OBJECTIVE Fear of diabetes complications (FDC) is a common source of emotional distress in people with diabetes across types and treatments and may affect health outcomes. To assess FDC, the Fear of Diabetes Complications Questionnaire (FDCQ) was developed. This study evaluates the FDCQ's German version in people with type 1 diabetes (T1D) and type 2 diabetes (T2D). METHOD A German version of the FDCQ was developed and administered as part of four different studies sampling people with T1D and T2D. Measurement properties were evaluated across studies using factor analyses, reliability estimates, and associations of the measure within a network of variables. A cutoff criterion for elevated FDC was derived. A short form scale was also developed. RESULTS High reliability and validity were supported. FDC as measured by the FDCQ was independently associated with higher diabetes distress and depressive symptoms. A cut-off score for elevated FDC was set at ≥30 in the 15-item FDCQ. Elevated FDCQ scores were detected in 36% of participants in secondary diabetes care and up to 46% of those in tertiary care. CONCLUSIONS FDC is prevalent in people with T1D and T2D and associated with diabetes distress and depressive symptoms. The FDCQ is a reliable and valid tool for assessing FDC in research and practice. It may help identify persons in need of tailored education and care and monitor effects following treatment. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

中文翻译：

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使用糖尿病并发症恐惧问卷评估 1 型和 2 型糖尿病患者对并发症的恐惧。

目的 对糖尿病并发症 (FDC) 的恐惧是各种类型和治疗方法的糖尿病患者情绪困扰的常见来源，并可能影响健康结果。为了评估 FDC，制定了对糖尿病并发症的恐惧问卷 (FDCQ)。本研究评估了 1 型糖尿病 (T1D) 和 2 型糖尿病 (T2D) 患者的 FDCQ 德语版本。方法 德国版本的 FDCQ 是作为对 1 型糖尿病和 2 型糖尿病患者进行抽样的四项不同研究的一部分而开发和实施的。使用因素分析、可靠性估计和变量网络内的测量关联来评估各项研究的测量属性。得出了 FDC 升高的截止标准。还开发了一个简短的量表。结果支持高可靠性和有效性。通过 FDCQ 测量的 FDC 与较高的糖尿病痛苦和抑郁症状独立相关。在 15 项 FDCQ 中，FDC 升高的截止分数设置为 ≥30。在二级糖尿病护理中，36% 的参与者检测到 FDCQ 评分升高，在三级护理中，这一比例高达 46%。结论 FDC 在 1 型糖尿病和 2 型糖尿病患者中普遍存在，并且与糖尿病困扰和抑郁症状相关。FDCQ 是评估研究和实践中 FDC 的可靠且有效的工具。它可能有助于识别需要量身定制的教育和护理的人，并监测治疗后的效果。（PsycInfo 数据库记录 (c) 2023 APA，保留所有权利）。