Reliability and Validity of the Traumatic Injuries Distress Scale to Turkish

Translation, Cross-cultural Adaptation, Reliability and Validity of the Traumatic Injuries Distress Scale to Turkish

The Traumatic Injuries distress Scale is a patient-reported measure that assesses suffering following non-catastrophic musculoskeletal injuries. The original English version demonstrated acceptable accuracy in predicting recovery trajectories up to 12 months later. This study aimed to determine the cultural adaptation, validity and reliability of the Turkish version of TIDS-TR in young and physically active patients with hip pain.

The Traumatic Injuries distress Scale (TIDS) is commonly used to measure methods of coping with various forms of Traumatic Injuries. TIDS is a self-report questionnaire developed by David M. Walton et al. in 2016 to assess the magnitude of stress experienced as a result of recent musculoskeletal trauma. It is administered between 2 days and 4 weeks after injury and is used to estimate the likelihood of recovery within 6 to 12 months. Each item in the TIDS questionnaire, which consists of 12 items, is scored as 0, 1, or 2, and the total score is at least 0 and at most 24. The total TIDS score is interpreted as low risk (≤ 3), medium or unknown risk (4 to 10), and high risk (≥ 11) according to the score obtained. TIDS consists of three subscales: 1) uncontrolled pain (4 items), 2) negative affect (6 items), and 3) intrusion/hyperarousal (2 items). Each of the subscales has guiding features for clinicians to determine treatment priorities such as pain management, cognitive or psychological intervention, and stress management techniques. It is recommended that when the uncontrolled pain subscale score is 3 and above, the applications should be aimed at symptom control, when the negative affect score is 3 and above, the applications should be aimed at correcting negative mood, and when the intrusion/hyperarousal score is 1 and above, the applications should be aimed at treating anxiety and post-traumatic stress disorder.

The questionnaires validity and reliability were examined, and good findings were found, leading to the tools widespread use. The purpose of this study was to translate and culturally adapt the original English version of the TIDS into Turkish, as well as to evaluate the instruments validity and reliability in patients with traumatic musculoskeletal injury.

Inclusion Criteria:

• At least 18 years old,
• Having good reading and writing skills in Turkish,
• Having suffered a traumatic musculoskeletal injury that does not require surgery or inpatient treatment
• At least 2 and at most 4 weeks have passed since the injury

Exclusion Criteria:

• Those with organ disease
• Those with blood clotting disorders
• Those with neuromuscular disorders
• Those with rheumatoid diseases
• Those with cancer
• Those with systemic diseases such as uncontrollable psychopathology