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In goal attainment, hope focuses on the cognitive process about how people pursue their goals, while need satisfaction emphasizes the motivations behind goal pursuit. Integrating these perspectives, the current study examined the relation between external locus-of-hope and life satisfaction in individuals with type 2 diabetes mellitus, considering the mediating roles of internal hope and psychological need satisfaction. We collected data from 106 participants with type 2 diabetes. Serial mediation analysis indicated that family locus-of-hope predicted life satisfaction through internal locus-of-hope and need satisfaction. These findings highlight the crucial role of family locus-of-hope in fostering hopeful thinking. Psychosocial interventions focusing on strengthening family involvement and internal hope may improve well-being in diabetes management.<\/jats:p>","DOI":"10.1177\/13591053251369376","type":"journal-article","created":{"date-parts":[[2025,9,18]],"date-time":"2025-09-18T06:49:12Z","timestamp":1758178152000},"page":"1015-1026","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Testing indirect effect of external locus-of-hope on life satisfaction through serial mediation of internal locus-of-hope and need satisfaction in patients with type 2 diabetes"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1471-4536","authenticated-orcid":false,"given":"Ezgi","family":"Coban-Tosyali","sequence":"first","affiliation":[{"name":"Middle East Technical University, Ankara, Turkey"},{"name":"Bolu Abant Izzet Baysal University, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00d6zlem","family":"Bozo","sequence":"additional","affiliation":[{"name":"Middle East Technical University, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,9,17]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.117.3.497"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.paid.2010.07.036"},{"issue":"1","key":"e_1_3_2_4_1","first-page":"64","article-title":"Creating a short form of the locus-of-hope scale: Validation for use with students in the Philippines","volume":"30","author":"Bernardo ABI","year":"2022","unstructured":"Bernardo ABI, Nob RM, Cunanan AL (2022) Creating a short form of the locus-of-hope scale: Validation for use with students in the Philippines. 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