背景 糖尿病問題量表（Problem Areas in Diabetes, PAID)被廣泛用於評估第二型糖尿病人的
情緒困擾。
目的 發展台灣簡版之糖尿病問題量表（short-form Chinese-version Problem Areas in Diabetes
scale, SF-PAID-C )，並探討其信、效度。
方法
結果
以20題之中文版糖尿病問題量表（PAID-C)調查855名第二型糖尿病患。透過項目分 析、探索性因素分析及驗證性因素分析簡化量表並評估其建構效度。以SF-PAID-C得分 與PAID-C得分、填寫PAID-C時（基礎）、3個月後及1年後之HbA1c，檢測同時效度及 預測效度。利用ROC曲線（receiver operating characteristic curve)探討簡版量表之敏感 度及特異度。以Cronbach’s a探討內部一致性，以24位第二型糖尿病患探討隔期兩週的 再測信度。
簡版的8題SF-PAID-C包含「糖尿病相關情緒問題」及 SF-PAID-C與PAID-C有顯著相關性（r = .941; p < .001)
飲食相關問題」次量表。 也與基礎、3個月及12個月
HbA1c皆顯著相關（r = .142〜0.148, p < .001) Cronbach’s a為.85，再測信度為.93。
敏感度及特異度分別為93.2%及94.2%
結論/簡版8題版糖尿病問題量表具有良好信、效度，未來可用於臨床快速評估糖尿病病患情 實務應用緒困擾問題。

Background: The 20-item Problem Areas in Diabetes (PAID) scale is widely used to measure diabetes-related emotional distress. The short-form PAID scale is helpful for the rapid screening of diabetes-related emotional distress in clinical settings.
Purpose: This study developed and examined the psychometric properties of a short-form Chinese-version PAID (SF-PAID-C) scale.
Methods: The Chinese-version 20-item PAID (PAID-C) scale was administered to 855 patients with type 2 diabetes mellitus. Item analysis, exploratory factor analysis, and confirmatory factor analysis were then applied to develop the SF-PAID-C and evaluate its construct validity. The correlations between SF-PAID-C and the latest HbA1c close to the measurement of PAID-C (baseline HbA1c) 3 months and 12 months later were used to examine the concurrent and predictive validity of the SF-PAID-C. Receiver operating characteristic curve analysis was used to examine the sensitivity and specificity of the SF-PAID-C. Cronbach's alpha was used to assess interna丨 consistency. Test-retest on 24 patients was used to examine the stability of theSF-PAID-C.
Results: An 8-item SF-PAID-C was developed. The SF-PAID-C significantly correlated with the PAID-C (厂=.941, p < .001), baseline HbA1c (厂=.148, p < .001), 3-month HbA1c (厂=.147, p < .001), and 12-month HbA1c (厂=.142, p < .001). The sensitivity and specificity of the SF-PAID-C were 93.2% and 94.2%, respectively. The Cronbach's ! and test-retest reliability of the SF-PAID-C were .85 and .93, respectively.
Conclusions/Implications for Practice: The SF-PAID-C is a reliable and valid scale that can be used to screen for diabetes-related emotional problem in Chinese patients with type 2 diabetes mellitus in clinical settings.