糖尿病饮食问题的心理测量特征 - - 对1型糖尿病的阿拉伯青少年进行了修订:跨文化验证研究
Abdullah M Alguwaihes1,2, Shuliweeh Alenezi3,4, Renad Almutawa5
1Division of Endocrinology, Department of Internal Medicine, College of Medicine, King Saud University, Riyadh 11461, Saudi Arabia.
Behavioral sciences (Basel, Switzerland)
|August 28, 2025
概括
一个新的阿拉伯版本的糖尿病饮食问题调查 (DEPS-R) 已被验证用于评估沙特1型糖尿病 (T1D) 青少年的饮食失调行为. 高风险的DEB是常见的,与血糖控制不佳有关.
科学领域:
- 内分泌学和新陈代谢
- 精神病学和行为科学
- 青少年的健康
背景情况:
- 失调的饮食行为对1型糖尿病 (T1D) 的青少年构成重大风险.
- 在这个群体中评估DEB需要文化验证的工具.
- 之前的评估工具可能不适合沙特阿拉伯的情况.
研究的目的:
- 翻译,调整和验证沙特1型糖尿病青少年的"糖尿病饮食问题调查修订" (DEPS-R) 的阿拉伯版本.
- 在这个人口群体中估计DEB的流行率.
- 检查DEB,血糖控制和糖尿病相关并发症之间的关系.
主要方法:
- 根据COSMIN指南进行跨文化验证研究.
- 专家小组对DEPS-R进行前后翻译.
- 从5个沙特地区招募409名患有T1D的青少年 (12至20岁).
- 填写阿拉伯语DEPS-R和SCOFF问卷,并收集临床数据.
- 统计分析包括确认因素分析 (CFA) 和可靠性测试.
主要成果:
- 阿拉伯DEPS-R表现出强大的内部一致性 (克朗巴赫α=0.829) 和测试复试可靠性 (ICC=0.861).
- 证实因素分析支持三种因素结构:体重感知,DEB和嗜食倾向.
- 较高的DEPS- R得分与HbA1c升高,BMI增加和更频繁的胰岛素使用相关.
- 令人担忧的是,52. 8% 的参与者表现出高风险的DEB,与血糖控制不佳 (HbA1c ≥8. 1%) 和糖尿病酸性酸症 (DKA) 的风险增加有关.
结论:
- 阿拉伯语DEPS-R是沙特1型糖尿病青少年DEB查的有效和可靠工具.
- 早期发现和干预DEB对于改善糖尿病管理至关重要.
- 应对DEB可以减轻这一脆弱群体的健康结果的负面影响.
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