RT Journal Article T1 Cognitive Representations of Diabetes and their Role in Metabolic Control and Health: When a Positive View of Illness Protects A1 De los Santos-Roiga, Macarena A1 Ruiz-Gonzalez, Isabel A1 Robles-Ortega, Humbelina A1 Perez-Melendez, Cristino K1 Diabetes mellitus K1 HbA1c K1 Health outcomes K1 Psychological distress K1 ERCE scale validity K1 Illness representation K1 Self-care behaviors K1 Perception-questionnaire K1 Hospital anxiety K1 Cluster-analysis K1 Spanish version K1 Negative affect K1 Validation K1 Association K1 Psychology K1 Survival AB A positive cognitive illness representation (CIR) of diabetes is associated with better metabolic control and health. The aims of this research were to assess CIR with a newly developed Spanish scale - the ERCE - and to predict metabolic control, health outcomes, and psychological distress. One hundred and fifty-two Type 1 diabetic patients were all administered the ERCE, the MOS SF-36, the PANAS, and the HADS scales. Data on glycated hemoglobin (HbAlc) were also collected. Scores on the ERCE led to the creation of two profiles (+1- CIR) by clustering the scores. After patients were grouped, multiple hierarchical regressions were performed. A negative view of diabetes (negative CIR) was associated with poor health outcomes. The ERCE scale demonstrated acceptable psychometric guarantees and validity evidences for being used in clinical contexts. This new instrument allows educators to adjust treatment to each individual, which leads to a more efficient and better support for people with diabetes in Spain. PB Colegio oficial psicologos madrid SN 1130-5274 YR 2019 FD 2019-07-01 LK http://hdl.handle.net/10668/19372 UL http://hdl.handle.net/10668/19372 LA en DS RISalud RD Apr 10, 2025