Table 3.

- Factor analysis of SADDS-17 scale with item-loading on each factor.

Item	Statement	SADDS Dimensions (α)	Factor 1 (regimen -related distress)	Factor 2 (emotional burden)	Factor 3 (physician -related distress)	Factor 4 (interpersonal distress)
1	Feeling that I am not testing my blood sugars frequently enough.	Regimen distress	0.743
2	Feeling that I am often failing with my diabetes regimen.		0.838
3	Not feeling confident in my day-to-day ability to manage diabetes.		0.841
4	Feeling that I am not sticking closely enough to a good meal plan.		0.828
5	Not feeling motivated to keep up my diabetes self-management.		0.597
6	Feeling that diabetes is taking up too much of my mental and physical energy every day.	Emotional burden		0.683
7	Feeling angry, scared, or depressed when I think about living with diabetes.			0.716
8	Feeling that diabetes controls my life.			0.733
9	Feeling that I will end up with serious long-term complications, no matter what I do.			0.785
10	Feeling overwhelmed by the demands of living with diabetes.			0.602
11	Feeling that my doctor doesn’t know enough about diabetes and diabetes care.	Physician-related distress			0.864
12	Feeling that my doctor doesn’t give me clear enough directions on how to manage my diabetes.				0.875
13	Feeling that my doctor doesn’t take my concerns seriously enough.				0.713
14	Feeling that I don’t have a doctor who I can see regularly about my diabetes.				0.664
15	Feeling that friends or family are not supportive enough of my self-care efforts (such, planning activities that conflict with my schedule, encouraging me to eat the “wrong” food).	Interpersonal distress				0.81
16	Feeling that friends or family don’t appreciate how difficult living with diabetes can be.					0.85
17	Feeling that friends or family don’t give me the emotional support that I would like.					0.8

SADDS-17: Saudi Arabian diabetes distress scale-17