Cognitive and emotional pathways to diabetes distress: a structural equation and latent profile analysis - Summary - MDSpire

Cognitive and emotional pathways to diabetes distress: a structural equation and latent profile analysis

  • By

  • Bandar S. Alharbi

  • Majed M. Aljabri

  • Endale Alemayehu Ali

  • June 19, 2026

  • 0 min

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Objective:

To quantify the cognitive and emotional pathways associated with diabetes distress and identify distinct profiles of psychological burden among individuals with diabetes in Saudi Arabia.

Approach:
    Key Findings:
    • Pain catastrophizing (β = 0.30; 95% CI: 0.19–0.44) and emotional representations of illness (β = 0.51; 95% CI: 0.17–0.83) were positively associated with diabetes distress.
    • Perceived consequences did not show a significant association with diabetes distress.
    • The total effect of pain catastrophizing on distress was strong (β = 0.70; 95% CI: 0.63–0.83), explaining 67% of the variance in diabetes distress.
    • Three profiles of psychological burden were identified: low burden, moderate distress, and high burden.
    Interpretation:

    Emotional illness representations act as a mediator in the relationship between cognitive factors and diabetes distress.

    Limitations:
    • The study used convenience sampling, which may limit generalizability.
    • The cross-sectional design does not allow for causal inferences.
    Conclusion:

    Diabetes distress is influenced by cognitive and emotional pathways, highlighting the complexity of psychological factors in diabetes management.

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