{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T18:16:34Z","timestamp":1767204994607,"version":"build-2238731810"},"reference-count":53,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,9,18]],"date-time":"2025-09-18T00:00:00Z","timestamp":1758153600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Effective self-management of type 2 diabetes mellitus in adults is influenced by emotions, thoughts, and information-seeking behavior. This study examined the relationship between the negative attitudes of Japanese adults with type 2 diabetes mellitus and information-seeking behavior, and whether this is associated with lower HbA1c levels.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Adult outpatients with type 2 diabetes mellitus completed a questionnaire survey and the relationships between negative attitudes at diagnosis and consultation, information-seeking behavior, and HbA1c levels were examined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Respondents with higher HbA1c tended not to seek information (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.04) and felt they could not focus on work or study (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.02). There was a significant association between respondents who agreed that \u201cIt's my fault that things go wrong\u201d and \u201cI took a long time before seeing a doctor after diabetes mellitus was suspected\u201d (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.04). Positive responses to \u201cIt's my fault that things go wrong,\u201d \u201cI worry about how I appear to others,\u201d and \u201cI feel it's undignified to ask others for help\u201d were associated with information-seeking behavior (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.03,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.02, and\n                      <jats:italic>p<\/jats:italic>\n                      = 0.01, respectively). Analyses including interactions showed that patients who delayed seeing a doctor and agreed with \u201cIt's my fault that things go wrong\u201d adopted information-seeking behavior (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.02).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>It appears that, even with negative attitudes, the combination of a long time before seeing a doctor and a self-blame mindset was associated with information-seeking behavior. This suggests that, even in type 2 diabetes mellitus patients who have negative attitudes, their self-management behavior can improve if their mindset leads to information-seeking behavior.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2025.1645281","type":"journal-article","created":{"date-parts":[[2025,9,18]],"date-time":"2025-09-18T05:33:27Z","timestamp":1758173607000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Impact of negative attitudes and information-seeking behavior of adults with type 2 diabetes on treatment in Japan"],"prefix":"10.3389","volume":"13","author":[{"given":"Takako","family":"Mohri","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sawako","family":"Okamoto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomoaki","family":"Imamura","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hitoshi","family":"Ishii","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,9,18]]},"reference":[{"key":"B1","unstructured":"International\n              Diabetes Federation\n            \n          \n          40874767\n          IDF Diabetes Atlas 11th Edition\n          \n          2025"},{"key":"B2","unstructured":"Diabetes\n          \n          2024"},{"key":"B3","doi-asserted-by":"publisher","first-page":"203","DOI":"10.1016\/S0140-6736(23)01301-6","article-title":"Global, regional, and national burden of diabetes from 1990 to 2021, with projections of prevalence to 2050: a systematic analysis for the Global Burden of Disease Study 2021","volume":"402","author":"GBD","year":"2023","journal-title":"Lancet"},{"key":"B4","doi-asserted-by":"publisher","first-page":"1415","DOI":"10.1186\/s12889-020-09502-x","article-title":"Trends in the incidence of diabetes mellitus: results from the Global Burden of Disease Study 2017 and implications for diabetes mellitus prevention","volume":"20","author":"Liu","year":"2020","journal-title":"BMC Public Health."},{"key":"B5","article-title":"(Transl. by Mohri T\u2020) [The Japan Diabetes Society. \u201cGuidelines for diabetes diagnosis\u201d","volume-title":"Japanese Clinical Practice Guideline for Diabetes 2024","year":"2024"},{"key":"B6","doi-asserted-by":"publisher","first-page":"212","DOI":"10.1111\/j.2040-1124.2010.00074.x","article-title":"Committee of the Japan diabetes society on the diagnostic criteria of diabetes mellitus","volume":"1","author":"Seino","year":"2010","journal-title":"J Diabetes Investig."},{"key":"B7","doi-asserted-by":"publisher","first-page":"S86","DOI":"10.2337\/dc25-S005","article-title":"Facilitating positive health behaviors and well-being to improve health outcomes: standards of care in diabetes-2025","volume":"48","year":"2025","journal-title":"Diabetes Care"},{"key":"B8","doi-asserted-by":"publisher","first-page":"96","DOI":"10.1016\/j.diabres.2013.09.010","article-title":"The ARMS-D out performs the SDSCA, but both are reliable, valid, and predict glycemic control","volume":"102","author":"Mayberry","year":"2013","journal-title":"Diabetes Res Clin Pract."},{"key":"B9","doi-asserted-by":"publisher","first-page":"CD006424","DOI":"10.1002\/14651858.CD006424.pub3","article-title":"Review: culturally appropriate health education for people in ethnic minority groups with type 2 diabetes mellitus","volume":"2014","author":"Attridge","year":"2014","journal-title":"Cochrane Database Syst Rev."},{"key":"B10","doi-asserted-by":"publisher","first-page":"488","DOI":"10.1177\/014572170302900313","article-title":"Meta-analysis of randomized educational and behavioral interventions in type 2 diabetes","volume":"29","author":"Gary","year":"2003","journal-title":"Diabetes Educ."},{"key":"B11","article-title":"(Transl. by T. 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