Table 2.

Factor loadings (U.S. sample; N=305)^a

	Component
Item	1	2	3	4	5	6	7
Powerlessness
Feeling that I’ve got to be perfect with my diabetes management.	808	.055	−.035	.091	−.100	.051	−.078
Feeling that no matter how hard I try with my diabetes, it will never be good enough.	.753	−.038	.058	−.122	.028	.217	.020
Feeling discouraged when I see high blood glucose numbers that I can’t explain	.886	−.081	−.042	−.038	.017	.000	.064
Feeling that there is too much diabetes equipment and stuff I must always have with me.	.591	.113	.052	.029	.110	−.181	.228
Feeling worried that I will develop serious long-term complications, no matter how hard I try.	.596	.113	.054	.046	.097	.071	.008
Negative Social Perceptions
Feeling like I have to hide my diabetes from other people.	−.040	.885	−.026	−.128	−.075	.020	.022
Feeling that people treat me differently when they find out I have diabetes.	.110	.665	.015	.232	−.058	−.057	.038
Feeling concerned that diabetes may make me less attractive to employers.	−.012	.759	−.002	−.023	.134	.109	−.063
Feeling that people will think less of me if they knew I had diabetes.	.039	.863	.007	.012	.033	−.007	.015
Physician Distress
Feeling that my diabetes doctor doesn't know enough about diabetes and diabetes care.	−.083	.032	.876	.004	−.056	−.005	−.105
Feeling that I don’t get help I really need from my diabetes doctor about managing diabetes.	.062	−.051	.836	−.120	.009	−.112	.099
Feeling that I can’t tell my diabetes doctor what is really on my mind.	−.057	.049	.711	−.094	.049	.114	.128
Feeling that my diabetes doctor doesn't really understand what it’s like to have diabetes.	.104	−.042	.833	.133	−.059	−.009	−.191
Friend/Family Distress
Feeling that my friends or family treat me as if I were more fragile or sicker than I really am.	−.091	.022	.083	.667	.016	.062	.140
Feeling that my friends or family act like “diabetes police.”	−.109	−.082	.076	.693	.125	.132	.137
Feeling that my family and friends make a bigger deal out of diabetes than they should.	.025	.065	−.108	.888	−.170	.001	−.076
Feeling that my friends and family worry more about hypoglycemia than I want them to.	.110	−.078	−.056	.850	.087	−.138	−.091
Hypoglycemia Distress
Feeling that I don’t notice the warning signs of hypoglycemia like I used to.	−.115	.001	−.044	−.148	.803	−.142	.211
Feeling frightened that I could have a serious hypoglycemic event while driving.	.018	−.024	−.034	.072	.814	.123	−.235
Feeling that I can’t ever be safe from the possibility of a serious hypoglycemic event.	.114	.105	.027	−.029	.727	.063	−.076
Feeling frightened that I could have a serious hypoglycemic event when I’m asleep.	.088	−.047	−.009	.116	.744	−.120	.040
Management Distress
Feeling that I don’t check my blood glucose level as often as I probably should.	−.320	.108	.062	.138	.031	.743	.115
Feeling that I am not taking as much insulin as I should.	.168	.115	−.091	−.122	−.121	.730	−.147
Feeling that I am not as skilled at managing diabetes as I should be.	.315	−.167	−.011	−.021	.066	.699	−.072
Feeling that I don’t give my diabetes as much attention as I probably should.	.100	−.019	.035	.039	−.042	.668	.224
Eating Distress
Feeling that my eating is out of control.	−.110	.038	−.047	−.065	.085	.049	.888
Feeling that thoughts about food and eating control my life.	.273	.006	.029	.090	−.110	−.194	.721
Feeling that I don’t eat as carefully as I probably should.	.093	−.073	−.077	.031	−.056	.322	.658

^aPromax rotation.