Diabetic Medicine最新文献

{"title":"Where is the social in the psychosocial? A narrative review","authors":"Bryan Cleal,&nbsp;Søren Skovlund,&nbsp;Timothy C. Skinner,&nbsp;Shane O'Donnell","doi":"10.1111/dme.70201","DOIUrl":"10.1111/dme.70201","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To examine how the ‘social’ is conceptualised and mobilised within psychosocial diabetes research, and to consider how disciplinary perspectives shape the field.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a narrative review focusing on psychology, sociology and anthropology. Using a purposive and iterative approach, we synthesised influential theoretical and empirical works that foreground social aspects of diabetes, tracing conceptual histories, disciplinary assumptions and methodological orientations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Psychology has largely defined the psychosocial in terms of individual behaviours, coping and distress, situating social factors as contextual influences. Sociology has repositioned the social by focusing on structures, inequalities, stigma and institutional practices. Anthropology has illuminated cultural meanings, lived experiences and structural violence, showing how diabetes is embedded in broader histories and contexts. Together, these perspectives demonstrate that the psychosocial is not a fixed combination of two domains but a hybrid, negotiated space. We argue that Mode 2 knowledge production—transdisciplinary, collaborative and problem-oriented—offers a productive frame for rethinking psychosocial diabetes research.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Recognising the psychosocial as a hybrid construct underscores the need for conceptual and methodological pluralism. By embedding social science perspectives alongside psychological and clinical approaches, psychosocial diabetes research can generate knowledge that is inclusive, contextually grounded and socially robust. This orientation promises to strengthen research relevance, support participatory approaches and enrich responses to the complex realities of living with diabetes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11251,"journal":{"name":"Diabetic Medicine","volume":"43 9","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145852190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From narratives to numbers and back: Assessing the psychosocial aspects of diabetes in the era of high technology with emerging qualitative and quantitative methodologies","authors":"Dominic Ehrmann,&nbsp;Eloise Litterbach,&nbsp;Sonya Deschenes,&nbsp;Rita Forde,&nbsp;Norbert Hermanns,&nbsp;Maaike Horsselenberg,&nbsp;Mandy Jansen,&nbsp;Amy McInerney,&nbsp;Eimear Morrissey,&nbsp;Andreas Schmitt,&nbsp;Uffe Søholm,&nbsp;Giesje Nefs","doi":"10.1111/dme.70206","DOIUrl":"10.1111/dme.70206","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>Rapid changes in diabetes therapy combined with limitations of traditional methodological approaches challenge the field of psychosocial research to adequately capture the experiences of people with diabetes. This narrative review provides an overview of emerging qualitative and quantitative approaches that can advance the study of psychosocial aspects of diabetes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We searched PubMed and Google Scholar for English-language articles regarding novel qualitative and quantitative methodologies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Emerging qualitative methodologies aim to increase the transferability of lived experiences to other contexts and populations by employing novel ways to stimulate interactions and using digital tools. Culturally sensitive methods (e.g. yarning) and the use of pictures (e.g. photovoice) and storytelling methods (e.g. story completion) can capture more diverse experiences and sensitive topics while being able to minimise social desirability. Online qualitative surveys can increase the reach while artificial intelligence (AI) can be implemented in qualitative research protocols. Emerging quantitative methodologies aim to better understand dynamic within-person processes. With repeated daily smartphone-based assessments (e.g. ecological momentary assessment) and passive sensor-based data collections (e.g. digital phenotyping), intensive longitudinal data can be collected that allow for n-of-1 trials, especially in combination with continuous glucose monitoring. Quantitative data can also be used to identify clusters/subgroups of people with shared experiences. Innovative digital twin technology and AI offer intriguing possibilities that can advance the field towards precision mental health care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Several innovative methodologies (will) enrich our understanding of psychosocial aspects in diabetes. To fully capitalise on these methodologies, co-design and mixed methods approaches are necessary.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11251,"journal":{"name":"Diabetic Medicine","volume":"43 9","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/dme.70206","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145890942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychosocial care and experiences in young adults living with early-onset type 2 diabetes: A narrative review","authors":"","doi":"10.1111/dme.70472","DOIUrl":"https://doi.org/10.1111/dme.70472","url":null,"abstract":"<p>\u0000 <span>Caba, M</span>, <span>Carvalho, M</span>, <span>Forbes, A</span>, et al. <span>Psychosocial care and experiences in young adults living with early-onset type 2 diabetes: A narrative review</span>. <i>Diabet Med</i>. <span>2026</span>; <span>43</span>(<span>7</span>):e70352. doi:10.1111/dme.70352\u0000 </p><p>The article listed above, intended for publication in the Special Issue ‘Special issue to commemorate the 30th Anniversary of the PsychoSocial Aspects of Diabetes (PSAD) Group’ was inadvertently published in a regular issue, volume 43, issue 7. This was due to a publisher error and is not attributable to the authors or guest editors.</p><p>We apologize for this error.</p>","PeriodicalId":11251,"journal":{"name":"Diabetic Medicine","volume":"43 9","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/dme.70472","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149028991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The power of community: Advocacy for action on the psychosocial aspects of diabetes","authors":"Renza Scibilia,&nbsp;Ana Alvarez Pagola","doi":"10.1111/dme.70300","DOIUrl":"10.1111/dme.70300","url":null,"abstract":"","PeriodicalId":11251,"journal":{"name":"Diabetic Medicine","volume":"43 9","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147577568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychosocial aspects of early detection in type 1 diabetes: Language matters, decision making and support needs","authors":"Maartje de Wit,&nbsp;Laura Yvonne Klinker,&nbsp;Belinda Moore,&nbsp;Anna Boggiss,&nbsp;Lucía Feito Allonca,&nbsp;Mariam Asaad,&nbsp;Keely Bebbington,&nbsp;Bryan Cleal,&nbsp;Sasja Huisman,&nbsp;Per Winterdijk,&nbsp;Henk Jan Aanstoot,&nbsp;Christine Fransman,&nbsp;Elizabeth Holmes-Truscott,&nbsp;Norbert Hermanns,&nbsp;Giesje Nefs","doi":"10.1111/dme.70308","DOIUrl":"10.1111/dme.70308","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The potential implementation of early type 1 diabetes (T1D) detection pathways, encompassing autoantibody screening and longitudinal monitoring, raises important psychosocial considerations for ethical, person-centred care. This review summarises evidence on the psychosocial impact of early T1D detection, identifying key evidence gaps and recommendations for integrating psychosocial support.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A semi-structured narrative review was conducted using PubMed-indexed international peer-reviewed literature, complemented by experiential insights from an interdisciplinary authorship team.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Broader Health screening literature emphasises that individuals' values, beliefs about chance, severity and controllability, alongside sociocultural context, shape decision making and coping. Early T1D detection introduces inherent uncertainty regarding timing and clinical progression. Despite a limited evidence base, largely focused on parents and lacking tailored person-reported outcome measures (PROMs), studies suggest a transient increase in negative emotional responses (e.g., anxiety, depressive symptoms, distress). Individual variation appears linked to screening outcome, prior experiences with T1D and tolerance for uncertainty. Effective, stigma-free communication and psychosocial support delivered by family-oriented professionals can facilitate informed, autonomous decision making. Mental health specialists play a key role in developing behaviourally informed protocols for care and communication, training care teams and providing targeted support for families experiencing persistent distress. Community involvement in the design, testing and evaluation of these communication tools, models of care and development of PROMs are essential for acceptability and equity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Integrating psychological monitoring and care is a critical component of the early T1D detection pathway. Contextually relevant and co-designed information, support strategies and PROMs are needed to help families make informed decisions and navigate uncertainties.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11251,"journal":{"name":"Diabetic Medicine","volume":"43 9","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/dme.70308","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147597514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychological research in eating disorders/disordered eating in type 1 diabetes: A systematic review using the NIH stage model for behavioural intervention development","authors":"Heather L. Stuckey,&nbsp;Debbie Cooke,&nbsp;Amy C. Knehans,&nbsp;Timothy C. Skinner","doi":"10.1111/dme.70369","DOIUrl":"10.1111/dme.70369","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>Eating disorders in type 1 diabetes are 2.4 times more likely to develop than those who do not have diabetes. The aim was to conduct a systematic review on psychological interventions in IRDEB (insulin-related disordered eating behaviour)/eating disorders with adults who have type 1 diabetes. The review describes the type and quality of studies with control/comparison groups, as well as qualitative research, and synthesises the research according to the NIH Stage Model of Behavioural Intervention Development. Classification according to the Model allows for discussion of gaps and recommendations for further research.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The methodology for this research followed PRISMA guidelines, with inclusion criteria of: (1) type 1 diabetes; (2) adults (age ≥18); (3) behavioural and psychological interventions in eating disorders or disordered eating; (4) primary outcome being psychological, (5) conducted from 2014 to February 2024; (6) in English; (7) full-text, peer-reviewed articles; AND (8) quantitative trials with control or comparison groups OR (9) qualitative research.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>From a total of 28 studies related to type 1 diabetes and psychological outcomes, nine studies were found to be relevant to IRDEB and eating disorders. Although studies of disorders have risen in publication, there was only one completed full RCT since 2014, which met the inclusion criteria, the <i>Diabetes Body Project.</i> Methodological designs for the nine studies included six qualitative studies and three experimental studies. Six studies were categorised as Stage 0, one as Stage 1, one as Stage II and one as Stage III. Two studies included participants with ‘diabulimia’ alone, and the seven remaining studies combined eating disorders and eating disorder symptoms (e.g., ‘diabulimia’, anorexia, binge-eating, bulimia).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>With the limited research that is available, and only one recently completed RCT, the opportunities for research in IRDEB/eating disorders are capacious. There is a need to tailor existing eating disorder interventions to T1D and to continue to investigate the efficacy (Stages II and III), and effectiveness (Stages IV and V), keeping in mind the unique needs and conditions under which IRDEB and eating disorder symptoms emerge.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11251,"journal":{"name":"Diabetic Medicine","volume":"43 9","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/dme.70369","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147990063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Group-based interventions to reduce diabetes distress in adults with type 1 diabetes: A rapid realist review of the Reduce and TunedIn interventions","authors":"Sarah Sims,&nbsp;Vibeke Stenov,&nbsp;Mette Due-Christensen,&nbsp;Lawrence Fisher,&nbsp;Clara Fabian-Therond,&nbsp;Megan Peck,&nbsp;Shalini Ahuja,&nbsp;Siobhan O'Connor,&nbsp;Ruth Abrams,&nbsp;Jennifer Halliday,&nbsp;Richard I. G. Holt,&nbsp;Jane Speight,&nbsp;Jackie Sturt,&nbsp;Ruth Harris,&nbsp;D‑Stress Study Group","doi":"10.1111/dme.70242","DOIUrl":"10.1111/dme.70242","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>Diabetes distress is highly prevalent among adults with type 1 diabetes, yet remains under-recognised and rarely addressed in routine diabetes care. This rapid realist review aimed to identify how, why, for whom, and in what contexts group-based interventions reduce elevated diabetes distress in adults with type 1 diabetes, to inform the co-adaption of a new diabetes distress intervention in the UK (‘D-Stress Reduce’).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Following established rapid realist review methods, we synthesised evidence from 27 papers relating to two existing diabetes distress interventions and the psychological and social theories underpinning them. Data extraction and analysis focused on identifying contexts, mechanisms and outcomes, supported by stakeholders including methodological experts and programme architects.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Seven programme theories were generated and articulated through 20 ‘If-Then-Because’ statements. Key theories highlighted emotional regulation, peer support and person-centred facilitation in reducing diabetes distress. Other theories included regular assessment and follow-up, motivation for action, and empowerment in self-management. The review found that interventions were most effective when adults with type 1 diabetes reported feeling emotionally safe, listened to and respected, and when group facilitators shifted from directive, hierarchical communication styles to collaborative approaches. Contextual factors, such as group composition, facilitator skill, and individual readiness for change influenced outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This review provides a theory-driven foundation for developing, implementing and evaluating a new co-adapted diabetes distress intervention in the UK (‘D-Stress Reduce’) and highlights multiple components that can be addressed to improve the care pathway and group-based experience.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11251,"journal":{"name":"Diabetic Medicine","volume":"43 9","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/dme.70242","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146184213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Meaningful engagement of lived experience in diabetes research and health service improvement: A rapid review of barriers to and enablers for community involvement among adults with type 2 diabetes","authors":"J. E. Jordan,&nbsp;E. Litterbach,&nbsp;R. Geerling,&nbsp;E. P. Lam,&nbsp;T. Fitzgerald,&nbsp;R. Kelly,&nbsp;J. Manski-Nankervis,&nbsp;M. Read,&nbsp;E. I. Ekinci,&nbsp;T. C. Skinner,&nbsp;J. Speight,&nbsp;E. Holmes-Truscott","doi":"10.1111/dme.70274","DOIUrl":"10.1111/dme.70274","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Consumer and community involvement (CCI) is increasingly recognised as critical to advancing equity, relevance and impact in diabetes research and health service improvement. However, the meaningful and representative involvement of people with diabetes, particularly those with type 2 diabetes (T2D) and from diverse communities, remains limited.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim and Method</h3>\u0000 \u0000 <p>This article provides an overview of the emerging CCI literature in the context of diabetes, including a rapid review identifying barriers to and enablers of CCI in research and health services for people with T2D.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Key barriers included negative past experiences of CCI, lack of tailored CCI approaches and experiences of diabetes stigma. Enablers of involving those with T2D include building professional–community partnerships and facilitating genuine contribution and collaboration through safe and inclusive environments, valuing community expertise and co-sharing of power and ownership of projects. While such strategies were drawn from studies involving culturally, ethnically and linguistically diverse populations, the literature is largely limited to high-income countries. Practical and conceptual directions to advance CCI in diabetes research and health services are considered, including the need for co-design of context- and community-specific approaches of CCI, routine evaluation of (community-relevant) impacts of CCI and resourcing facilitators and systems to engage meaningfully in CCI.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>These findings suggest key considerations to support more inclusive, representative and impactful involvement of people with diabetes and identify the need for further research to tailor CCI strategies to the diverse communities they aim to serve.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11251,"journal":{"name":"Diabetic Medicine","volume":"43 9","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/dme.70274","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147489037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A systematic review of the use of artificial intelligence in mental health–based diabetes care: Current applications and future directions","authors":"Vinayak Dev,&nbsp;Nathan S. Consedine,&nbsp;Anna Boggiss,&nbsp;Anna Serlachius","doi":"10.1111/dme.70299","DOIUrl":"10.1111/dme.70299","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To map and systematise existing research on the use of artificial intelligence (AI) in mental health–based diabetes care contexts, identify trends and potential gaps in the literature, examine methodological limitations and highlight future research directions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The review adhered to PRISMA guidelines and was pre-registered on PROSPERO (CRD420251167053). Comprehensive searches were conducted across nine databases, including MEDLINE, EMBASE, PsycINFO and IEEE Xplore, using a Boolean strategy that combined terms related to diabetes, AI and clinical mental health. Inclusion criteria encompassed peer-reviewed, empirical, quantitative studies involving humans, diabetes contexts, mental health factors and AI-based methodologies. Screening and data extraction were performed independently by two reviewers. Forty-one studies ultimately met the inclusion criteria.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Research on AI in mental health–based diabetes care contexts has grown substantially since 2020. Most studies employed observational (83%) and cross-sectional (56%) designs, focused on assessment rather than intervention (88%) and targeted depression (56%). Supervised learning algorithms were most frequently used (83%); however, deep learning models achieved the highest performance. Despite technological advances, no temporal improvement in algorithmic performance was observed. Methodological limitations included limited diversity in samples and outcomes, minimal use of prospective experimental and randomised controlled trial-based designs and overreliance on supervised learning algorithms.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>AI shows promise in addressing mental health needs in diabetes care. However, current research is narrow in scope and lacks methodological rigour in some respects. Future studies might profitably prioritise diverse populations, prospective designs, interpretability and clinical utility to enable safe, effective and equitable integration of AI into person-centred diabetes care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":11251,"journal":{"name":"Diabetic Medicine","volume":"43 9","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/dme.70299","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147577534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From strength to strength: Why psychosocial research in diabetes is more important than ever","authors":"Maartje de Wit,&nbsp;Rita Forde,&nbsp;Elizabeth Holmes-Truscott","doi":"10.1111/dme.70458","DOIUrl":"https://doi.org/10.1111/dme.70458","url":null,"abstract":"","PeriodicalId":11251,"journal":{"name":"Diabetic Medicine","volume":"43 9","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149029045","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}