“…In this regard, depressive and anxiety symptoms are often reported by patients with diabetes because of the disease-related distress including worry about complications, fear of hypoglycemia, and guilt feelings about uncontrolled blood glucose (Nouwen, 2015 ; Sartorius, 2018 ; Shinkov et al, 2018 ; Wardian et al, 2018 ). Overall, this difficulty complying with the stressful rigors of diabetes and required lifestyle changes tends to worsen glycemic control, resulting in higher hemoglobin A 1c levels and less optimal outcomes (Whithorth et al, 2016 ; Egan et al, 2017 ; Fukuda and Mizobe, 2017 ; Graham et al, 2020 ; Schmitt et al, 2021 ). Therefore, to promote higher patient self-care and treatment adherence, a primary task for healthcare professionals is reducing diabetes distress by improving patients' skills at regulating negative emotions (Coccaro et al, 2021 ).…”