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1 ( ) :(IR-PAID -5) ( ( : FADAE@shmu.ac.ir : PAID-5.. PAID-5. ( ) :. (). / PAID-5 :. PAID. / PAID-20 PAID-5 PAID-5. PAID-5 :.. IR-PAID-5 : // : // : // :......

2 ,. vi CES-D BDI v PAID. vii viii. CES-D DDS ix.. x... PAID PAID ()... i PAID-20 ii PAID-20. ). ( iii iv.. v- BDI: Beck Depression Inventory vi - CES-D: Center for Epidemiological Studies Depression vii - Hermanns viii - Schmitt ix -DDS: Diabetes Distress Scale x -McGuire i - Fisher ii- PIAD: Problem Areas in Diabetes Questionnaire iii - Joslin iv - Boston

3 IR-PAID -5. ANOVA t-test. ROC Curve. SPSS. P</ ( /). ( /). /±/ ( ±) /±/ ( /) /). ( ). ( /) ( /). ( /). (.. /. /. / / /. KMO and Bartlett's.(P</) /.( ).... PAID PAID-20. (PAID-5) ). ( ) /. (... /. / ()... PAID-5. PAID-20. /

4 ,. PAID-5 - / / / / / / / / / / ANOVA.(p</) (p>/). : : : : :.(p>/) Scree Plot -

5 IR-PAID -5 PAID - P PAID-5 ± P PAID-20 ± / /±/ / /±/ / / / / / / /±/ /±/ /±/ /±/ /±/ /±/ /±/ /±/ /±/ ±/ /±/ /±/ /±/ /±/ /±/ /±/ / / / / / / /±/ /±/ /±/ /±/ /±/ /±/ /±/ /±/ /±/ /±/ /±/ /±/ ±/ /±/ /±/ /±/ t PAID * (p>/).( ) PAID - P IR-PAID-5 r PAID-20 P * r /* -/ / -/ /* / / / HbA 1 c /* / / / FBS /* / / / BS *. ).(/..

6 ,.... PAID-5. PAID-20. : (). ). (/. i- Lee ii - Figueiredo.. " ii i.". " ".. ( )... ( ) References 1. Lee EH, Lee YW, Lee KW, Kim YS, Nam MS. Measurement of diabetes-related emotional distress using the Problem Areas in Diabetes scale: psychometric evaluations show that the short form is better than the full form. Health Qual Life Outcomes 2014; 12: Kasteleyn MJ, Vries L, Puffelen AL, Schellevis FG, Rijken M, Vos RC, et al. Diabetes-related distress over the course of illness: results from the Diacourse study. Diabet Med 2015; 32:

7 IR-PAID Chew BH, Mohd-Sidik S, Shariff-Ghazali S. Negative effects of diabetes-related distress on health-related quality of life: an evaluation among the adult patients with type 2 diabetes mellitus in three primary healthcare clinics in Malaysia. Health Qual Life Outcomes 2015; 13: Roy T, Lloyd CE, Pouwer F, Holt RI, Sartorius N. Scr eening tools used for measuring depression among people with Type 1 and Type 2 diabetes: a systematic review. Diabet Med 2012; 29: Fisher L, Hessler DM, Polonsky WH, Mullan J. When is diabetes distress clinically meaningful? Establishing cut points for the Diabetes Distress Scale. Diabetes Care 2012; 35: Fisher L, Glasgow RE, Mullan JT, Skaff MM, Polonsky WH. Development of a brief diabetes distress screening instrument. Ann Fam Med 2008; 6: McGuire BE, Morrison TG, Hermanns N, Skovlund S, Eldrup E, Gagliardino J, et al. Short-form measures of diabetes-related emotional distress: the Problem Areas in Diabetes Scale (PAID)-5 and PAID-1. Diabetologia 2010; 53: Stanković Z, Jasović-Gasić M, Lecić-Tosevski D. Psychological problems in patients with type 2 diabetes-clinical considerations. Vojnosanit Pregl 2013; 70: Reddy J, Wilhelm K, Campbell L. Putting PAID to diabetes-related distress: the potential utility of the problem areas in diabetes (PAID) scale in patients with diabetes. Psychosomatics 2013; 54: Arzaghi SM, Mahjouri MY, Heshmat R, Khashayar P, Larijani B. Psychometric properties of the Iranian version of the Problem Areas in Diabetes scale (IR-PAID- 20). Iran J Diabetes Metab Disord 2011; 10: Sigurdardottir AK, Benediktsson R. Reliability and validity of the Icelandic version of the Problem Area in Diabetes (PAID) Scale. Int J Nurs Stud 2008; 45: Hermanns N, Kulzer B, Krichbaum M, Kubiak T, Haak T. How to screen for depression and emotional problems in patients with diabetes: comparison of screening characteristics of depression questionnaires, measurement of diabetes-specific emotional problems and standard clinical assessment. Diabetologia 2006; 49: Schmitt A, Reimer A, Kulzer B, Haak T, Ehrmann D, Hermanns N. How to assess diabetes distress: comparison of the Problem Areas in Diabetes Scale (PAID) and the Diabetes Distress Scale (DDS). Diabet Med 2015; Polonsky WH, Anderson BJ, Lohrer PA, Welch G, Jacobson AM, Aponte JE, et al. Assessment of diabetesrelated distress. Diabetes Care 1995; 18: Hermanns N, Caputo S, Dzida G, Khunti K, Meneghini LF, Snoek F. Screening, evaluation and management of depression in people with diabetes in primary care. Prim Care Diabetes 2013; 7: Figueiredo R, Wit M, Hajos T, Barreto S, Horizonte B. Brazilian Version of The Problem Areas in Diabetes Scale (PAID-5): Short-Form Measure of Diabetes- Related Emotional Distress. 73rd scientific sesseions, American Diabetes Association Avalible from: URL: act.aspx?mid=3217&skey=e68ac573-fe45-4c2f fc10b&ckey=73619e63-0e54-42e3-a170- cb3f7f12e680&mkey=89918d6d ea9-9d4f- 711f98a7ae5d#

8 Vol 18 No.1 April-May 2016 Iranian Journal of Endocrinology and Metabolism / 76 Original Article Short-form of the Iranian Version of the Problem Areas in Diabetes Scale (IR-PAID -5): Validity and Reliability Ameri M 1, Fadaeeaghdam N 1, Aliyari R 2 1 School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud Iran, 2 Department of Biostatistics, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, I.R. Iran fadae@shmu.ac.ir Received: 23/09/2015Accepted: 14/02/2016 Abstract Introduction: The Problem Area in Diabetes (PAID) questionnaire is a tool used to identify depression and psychological distress caused by diabetes. Considering the importance of rapid screening of these patients in primary care, PAID-5 can be very helpful in this regard. Therefore, this study aimed to evaluate the reliability and validity of PAID-5 for the first time in Iran. Materials and Methods: This study was conducted on 110 eligible patients with diabetes, admitted to Imam Hussein Hospital diabetic clinic in the city of Shahroud for one year. Having employed short and long forms of the PAID questionnaire, the present study, then, used various statistical tools including exploratory factor analysis, Cronbach's alpha coefficient, Roc Curve, T-Test, ANOVA and Pearson correlation coefficient to analyze the collected data. Results: Cronbach's alpha coefficient for the PAID-5 was The correlation coefficient between the average scores of PAID-5 and PAID-20 was The results of exploratory factor analysis for PAID-5 explain 51 % of the total variance. The cut-off point obtained for the PAID-5 questionnaire was 8. Conclusion: The results show that the short form, like the long form, enjoys appropriate reliability and validity to identify diabetes-related depression and emotional distress in Iranian diabetic patients. Keywords: Problem Areas, Emotional distress, Diabetes, IR-PAID-5