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Evaluating the Psychometric Properties of the Arabic Version of the Diabetes Distress Scale

Article type: Published article


The current study evaluated the psychometric properties of the Arabic version of the Diabetes Distress Scale (DDS-A) among Arab patients with diabetes mellitus (DM) using a descriptive cross-sectional design. Participants' DDS-A total scores significantly correlated with depressive symptoms (r = 0.288, p = 0.000) as well as two subscales, emotional burden (r = 0.276, p = 0.000) and regimen distress (r = 0.265, p = 0.000). Participants' DDS-A scores had significant negative correlations with income, DM self-management, and knowledge (r = −0.184, p = 0.008; r = −0.310, p = 0.000; r = −0.174, p = 0.003, respectively) and a positive correlation with HbA1c level (r = 0.153, p = 0.018). Factor analysis revealed a four-factor solution that retained all items and explained a variance of 65.59%. Cronbach's alpha was 0.822 for the total scale and 0.778 to 0.881 for the subscales, indicating a high internal consistency. The DDS-A was found to be a psychometrically sound measure to evaluate DM-related distress among Arab patients. [Journal of Psychosocial Nursing and Mental Health Services, 55(9), 43–51.]

Full citation

Darawad, M. W., et al. (2017). "Evaluating the Psychometric Properties of the Arabic Version of the Diabetes Distress Scale." Journal of psychosocial nursing and mental health services 55(9): 43-51.


Methods Condition Gender Age Country Setting Sample size
Patients with DM Both 18 - older Jordan
Healthcare Facility 325

Number of items

17 items


Measure does not require training

Required time

Less than 5 min

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Articles last updated: March 2020