title: Classifying diabetes-burden: A factor analysis of the Problem Areas in Diabetes Scale.
abstract: This study sought to identify salient factors associated with the Problem Areas in Diabetes Scale to facilitate improved assessment and treatment of diabetes-related burden. Exploratory factor analysis assessed the factor structure of the Problem Areas in Diabetes Scale among 224 Veterans with uncontrolled type 2 diabetes and depressive symptoms. A four-factor solution of emotional, diabetes management, treatment, and social support burden subscales was extracted. These factors represent clinically relevant components of diabetes burden that include but go beyond symptoms of depression. The Problem Areas in Diabetes subscales may expand assessments for depression and improve medical and behavioral health interventions for patients with diabetes.
authors.affiliation: 1 Houston VA HSR&D Center for Innovations in Quality, Effectiveness and Safety, USA.
authors.forename: Colleen E
authors.initials: CE
authors.lastname: Martin
authors.affiliation: 1 Houston VA HSR&D Center for Innovations in Quality, Effectiveness and Safety, USA.|2 Michael E. DeBakey VA Medical Center, USA.|3 Baylor College of Medicine, USA.
authors.forename: Brenna N
authors.initials: BN
authors.lastname: Renn
authors.affiliation: 1 Houston VA HSR&D Center for Innovations in Quality, Effectiveness and Safety, USA.
authors.forename: Kate E
authors.initials: KE
authors.lastname: Winderman
authors.affiliation: 1 Houston VA HSR&D Center for Innovations in Quality, Effectiveness and Safety, USA.|2 Michael E. DeBakey VA Medical Center, USA.|3 Baylor College of Medicine, USA.|4 VA South Central Mental Illness Research, Education and Clinical Center (a virtual center), USA.
authors.forename: Natalie
authors.initials: N
authors.lastname: Hundt
authors.affiliation: 1 Houston VA HSR&D Center for Innovations in Quality, Effectiveness and Safety, USA.|3 Baylor College of Medicine, USA.
authors.forename: Nancy J
authors.initials: NJ
authors.lastname: Petersen
authors.affiliation: 1 Houston VA HSR&D Center for Innovations in Quality, Effectiveness and Safety, USA.|2 Michael E. DeBakey VA Medical Center, USA.|3 Baylor College of Medicine, USA.
authors.forename: Aanand D
authors.initials: AD
authors.lastname: Naik
authors.affiliation: 1 Houston VA HSR&D Center for Innovations in Quality, Effectiveness and Safety, USA.|2 Michael E. DeBakey VA Medical Center, USA.|3 Baylor College of Medicine, USA.|4 VA South Central Mental Illness Research, Education and Clinical Center (a virtual center), USA.
authors.forename: Jeffrey A
authors.initials: JA
authors.lastname: Cully
mesh_terms: D000328:Adult; D017281:Cost of Illness; D003866:Depressive Disorder / Q000175:diagnosis / Q000523:psychology*; D003924:Diabetes Mellitus, Type 2 / Q000523:psychology; D005163:Factor Analysis, Statistical; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011594:Psychometrics; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires; D014728:Veterans / Q000523:psychology*
keywords: Veteran; depression; diabetes; diabetes-related distress; illness burden