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Psychometric properties of the Escala de Autoeficacia para la Depresión en Adolescentes (EADA) among Latino youth with type 1 diabetes

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Abstract

Type 1 Diabetes (T1D) adolescents have higher depression rates than controls. Self-efficacy has been proposed as a mediator of therapeutic changes. Few scales assess emotional self-efficacy in adolescents. None have been validated with T1D youth. We examined the psychometric properties of the Escala de Autoeficacia para la Depresión en Adolescentes (EADA) with 51 T1D youth (aged 12–17 years), enrolled in a depression treatment study. Adolescents and one parent each completed several measures. Youth completed the EADA. We used alpha coefficient to estimate its internal consistency and Pearson correlation to assess its concurrent and construct validity. We found an internal consistency of 0.93 for the EADA total score, with alpha values ranging from 0.71 to 0.85 for its subscales. EADA scores significantly (p ≤ 0.05) diverged from self-reports of depression, hopelessness/helplessness, suicidal ideation, self-esteem/guilt problems, depression-related cognitive alterations, hypoglycemic symptoms, and problems in quality of life. Its scores converged with youth’s life satisfaction, self-efficacy for diabetes, self-care behaviors, and perceptions about the quality of group therapy climate and family social support. Our findings document EADA’s reliability and validity when used with T1D youth and extend the supporting evidence on its psychometric properties to a clinical sample of Latino adolescents.

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Acknowledgements

The work presented here is based on data from a major research study supported by the National Institute of Diabetes and Digestive and Kidney Diseases of the National Institutes of Health under Award Number R03DK092547. This work also received support from the Puerto Rico Clinical and Translational Research Consortium, under Award Number 2U54MD007587 from the National Institute on Minority Health and Health Disparities. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. A preliminary version of this work was presented at the 13th Annual Scientific Conference at Ponce Health Science University.

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  1. Ponce Health Sciences University, P.O. Box 7004, Ponce, PR, 00732, USA

    Orlando M. Pagán-Torres

  2. Institute for Psychological Research, University of Puerto Rico, Río Piedras Campus, 9 Ave Universidad #901, San Juan, PR, 00925-2509, USA

    Eduardo Cumba-Avilés & Anthony L. Matos-Melo

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  1. Orlando M. Pagán-Torres
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Correspondence to Eduardo Cumba-Avilés.

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Pagán-Torres, O.M., Cumba-Avilés, E. & Matos-Melo, A.L. Psychometric properties of the Escala de Autoeficacia para la Depresión en Adolescentes (EADA) among Latino youth with type 1 diabetes. Diabetol Int 10, 126–137 (2019). https://doi.org/10.1007/s13340-018-0378-7

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