Aims It is important to have valid and reliable measures to determine the psychological impact of COVID-19 in patients with diabetes; however, few instruments have been developed and validated for this population. Therefore, the aim of this study was to validate the Scale of Worry for Contagion of COVID-19 (PRE-COVID-19) in a sample of patients with diabetes mellitus (DM). Materials and methods A total of 219 patients (66.2% female, mean age 58.5 SD = 18.2) participated, selected through non-probabilistic sampling. The PRE-COVID-19 and the Generalized Anxiety Disorder Scale-2 were applied. Reliability analysis was performed for internal consistency, structural equation modeling and item response theory modeling. Results The results show that a unidimensional 5-item model presents satisfactory goodness-of-fit indices and excellent reliability values. Likewise, convergent validity between the PRE-COVID-19 and a measure of anxiety is evident. All items present adequate discrimination parameters, allowing for discerning between those patients with critical concern about COVID-19 contagion from those with severe concern. Conclusion It is concluded that the PRE-COVID-19 is an instrument with adequate psychometric properties to measure concern about COVID-19 infection and the emotional impact in patients with DM.

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Introducción: El propósito de este estudio fue determinar el impacto del confinamiento por COVID-19 en el control glucémico de niños y adolescentes con diabetes mellitus tipo 1. Material y métodos: Se realizó un estudio observacional, descriptivo con diseño prospectivo en Cuba, entre noviembre de 2020 y mayo de 2021. La muestra estuvo constituida por 41 niños y adolescentes de un Centro Provincial de Atención y Educación al Paciente Diabético. Las mediciones antropométricas (peso, talla e IMC) fueron obtenidas de las historias clínicas de los pacientes al momento del debut y al momento de la consulta de seguimiento durante el periodo del estudio. El control glucémico fue determinado a partir del valor de la hemoglobina glucosilada (HbA1c). La comparación de las medias entre grupos de variables independientes fue llevada a cabo mediante el análisis de varianza ANOVA de un factor de Kruskal-Wallis cuando se trataba de variables cuantitativas, y Chi cuadrado de Pearson en el caso de las variables categóricas. Resultados: Se observó que durante el confinamiento el 78,05 % de los pacientes presentaban un mal control glucémico. Además, los requerimientos de mayores dosis totales de insulina (p=0,005), tanto de acción rápida (p=0,011) como lenta (p=0,008), y la mayor dosificación por peso en kilogramos (p=0,003), y el mayor tiempo de evolución (p=0,011) se relacionaron significativamente con el mal control glucémico. La mayoría las variables que se asociaron a un mal control glucémico durante el confinamiento, también lo hacían antes de dicho período. Conclusiones: El confinamiento tuvo un impacto negativo sobre el control glucémico de niños y adolescentes con diabetes mellitus tipo 1 en Cuba, ya que durante este período los pacientes requirieron mayores dosis de insulina y mostraron mayores cifras de HbA1c.

Introduction: Concern about becoming infected is a particularly relevant psychological aspect in the context of a pandemic, as it is associated with social reactions and behavioral changes. Objectives:The present study sought to determine some sociodemographic and health factors associated with concern about COVID-19 infection in Cuban patients with type 2 diabetes mellitus.Methods: 203 patients with type 2 diabetes mellitus, who attended nine primary care areas of four Cuban provinces belonging to different regions of the country (65.52% female, mean age 57.5, SD=19.2), selected through non-probabilistic sampling, participated in the study. A sociodemographic questionnaire, the COVID-19 contagion concern scale (PRE-COVID-19) and an evaluation of blood glucose level were applied. Bivariate associations were examined with a series of analyses of variance (ANOVA). Adjusted (multiple) regression with all predictors running simultaneously was also used.Results: Bivariate analyses showed that age, sex, education, occupation, having comorbidities, and having a family member or friend who had COVID-19 were significantly related to COVID-19 contagion concern. However, when all variables were included simultaneously, only age, technical education, having comorbidities, and having a friend or family member who had COVID-19 remained significant predictors of concern about COVID-19 infection.Conclusions: Male patients, with a technical level of education, with comorbidities and those who had infected family members or friends presented greater concern for the contagion of COVID-19. The public health policies should develop strategies to assess the mental health of people belonging to vulnerable groups and provide interventions to promote mental health in those who show concern about infection.

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