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.