Measures Of Emotional Well-being Research Articles

A Pilot Study Using a Virtual Art-Based Intervention to Support Well-Being in Persons With Cognitive Impairment and Their Care-Partners

ObjectivesWith aging, interventions promoting emotional well-being and cognitive function become essential, especially for persons with cognitive impairment (PCIs) and their care-partners (CPs). Art-based interventions, specifically Visual Thinking Strategies (VTS), have strong evidence of promoting observational skills and professional identity formation in education settings, yet little work has been done in clinical settings. The recent pandemic presented a unique need and opportunity for PCIs and their CPs to engage in enriching remote experiences. MethodsThis study piloted a 3-session virtual program using VTS-led facilitated discussion of visual art for 3 PCI-CP dyads to assess the impact on measures of emotional well-being and self-esteem, and to obtain feedback from participants about their experience. ResultsFindings indicated that virtual VTS activities for PCI-CP dyads were feasible and well-accepted by both PCIs and CPs. ConclusionsVirtual art interventions may have the potential to promote and sustain emotional well-being for PCIs and CPs.

Significant contribution of chronotype to emotional well-being in chronic psychiatric outpatients in Greece

Circadian rhythms are pivotal for human functioning, and their disruption holds significant implications for well-being. One common source for circadian disruptions is circadian misalignment that can be related to chronotypes. Chronotypes refer to an individual's preferred timing for sleep and wakefulness. Individuals with late chronotypes are at a disadvantage in the morning-oriented modern world and are demonstrated to have negative consequences in many aspects of life. In the context of psychiatric disorders, chronotypes are related to prevalence of disorders and to treatment effects but less attention is given to the relationship between chronotype and well-being in chronic psychiatric patients. The current study aims to elucidate the extent to which individual chronotypes contribute to emotional well-being within a cohort of individuals with chronic psychiatric disorder in outpatient clinic.Participants (n = 100) were recruited from the outpatient clinic of the 3rd Department of Psychiatry, AHEPA University Hospital, Thessaloniki, Greece, and the AX Mental Health Outpatient Clinic in Heraklion, Crete, Greece. Most participants were diagnosed within the F2 cluster, Psychotic disorders (n = 38), or F3 cluster, Mood (affective) disorders (n = 48). The Morningness-Eveningness Questionnaire (MEQ) was employed to assess chronotype. The STAI-Y1, CES-D, QoL Uniscale and RASS Questionnaires were used to assess aspects of emotional well-being. A single measure of emotional well-being was generated using Z-score transformation. Student's t-test, ANOVAs and Pearson's correlations were used to identify parameters contributing to emotional well-being, followed by a comprehensive regression model.Results show a significant contribution to emotional well-being by “psychiatric diagnosis” with schizophrenia/schizoaffective patients showing better emotional well-being compared with the “other” group, “receiving treatment” with patients receiving treatment showing higher score than ones who do not receive treatment, and “morningness/eveningness preference” where morningness was associated with higher score of emotional well-being. No other demographic or health-related parameters were significantly associated with emotional well-being score.These findings clearly indicate the critical importance of chronotypes to the emotional well-being of chronic psychiatric patients. Additional thought and research should explore possible chronotherapy interventions that will address this issue in patients.

Experiential Aspects of Participation in Employment and Mobility for Adults With Physical Disabilities: Testing Cross-Sectional Models of Contextual Influences and Well-Being Outcomes

ObjectiveTo use structural equation modeling to test research- and theory-informed models of potential predictors and outcomes of subjective experiences of employment and mobility participation in a national sample of people with physical disabilities. DesignCross-sectional survey. SettingCanada. ParticipantsEnglish or French-speaking adults with a physical impairment affecting mobility and restricting activities or participation, and who participated in employment (n=457) or mobility (n=711) life domains. InterventionsN/A. Main Outcome MeasuresParticipants completed standardized measures of perceived health, and employment-specific and/or mobility-specific measures of perceived abilities, social support, accessibility and policies (predictor variables); the Measure of Experiential Aspects of Participation (MeEAP) in employment and/or mobility; and standardized measures of emotional well-being, social well-being and life satisfaction (outcome variables). ResultsAnalyses using structural equation modeling showed that in both employment and mobility domains, perceived health, abilities, social support, and accessibility were positively related to experiential aspects of participation. Participation experiences were positively related to social well-being, emotional well-being, and life satisfaction. ConclusionsResults support and extend current theorizing on participation experiences among adults with physical disabilities. Intrapersonal and environmental factors may play a role in optimizing participation experiences in employment and mobility which, in turn, may lead to better well-being and life satisfaction. These results emphasize the importance of conceptualizing participation from an experiential perspective and provide a basis for advancing theory and practice to understand and improve the participation experiences and well-being of adults living with physical disabilities.

A systematic literature review of child self-report measures of emotional wellbeing during primary to secondary school transitions

A systematic literature review of child self-report measures of emotional wellbeing during primary to secondary school transitions

Young Adult Routines Inventory (YARI): Development and Initial Validation.

Young adulthood is characterized by important life transitions (e.g., college, employment, relocation, marriage), where time management skills and routines help promote positive adjustment. Routines are observable, repetitive behavior that are context specific and automate aspects of daily life (e.g., personal hygiene, health, occupational, academic). Although measures of routines exist for children, adolescents, and older adults, similar measures assessing young adult routines are lacking. The purpose of this study was to develop and initially validate The Young Adult Routines Inventory (YARI). Analyses revealed a four-factor measure reflecting daily routines, social routines, time management, and procrastination. The YARI demonstrates good internal consistency, construct, and convergent validity, and was positively correlated with measures of emotional well-being and perceived life satisfaction. The YARI was negatively correlated with self-reported symptoms of Attention-Deficit/Hyperactivity Disorder (ADHD) and successfully distinguished individuals with and without ADHD symptomatology. Preliminary evidence suggests the YARI is a promising measure of young adult routines.

Measuring emotional well-being through subjective report: a scoping review of reviews

ObjectiveThis scoping review of reviews aims to describe the current landscape of measures of emotional well-being (EWB).MethodsFollowing established practices for scoping reviews, we searched the PsycInfo, ERIC, Scopus and PubMed...

Childhood Adversity, Emotional Well-Being, Loneliness, and Optimism: a National Study.

Optimism and loneliness, which reflect the expected inverse associations with excess morbidity and mortality, are theoretically and empirically associated with early adversities and offer potential avenues for clinical support. The current study first estimates latent classes of adverse childhood experiences and, second, assesses the role of these experiences on later reports of optimism and loneliness in late adolescence and emerging adulthood, and the role of emotional regulation and common mental disorders. Surveys were conducted in a longitudinal household sample of adolescents recruited in 2013 (average age of 20 at wave 6 follow-ups). The analytic sample included 1177 female and male respondents representative of their age group in the USA at baseline. Latent classes were estimated based on 10 indicators of childhood adversity. Respondents were assigned to classes using posterior probabilities of latent class membership, and class membership was used to predict psychological outcomes in multivariable models. Three latent classes of childhood adversity were identified in the current sample, representing low childhood adversity (81.5%), higher probability of family dysfunction with lower levels of interpersonal abuse (13.4%), and high adversity including higher probabilities of parental discord and violence as well as child abuse (5.1%). Both classes of respondents who faced greater childhood adversity were more likely to report greater loneliness and lower optimism in emerging adulthood. Results were attenuated by measures of emotional well-being. Addressing adolescent loneliness and supporting optimistic outlooks in emerging adulthood are two pathways with potential benefits to reduce mental and physical morbidities.

Surviving in Crisis Mode: The Effect of Material Hardship and Social Support on Emotional Wellbeing Among People in Poverty During COVID-19.

The COVID-19 pandemic triggered a sudden economic crisis that led to increases in hardship and poverty. Motivated by the concern that people living in long-term poverty have few reserves to draw upon in times of crisis and may experience severe consequences, this study focuses on the association between material hardship and emotional wellbeing among people in poverty. The data were collected in two waves of telephone surveys during the pandemic (n = 88). Participants for the study were recruited through social service departments in six cities in Northern Israel. The findings show that COVID-19 increased material hardship, and that material hardship has detrimental effects on the four measures of emotional wellbeing selected (stress, anxiety, depression, and physical symptoms). Informal social support has positive effects on emotional wellbeing but it does not counter the negative effects of material hardship. Policy implications are discussed.

Improving Emotional Well‐Being and Cardio‐Metabolic Health with Continuous Glucose Monitoring

Continuous glucose monitoring (CGM) is extensively used in diabetic populations but understudied in non‐diabetic patients. Glycemic variability is a risk factor for cardiovascular disease, and emerging evidence suggests close monitoring of glycemic control may have a positive impact on chronic disease. CGM increases awareness of glycemic dysregulation and empowers patients to create sustainable changes in eating behaviors. The purpose of this study (ClinicalTrials.gov Identifier: NCT04920058) was to determine if access to continuous blood glucose data using a CGM‐Levels software system improves cardiometabolic health, sleep quality, and emotional well‐being in nondiabetic patients undergoing a comprehensive wellness program.In this 12‐week randomized clinical trial, patients enrolled in a low carbohydrate‐based wellness program were randomly assigned to monitor glucose using a CGM with Levels software (CGM, N=14) or classic glucometer (Ctrl, N=11). Weight, BMI, waist circumference, liver fat (via abdominal ultrasound), and a cardiometabolic blood panel were measured pre‐and post‐program. Ketones were tested weekly, and glucose tested daily using a glucometer in both groups (CGM and Ctrl). Psychological measures of emotional well‐being, depression, anxiety and sleep quality were performed with a subjective well‐being survey, Patient Health Questionnaire‐9 (PHQ9), generalized anxiety disorder‐7 (GAD‐7) and Pittsburgh Sleep Quality Index (PSQI), respectively, pre‐program, week 6, and post‐program.Differences were observed between the groups for liver fat which decreased over time in the CGM but not Ctrl group (p<0.05). Other cardio‐metabolic biomarkers improved in both groups over the course of the study, including weight loss, BMI, waist circumference, triglycerides, VLDL, and fasting insulin, but no differences between groups were observed. Total cholesterol, Non‐HDL, LDL, and HDL ratio increased in both groups over time, but did not differ between groups. Assessments of emotional well‐being, depression, anxiety, and sleep quality also improved in both groups over time, again with no intergroup differences.In a non‐diabetic population, a 12‐week comprehensive wellness program inclusive of glycemic monitoring using CGM was effective at improving liver fat while several biomarkers of cardio‐metabolic health, sleep quality, and emotional well‐being improved regardless of the type of glycemic monitor used. CGM was endorsed by patients to be more comfortable and easier to use than finger stick glucometers, and its use did not impair trial results compared to Ctrl. Thus, CGM with Levels software appears to be a viable and effective method for monitoring glycemic variability in a non‐diabetic population seeking to improve cardio‐metabolic health.

Community co-selection of measures to evaluate the health and wellbeing impact of Aboriginal and Torres Strait Islander community running groups.

Physical activity participation can improve the physical health and social and emotional wellbeing of Aboriginal and Torres Strait Islander peoples. The evaluation of physical activity programmes can elicit a clearer understanding of where these impacts occur and to what extent. We describe applying a collaborative approach to the selection of a set of measures that can be used to examine health and wellbeing impacts of Indigenous community running groups. Physical activity, health and wellbeing measurement tools previously used with Aboriginal and Torres Strait Islander peoples were collated. Participants in the collaborative process were nine female running group members aged 30+ years from a regional New South Wales (NSW) town. The Indigenous research method, Yarning, explored views of participating in the group on health and wellbeing and how these could be measured using those collated measurement tools. Runners described participating for holistic physical, mental and social reasons and stated the importance of the group participating together and providing social support to each other. There was broad support for the identified physical activity, lifestyle, physical health, and social and emotional wellbeing measures, with social networks and sports injuries identified as additionally relevant. Co-selecting measures to evaluate a physical activity programme for Aboriginal and Torres Strait Islander participants can better inform the development of relevant future healthy lifestyle programme evaluation, revealing factors that may be missed as relevant by researchers. SO WHAT?: This process presents an example of determining evaluation measures with Aboriginal and Torres Strait Islander participants that could be applied more broadly to evaluation design.

The emotional state assessment tool: a brief, philosophically informed, and cross-culturally sensitive measure

ABSTRACT A large empirical literature in psychology has established a two-dimensional model of measuring affect (positive and negative emotion) as well as circumplex-based models. The present series of studies begins with items developed from a philosophical theory of affect, which were iteratively reduced to a 6-factor, 18-item measure of emotional well-being, which provides more arousal-based granularity of positive and negative affect. In study 1 (N = 727), using exploratory factor analysis, we found evidence for the classic two-dimensional structure of affect based on parsimony: 1) positive emotion and 2) negative emotion, in addition to a six-dimensional model closer to circumplex-based approaches based on model fit and other factor analytic criteria, consisting of: 1) cheerfulness, 2) vitality, 3) serenity, 4) sadness, 5) lethargy, and 6) stress. In study 2 (N = 667), using confirmatory factor analysis, we found that the two-factor solution provided inadequate fit, as did other prominent two-factor emotion measures, while the six-factor model provided excellent fit (CFI = .98, RMSEA = .055). The resulting measure, the Emotional State Assessment Tool (ESAT), provides a philosophically grounded, brief, versatile, and more cross-culturally sensitive measure of affect to complement existing measures of affect.

Validation of the PROMIS sleep disturbance item bank computer adaptive test (CAT) in patients on renal replacement therapy

ObjectiveTo examine the validity and reliability of the PROMIS Sleep Disturbance Item Bank Computer Adaptive Test (PROMIS-SD CAT) in patients on renal replacement therapy, using the Insomnia Severity Index as the primary legacy instrument. MethodsCross-sectional sample of adults on renal replacement therapy completed PROMIS-SD CAT, Insomnia Severity Index, General Anxiety Disorder-7, Edmonton Symptom Assessment System-revised Renal, SF-12 questionnaires. Construct validity was confirmed by associations with legacy instrument scores and measures of emotional wellbeing. Test-retest and scale reliability were assessed using intraclass correlation coefficient and standard errors of measurement, respectively. Discrimination was assessed using receiver-operating characteristic curve analysis. ResultsAmong 217 participants (133 kidney transplant recipients, 84 on dialysis), 15% had moderate/severe sleep disturbance (Insomnia Severity Index ≥15). PROMIS-SD CAT exhibited good test-retest (intraclass correlation coefficient = 0.89, 95% confidence interval (0.83–0.93)) and scale (>0.9 for T-scores 34–73) reliability. PROMIS-SD CAT T-scores were strongly correlated with Insomnia Severity Index (rho = 0.85, 95% confidence interval (0.81–0.88)), Edmonton Symptom Assessment System-revised Renal Sleep Item (rho = 0.75, 95% confidence interval (0.69–0.81)) and moderately with General Anxiety Disorder-7 scores and SF-12 Mental Component Summary scores (p < 0.001 for all). PROMIS-SD CAT demonstrated outstanding discrimination for moderate/severe insomnia (defined as Insomnia Severity Index ≥15) (AUROC 0.93, 95% confidence interval (0.88, 0.98)). PROMIS-SD CAT and Insomnia Severity Index measurement characteristics were qualitatively similar between patients on dialysis and kidney transplant recipients. ConclusionsThese results support PROMIS-SD CAT's validity and reliability for research and as potential screening tool among patients on renal replacement therapy.

Travel duration tolerance: Examining the sensitivity of emotional well-being to trip duration

This study introduces the concept of “travel duration tolerance” to describe the phenomenon that people’s emotional well-being may worsen after traveling for a certain duration. Using 9,383 trips made by 353 residents of the Minneapolis-St. Paul Metropolitan Area between October 2016 and October 2017, we develop a set of panel survival analyses for five emotional well-being measures, including one positive (happiness) and four negatives (tiredness, stress, sadness, and pain) emotions. Findings indicate that positive emotion is more sensitive to trip duration than negative emotions. Among trip-level factors, the sensitivity of emotional well-being during a trip is relatively weak when traveling by bike, bus, and rail; conducting discretionary trip purposes; traveling with spouse, family, children, and friends; conducting secondary activities while traveling; and being satisfied with the travel environment. Among personal-level factors, the sensitivity of emotional well-being during a trip is relatively strong for women and African Americans.

Resource Threat versus Resource Loss and Emotional Well-Being of Ethnic Minorities during the COVID-19 Pandemic.

This paper used Hobfoll’s conservation of resources theory as a theoretical framework to investigate which kinds of resource loss predicted the emotional well-being (EWB) of ethnic minorities and majority populations during a period of crisis. Data were collected from a national representative survey conducted by the Israel Central Bureau of Statistics during the COVID-19 pandemic. The sample included 1157 respondents, including 174 Israeli Palestinian citizens (ethnic minority) and 983 Israeli Jews (majority population). Measures of EWB, actual losses and threats of losses of economic, social, and health resources were examined. The results showed that the losses of economic, social, and health resources reduced the EWB of individuals. Negative effects of the actual losses of resources on EWB were greater than those of the perceived threats of loss. The largest effect was for economic resources. There were differences in effects between the ethnic minorities and the majority populations. The study revealed that for the ethnic minorities, who are less powerful and more disadvantaged than ethnic majorities, the depletion of already deficient resources during time of crisis is more important for predicting their EWB than for the majority populations.

Effect of an intensive comprehensive aphasia program on language and communication in chronic aphasia

ABSTRACT Intensity has been identified as an important determinant of treatment effectiveness in aphasia, especially in the chronic phase. Intensive Comprehensive Aphasia Program (ICAP) is a popular treatment delivery model that includes an array of treatment approaches provided at a high level of intensity. Only a few studies have reported the effect of ICAPs on language and communication so far. The effect of intensity on different interventions provided as part of the program should also be studied to optimize the delivery schedule. The first aim of this study was to measure the effect of an ICAP for people with chronic aphasia using consensus outcome measures and other standard tests. The second aim was to test the effect of intensity on naming treatments provided during the ICAP. People with aphasia (n = 7) who had their strokes at least 6 months before the beginning of the study attended an ICAP that was provided for 4 hours a day, 3 days a week over 4 weeks (48 hours in total). On each treatment day, participants received 2 hours of individual therapy, 1 hour of technology-based therapy, and 1 hour of group therapy. Individual therapy included a naming treatment using two equivalent lists of words. One list was treated once a week for 4 weeks while the other was treated on four consecutive treatment days. Lists were controlled for word length, word frequency, number of words from a specific semantic category, and average naming accuracy at baseline. Both lists were treated using the same approach. As a group, participants had higher total scores on the Boston Naming Test (BNT) after attending the ICAP. The change on the Western Aphasia Battery – Revised Aphasia Quotient (WAB-R AQ) was not significant. No change was observed on measures of emotional well-being, quality of life, and functional communication. Individual comparisons using published benchmarks for significant change following aphasia treatments showed significant changes in all participants on the BNT, the WAB-R AQ, or both. Participants made significant naming gains for words treated once a week over four weeks and words treated on four consecutive treatment days. There was no difference between the two naming treatment schedules. All participants made measurable language gains following their participation in an ICAP. More studies are needed to understand the effect of intensity on components of ICAPs and to apply this knowledge to optimize treatments.

Well-Being of Pediatric Hematology Oncology Providers and Staff During the COVID-19 Pandemic in the New York and New Jersey Epicenter

The COVID-19 pandemic has significantly affected the well-being of healthcare workers to varying degrees. The aim of the current study was to investigate how the pandemic has affected the burnout, stress, and emotional well-being of pediatric hematology oncology (PHO) providers and staff in the New York and New Jersey epicenter. The study was conducted in June 2020 during the pandemic through an electronic survey. The survey contained questions surrounding demographics, pandemic experiences, and validated burnout, stress, and emotional well-being measures. Two hundred fifty-two PHO providers and staff responded to the survey. Overall, half of the participants reported high levels of burnout, average stress scores were in the mild-moderate range, and the majority scored in the none-to-mild symptomatology range for their well-being. Self-reported burnout levels before the pandemic and geographic work location were statistically significant risk factors for all outcomes. Additional predictors for some outcomes included hospital role, lack of trust in leadership, and deployment. The majority of participants (87.0%) reported that their hospitals had made mental health resources related to COVID-19 available to them but only 8.4% reported having used them. PHO providers and staff in the NYC/NJ area are experiencing a range of emotional experiences during the COVID-19 pandemic, but the majority are not using current resources. With the continuation of the pandemic, we must continue efforts to improve provider and staff distress to mitigate the degree of potential negative short-term and long-term impact.

Replication: Emotional well-being and unemployment – Evidence from the American time-use survey

Abstract We use data from the well-being module of the American Time-Use Survey (ATUS) 2010–2013 to reexamine the relationship between unemployment and emotional well-being. We replicate two previous studies (Krueger & Mueller, 2012; Dolan, Kudrna, & Stone, 2017) which have produced differing findings on this relationship, and analyze what factors cause the differences in their outcomes. We find that the results critically depend on the definition of employment statuses and the choice of well-being measure. The unemployed appear sadder and more in pain than the employed, but no other emotion queried in the ATUS has worse values for the unemployed than for the employed. Aggregate emotional well-being measures suggest that unemployment is not negatively related to emotional well-being. Applying a wider instead of narrow definition of unemployment tends to result in better emotional well-being scores for the unemployed, mainly because job leavers and new or re-entrants into the labor market report better emotions than the group of people who are unemployed due to an involuntary job loss.

Review and assessment of self-reports of travel-related emotional wellbeing

IntroductionTravel behavior research has only started to address how travel affects emotional wellbeing. The development of measurement methods is an important goal of this research. MethodsA review and assessment of methods of measuring travel-related emotional wellbeing is presented guided by a conceptual framework specifying what is measured (cognitive evaluations, emotional responses, or moods), the way it is measured (proactively, instantaneously, or retrospectively), and when it is measured (before, during, or after travel). Anticipated, current, residual and recalled moods are the objects of the measurement. Only studies of commuting or other types of daily travel are addressed. ResultsWe find that no research has measured anticipated moods, some research has measured current moods before, after and during travel, and most research has measured recalled moods. ConclusionsThe most valid and reliable method is to measure current mood instantaneously at several points in time, before, during, and after travel. A measure of emotional wellbeing can then be obtained by objective aggregation. An approximate more feasible method is to retrospectively measure recalled moods for a given specified time period that may not only include travel. The available methods for measuring recalled moods have acceptable psychometric properties but research is needed to validate these methods by comparing the results to an objective aggregation of instantaneous measures of current mood at different points in time.

Is gardening associated with greater happiness of urban residents? A multi-activity, dynamic assessment in the Twin-Cities region, USA

As cities seek to become more livable and environment-friendly, activities like bicycling, walking, and urban gardening (household and community-gardening) are receiving much attention. However, few field studies have measured well-being of urban gardening, particularly during household gardening. Our study develops protocols to measure emotional well-being (EWB) reported during household gardening, comparing it with other leisure and day-to-day activities. We also explore how gardening EWB varies across gardener type (vegetable vs ornamental), demographics, neighborhood type, and companionship during gardening. Using a recently developed app-based Day Reconstruction Method, EWB was measured across 370 participants in the Minneapolis-St. Paul Area, USA, wherein 118 (32%) reported engaging in household gardening. Innovatively, five measures of EWB were computed for each participant for each activity type: average net affect, average happiness, average meaningfulness, the frequency of experiencing peak positive emotions (happiness and meaningfulness). Among all three average EWB measures, gardening is among the top 5 out of 15 activities assessed, and, is not statistically different from biking, walking and eating out. All four of these activities fall behind other leisure/recreation activities, which ranks first. For frequency of experiencing peak happiness, only other leisure/recreation activities were statistically higher than all the remaining (14) activities. Average net affect of gardening was significantly higher for vegetable gardeners (vs ornamental), for low-income gardeners (vs higher income) and for women. Companionship while gardening at home, race/ethnicity and urban versus suburban location showed no significant difference. Livability and equity considerations based on these EWB findings, and their impacts on urban food plans, are discussed.

Adults With Diabetes Distress Often Want to Talk With Their Health Professionals About It: Findings From an Audit of 4 Australian Specialist Diabetes Clinics

ObjectivesIn an unselected clinical sample, we aimed to: 1) investigate the willingness of adults with diabetes to talk with their health professional(s) about their feelings and experiences living with diabetes, 2) assess the prevalence of impaired general emotional well-being and severe diabetes distress and 3) examine whether willingness to talk related to general and/or diabetes-specific emotional well-being. MethodsUnselected adults with type 1 diabetes (T1D) or type 2 diabetes (T2D) attending 4 Australian specialist diabetes clinics completed surveys about their experiences of, and preferences for, talking with their diabetes health professional(s) about their feelings and personal experiences of diabetes. They indicated preferred topics to discuss from a list and completed validated measures of emotional well-being (World Health Organisation-5 Well-being Index) and diabetes distress (Problem Areas In Diabetes scale). ResultsAmong 682 participants (T1D, n=440; T2D, n=142), one-fourth of adults with T1D and nearly half with T2D wanted to talk with their health professional about their “feelings and personal experience of living with diabetes,” with >50% reported having been asked. The most commonly selected topic was “How diabetes affects my mood” (T1D, 35%; T2D, 37%). Impaired emotional well-being (T1D, 33%; T2D, 39%) and severe diabetes distress (T1D, 17%; T2D, 25%) were prevalent. Those willing to talk had greater diabetes distress. ConclusionsIn this study we show that many adults with T1D and T2D both need and want to talk to their diabetes health professionals about the emotional impact of diabetes. Those who were most willing to have this conversation were most in need of emotional support.