) and internal consistency tests, were conducted. Results: The Arabic DEPS-R exhibits strong internal consistency (Cronbach\u2019s alpha = 0.829) and high test\u2013retest reliability (ICC = 0.861), with a CFA supporting a three-factor structure, namely body weight perception, disordered eating behaviors (DEBs), and bulimic tendencies. Notably, higher DEPS-R scores are significantly linked to elevated HbA1c levels, increased BMI, and more frequent insulin use. Alarmingly, 52.8% of participants show high-risk DEB, which is directly associated with poor glycemic control (HbA1c \u2265 8.1%) and a heightened risk of diabetic ketoacidosis (DKA). Conclusions: The Arabic DEPS-R is a valid and reliable tool for screening DEBs among Saudi adolescents with T1D. Findings underscore the necessity for early identification and intervention to mitigate the impact of EDs on diabetes management and overall health outcomes.<\/jats:p>","DOI":"10.3390\/bs15081026","type":"journal-article","created":{"date-parts":[[2025,7,29]],"date-time":"2025-07-29T09:31:45Z","timestamp":1753781505000},"page":"1026","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Psychometric Properties of the Diabetes Eating Problem Survey\u2014Revised in Arab Adolescents with Type 1 Diabetes: A Cross-Cultural Validation Study"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5800-9970","authenticated-orcid":false,"given":"Abdullah M.","family":"Alguwaihes","sequence":"first","affiliation":[{"name":"Division of Endocrinology, Department of Internal Medicine, College of Medicine, King Saud University, Riyadh 11461, Saudi Arabia"},{"name":"Diabetes Center, Dallah Hospital, Riyadh 12381, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7049-0960","authenticated-orcid":false,"given":"Shuliweeh","family":"Alenezi","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, College of Medicine, King Saud University, Riyadh 11451, Saudi Arabia"},{"name":"SABIC Psychological Health Research and Applications Chair (SPHRAC), Department of Psychiatry, College of Medicine, King Saud University, Riyadh 11451, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6930-047X","authenticated-orcid":false,"given":"Renad","family":"Almutawa","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, King Fahad Medical City, Riyadh 11525, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9474-3408","authenticated-orcid":false,"given":"Rema","family":"Almutawa","sequence":"additional","affiliation":[{"name":"Department of Neurology, National Neurosciences Institute, King Fahad Medical City, Riyadh 11525, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-6289-7629","authenticated-orcid":false,"given":"Elaf","family":"Almusahel","sequence":"additional","affiliation":[{"name":"Department of Neurology, National Neurosciences Institute, King Fahad Medical City, Riyadh 11525, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2051-8558","authenticated-orcid":false,"given":"Metib S.","family":"Alotaibi","sequence":"additional","affiliation":[{"name":"University Diabetes Center, King Saud University Medical City, King Saud University, Riyadh 11472, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4420-9378","authenticated-orcid":false,"given":"Mohammed E.","family":"Al-Sofiani","sequence":"additional","affiliation":[{"name":"Division of Endocrinology, Department of Internal Medicine, College of Medicine, King Saud University, Riyadh 11461, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5736-0793","authenticated-orcid":false,"given":"Abdulmajeed","family":"AlSubaihin","sequence":"additional","affiliation":[{"name":"Division of Endocrinology, Department of Pediatrics, College of Medicine, King Saud University, Riyadh 11461, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,7,29]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Aldubayan, K., Ghafouri, K., Mutwalli, H., Kutbi, H. 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