Abstract：
BACKGROUND:The Pictorial Representation of Illness and Self Measure (PRISM) has been introduced as a visual measure of suffering. We explored the validity of a revised version, the PRISM-RII, in diabetes patients as part of the annual review. METHODS:Participants were 308 adult outpatients with either type 1 or type 2 diabetes. MEASURES:(1) the PRISM-RII, yielding Self-Illness Separation (SIS) and Illness Perception Measure (IPM); (2) the Problem Areas in Diabetes (PAID) scale, a measure of diabetes-related distress; (3) the WHO-5 Well-Being Index; (4) and a validation question on suffering (SQ). In addition, patients' complication status, comorbidity and glycemic control values(HbA1c) were recorded. RESULTS:Patients with complications did have marginally significant higher scores on IPM, compared to patients without complications. Type 2 patients had higher IPM scores than Type 1 patients. SIS and IPM showed low intercorrelation (r = -.25; p < .01). Convergent validity of PRISM-RII was demonstrated by significant correlations between IPM and PAID (r = 0.50; p < 0.01), WHO-5 (r = -.26; p < 0.01) and SQ (r = 0.36; p < 0.01). SIS showed only significant correlations with PAID (r = -0.28; p < 0.01) and SQ (r = -0.22; p < 0.01). Neither IPM nor SIS was significantly associated with HbA1c. The PRISM-RII appeared easy to use and facilitated discussion with care providers on coping with the burden of diabetes. CONCLUSION:PRISM-RII appears a promising additional tool to assess the psychological burden of diabetes.
journal_name
Health Qual Life Outcomesjournal_title
Health and quality of life outcomesauthors
Klis S,Vingerhoets AJ,de Wit M,Zandbelt N,Snoek FJdoi
10.1186/1477-7525-6-104subject
Has Abstractpub_date
2008-11-27 00:00:00pages
104issn
1477-7525pii
1477-7525-6-104journal_volume
6pub_type
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