{"id":"https://openalex.org/W7203929207","doi":"https://doi.org/10.1016/j.pcd.2026.08.006","title":"\u201cI should have been asked how I was doing\u201d: The impact of healthcare encounters on mental health among young adults living with type 1 diabetes","display_name":"\u201cI should have been asked how I was doing\u201d: The impact of healthcare encounters on mental health among young adults living with type 1 diabetes","publication_year":2026,"publication_date":"2026-08-21","ids":{"openalex":"https://openalex.org/W7203929207","doi":"https://doi.org/10.1016/j.pcd.2026.08.006","pmid":"https://pubmed.ncbi.nlm.nih.gov/42624711"},"language":"en","primary_location":{"id":"doi:10.1016/j.pcd.2026.08.006","doi":"https://doi.org/10.1016/j.pcd.2026.08.006","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.pcd.2026.08.006","pdf_url":null,"source":{"id":"https://openalex.org/S67695068","display_name":"Primary care diabetes","issn_l":"1878-0210","issn":["1878-0210","1751-9918"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Primary Care Diabetes","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://doi.org/10.1016/j.pcd.2026.08.006","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5040907708","display_name":"Carly Whitmore","orcid":"https://orcid.org/0000-0002-3974-4854","observed_orcids":["https://orcid.org/0000-0002-3974-4854"]},"institutions":[{"id":"https://openalex.org/I1338135719","display_name":"Centre for Addiction and Mental Health","ror":"https://ror.org/03e71c577","country_code":"CA","type":"healthcare","lineage":["https://openalex.org/I1338135719"]},{"id":"https://openalex.org/I185261750","display_name":"University of Toronto","ror":"https://ror.org/03dbr7087","country_code":"CA","type":"education","lineage":["https://openalex.org/I185261750"]}],"countries":["CA"],"is_corresponding":true,"raw_author_name":"Carly Whitmore","raw_affiliation_strings":["University of Toronto, Toronto, ON, Canada; Centre for Addiction and Mental Health, Toronto, ON, Canada. Electronic address: carly.whitmore@utoronto.ca"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Toronto, Toronto, ON, Canada; Centre for Addiction and Mental Health, Toronto, ON, Canada. Electronic address: carly.whitmore@utoronto.ca","institution_ids":["https://openalex.org/I1338135719","https://openalex.org/I185261750"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5004388282","display_name":"Diana Sherifali","orcid":"https://orcid.org/0000-0002-4423-3848","observed_orcids":["https://orcid.org/0000-0002-4423-3848"]},"institutions":[{"id":"https://openalex.org/I98251732","display_name":"McMaster University","ror":"https://ror.org/02fa3aq29","country_code":"CA","type":"education","lineage":["https://openalex.org/I98251732"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Diana Sherifali","raw_affiliation_strings":["McMaster University, Hamilton, ON, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"McMaster University, Hamilton, ON, Canada","institution_ids":["https://openalex.org/I98251732"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5100019034","display_name":"Natalie Mangialardi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1338135719","display_name":"Centre for Addiction and Mental Health","ror":"https://ror.org/03e71c577","country_code":"CA","type":"healthcare","lineage":["https://openalex.org/I1338135719"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Natalie Mangialardi","raw_affiliation_strings":["Centre for Addiction and Mental Health, Toronto, ON, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre for Addiction and Mental Health, Toronto, ON, Canada","institution_ids":["https://openalex.org/I1338135719"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5100019033","display_name":"Linxi Mytkolli","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405269956","display_name":"Diabetes Action Canada","ror":"https://ror.org/05qkvgg20","country_code":"CA","type":"other","lineage":["https://openalex.org/I4405269956"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Linxi Mytkolli","raw_affiliation_strings":["Diabetes Action Canada, Toronto, ON, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Diabetes Action Canada, Toronto, ON, Canada","institution_ids":["https://openalex.org/I4405269956"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5042926371","display_name":"Anika Saiva","orcid":"https://orcid.org/0000-0003-0609-9497","observed_orcids":["https://orcid.org/0000-0003-0609-9497"]},"institutions":[{"id":"https://openalex.org/I1338135719","display_name":"Centre for Addiction and Mental Health","ror":"https://ror.org/03e71c577","country_code":"CA","type":"healthcare","lineage":["https://openalex.org/I1338135719"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Anika Saiva","raw_affiliation_strings":["Centre for Addiction and Mental Health, Toronto, ON, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Centre for Addiction and Mental Health, Toronto, ON, Canada","institution_ids":["https://openalex.org/I1338135719"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5046676581","display_name":"Jasmine Maghera","orcid":"https://orcid.org/0000-0001-9208-7454","observed_orcids":["https://orcid.org/0000-0001-9208-7454"]},"institutions":[{"id":"https://openalex.org/I4405269956","display_name":"Diabetes Action Canada","ror":"https://ror.org/05qkvgg20","country_code":"CA","type":"other","lineage":["https://openalex.org/I4405269956"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Jasmine Maghera","raw_affiliation_strings":["Diabetes Action Canada, Toronto, ON, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Diabetes Action Canada, Toronto, ON, Canada","institution_ids":["https://openalex.org/I4405269956"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5103147479","display_name":"Alex St John","orcid":"https://orcid.org/0009-0008-1962-5672","observed_orcids":["https://orcid.org/0009-0008-1962-5672","https://orcid.org/0000-0002-0785-467X"]},"institutions":[{"id":"https://openalex.org/I4405269956","display_name":"Diabetes Action Canada","ror":"https://ror.org/05qkvgg20","country_code":"CA","type":"other","lineage":["https://openalex.org/I4405269956"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Alex St. John","raw_affiliation_strings":["Diabetes Action Canada, Toronto, ON, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Diabetes Action Canada, Toronto, ON, Canada","institution_ids":["https://openalex.org/I4405269956"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5100019037","display_name":"Tracy McQuire","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4405269956","display_name":"Diabetes Action Canada","ror":"https://ror.org/05qkvgg20","country_code":"CA","type":"other","lineage":["https://openalex.org/I4405269956"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Tracy McQuire","raw_affiliation_strings":["Diabetes Action Canada, Toronto, ON, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Diabetes Action Canada, Toronto, ON, Canada","institution_ids":["https://openalex.org/I4405269956"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5091235259","display_name":"Gillian Strudwick","orcid":"https://orcid.org/0000-0002-1080-7372","observed_orcids":["https://orcid.org/0000-0002-1080-7372"]},"institutions":[{"id":"https://openalex.org/I1338135719","display_name":"Centre for Addiction and Mental Health","ror":"https://ror.org/03e71c577","country_code":"CA","type":"healthcare","lineage":["https://openalex.org/I1338135719"]},{"id":"https://openalex.org/I185261750","display_name":"University of Toronto","ror":"https://ror.org/03dbr7087","country_code":"CA","type":"education","lineage":["https://openalex.org/I185261750"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Gillian Strudwick","raw_affiliation_strings":["University of Toronto, Toronto, ON, Canada; Centre for Addiction and Mental Health, Toronto, ON, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Toronto, Toronto, ON, Canada; Centre for Addiction and Mental Health, Toronto, ON, Canada","institution_ids":["https://openalex.org/I1338135719","https://openalex.org/I185261750"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5027921861","display_name":"Joseph Antony Cafazzo","orcid":"https://orcid.org/0000-0002-3114-4440","observed_orcids":["https://orcid.org/0000-0002-3114-4440"]},"institutions":[{"id":"https://openalex.org/I1325899441","display_name":"University Health Network","ror":"https://ror.org/042xt5161","country_code":"CA","type":"healthcare","lineage":["https://openalex.org/I1325899441"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Joseph A. Cafazzo","raw_affiliation_strings":["University Health Network, Toronto, ON, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University Health Network, Toronto, ON, Canada","institution_ids":["https://openalex.org/I1325899441"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5017332392","display_name":"Peter Alexander Senior","orcid":"https://orcid.org/0000-0003-1033-8673","observed_orcids":["https://orcid.org/0000-0003-1033-8673"]},"institutions":[{"id":"https://openalex.org/I154425047","display_name":"University of Alberta","ror":"https://ror.org/0160cpw27","country_code":"CA","type":"education","lineage":["https://openalex.org/I154425047"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Peter Senior","raw_affiliation_strings":["University of Alberta, Edmonton, AB, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Alberta, Edmonton, AB, Canada","institution_ids":["https://openalex.org/I154425047"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5020868945","display_name":"Peter L. Selby","orcid":"https://orcid.org/0000-0001-5401-2996","observed_orcids":["https://orcid.org/0000-0001-5401-2996"]},"institutions":[{"id":"https://openalex.org/I1338135719","display_name":"Centre for Addiction and Mental Health","ror":"https://ror.org/03e71c577","country_code":"CA","type":"healthcare","lineage":["https://openalex.org/I1338135719"]},{"id":"https://openalex.org/I185261750","display_name":"University of Toronto","ror":"https://ror.org/03dbr7087","country_code":"CA","type":"education","lineage":["https://openalex.org/I185261750"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Peter Selby","raw_affiliation_strings":["University of Toronto, Toronto, ON, Canada; Centre for Addiction and Mental Health, Toronto, ON, Canada"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Toronto, Toronto, ON, Canada; Centre for Addiction and Mental Health, Toronto, ON, Canada","institution_ids":["https://openalex.org/I1338135719","https://openalex.org/I185261750"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":6,"corresponding_author_ids":["https://openalex.org/A5040907708"],"corresponding_institution_ids":["https://openalex.org/I1338135719","https://openalex.org/I185261750"],"apc_list":{"value":3150,"currency":"USD","value_usd":3150},"apc_paid":{"value":3150,"currency":"USD","value_usd":3150},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"20","issue":"5","first_page":"639","last_page":"645"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10793","display_name":"Diabetes Management and Education","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10793","display_name":"Diabetes Management and Education","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10560","display_name":"Diabetes Management and Research","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/2712","display_name":"Endocrinology, Diabetes and Metabolism"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10827","display_name":"Patient-Provider Communication in Healthcare","score":0.0,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/type-1-diabetes","display_name":"type 1 diabetes","score":0.9990000128746033},{"id":"https://openalex.org/keywords/young-adults","display_name":"young adults","score":0.9359999895095825},{"id":"https://openalex.org/keywords/diabetes-distress","display_name":"diabetes distress","score":0.9909999966621399},{"id":"https://openalex.org/keywords/mental-health","display_name":"mental health","score":0.9549999833106995},{"id":"https://openalex.org/keywords/medical-encounters","display_name":"healthcare encounters","score":0.9800000190734863},{"id":"https://openalex.org/keywords/diabetes-self-management","display_name":"diabetes self-management","score":0.9049999713897705},{"id":"https://openalex.org/keywords/glycemic-metrics","display_name":"glycemic metrics","score":0.8410000205039978},{"id":"https://openalex.org/keywords/strengths-based-care","display_name":"strengths-based care","score":0.9020000100135803},{"id":"https://openalex.org/keywords/holistic-care","display_name":"holistic care","score":0.5230000019073486},{"id":"https://openalex.org/keywords/co-design","display_name":"co-design","score":0.4000000059604645}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7250000238418579},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.6571999788284302},{"id":"https://openalex.org/C122980154","wikidata":"https://www.wikidata.org/wiki/Q205555","display_name":"Feeling","level":2,"score":0.6340000033378601},{"id":"https://openalex.org/C139265228","wikidata":"https://www.wikidata.org/wiki/Q5283089","display_name":"Distress","level":2,"score":0.5453000068664551},{"id":"https://openalex.org/C90734943","wikidata":"https://www.wikidata.org/wiki/Q17008777","display_name":"Conceptualization","level":2,"score":0.5378000140190125},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.525600016117096},{"id":"https://openalex.org/C205545832","wikidata":"https://www.wikidata.org/wiki/Q17156455","display_name":"Young adult","level":2,"score":0.5156000256538391},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.48750001192092896},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.43130001425743103},{"id":"https://openalex.org/C2780473172","wikidata":"https://www.wikidata.org/wiki/Q5572518","display_name":"Glycemic","level":3,"score":0.4242999851703644},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.42149999737739563},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.3905999958515167},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.3603000044822693},{"id":"https://openalex.org/C3017945913","wikidata":"https://www.wikidata.org/wiki/Q5283089","display_name":"Emotional distress","level":3,"score":0.3564000129699707},{"id":"https://openalex.org/C2779951463","wikidata":"https://www.wikidata.org/wiki/Q7268788","display_name":"Quality of life (healthcare)","level":2,"score":0.35510000586509705},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.35260000824928284},{"id":"https://openalex.org/C2778087770","wikidata":"https://www.wikidata.org/wiki/Q2297111","display_name":"Social support","level":2,"score":0.34599998593330383},{"id":"https://openalex.org/C2779343474","wikidata":"https://www.wikidata.org/wiki/Q3109175","display_name":"Context (archaeology)","level":2,"score":0.3352999985218048},{"id":"https://openalex.org/C2781232474","wikidata":"https://www.wikidata.org/wiki/Q124407","display_name":"Type 1 diabetes","level":3,"score":0.3230000138282776},{"id":"https://openalex.org/C177264268","wikidata":"https://www.wikidata.org/wiki/Q1514741","display_name":"Set (abstract data type)","level":2,"score":0.3212999999523163},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.29269999265670776},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.2865000069141388},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.2815000116825104},{"id":"https://openalex.org/C2777180221","wikidata":"https://www.wikidata.org/wiki/Q3025883","display_name":"Type 2 diabetes","level":3,"score":0.28040000796318054},{"id":"https://openalex.org/C555293320","wikidata":"https://www.wikidata.org/wiki/Q12206","display_name":"Diabetes mellitus","level":2,"score":0.2775999903678894},{"id":"https://openalex.org/C558461103","wikidata":"https://www.wikidata.org/wiki/Q154430","display_name":"Anxiety","level":2,"score":0.2736000120639801},{"id":"https://openalex.org/C78491826","wikidata":"https://www.wikidata.org/wiki/Q3045352","display_name":"Social determinants of health","level":3,"score":0.27300000190734863},{"id":"https://openalex.org/C2777274743","wikidata":"https://www.wikidata.org/wiki/Q6817452","display_name":"Mental distress","level":3,"score":0.26080000400543213},{"id":"https://openalex.org/C110379092","wikidata":"https://www.wikidata.org/wiki/Q1571836","display_name":"Social environment","level":2,"score":0.2547999918460846},{"id":"https://openalex.org/C2992695702","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental healthcare","level":3,"score":0.2533999979496002},{"id":"https://openalex.org/C2777896191","wikidata":"https://www.wikidata.org/wiki/Q22907655","display_name":"Patient experience","level":3,"score":0.2533000111579895},{"id":"https://openalex.org/C2779159551","wikidata":"https://www.wikidata.org/wiki/Q1414874","display_name":"Comorbidity","level":2,"score":0.2531999945640564}],"mesh":[{"descriptor_ui":"D000079225","descriptor_name":"Psychological Distress","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000085002","descriptor_name":"Glycemic Control","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000223","descriptor_name":"Adaptation, Psychological","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000367","descriptor_name":"Age Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001786","descriptor_name":"Blood Glucose","qualifier_ui":"Q000378","qualifier_name":"metabolism","is_major_topic":false},{"descriptor_ui":"D003922","descriptor_name":"Diabetes Mellitus, Type 1","qualifier_ui":"Q000097","qualifier_name":"blood","is_major_topic":true},{"descriptor_ui":"D003922","descriptor_name":"Diabetes Mellitus, Type 1","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D003922","descriptor_name":"Diabetes Mellitus, Type 1","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D003922","descriptor_name":"Diabetes Mellitus, Type 1","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D004644","descriptor_name":"Emotions","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007722","descriptor_name":"Health Knowledge, Attitudes, Practice","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008603","descriptor_name":"Mental Health","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D011788","descriptor_name":"Quality of Life","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012648","descriptor_name":"Self Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013315","descriptor_name":"Stress, Psychological","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D013315","descriptor_name":"Stress, Psychological","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":true},{"descriptor_ui":"D013315","descriptor_name":"Stress, Psychological","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D015415","descriptor_name":"Biomarkers","qualifier_ui":"Q000097","qualifier_name":"blood","is_major_topic":false},{"descriptor_ui":"D017281","descriptor_name":"Cost of Illness","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D036301","descriptor_name":"Qualitative Research","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D055815","descriptor_name":"Young Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.1016/j.pcd.2026.08.006","doi":"https://doi.org/10.1016/j.pcd.2026.08.006","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.pcd.2026.08.006","pdf_url":null,"source":{"id":"https://openalex.org/S67695068","display_name":"Primary care diabetes","issn_l":"1878-0210","issn":["1878-0210","1751-9918"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Primary Care Diabetes","raw_type":"journal-article"},{"id":"pmid:42624711","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42624711","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Primary care diabetes","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1016/j.pcd.2026.08.006","doi":"https://doi.org/10.1016/j.pcd.2026.08.006","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.pcd.2026.08.006","pdf_url":null,"source":{"id":"https://openalex.org/S67695068","display_name":"Primary care diabetes","issn_l":"1878-0210","issn":["1878-0210","1751-9918"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Primary Care Diabetes","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[{"id":"https://openalex.org/G7590917645","display_name":null,"funder_award_id":"2-SRA-2022-1183-S-N","funder_id":"https://openalex.org/F4320311620","funder_display_name":"Juvenile Diabetes Research Foundation Canada"}],"funders":[{"id":"https://openalex.org/F2977310349","display_name":"Ontario SPOR SUPPORT Unit","ror":null},{"id":"https://openalex.org/F4320311238","display_name":"Fondation Brain Canada","ror":"https://ror.org/01bcmwk98"},{"id":"https://openalex.org/F4320311620","display_name":"Juvenile Diabetes Research Foundation Canada","ror":"https://ror.org/02j6fbg68"},{"id":"https://openalex.org/F7060002116","display_name":"Breakthrough T1D","ror":null}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":30,"referenced_works":["https://openalex.org/W1877230035","https://openalex.org/W1936892135","https://openalex.org/W1980573306","https://openalex.org/W2008179214","https://openalex.org/W2029804573","https://openalex.org/W2054286482","https://openalex.org/W2056930506","https://openalex.org/W2062003960","https://openalex.org/W2066444710","https://openalex.org/W2075063246","https://openalex.org/W2082651170","https://openalex.org/W2124304301","https://openalex.org/W2127236688","https://openalex.org/W2134365893","https://openalex.org/W2135669714","https://openalex.org/W2136608905","https://openalex.org/W2139093728","https://openalex.org/W2163940464","https://openalex.org/W2165916005","https://openalex.org/W2172251189","https://openalex.org/W2183117831","https://openalex.org/W2237186256","https://openalex.org/W2796776724","https://openalex.org/W3194472989","https://openalex.org/W4283760913","https://openalex.org/W4313066591","https://openalex.org/W4365148148","https://openalex.org/W4380738780","https://openalex.org/W4400341654","https://openalex.org/W4412763389"],"related_works":["https://openalex.org/W7025351843","https://openalex.org/W3034559714","https://openalex.org/W2794028660","https://openalex.org/W2799459460","https://openalex.org/W7213312744","https://openalex.org/W4400053033","https://openalex.org/W7140276391","https://openalex.org/W7128004650","https://openalex.org/W4410392353","https://openalex.org/W2599076756"],"abstract_inverted_index":{"AIMS:":[0],"This":[1],"study":[2,174],"explores":[3],"the":[4,69,81,93,139,155,165,184],"experiences":[5,25],"of":[6,46,87,95,115,124,168,179,186,197],"diabetes":[7,19,133,192],"distress":[8,96],"among":[9],"young":[10,58,169],"adults,":[11],"aged":[12],"18-29":[13],"years,":[14],"living":[15,88],"with":[16,60,89,171],"type":[17],"1":[18],"(T1D),":[20],"focusing":[21],"on":[22,72],"how":[23],"these":[24],"are":[26],"shaped":[27],"by":[28,75],"healthcare":[29,76,142],"encounters":[30],"and":[31,84,91,126,131,160,163],"self-management":[32],"practices.":[33],"METHODS:":[34],"Using":[35],"an":[36,98,103],"interpretive":[37],"descriptive":[38],"design,":[39],"19":[40],"participants":[41],"were":[42,66],"interviewed":[43],"as":[44,97],"part":[45],"a":[47,53,146,177],"co-design":[48],"trial":[49],"aimed":[50],"at":[51],"developing":[52],"mental":[54,128,161],"health":[55,129,162],"intervention":[56],"for":[57,141,176],"adults":[59,170],"T1D.":[61,172],"RESULTS:":[62],"Two":[63],"main":[64],"themes":[65],"identified:":[67],"1)":[68],"perceived":[70],"overemphasis":[71],"glycemic":[73],"metrics":[74],"professionals,":[77],"which":[78,153],"often":[79],"overshadowed":[80],"broader":[82],"emotional":[83,188],"social":[85],"dimensions":[86],"T1D,":[90],"2)":[92],"conceptualization":[94],"\"everyday\"":[99],"reality":[100],"rather":[101],"than":[102],"acute":[104],"or":[105],"episodic":[106],"phenomenon.":[107],"Participants":[108],"reported":[109],"feeling":[110],"reduced":[111],"to":[112,122,144,151,194],"\"a":[113],"set":[114],"data":[116],"points\"":[117],"during":[118],"clinical":[119],"encounters,":[120],"contributing":[121],"feelings":[123],"inadequacy":[125],"exacerbating":[127],"challenges":[130],"worsening":[132],"self-management.":[134],"CONCLUSIONS:":[135],"The":[136,173],"findings":[137],"highlight":[138],"need":[140],"professionals":[143],"adopt":[145],"more":[147],"holistic,":[148],"strengths-based":[149],"approach":[150],"care,":[152],"recognizes":[154],"complex":[156],"interplay":[157],"between":[158],"physical":[159],"supports":[164],"overall":[166],"wellbeing":[167],"calls":[175],"re-evaluation":[178],"current":[180],"care":[181,193],"practices,":[182],"emphasizing":[183],"importance":[185],"integrating":[187],"support":[189],"into":[190],"routine":[191],"enhance":[195],"quality":[196],"life.":[198]},"counts_by_year":[],"updated_date":"2026-11-12T12:28:57.059296","created_date":"2026-08-22T00:00:00"}