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

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.

Depression, Anxiety and Stress Scales (DASS-21): Construct Validity Problem in Hispanics

“…For example, in 2008 the Self-Efficacy Scale for Depression in Adolescents was developed and validated with 116 participants, and obtained a Cronbach’s alpha for internal consistency of 0.90 [ 28 ]. Ten years later, it was validated using a sample of 51 Puerto Rican teens with Type 1 Diabetes, and obtained a Cronbach’s alpha for internal consistency rate of 0.93 for the total scale and between 0.71 to 0.85 for sub-scales [ 29 ]. Other Puerto Rican authors validated the Inventory for the Spectrum Assessment of Depressive Symptomatology with 201 adolescents by revealing a Cronbach’s alpha for internal consistency of 0.98 [ 30 ].…”

Consideraciones sobre la Espiritualidad y la Religión como Recursos de Afrontamiento durante la Pandemia del COVID-19

“…Por eso, cuando las personas que valoran lo E/R participan de terapias que toman estas dimensiones en cuenta, podrían sentirse más seguros y confiados en abrirse y discutir en terapia los verdaderos asuntos que las afectan. Algunos clientes podrían considerar que hay una dimensión espiritual en sus problemas de vida, o piensen que estos afectan su espiritualidad (Pagán-Torres et al, 2017).…”

“…Además, la Asociación Americana de Consejería cuenta con la Asociación de Valores Espirituales, Éticos y Religiosos en la Consejería (ASERVIC, 2009) la cual promueve la incorporación de la espiritualidad en la práctica de la consejería. Esto es importante, dado que los códigos de ética de la profesión de la psicología no prohíben la utilización de técnicas religiosas y espirituales en la psicoterapia siempre y cuando se haga responsablemente con fines psicoterapéuticos (González-Rivera, 2015;Pagán et al, 2017). También, la guía de consulta del Manual Diagnóstico y Estadístico de Trastornos Mentales-Quinta Edición (DSM-5) (American Psychiatric Association, 2013) contiene una categoría para ubicar problemas espirituales y religiosos que requieren de atención clínica conocido como: V62.89 Problema religioso o espiritual.…”