{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T21:46:05Z","timestamp":1782423965322,"version":"3.54.5"},"reference-count":37,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"funder":[{"DOI":"10.13039\/501100006282","name":"King Baudouin Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100006282","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Patient Education and Counseling"],"published-print":{"date-parts":[[2026,8]]},"DOI":"10.1016\/j.pec.2026.109639","type":"journal-article","created":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T07:20:33Z","timestamp":1776237633000},"page":"109639","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"special_numbering":"C","title":["Psychosocial aspects in diabetes care: An observational study at an outpatient academic diabetes specialist centre in a metropolitan capital"],"prefix":"10.1016","volume":"149","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-9612-8141","authenticated-orcid":false,"given":"Riet","family":"Anciaux","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lara","family":"Vesentini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bart","family":"Keymeulen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aan","family":"Kharagjitsingh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ursule","family":"Van de Velde","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8371-4612","authenticated-orcid":false,"given":"Johan","family":"Bilsen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.pec.2026.109639_bib1","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1186\/s12955-020-01311-5","article-title":"Health-related quality of life and associated factors among patients with diabetes mellitus at the University of Gondar referral hospital","volume":"18","author":"Aschalew","year":"2020","journal-title":"Health Qual Life Outcomes"},{"key":"10.1016\/j.pec.2026.109639_bib2","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0271650","article-title":"Ethnic disparities in medication adherence? A systematic review examining the association between ethnicity and antidiabetic medication adherence","volume":"18","author":"Asiri","year":"2023","journal-title":"PLoS One"},{"key":"10.1016\/j.pec.2026.109639_bib3","first-page":"138","article-title":"Factors associated with diabetes-related distress in patients with type 2 diabetes mellitus","volume":"6","author":"Duka","year":"2021","journal-title":"J Inter Med"},{"key":"10.1016\/j.pec.2026.109639_bib4","doi-asserted-by":"crossref","DOI":"10.1016\/j.pec.2023.107933","article-title":"Which diabetes specific patient reported outcomes should be measured in routine care? A systematic review to inform a core outcome set for adults with type 1 and 2 diabetes mellitus: The European Health Outcomes Observatory (H2O) programme","volume":"116","author":"Hamilton","year":"2023","journal-title":"Patient Educ Couns"},{"key":"10.1016\/j.pec.2026.109639_bib5","first-page":"4980","article-title":"Impact of treatment modalities on quality of life and depression in type 2 diabetes","volume":"27","author":"Lackovic","year":"2023","journal-title":"Eur Rev Med Pharm Sci"},{"key":"10.1016\/j.pec.2026.109639_bib6","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1080\/13814788.2021.1954615","article-title":"Diabetes-related quality of life in six European countries measured with the DOQ-30","volume":"27","author":"Pilv","year":"2021","journal-title":"Eur J Gen Pract"},{"key":"10.1016\/j.pec.2026.109639_bib7","doi-asserted-by":"crossref","first-page":"8982","DOI":"10.3390\/ijerph18178982","article-title":"Efficacy of eHealth interventions for adults with diabetes: A systematic review and meta-analysis","volume":"18","author":"Bassi","year":"2021","journal-title":"Int J Environ Res Public Health"},{"key":"10.1016\/j.pec.2026.109639_bib8","doi-asserted-by":"crossref","DOI":"10.5294\/aqui.2024.24.1.2","article-title":"Nurse-led programs focusing on social support for people with type 2 diabetes mellitus: A scoping review","volume":"24","author":"Santos","year":"2024","journal-title":"Aquichan"},{"key":"10.1016\/j.pec.2026.109639_bib9","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1016\/j.diabres.2012.11.016","article-title":"Diabetes Attitudes Wishes and Needs 2 (DAWN2): A multinational, multi-stakeholder study of psychosocial issues in diabetes and person-centred diabetes care","volume":"99","author":"Peyrot","year":"2013","journal-title":"Diabetes Res Clin Pr"},{"key":"10.1016\/j.pec.2026.109639_bib10","doi-asserted-by":"crossref","first-page":"767","DOI":"10.1111\/dme.12245","article-title":"Diabetes Attitudes, Wishes and Needs second study (DAWN2): cross-national benchmarking of diabetes-related psychosocial outcomes for people with diabetes","volume":"30","author":"Nicolucci","year":"2013","journal-title":"Diabet Med"},{"key":"10.1016\/j.pec.2026.109639_bib11","doi-asserted-by":"crossref","first-page":"586","DOI":"10.1016\/j.jdiacomp.2018.03.002","article-title":"US ethnic group differences in self-management in the second Diabetes Attitudes, Wishes and Needs (DAWN2) study","volume":"32","author":"Peyrot","year":"2018","journal-title":"J Diabetes Complicat"},{"key":"10.1016\/j.pec.2026.109639_bib12","doi-asserted-by":"crossref","DOI":"10.1136\/bmjdrc-2019-001150","article-title":"Psychological interventions to improve glycemic control in adults with type 2 diabetes: a systematic review and meta-analysis","volume":"8","author":"Winkley","year":"2020","journal-title":"BMJ Open Diabetes Res Care"},{"key":"10.1016\/j.pec.2026.109639_bib13","doi-asserted-by":"crossref","first-page":"1225","DOI":"10.1111\/dme.14165","article-title":"Back to the future: 25 years of \u2018Guidelines for encouraging psychological well-being\u2019 among people affected by diabetes","volume":"37","author":"Speight","year":"2020","journal-title":"Diabet Med"},{"key":"10.1016\/j.pec.2026.109639_bib14","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1136\/bmjebm-2021-111871","article-title":"Making Care Fit manifesto","volume":"28","author":"Kunneman","year":"2021","journal-title":"BMJ Evid Based Med"},{"key":"10.1016\/j.pec.2026.109639_bib15","series-title":"Thousand Oaks (CA)","article-title":"Designing and conducting mixed methods research","author":"Creswell","year":"2007"},{"key":"10.1016\/j.pec.2026.109639_bib16","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1093\/intqhc\/mzm042","article-title":"Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups","volume":"19","author":"Tong","year":"2007","journal-title":"Int J Qual Health Care"},{"key":"10.1016\/j.pec.2026.109639_bib17","unstructured":"UZ Brussel. UZ Brussel\u2019s patient population represents around 160 nationalities. UZ Brussel\u2019s Values \u2013 International patients [Internet]. Jette: Universitair Ziekenhuis Brussel; [cited 2026 Jan 7]. Available from: \u3008https:\/\/www.uzbrussel.be\/web\/international\/uz-brussel-s-values\u3009."},{"key":"10.1016\/j.pec.2026.109639_bib18","doi-asserted-by":"crossref","first-page":"436","DOI":"10.1111\/dme.14256","article-title":"Trends in diabetes self-management education: where are we coming from and where are we going? A narrative review","volume":"37","author":"Hermanns","year":"2020","journal-title":"Diabet Med"},{"key":"10.1016\/j.pec.2026.109639_bib19","doi-asserted-by":"crossref","first-page":"1372","DOI":"10.2337\/dc15-0730","article-title":"Diabetes self-management education and support in type 2 diabetes: a joint position statement of the American Diabetes Association, the American Association of Diabetes Educators, and the Academy of Nutrition and Dietetics","volume":"38","author":"Powers","year":"2015","journal-title":"Diabetes Care"},{"key":"10.1016\/j.pec.2026.109639_bib20","unstructured":"QSR International. NVivo [computer software]. Version 14. 2022. Available from: \u3008https:\/\/www.qsrinternational.com\/nvivo-qualitative-data-analysis-software\/home\u3009."},{"key":"10.1016\/j.pec.2026.109639_bib21","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Using thematic analysis in psychology","volume":"3","author":"Braun","year":"2006","journal-title":"Qual Res Psychol"},{"key":"10.1016\/j.pec.2026.109639_bib22","doi-asserted-by":"crossref","DOI":"10.1016\/j.pec.2024.108295","article-title":"Patient-clinician collaboration in making care fit: A qualitative analysis of clinical consultations in diabetes care","volume":"125","author":"Kidanemariam","year":"2024","journal-title":"Patient Educ Couns"},{"key":"10.1016\/j.pec.2026.109639_bib23","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1080\/02813432.2020.1714145","article-title":"The roles of healthcare professionals in diabetes care: a qualitative study in Norwegian general practice","volume":"38","author":"S\u00f8rensen","year":"2020","journal-title":"Scand J Prim Health Care"},{"key":"10.1016\/j.pec.2026.109639_bib24","article-title":"Association of personality traits and self-care behaviors in people with type 2 diabetes mellitus: a systematic review and meta-analysis","volume":"15","author":"Dimou","year":"2023","journal-title":"Cureus"},{"issue":"Suppl. 1","key":"10.1016\/j.pec.2026.109639_bib25","doi-asserted-by":"crossref","first-page":"S68","DOI":"10.2337\/dc23-S005","article-title":"5. Facilitating positive health behaviors and well-being to improve health outcomes: Standards of Care in Diabetes\u20142023","volume":"46","author":"ElSayed","year":"2023","journal-title":"Diabetes Care"},{"key":"10.1016\/j.pec.2026.109639_bib26","doi-asserted-by":"crossref","first-page":"1427","DOI":"10.3390\/healthcare13121427","article-title":"Psychological care needs and mental health service use among adults with diabetes: evidence from the Diabetes, Distress, and Disparities (3D) Study","volume":"13","author":"Mezuk","year":"2025","journal-title":"Healthcare"},{"key":"10.1016\/j.pec.2026.109639_bib27","doi-asserted-by":"crossref","DOI":"10.1111\/dme.15514","article-title":"The missing piece: The clinical translation of precision diabetes medicine requires precision mental health care: a call to action from the international PsychoSocial Aspects of Diabetes (PSAD) Study Group","volume":"42","author":"Pouwer","year":"2025","journal-title":"Diabet Med"},{"key":"10.1016\/j.pec.2026.109639_bib28","article-title":"People with type 2 diabetes\u2019 experiences of emotional support in Australian general practice: a qualitative study","volume":"0079","author":"McMorrow","year":"2022","journal-title":"BJGP Open"},{"key":"10.1016\/j.pec.2026.109639_bib29","doi-asserted-by":"crossref","DOI":"10.1111\/hex.13815","article-title":"Reconsidering patient-centred care: authority, expertise and abandonment","volume":"26","author":"Pilnick","year":"2023","journal-title":"Health Expect"},{"key":"10.1016\/j.pec.2026.109639_bib30","doi-asserted-by":"crossref","first-page":"742","DOI":"10.1126\/science.adp5154","article-title":"The complexity of physician power","volume":"384","author":"Nimmon","year":"2024","journal-title":"Science"},{"key":"10.1016\/j.pec.2026.109639_bib31","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1111\/dme.13547","article-title":"Family behaviours that have an impact on the self-management activities of adults living with type 2 diabetes: a systematic review and meta-synthesis","volume":"35","author":"Vongmany","year":"2018","journal-title":"Diabet Med"},{"key":"10.1016\/j.pec.2026.109639_bib32","doi-asserted-by":"crossref","first-page":"257","DOI":"10.3390\/socsci8090257","article-title":"TH. Mutual involvement in families living with type 2 diabetes: using the family toolbox to address challenges related to knowledge, communication, support, role confusion, everyday practices and mutual worries","volume":"8","author":"Grabowski","year":"2019","journal-title":"Soc Sci"},{"key":"10.1016\/j.pec.2026.109639_bib33","doi-asserted-by":"crossref","DOI":"10.1111\/dme.70126","article-title":"The Diabetes Attitudes Wishes and Needs (DAWN)-SMI study: a cross-sectional comparison of the psychosocial impact of diabetes in adults with and without severe mental illness","volume":"42","author":"Holt","year":"2025","journal-title":"Diabet Med"},{"key":"10.1016\/j.pec.2026.109639_bib34","doi-asserted-by":"crossref","first-page":"1086","DOI":"10.1186\/s12913-020-05897-w","article-title":"Costs and its drivers for diabetes mellitus type 2 patients in France and Germany: a systematic review of economic studies","volume":"20","author":"Stegbauer","year":"2020","journal-title":"BMC Health Serv Res"},{"key":"10.1016\/j.pec.2026.109639_bib35","doi-asserted-by":"crossref","first-page":"754","DOI":"10.2337\/diacare.18.6.754","article-title":"Assessment of diabetes-related distress","volume":"18","author":"Polonsky","year":"1995","journal-title":"Diabetes Care"},{"key":"10.1016\/j.pec.2026.109639_bib36","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1017\/S0033291700021644","article-title":"A scaled version of the General Health Questionnaire","volume":"9","author":"Goldberg","year":"1979","journal-title":"Psychol Med"},{"key":"10.1016\/j.pec.2026.109639_bib37","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2022-062148","article-title":"Communication about medication management during patient\u2013physician consultations in primary care: a participant observation study","volume":"12","author":"Adelsj\u00f6","year":"2022","journal-title":"BMJ Open"}],"container-title":["Patient Education and Counseling"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0738399126001722?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0738399126001722?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T20:49:36Z","timestamp":1782420576000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0738399126001722"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":37,"alternative-id":["S0738399126001722"],"URL":"https:\/\/doi.org\/10.1016\/j.pec.2026.109639","relation":{},"ISSN":["0738-3991"],"issn-type":[{"value":"0738-3991","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Psychosocial aspects in diabetes care: An observational study at an outpatient academic diabetes specialist centre in a metropolitan capital","name":"articletitle","label":"Article Title"},{"value":"Patient Education and Counseling","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.pec.2026.109639","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Elsevier B.V. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"109639"}}