Screening for psychological distress on Indonesian type 2 diabetes: A validation study

Aim This study aimed to test the validity and reliability of a four‐item patient health questionnaire as a psychological distress screening tool for patients with type 2 diabetes in Indonesia. Methods This cross‐cultural adaptation study was applied in five public health‐care centres in Indonesia in August–October 2018 using a four‐item patient health questionnaire. The content, convergent and factorial validity were assessed, and Cronbach's alpha coefficient was the reliability indicator. Results A total of 147 participants were involved. Content validity resulted in acceptable outcomes (item and scale content validity indexes were 0.95 and 0.75, respectively). Anxiety and depression were associated with total score and psychological distress status (P