{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T21:39:06Z","timestamp":1788298746896,"version":"build-2803163510"},"reference-count":44,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2025,1,15]],"date-time":"2025-01-15T00:00:00Z","timestamp":1736899200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004587","name":"Instituto de Salud Carlos III (ISCIII)\u2014Spanish Ministry of Science and Innovation","doi-asserted-by":"publisher","award":["PI21\/00708"],"award-info":[{"award-number":["PI21\/00708"]}],"id":[{"id":"10.13039\/501100004587","id-type":"DOI","asserted-by":"publisher"}]},{"name":"European Union ERDF funds","award":["PI21\/00708"],"award-info":[{"award-number":["PI21\/00708"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: Type 1 diabetes mellitus (T1DM) in pediatric patients often leads to emotional distress, impacting self-management. The PAID-Peds survey measures diabetes-related emotional burden but lacks a validated Spanish version. This study aimed to validate the Spanish PAID-Peds survey in children and adolescents with T1DM and correlate it with diabetic metabolic control parameters. Methods: A cross-sectional study was conducted from October 2022 to December 2023, recruiting 636 patients aged 8\u201317 years from three Spanish hospitals. Psychometric properties were assessed using Cronbach\u2019s alpha for reliability and confirmatory factor analysis for construct validity. Associations between PAID-Peds scores and clinical measures, such as HbA1c, were examined. Results: The final sample consisted of 538 participants (84.59% response rate). The PAID-Peds survey showed high internal consistency (Cronbach\u2019s alpha = 0.90). The confirmatory factor analysis indicated a satisfactory model fit (\u03c72 = 812.28, p &lt; 0.001; RMSEA = 0.08). Weak correlations were found between PAID-Peds scores and HbA1c (r = 0.14, p &lt; 0.001). Conclusions: The Spanish PAID-Peds survey is a reliable tool for assessing emotional burden in pediatric T1DM patients. Integrating it into clinical practice may improve early identification of emotional distress, aiding in better diabetes management. Further research should explore its application over time and in intervention studies.<\/jats:p>","DOI":"10.3390\/jcm14020523","type":"journal-article","created":{"date-parts":[[2025,1,15]],"date-time":"2025-01-15T09:01:02Z","timestamp":1736931662000},"page":"523","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Spanish Validation of the Problem Area in Diabetes-Pediatric Version Survey and Its Weak Association with Metabolic Control Parameters in Pediatric Diabetes: A Cross-Sectional Multicenter Study"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2883-5769","authenticated-orcid":false,"given":"Elisa","family":"Civitani Monz\u00f3n","sequence":"first","affiliation":[{"name":"Miguel Servet University Hospital, Avenida Isabel la Cat\u00f3lica 1-3, 50009 Zaragoza, Arag\u00f3n, Spain"},{"name":"Instituto de Investigaci\u00f3n Sanitaria Arag\u00f3n, Avenida San Juan Bosco 13, 50009 Zaragoza, Arag\u00f3n, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mar\u00eda Pilar","family":"Ferrer Duce","sequence":"additional","affiliation":[{"name":"Miguel Servet University Hospital, Avenida Isabel la Cat\u00f3lica 1-3, 50009 Zaragoza, Arag\u00f3n, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2865-5813","authenticated-orcid":false,"given":"Antonio","family":"De Arriba Mu\u00f1oz","sequence":"additional","affiliation":[{"name":"Miguel Servet University Hospital, Avenida Isabel la Cat\u00f3lica 1-3, 50009 Zaragoza, Arag\u00f3n, Spain"},{"name":"Instituto de Investigaci\u00f3n Sanitaria Arag\u00f3n, Avenida San Juan Bosco 13, 50009 Zaragoza, Arag\u00f3n, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irune","family":"Goicoechea Manterola","sequence":"additional","affiliation":[{"name":"Sant Joan de D\u00e9u Hospital, Passeig Sant Joan de D\u00e9u 2, 08950 Barcelona, Catalonia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4495-6413","authenticated-orcid":false,"given":"Rosa","family":"Yelmo Valverde","sequence":"additional","affiliation":[{"name":"Ramon y Cajal University Hospital, Carretera Colmenar Viejo km. 9100, 28034 Madrid, Comunidad de Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2326-2703","authenticated-orcid":false,"given":"Josep-Oriol","family":"Casanovas-Marsal","sequence":"additional","affiliation":[{"name":"Miguel Servet University Hospital, Avenida Isabel la Cat\u00f3lica 1-3, 50009 Zaragoza, Arag\u00f3n, Spain"},{"name":"Instituto de Investigaci\u00f3n Sanitaria Arag\u00f3n, Avenida San Juan Bosco 13, 50009 Zaragoza, Arag\u00f3n, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,1,15]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1160","DOI":"10.1111\/pedi.13454","article-title":"ISPAD Clinical Practice Consensus Guidelines 2022: Definition, epidemiology, and classification of diabetes in children and adolescents","volume":"23","author":"Libman","year":"2022","journal-title":"Pediatr. 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