Department of Medical Psychology, Hannover Medical School.
Pediatric Endocrinology and Diabetes, Wilhelmstift Catholic Children's Hospital.
Psychol Assess. 2024 Sep;36(9):e38-e50. doi: 10.1037/pas0001338.
Children with Type 1 diabetes (T1D) and their parent-caregivers often experience diabetes distress due to the daily demands of diabetes management. Regular screening for diabetes distress is needed to prevent the deterioration of metabolic control and the development of mental health disorders. The aim of this analysis was to examine the psychometric properties of the German versions of the Problem Areas in Diabetes Scale for Children (PAID-C) and for caregiver burden in Parents (P-PAID-C). Data were collected from 136 children aged 7-12 years (46.7% females) and 304 parents (Mage = 42.9 (SD 6.1) years; 78% mothers) by using linguistically translated questionnaires in a multicenter study. Confirmatory factor analysis and correlational analyses were conducted. Results confirmed the two-factor model for the PAID-C and the four-factor model for the P-PAID-C with a slight modification. Cronbach's αs for children and parents were 0.88 and 0.92, respectively. The PAID-C and P-PAID-C scores had small positive associations with HbA1c (rs = .220 and .139, respectively, all p < .05) and strong inverse association with the KIDSCREEN-10 index (r = -.643 and -.520, respectively, all p < .001). P-PAID-C scores increased with increasing depressive symptoms measured in nine-item Patient Health Questionnaire among parents (rs = .534, p < .001). The scores produced by the German PAID-C and P-PAID-C were reliable and valid in measuring diabetes burdens. These German versions of PAID can be utilized to assess diabetes-specific distress and to design interventions for children and their parents experiencing high levels of diabetes distress. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
患有 1 型糖尿病 (T1D) 的儿童及其照顾者经常因日常管理糖尿病的需求而经历糖尿病困扰。需要定期进行糖尿病困扰筛查，以防止代谢控制恶化和心理健康障碍的发展。本分析的目的是检查儿童糖尿病问题领域量表 (PAID-C) 和父母负担量表 (P-PAID-C) 的德文版本的心理测量特性。通过使用语言翻译的问卷，在一项多中心研究中收集了 136 名 7-12 岁儿童 (46.7%为女性) 和 304 名父母 (Mage = 42.9(SD 6.1)岁；78%为母亲) 的数据。进行了验证性因素分析和相关分析。结果证实了 PAID-C 的两因素模型和 P-PAID-C 的四因素模型，略有修改。儿童和父母的 Cronbach's αs 分别为 0.88 和 0.92。PAID-C 和 P-PAID-C 评分与 HbA1c 呈小的正相关(rs =.220 和.139，均 p <.05)，与 KIDSCREEN-10 指数呈强负相关(r = -.643 和 -.520，均 p <.001)。在父母中，用九项患者健康问卷测量的抑郁症状与 P-PAID-C 评分呈正相关(rs =.534，p <.001)。PAID-C 和 P-PAID-C 的德文版本在测量糖尿病负担方面具有可靠性和有效性。这些德文版本的 PAID 可用于评估儿童及其父母的特定糖尿病困扰，并为经历高糖尿病困扰的儿童及其父母设计干预措施。(PsycInfo 数据库记录 (c) 2024 APA，保留所有权利)。
