{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T21:14:37Z","timestamp":1790111677111,"version":"4.0.1"},"reference-count":23,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T00:00:00Z","timestamp":1777680000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T00:00:00Z","timestamp":1777680000000},"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":["J of Diabetes Invest"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      The prevalence and characteristics of diabetes distress (DD) in Japanese adults with type 1 diabetes mellitus (T1D) remain unclear. Therefore, this study aimed to investigate the prevalence and associated features of DD in this population. A cross\u2010sectional study was conducted using the Type 1 Diabetes Distress Scale (T1\u2010DDS), the Problem Areas in Diabetes (PAID) scale, and the Hypoglycemia Fear Survey (HFS). Data from 117 adults with T1D were analyzed. Group comparisons were made using\n                      <jats:italic>t<\/jats:italic>\n                      \u2010tests and\n                      <jats:sc>anova<\/jats:sc>\n                      , and associations were assessed using Spearman's rank correlation. Confirmatory factor analysis (CFA) was used to examine the structure of the T1\u2010DDS.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 144 screened participants, 117 (mean age: 50.6\u2009\u00b1\u200912.8\u2009years; 44.4% male; mean diabetes duration: 18.1\u2009\u00b1\u200910.7\u2009years; mean HbA1c: 7.6%\u2009\u00b1\u20090.9%) were included in the analysis. Moderate and high DD were observed in 30.8% and 16.2%, respectively. Participants with high DD had significantly higher PAID and HFS\u2010Worry\/Behavior scores, despite no significant differences in age, sex, diabetes duration, or HbA1c. Among T1\u2010DDS subscales, Powerlessness and Eating Distress had the highest mean scores. All subscale scores were correlated with total distress (rho\u2009=\u20090.636\u20130.916) and showed good internal consistency (Cronbach's alpha\u2009=\u20090.784\u20130.875). CFA supported the seven\u2010factor structure with marginal\u2010to\u2010acceptable model fit.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>DD is prevalent in Japanese adults with T1D. The T1\u2010DDS can be a useful screening tool for identifying individuals experiencing diabetes\u2010related emotional burden and guiding personalized interventions for these individuals.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jdi.70328","type":"journal-article","created":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T10:25:07Z","timestamp":1777717507000},"page":"1194-1201","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Type 1 diabetes\u2010specific distress among adults with type 1 diabetes in Japan"],"prefix":"10.1111","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2625-571X","authenticated-orcid":false,"given":"Naoki","family":"Sakane","sequence":"first","affiliation":[{"name":"Division of Preventive Medicine, Clinical Research Institute National Hospital Organization Kyoto Medical Center  Kyoto 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