Hannover Medical School.
Catholic Children's Hospital Wilhelmstift.
Psychol Assess. 2023 Jul;35(7):e31-e42. doi: 10.1037/pas0001243. Epub 2023 May 25.
The negative impact of psychosocial burden in connection with the treatment of Type 1 diabetes (T1D) indicates the need for regular screening of diabetes distress in adolescents with T1D and their parents. Psychometric properties of the German versions of Problem Areas in Diabetes scale-Teen (PAID-T) and Parent (P-PAID-T) are examined in order to provide a clinical screening tool. Linguistically translated questionnaires were used in a multicenter study with 459 families. Confirmatory factor analysis, validity, and reliability were examined. Teens (42.8% female) had a mean age of 14.7 years. Most parent-caregivers were mothers (74.4%) and were born in Germany (83.1%). Results corroborate the three-factor model for the PAID-T with acceptable model fit, and convergent and discriminant validity was observed. The four-factor model for parents was also supported but had inadequate discriminant validity in this study. Teen and parent scores showed excellent Cronbach's α = 0.91 and 0.93, respectively. The PAID-T and P-PAID-T scores were positively correlated with HbA1c ( = .343 and .252, respectively, < .001) and negatively correlated with treatment satisfaction (Diabetes Treatment Satisfaction Questionnaire) and KIDSCREEN-10 index (teens: = -.545 and -.575; parents: = -.563 and -.489, respectively, all < .001). The P-PAID-T correlated positively with depressive symptoms measured in Patient Health Questionnaire -9 ( = .537, < .001). The German versions of PAID-T and P-PAID-T produced scores that demonstrated good reliability and validity. Like the original English versions, the German versions are useful to detect diabetes-specific distress in families and to tailor interventions for affected teenagers and their parents. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
与 1 型糖尿病 (T1D) 治疗相关的心理社会负担的负面影响表明，需要定期筛查 T1D 青少年及其父母的糖尿病困扰。为提供临床筛查工具，对青少年糖尿病困扰量表（Problem Areas in Diabetes scale-Teen，PAID-T）和家长版（Parent，P-PAID-T）的德文版进行了心理测量学特性检验。在一项包含 459 个家庭的多中心研究中，使用了经过语言翻译的问卷。检验了验证性因素分析、效度和信度。青少年（42.8%为女性）的平均年龄为 14.7 岁。大多数父母照顾者是母亲（74.4%），且出生于德国（83.1%）。结果支持 PAID-T 的三因素模型，模型拟合度可接受，且具有收敛和判别效度。虽然在这项研究中，家长版的四因素模型也得到了支持，但具有不足的判别效度。青少年和家长的评分显示出极好的 Cronbach's α 值，分别为 0.91 和 0.93。PAID-T 和 P-PAID-T 的评分与 HbA1c 呈正相关（分别为.343 和.252，均 <.001），与治疗满意度（糖尿病治疗满意度问卷）和 KIDSCREEN-10 指数呈负相关（青少年：分别为 -.545 和 -.575；家长：分别为 -.563 和 -.489，均 <.001）。P-PAID-T 与患者健康问卷-9 中测量的抑郁症状呈正相关（=.537， <.001）。PAID-T 和 P-PAID-T 的德文版产生的评分具有良好的信度和效度。与原始英文版一样，德文版可用于检测家庭中与糖尿病相关的困扰，并为受影响的青少年及其父母量身定制干预措施。（PsycInfo Database Record（c）2023 APA，所有权利保留）。
