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July 23, 2026The Science of Diabetes Self-Management and Care

Validation and Cross-Cultural Adaptation of the Diabetes Distress Scale in a Spanish Population

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Authors

MGMiguel Garrido-BuenoPCPilar Santa Cruz-ÁlvarezMPManuel Pabón-Carrasco

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Overview

Cross-sectional validation study confirms the effectiveness of the Diabetes Distress Scale in a Spanish population, suggesting a reliable tool for measuring diabetes distress.

Key Points

  • The study aims to translate, culturally adapt, and validate the Diabetes Distress Scale (DDS) in a Spanish population.
  • Conducted a cross-sectional validation study among adults with diabetes in Spain
  • Participants completed the Spanish DDS and Problem Areas in Diabetes (PAID) questionnaire
  • Used factor analyses and reliability assessments such as Cronbach’s α and McDonald’s ω.
  • The 4-factor model was supported with excellent internal consistency
  • DDS total scores strongly correlated with PAID scores (R² = 0.845)
  • Original DDS cutoffs were confirmed, and gender invariance was achieved.

Cite This Study

Garrido-Bueno et al. (2026) studied this question.

synapsesocial.com/papers/6a61b02ffaa9903c5116ace8https://doi.org/10.1177/26350106261457885
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

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  5. 5Reliability and validity of the Turkish version of the Diabetes Distress Scale for type 2 diabetes and distress levels of the participants2019 · 6 citations