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. 2025 Sep 13;16:129–145. doi: 10.2147/PROM.S538578

Table 4.

Standardized Factor Loadings (and R²) by Group for the Six-Factor EWQ Model

Item Indicator SE p- value SE p value
T2D group CG
Depression Feelings of sadness 0.792 <0.001 0.786 <0.001
Feeling no interest or pleasure in things 0.744 <0.001 0.812 <0.001
Feelings of worthlessness 0.795 <0.001 0.734 <0.001
Self-accusations 0.748 <0.001 0.649 <0.001
Recurrent thoughts of death or suicide 0.543 <0.001 0.53 <0.001
Feeling lonely 0.708 <0.001 0.711 <0.001
Anxiety Feeling easily irritated or annoyed 0.783 <0.001 0.804 <0.001
Feeling anxious or fearful 0.759 <0.001 0.729 <0.001
Tension or inability to relax 0.729 <0.001 0.771 <0.001
Excessive worry about several different things 0.708 <0.001 0.758 <0.001
Feeling so restless that it is hard to sit still 0.719 <0.001 0.704 <0.001
Easily startled 0.765 <0.001 0.638 <0.001
Agoraphobia Sudden attacks of panic with palpitations, shortness of breath, faintness, or other frightening bodily sensations 0.661 <0.001 0.875 <0.001
Fear of being outside home alone 0.506 <0.001 0.94 <0.001
Feeling afraid in streets or open places 0.277 0.005 0.659 <0.001
Fear of fainting in public 0.809 <0.001 0.743 <0.001
Feeling afraid of travelling by bus, train, or car 0.793 <0.001 0.628 <0.001
Social anxiety Fear of being the centre of attention 0.739 <0.001 0.743 <0.001
Fear of communicating with strangers 0.643 <0.001 0.628 <0.001
Asthenia Feeling sluggish or tired 0.885 <0.001 0.825 <0.001
Decreased ability to pay attention or concentrate 0.564 <0.001 0.705 <0.001
Resting does not restore strength 0.668 <0.001 0.856 <0.001
Fatigue quickly 0.782 <0.001 0.761 <0.001
Insomnia Difficulty falling asleep 0.79 <0.001 0.84 <0.001
Restless or disturbed sleep 0.792 <0.001 0.902 <0.001
Waking up too early 0.862 <0.001 0.652 <0.001

Notes: Standardized factor loadings shown for both groups; loadings < 0.50 are in bold (borderline/problematic). p-values are Wald z-tests from the CFA (MLR estimator). T2D – type 2 diabetes.

Abbreviation: CG, control group.