Factor analysis of DSDH17M (n=722)
| Factor loadings | ||||
|---|---|---|---|---|
| Items | F1 Regimen-related distress and emotional burden | F2 Interpersonal distress | F3 Physician-related distress | Communality values |
| Feeling overwhelmed by the demands of living with diabetes and/or hypertension | 0.85 | 0.09 | 0.12 | 0.75 |
| Not feeling confident in my day-to-day ability to manage diabetes and/or hypertension | 0.84 | 0.23 | 0.17 | 0.78 |
| Feeling angry, scared and/or depressed when I think about living with diabetes and/or hypertension | 0.80 | 0.16 | 0.20 | 0.71 |
| Not feeling motivated to keep up my diabetes and/or hypertension self-management | 0.81 | 0.20 | 0.19 | 0.74 |
| Feeling that diabetes and/or hypertension control my life | 0.75 | 0.17 | 0.11 | 0.60 |
| Feeling that diabetes and/or hypertension are taking up too much of my mental and physical energy every day | 0.70 | 0.06 | 0.08 | 0.49 |
| Feeling that I am often failing with my diabetes and/or hypertension routine | 0.72 | 0.26 | 0.17 | 0.61 |
| Feeling that I will end up with serious long-term complications, no matter what I do | 0.68 | 0.20 | 0.09 | 0.51 |
| Feeling that I am not testing my blood sugars and blood pressure frequently enough | 0.52 | 0.22 | 0.24 | 0.37 |
| Feeling that I am not sticking closely enough to a good meal plan | 0.56 | 0.34 | 0.14 | 0.44 |
| Feeling that friends or family do not appreciate how difficult living with diabetes and/or hypertension can be | 0.27 | 0.88 | 0.28 | 0.93 |
| Feeling that friends or family are not supportive enough of self-care efforts (eg, planning activities that conflict with my schedule, encouraging me to eat the ‘wrong’ foods) | 0.25 | 0.80 | 0.30 | 0.80 |
| Feeling that friends or family do not give me the emotional support that I would like | 0.30 | 0.82 | 0.30 | 0.86 |
| Feeling that my doctor does not give me clear enough directions on how to manage my diabetes and/or hypertension | 0.06 | 0.20 | 0.91 | 0.88 |
| Feeling that my doctor does not take my concerns seriously enough | 0.15 | 0.18 | 0.91 | 0.88 |
| Feeling that my doctor does not know enough about diabetes and/or hypertension and also about diabetes and/or hypertension care | 0.24 | 0.20 | 0.72 | 0.61 |
| Feeling that I do not have a doctor who I can see regularly enough about my diabetes and/or hypertension | 0.23 | 0.26 | 0.62 | 0.51 |
| Per cent of the variance | 33 | 16 | 18 | Total variance 67 |
Bold values highlight the factor loadings >0.4.
DSDH17M, Distress Scale for Mexican patients with type 2 diabetes and hypertension.