Evidence map›Paper›PMID 41821236›Full record

ArticleDiabetic medicine : a journal of the British Diabetic Association2026

Shifting the narrative from 'what's wrong?' to 'what's strong?' MIND-MAP: A qualitative study exploring positive mental health and support needs of adults with diabetes.

N Robertson, E Holmes-Truscott, T C Skinner, J Halliday, G O'Sullivan, C Hines, J Speight, E E Holloway

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Article in Diabetic medicine : a journal of the British Diabetic Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

N RobertsonSchool of Psychology, Deakin University, Geelong, Victoria, Australia.
E Holmes-TruscottSchool of Psychology, Deakin University, Geelong, Victoria, Australia.
T C SkinnerSchool of Psychology, Deakin University, Geelong, Victoria, Australia.
J HallidaySchool of Psychology, Deakin University, Geelong, Victoria, Australia.
G O'SullivanDiabetes Victoria, Carlton, Victoria, Australia.
C HinesDiabetes Victoria, Carlton, Victoria, Australia.
J SpeightSchool of Psychology, Deakin University, Geelong, Victoria, Australia.ORCID https://orcid.org/0000-0002-1204-6896
E E HollowaySchool of Psychology, Deakin University, Geelong, Victoria, Australia.ORCID https://orcid.org/0000-0002-1343-9982

Funding

Deakin University
6 · The paper itself

Abstract

aimTo explore factors that foster positive mental health among adults with type 1 and type 2 diabetes and identify opportunities for more accessible, person-centred mental health support within diabetes care.

methodsParticipants were purposively sampled from the Mental health IN Diabetes Monitoring And Pathways (MIND-MAP) cohort study. Semi-structured online interviews were conducted with 32 adults in Victoria, Australia. Interviews explored factors associated with emotional well-being and experiences and preferences for mental health support. Data were analysed using reflexive thematic analysis, informed by phenomenology and constructivist grounded theory. The study was co-designed with guidance from a multidisciplinary Steering Committee and lived experience input through a Community Advisory Group comprising 12 adults with type 1 or type 2 diabetes.

resultsParticipants described internal strengths (e.g. acceptance, perspective-taking) and external supports (e.g. peer connections, empathetic health professionals, timely access to mental health care) that supported their mental health. Several barriers to accessing mental health support were reported, including limited-service access, geographic and financial constraints, discomfort discussing emotions, and a lack of diabetes-specific mental health expertise. Emotional support was often absent at diagnosis and other key transition points. Participants called for support that is empathetic, non-judgemental, tailored and embedded within diabetes services.

conclusionAdults with type 1 and type 2 diabetes show resilience in managing mental health, yet systemic, practical and attitudinal barriers remain. Care models should build on personal strengths, normalise emotional support and integrate psychological care from diagnosis, as well as harness the value of peer support.

Indexed as

Diabetes Mellitus, Type 1Diabetes Mellitus, Type 2Mental HealthMental Health ServicesAdultAgedFemaleHealth Services AccessibilityHumansMaleMiddle AgedPsychological Well-BeingQualitative ResearchSocial SupportVictoriadiabetesintegrated carepeer supportpositive mental healthresilience

Identifiers

PMID41821236
PMCPMC13170984

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LicenceCC BY-NC-ND
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.