000149032 001__ 149032 000149032 005__ 20250124153131.0 000149032 0247_ $$2doi$$a10.3390/jcm14020523 000149032 0248_ $$2sideral$$a142179 000149032 037__ $$aART-2025-142179 000149032 041__ $$aeng 000149032 100__ $$aCivitani Monzón, Elisa 000149032 245__ $$aSpanish 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 000149032 260__ $$c2025 000149032 5060_ $$aAccess copy available to the general public$$fUnrestricted 000149032 5203_ $$aBackground: 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 8–17 years from three Spanish hospitals. Psychometric properties were assessed using Cronbach’s 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’s alpha = 0.90). The confirmatory factor analysis indicated a satisfactory model fit (χ2 = 812.28, p < 0.001; RMSEA = 0.08). Weak correlations were found between PAID-Peds scores and HbA1c (r = 0.14, p < 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. 000149032 536__ $$9info:eu-repo/grantAgreement/ES/ISCIII/FIS/PI21-00708 000149032 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/ 000149032 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion 000149032 700__ $$aFerrer Duce, María Pilar 000149032 700__ $$0(orcid)0000-0002-2865-5813$$aDe Arriba Muñoz, Antonio$$uUniversidad de Zaragoza 000149032 700__ $$aGoicoechea Manterola, Irune 000149032 700__ $$aYelmo Valverde, Rosa 000149032 700__ $$aCasanovas-Marsal, Josep-Oriol 000149032 7102_ $$11011$$2670$$aUniversidad de Zaragoza$$bDpto. Microb.Ped.Radio.Sal.Pú.$$cÁrea Pediatría 000149032 773__ $$g14, 2 (2025), 523$$pJ. clin.med.$$tJournal of Clinical Medicine$$x2077-0383 000149032 8564_ $$s742810$$uhttps://zaguan.unizar.es/record/149032/files/texto_completo.pdf$$yVersión publicada 000149032 8564_ $$s2673578$$uhttps://zaguan.unizar.es/record/149032/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada 000149032 909CO $$ooai:zaguan.unizar.es:149032$$particulos$$pdriver 000149032 951__ $$a2025-01-24-14:49:21 000149032 980__ $$aARTICLE