ArticleFrontiers in medicine2026
Cognitive and emotional pathways to diabetes distress: a structural equation and latent profile analysis.
Article in Frontiers in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Diabetes distress is a common and clinically significant condition linked to the daily demands of diabetes management. It affects up to 36% of individuals with type 2 diabetes and is associated with poor outcomes. However, the cognitive and emotional mechanisms underlying this distress remain unclear, especially in high-burden settings such as Saudi Arabia. The study aims to quantify the cognitive and emotional pathways associated with diabetes distress and identify distinct profiles of psychological burden. Methods: A cross-sectional study was conducted among 438 adults with diabetes in 4 primary healthcare centers in Saudi Arabia. Participants were recruited using convenience sampling, and data were collected through a structured questionnaire administered during healthcare visits. Pain catastrophizing, illness perceptions, and diabetes distress were assessed using validated scales. We used structural equation modeling (SEM) to estimate direct and indirect effects and latent profile analysis (LPA) to identify patient subgroups. Multinomial logistic regression was used to examine associated factors. Results: The findings showed that pain catastrophizing ( Conclusion: Diabetes distress is driven by strong cognitive and emotional pathways, with emotional illness representations acting as the primary mediator. Distinct patient profiles highlight the need for targeted interventions.
Indexed as
Identifiers
What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.