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Assessment of an illness-specific dimension of self-esteem in youths with type 1 diabetes
Stefan Schneider1, Ronald J Iannotti, Tonja R Nansel
1Department of Psychiatry, Stony Brook University, Putnam Hall, South Campus, Stony Brook, NY 11794-8790, USA. stefan.schneider@sunysb.edu
Objective:
The initial validation of a brief assessment of a diabetes-specific self-esteem dimension in adolescents with type 1 diabetes.
Methods:
Youths with type 1 diabetes (n = 87) aged 10-16 years were administered the multidimensional Self-Esteem Questionnaire (SEQ) and a newly designed assessment of diabetes-specific self-esteem (DSSE). Their parents completed parallel forms. Adherence to the diabetes regimen and glycemic control were also assessed.
Results:
In factor analysis, DSSE items formed a distinct dimension of self-esteem in addition to the SEQ dimensions. This factor uniquely contributed to differences in youths' global self-esteem. Significant associations with adherence and glycemic control suggested its concurrent validity. Agreement between youth- and parent-report DSSE forms supported inter-rater reliability.
Conclusions:
The findings provide preliminary support for recognizing the importance of a DSSE dimension in adolescents' adjustment to diabetes, and for the reliability and validity of the proposed assessment strategy.
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