Table 3.

Factor loadings of the revised 4-factor model of the AR-PAID (N = 200).

	Factor structure of the AR-PAID	Factor loadings
Factors	Items number and shortened content	Std. estimates	SE	p-value
Emotional problems	Q3: Feeling scared	0.937	0.015	0.000
	Q6: Feeling depressed	0.978	0.008	0.000
	Q7: Indistinguishable mood	0.884	0.024	0.000
	Q8: Overwhelmed by diabetes regimen	0.909	0.020	0.000
	Q9: Worry about low blood sugar reactions	0.789	0.028	0.000
	Q10: Feeling angry	0.950	0.012	0.000
	Q12: Worry about the future complications	0.852	0.023	0.000
	Q13: Feeling guilty if get off track with management	0.932	0.017	0.000
	Q14: Not accepting diabetes	0.795	0.057	0.000
	Q16: Taking too much mental and physical energy	0.920	0.014	0.000
	Q19: Coping with complications of diabetes	0.809	0.029	0.000
	Q20: Burned out by effort to manage diabetes	0.893	0.019	0.000
Treatment problems	Q1: No clear treatment goals	0.947	0.012	0.000
	Q2: Feeling discouraged with treatment plan	0.983	0.006	0.000
Food problems	Q4: Uncomfortable social situations involving eating	0.807	0.063	0.000
	Q5: Feelings of deprivation of food	0.927	0.014	0.000
	Q11: Concerned about food and eating	0.935	0.013	0.000
Lack of support	Q15: Feeling unsatisfied with diabetes physician	0.526	0.130	0.041
	Q17: Feeling alone with diabetes	0.882	0.049	0.000
	Q18: Feeling that friend/ family are not supportive	1.002	0.061	0.000
		Goodness-of-Fit indices
	Model fit, χ2 (df), p-value	371.2 (164), <0.001*
	CMIN/DF (χ2/df)	2.26
	CFI	0.990
	TLI	0.988
	SRMR	0.057
	RMSEA	0.079

AR-PAID, Arabic version of the Problem Areas in Diabetes; CMIN/DF, ratio of chi-square [χ²] value to the degrees of freedom [df] (good if CMIN/DF <3); CFI, comparative fit index (good fit ≥ 0.90); TLI, Tucker Lewis Index (good if ≥0.90); SRMR, standardized root mean square residual (good fit ≤ 0.08); RMSEA, root mean square error of approximation (acceptable fit ≤ 0.08); SE, standard error.

^*Statistically significant at p < 0.001.