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Biomedical subjects

G Duran

Publications and source records attributed to G Duran.

15 recordsLinked to original sources

Psychometric properties of the Questionnaire on Stress in Patients with Diabetes--Revised (QSD-R).

This study reports the psychometric properties of a 45-item diabetes-specific questionnaire, the Questionnaire on Stress in Patients with Diabetes--Revised (QSD-R), a modified and shortened version of the QSD (G. Duran, P. Herschbach, S. Waadt, A. Zettler, & F. Strian, 1995). The QSD-R was filled out by 1,930 individuals with insulin-dependent diabetes mellitus and noninsulin-dependent diabetes mellitus. Eight consistent scales were identified (values of Cronbach's alpha: .69-.81). The test-retest reliability for the total score after a 5-week interval was rtt = .63. The results provide evidence for the reliability and validity of this instrument.

Adolescent

Coping with fear of long-term complications in diabetes mellitus: a model clinical program.

Preliminary results are reported on the efficacy of a behaviorally oriented group therapy (n = 17) intended to improve coping with fear of long-term complications in patients with diabetes mellitus. Treatment consisted of exposure in imagination, relaxation training and analysis of dysfunctional health beliefs. Pre-, posttreatment and 3-month follow-up measure showed significant improvements regarding fear, acceptance of chronic disease and work. The usefulness of such a treatment program and the necessarity for further research is discussed.

Adaptation, Psychological

Assessing daily problems with diabetes: a subject-oriented approach to compliance.

The reliability, construct validity, and discriminant validity of a new self-report questionnaire, the Questionnaire on Stress in Diabetic Patients, were assessed in a sample of 617 patients with insulin-dependent diabetes mellitus and non-insulin-dependent diabetes mellitus. The 90-item inventory is designed to assess psychosocial stress associated with problems in daily living with diabetes. One of the intended uses is to identify psychosocial factors hampering patient compliance with the necessary treatment regimen. Values of Cronbach alpha ranged from 0.63 to 0.88. The results provide initial evidence for the reliability and validity of the instrument.

Activities of Daily Living

[Compliance problems in type I diabetic patients].

Using a newly developed interview concept, 49 type I diabetics were questions about "obstacles to compliance". The patients were asked to identify, in nine different areas of life, any common concrete obstacles to compliance with self-treatment in terms of dietary measures, injections and self monitoring. Emotional barriers and the structuring of everyday activities proved to be of particular importance for compliance with dietary measures, and aspects of the doctor-patient relationship for insulin injection. The results obtained indicate a need both for abandoning the classical term of compliance, and for the use of psychological measures to support the instruction of diabetics.

Activities of Daily Living