{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T14:22:46Z","timestamp":1789050166264,"version":"build-2803163510"},"reference-count":50,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,3,23]],"date-time":"2026-03-23T00:00:00Z","timestamp":1774224000000},"content-version":"vor","delay-in-days":22,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabetes Metabolism Res"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Diabetes\u2010related distress refers to the emotional strain experienced by individuals who live with diabetes and face continuous demands of treatment and self\u2010management. Elevated distress is associated with poor adherence, impaired metabolic control, and diminished quality of life. This study aimed to describe diabetes\u2010related distress among Spanish adults, analyse its associations with sociodemographic and clinical variables, identify predictors of higher distress, and define patient profiles with distinct psychosocial patterns.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A cross\u2010sectional analytical study was conducted with 201 adults (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a0135 type 1,\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a066 type 2 diabetes) from two public healthcare centers in Seville, Spain. Participants completed the Spanish version of the 17\u2010item Diabetes Distress Scale and a questionnaire covering demographic and clinical variables. Statistical analyses included non\u2010parametric tests, logistic regression, cluster analysis, and discriminant analysis to identify predictive factors and patient groupings.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among participants, 39.3% presented low or no distress, 22.4% moderate distress, and 38.3% high distress, with an average score of 2.72. Higher distress was significantly associated with younger age, type 2 diabetes, and combined pharmacological treatment. Diabetes type was the strongest predictor of distress. Cluster analysis revealed three profiles: older adults with type 2 diabetes and low distress, middle\u2010aged adults with type 1 diabetes and moderate distress, and younger adults with type 1 diabetes and high distress.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Diabetes\u2010related distress is a heterogeneous phenomenon influenced by age, diabetes type, and treatment regimen. Regular assessment and individualised psychoeducational and emotional interventions may improve psychological well\u2010being and adherence, particularly among younger adults and those under complex therapies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/dmrr.70158","type":"journal-article","created":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T06:26:27Z","timestamp":1774333587000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Diabetes\u2010Related Distress in Spanish Adults: Clinical, Sociodemographic and Psychosocial Correlates"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4695-2264","authenticated-orcid":false,"given":"Miguel","family":"Garrido\u2010Bueno","sequence":"first","affiliation":[{"name":"Research Group PAIDI\u2010CTS\u20101050: \u2018Complex Care, Chronicity and Health Outcomes\u2019 Faculty of Nursing, Physiotherapy and Podiatry University of Seville  Seville Spain"},{"name":"Red Cross Nursing University Center Adhered to the University of Seville  Seville Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9199-030X","authenticated-orcid":false,"given":"Roc\u00edo","family":"Romero\u2010Castillo","sequence":"additional","affiliation":[{"name":"Research Group PAIDI\u2010CTS\u20101050: \u2018Complex Care, Chronicity and Health Outcomes\u2019 Faculty of Nursing, Physiotherapy and Podiatry University of Seville  Seville Spain"},{"name":"Red Cross Nursing University Center Adhered to the University of Seville  Seville Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Cort\u00e9s\u2010Lerena","sequence":"additional","affiliation":[{"name":"Unit of Endocrinology and Nutrition Virgen del Roc\u00edo University Hospital  Seville Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuel","family":"Pab\u00f3n\u2010Carrasco","sequence":"additional","affiliation":[{"name":"Research Group PAIDI\u2010CTS\u20101050: \u2018Complex Care, Chronicity and Health Outcomes\u2019 Faculty of Nursing, Physiotherapy and Podiatry University of Seville  Seville Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,23]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare12232461"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40200\u2010020\u201000567\u20104"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.18.6.754"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.28.3.626"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.3390\/diabetology6030019"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1155\/2024\/3946553"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/19322968241308269"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdiacomp.2018.01.005"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010021\u201004671\u20100"},{"issue":"1","key":"e_1_2_11_11_1","first-page":"3","article-title":"Validation of the Diabetes Distress Scale in an Asian Pacific Islander Population","volume":"78","author":"Fukuda N.","year":"2019","journal-title":"Hawaii Journal of Medicine & Public Health"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.2147\/RMHP.S355470"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc24\u2010S005"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39335.541782.ad"},{"key":"e_1_2_11_15_1","unstructured":"Junta de Andaluc\u00eda \u201cEndocrinolog\u00eda y Nutrici\u00f3n \u201d Hospital Universitario Virgen del Roc\u00edo (2026) https:\/\/hospitaluvrocio.es\/unidad\/endocrinologia\u2010y\u2010nutricion\/."},{"key":"e_1_2_11_16_1","article-title":"Unidad Cl\u00ednica de Ronda Hist\u00f3rica\u2010San Luis","author":"Consejo General de Enfermer\u00eda","year":"2025","journal-title":"Unidad Cl\u00ednica de Ronda Hist\u00f3rica\u2010San Luis"},{"key":"e_1_2_11_17_1","unstructured":"General Data Protection Regulation General Data Protection Regulation (GDPR) (2016) https:\/\/gdpr\u2010info.eu\/."},{"key":"e_1_2_11_18_1","unstructured":"Jefatura del Estado Ley Org\u00e1nica 3\/2018 de 5 de Diciembre de Protecci\u00f3n de Datos Personales y Garant\u00eda de Los Derechos Digitales (2018): BOE\u2010A\u20102018\u201016673 119788\u2013119857 https:\/\/www.boe.es\/eli\/es\/lo\/2018\/12\/05\/3."},{"issue":"4","key":"e_1_2_11_19_1","first-page":"373","article-title":"World Medical Association Declaration of Helsinki. 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