Diabetes distress, illness perceptions and glycaemic control in adults with type 2 diabetes
Autor: | Samuel M. Lockhart, John R. Lindsay, Mark Davies, Kelly Martinez, Martin Dempster |
---|---|
Jazyk: | angličtina |
Rok vydání: | 2017 |
Předmět: |
Adult
Male Mediation (statistics) Psychological intervention 030209 endocrinology & metabolism Type 2 diabetes Illness perceptions 03 medical and health sciences 0302 clinical medicine SDG 3 - Good Health and Well-being Diabetes mellitus medicine Humans Outpatient clinic 030212 general & internal medicine Socioeconomic status Applied Psychology Aged Glycated Hemoglobin illness perceptions business.industry distress Middle Aged medicine.disease Distress Clinical Psychology Psychiatry and Mental health glycaemic control Diabetes Mellitus Type 2 Female business Attitude to Health Stress Psychological Clinical psychology |
Zdroj: | Martinez, K, Lockhart, S, Davies, M, Lindsay John, R & Dempster, M 2017, ' Diabetes distress, illness perceptions and glycaemic control in adults with type 2 diabetes ', Psychology, Health and Medicine, vol. 23, no. 2, pp. 171-177 . https://doi.org/10.1080/13548506.2017.1339892 |
Popis: | The emotional distress associated with adjusting to and living with diabetes has been termed diabetes distress. Diabetes distress is associated with glycaemic control but interventions to reduce diabetes distress have failed to consistently improve diabetes control. Various illness perceptions have previously been linked with both diabetes distress and glycaemic control but interrelationships between these features have not been previously investigated. We hypothesised that illness perceptions mediate the relationship between diabetes distress and glycaemia. Participants with type 2 diabetes attending diabetes outpatient clinics (n = 84) provided demographic and clinical information and completed the Diabetes Distress Scale-17 and the Brief Illness Perceptions Questionnaire. Using regression analysis we demonstrated that the illness perceptions of personal control, regimen-related distress, socioeconomic status and insulin use were significant contributors in the final model predicting HbA1c. Higher levels of personal control were associated with better glycaemic control. Conversely, regimen-related distress was associated with hyperglycaemia. Mediation analyses showed that the relationship between regimen-related distress and HbA1c was mediated by personal control. Our work suggests that psychological interventions designed to reduce diabetes distress may be more efficacious in improving glycaemic control if they address an individual’s perception of personal control. |
Databáze: | OpenAIRE |
Externí odkaz: |