Factorial and network structure of the Reynolds Adolescent Depression Scale (RADS-2) in Peruvian adolescents.

Depression in young people is considered a public health problem, given that it affects their personal, social, and academic lives; therefore, early detection of depressive symptoms is of importance for a favorable prognosis. This study aimed to estimate the psychometric properties of the second edition of the Reynolds Adolescent Depression Scale (RADS-2) in Peruvian adolescents. The sample was composed of 917 Peruvian adolescents, aged 13 to 18 years (M = 15,241, SD = 1,020), who were selected from two public educational institutions in Metropolitan Lima. Confirmatory factor analysis supported the 25-item model with the four-dimensional structure and its overall and interdimensional reliability. This structure was found to be gender invariant. Finally, network analysis was performed to assess the relationships and centralities of the depressive symptoms of the validated version of the RADS-2. The results show that the RADS-2 measure is a consistent and reliable test that yields valid results in the Peruvian adolescent context.

Network Structure of Comorbidity Patterns in U.S. Adults with Depression: A National Study Based on Data from the Behavioral Risk Factor Surveillance System.

Background: People with depression are at increased risk for comorbidities; however, the clustering of comorbidity patterns in these patients is still unclear. Objective: The aim of the study was to identify latent comorbidity patterns and explore the comorbidity network structure that included 12 chronic conditions in adults diagnosed with depressive disorder. Methods: A cross-sectional study was conducted based on secondary data from the 2017 behavioral risk factor surveillance system (BRFSS) covering all 50 American states. A sample of 89,209 U.S. participants, 29,079 men and 60,063 women aged 18 years or older, was considered using exploratory graphical analysis (EGA), a statistical graphical model that includes algorithms for grouping and factoring variables in a multivariate system of network relationships. Results: The EGA findings show that the network presents 3 latent comorbidity patterns, i.e., that comorbidities are grouped into 3 factors. The first group was composed of 7 comorbidities (obesity, cancer, high blood pressure, high blood cholesterol, arthritis, kidney disease, and diabetes). The second pattern of latent comorbidity included the diagnosis of asthma and respiratory diseases. The last factor grouped 3 conditions (heart attack, coronary heart disease, and stroke). Hypertension reported higher measures of network centrality. Conclusion: Associations between chronic conditions were reported; furthermore, they were grouped into 3 latent dimensions of comorbidity and reported network factor loadings. The implementation of care and treatment guidelines and protocols for patients with depressive symptomatology and multimorbidity is suggested.

Validation of the Post-Traumatic Growth Inventory in Adolescents Who Lost a Family Member in the Past 4 years: Effects of Time After the Death Event and Gender.

Post-traumatic growth is the psychological capacity to perceive positive changes facing high-stress or potentially traumatic events and may be especially useful in lessening their effects in adolescents' lives. Present study aimed to evaluate the psychometric properties of the Post-Traumatic Growth Inventory (PTGI) in 662 Peruvian adolescents who suffered the death of an immediate family member over the last 4 years. Firstly, an exploratory graphical analysis (EGA) was conducted to determine the best parsimonious structure of the instrument and confirmed with its respective factor models. The results report adequate fit indices in the EGA Bifactor model. Furthermore, another structural model is included, which reports significant latent effects of the time elapsed since the relative's death and gender (male) on PTGI general factor. Likewise, gender measure was significantly related to items 3, 7, and 11, which is linked to personal growth.

Factors related to positive attitudes toward palliative care: Direct and indirect effects of self-care self-efficacy, knowledge, and beliefs.

CONTEXT: Knowledge, beliefs, and attitudes toward palliative care (PC) constitute barriers to its access. Few studies have focused on the intrinsic relationship between these variables, and none has examined the relationship between them and self-care self-efficacy. OBJECTIVE: To examine the direct and indirect effects of self-care self-efficacy, knowledge, and beliefs on attitudes toward PC. METHODS: A cross-sectional predictive study was conducted. Self-care self-efficacy, knowledge, attitudes, and beliefs about PC were analyzed using information from the Health Information National Trends Survey (HINTS 5, cycle 2, 2018). Data from 1,162 participants were considered. Structural equation modeling (SEM) was used to represent the statistical mediation model with latent and observable variables. RESULTS: The structural model presents positive coefficients indicating that self-care self-efficacy significantly predicts knowledge (ß = 0.127, p < 0.001) and beliefs (ß = 0.078, p = 0.023). Similarly, knowledge is associated with attitudes (ß = 0.179, p < 0.001) and beliefs (ß = 0.213, p < 0.001). The beliefs measure is also significantly related to attitudes (ß = 0.474, p < 0.001). In addition, this structural multiple mediation model shows optimal goodness-of-fit indices: χ2/df = 3.49, CFI = 0.983, TLI = 0.976, RMSEA = 0.046 [90% CI: 0.037-0.056], SRMR = 0.038. CONCLUSION: Self-care self-efficacy is significantly associated with knowledge and beliefs about PC, which in turn are related to each other. Altogether, these variables predict positive attitudes toward PC. Understanding the relationship between these variables is relevant for targeting-specific populations and designing timely strategies to improve access to PC.

Network Analysis of Depressive Symptomatology in Underweight and Obese Adults.

BACKGROUND: Depressive symptoms can affect people's quality of life and social environment. In addition, in severe situations, they can lead to suicidal behaviors. OBJECTIVE: This study aimed to analyze the differences in depressive symptoms in underweight and obese Peruvian adults. METHODS: A cross-sectional study was carried out based on secondary data obtained from the Instituto Nacional de Estadística e Informática (INEI), Lima, Peru. A sample of 10 053 participants was considered, of which 55.96% were women. Two Gaussian plot models were estimated and the levels of depressive symptomatology were compared between the 2 groups (adults with underweight and obese). RESULTS: A total of 1510 (15.02%) were underweight adults and 8543 (84.98%) were obese adults. There were differences in the reporting of depressive symptoms in the underweight group; the most central items were "Depressed mood" (PH2), "Tiredness/low energy" (PH4), and "Psychomotor difficulties" (PH8). CONCLUSION: This study provides new evidence on the dynamic relationship between depressive symptoms according to the body mass index categories (underweight and obese) assessed.

Digital Intimate Partner Violence Among Peruvian Youths: Validation of an Instrument and a Theoretical Proposal.

The present study presents psychometric information on a new instrument, the Digital Intimate Partner Violence Questionnaire (DIPVQ), and explores the similitudes and differences between in-person and digital-based abuses (those that involve the use of information and communication technologies [ICTs]). In all, 449 Peruvian students took part in the study (X = 21.2 years; SD = 4.3 years; 73% women). DIPVQ structure was determined by carrying out an exploratory factor analysis (EFA) with polychoric correlation matrices and oblique rotation. In-person violence was assessed using the Dating Violence Questionnaire (DVQ) and self-labeling questions (e.g., feeling trapped, afraid, and abused). Relationship satisfaction was assessed using the Perceived Relationship Quality Components-Short Form (PRQC-SF). EFA showed a two-scale structure for the DIPVQ: control-centered cyberabuse (N = 5; control, monitoring, and identity theft; EAP alpha = .96) and damage-centered cyberabuse (N = 7; unwanted sexual contents, blackmailing, and causing debts throughout ICT; Expected-A-Posteriori alpha = .97). DIPVQ had direct relationship to DVQ and self-labeling (p < .001; d = 0.38-1.18), and inverse to PRQC-SF (p = .11; d = .22-.33). Behaviors such as impersonation and monitoring were reported by more than 20% of participants. Online and offline victimization coexist in 42% of cases, while 3.6% of aggressions happened exclusively via ICT. DIPVQ is a valid and reliable measure of digital victimization. The control-centered scale had a higher frequency, although the damage-centered scale had stronger relationship to feeling afraid and abused. While previous literature has classified online aggressions regarding their aesthetic appearance, it seems that their functional value (control vs. hurting) could provide a better framework for understanding these aggressions.

Funcionalidad familiar, satisfacción con la vida y trastornos alimentarios en estudiantes universitarios / Family functioning, satisfaction with life and eating disorders in university students

FUNDAMENTOS: Los trastornos alimentarios son muy frecuentes entre los grupos poblacionales adolescentes y jóvenes, especialmente en la población femenina y universitaria, pero suelen variar de acuerdo a características propias y de su familia. El objetivo de esta investigación fue estudiar si existe correlación entre la funcionalidad familiar, la satisfacción con la vida y los trastornos alimentarios en un grupo de estudiantes de una universidad privada en Lima. MÉTODOS: El estudio es descriptivo, correlacional, transversal. La población estuvo formada por 230 estudiantes, y se seleccionó de manera aleatoria una muestra de 146 estudiantes. Los instrumentos empleados fueron el Test de Actitudes Alimentarias (EAT-26), versión en español de Gandarillas, la escala de satisfacción con la vida (SWLS) y el Apgar familiar. RESULTADOS: El 15,8% de estudiantes presentó un trastorno alimentario, el 13,0% manifiesta insatisfacción con la vida; y el 58,9% presenta alguna disfunción familiar. El análisis de las variables muestra una correlación baja pero significativa entre las tres variables de estudio (p < 0.05). CONCLUSIONES: Se evidencia una relación significativa entre la funcionalidad familiar, la satisfacción con la vida y la presencia de trastornos alimentarios

BACKGROUND: Eating disorders are very frequent among adolescent and young population groups, especially in the female and university population, but they usually vary according to their own characteristics and those of their family. The objective of this research was to study if exists correlation between family functionality, satisfaction with life and eating disorders in a group of students from a private university in Lima. METHODS: The study is descriptive, cross-sectional, correlational. The population consisted of 230 students, and a sample of 146 students was randomly selected. The instruments used were the Test of Food Attitudes (EAT-26), Spanish version of Gandarillas, the scale of satisfaction with life (SWLS) and family Apgar. RESULTS: 15.8% of students presented an eating disorder, 13.0% showed dissatisfaction with life; and 58.9% present some family dysfunction. The analysis between the variables shows a significant correlation and correlation between the three study variables (p < 0.05). CONCLUSIONS: A correlation between family functionality, satisfaction with life and the presence of eating disorders is evidenced