McClintock, Joanna MarieChepulis, Lynne MerranBlackmore, Tania LouiseFraser, SonyaPaul, Ryan G.2026-08-032026-08-032025McClintock, J. M., Chepulis, L., Blackmore, T., Fraser, S., & Paul, R. G. (2025). Psychological distress in Aotearoa New Zealand adults with type 1 diabetes. Journal of Health Psychology, 30(5), 898-908. https://doi.org/10.1177/135910532412891891359-1053https://hdl.handle.net/10289/18502The psychological burden of type 1 diabetes (T1D) can negatively impact health outcomes. This study evaluates the prevalence of low mood (WHO-5), disordered eating (DEPS-R), diabetes distress (PAID) and fear of hypoglycaemia (HFS-II), in a sample of 250 New Zealand adults (8.4% Māori/91.6% non-Māori; 43.6% female/56.4% male) with T1D using validated tools. Māori and female patients indicated low mood, with lower median WHO-5 scores than non-Māori (p = 0.027) and males (p = 0.002). Māori were more likely to score in the clinical range on the WHO-5, DEPS-R, PAID and HFS-II (all p < 0.05). HbA1c was correlated with emotional well-being (r<inf>s</inf> = −0.189), diabetes distress (r<inf>s</inf> = 0.223) and disordered eating (r<inf>s</inf> = 0.389; all p < 0.001) whilst DEPS-R correlated with age (r<inf>s</inf> = −0.232) and BMI (r<inf>s</inf> = 0.343; both p ≤ 0.001). Thus, diabetes-related psychological distress is common in New Zealand adults with T1D, particularly for Māori, females and those with elevated HbA1c levels.enAttribution 4.0 Internationalhttp://creativecommons.org/licenses/by/4.0/adults with type 1 diabetesdisordered eatingfear of hypoglycaemiaIndigenous people with diabetespsychological distresstype 1 diabetesIndigenous people with diabetesadults with type 1 diabetesdisordered eatingfear of hypoglycaemiapsychological distresstype 1 diabetesJournal Article10.1177/135910532412891891461-72775203 Clinical and Health Psychology52 Psychology5201 Applied and developmental psychology5203 Clinical and health psychology3 Good Health and Well Being