15R. The feeling of insufficiency is stronger than the sense of trying hard enough regarding self-care behaviors.

0.062

0.505

0.215

0.037

0.146

−0.149

0.145

38R. I desire to escape from my diabetes condition.

0.014

0.408

−0.321

0.194

0.067

−0.202

0.148

Factor 3: Matching with self-image of diabetes

28R. Feel there is a difference between the health image suggested by the medical staff and my own health image.

−0.021

0.043

0.807

−0.014

0.131

−0.026

−0.169

37R. Before the diagnosis, I had a feeling that I had diabetes.

0.065

0.106

0.567

0.050

0.030

−0.046

0.137

Factor 4: Denial of one’s own diabetes diagnosis

34R. I was not supposed to develop diabetes.

−0.053

−0.094

0.144

0.886

0.030

0.036

−0.145

36R. I am unwilling to accept my diabetes diagnosis.

0.024

0.071

−0.098

0.593

0.011

0.134

0.062

Factor 5: One’s own way of living with diabetes as an escape route

16R. In front of medical staff, I cannot be proud of the immense efforts I have put in regarding diabetes self-care.

−0.150

0.142

0.151

0.038

0.836

0.123

0.039

12R. Sometimes, I overlook the insufficiencies in diet therapy.

0.163

0.248

−0.163

−0.013

0.517

−0.023

−0.284

9R. Sometimes, I participate in unreasonable acts (e.g., going on a mad binge) that deviates from medical treatment behaviors.

0.189

−0.194

0.103

−0.001

0.389

−0.141

0.098

Factor 6: Hopes of being one’s usual self at the end of life

6. Hope to greet the end of life without being concerned with diabetes.

0.215

−0.032

−0.024

0.118

0.036

0.892

−0.108

33. I am convinced that I developed diabetes due to my own behavior.

−0.383

0.201

−0.141

0.055

0.044

0.412

0.192

Factor 7: Challenge to aging in a healthy manner

3. Considering both my current age and diabetes condition, I feel I am still healthy.

0.090

0.073

−0.056

−0.037

−0.026

−0.083

0.698

5. I desire to protect my own health even in my current age.

0.028

−0.245

0.070

−0.158

0.142

0.246

0.319

Correlation among factors

1

2

3

4

5

6

7

1

1.00

0.445

0.101

0.025

0.363

−0.320

−0.062

2

1.00

−0.019

0.032

0.267

−0.169

−0.233

3

1.00

0.174

0.229

−0.079

0.169

4

1.00

−0.038

−0.187

0.053

5

1.00

−0.209

0.127

6

1.00

0.075

7

1.00