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Meer Z, Al-Ozairi E, Fernandes G, Ranganathan S, Patel J. Information behaviours of people with type 2 diabetes in Kuwait: a grounded theory study. BMC PRIMARY CARE 2024; 25:326. [PMID: 39232660 PMCID: PMC11373242 DOI: 10.1186/s12875-024-02577-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/09/2023] [Accepted: 06/25/2024] [Indexed: 09/06/2024]
Abstract
BACKGROUND Relative to country-specific epidemiological trends, Kuwait experiences a far greater burden of type 2 diabetes among its population. Information behaviours form a significant component of self-care management for patients diagnosed with type 2 diabetes, however this remains an understudied aspect of disease management. This study aims to investigate the information behaviours of patients with type 2 diabetes in Kuwait, and characterise the methods employed to manage their disease. METHODS This qualitative study employed a grounded theory method. Semi-structured interviews were conducted with twenty-seven participants over three phases of data collection in primary, secondary and tertiary healthcare settings across Kuwait. These were complemented by in-depth interviews to detail the information behaviours of these participants. The interviews were translated where appropriate, transcripts, and analysed through qualitative coding to synthesise the information behaviour patterns. RESULTS The findings demonstrated that living with type 2 diabetes involved a range of developmental and transformative stages, including changes to the patients' emotional state, reconstruction of their lifestyle and identity, and changes in the ways they find and use information. Living with the chronic condition was viewed as a dynamic and transitional process, where patients' information behaviours continually changed throughout the process across various identifiable stages. This dynamic pattern was reflected most prominently across the participants' behavioural needs, sources and information-seeking patterns. CONCLUSION Patients with type 2 diabetes continuously adapted their information behaviours to optimise the self-management of their condition across a relatively predictable pattern. Greater understanding of these behaviours across a wider population would improve the provision of clinical care for patients with diabetes.
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Affiliation(s)
- Zainab Meer
- Leeds Beckett University, Leeds, UK
- Al Dabbus Cardiac Centre Al Adan, Adan Hospital, Hadiya, Kuwait
| | - Ebaa Al-Ozairi
- Clinical Research Unit, Dasman Diabetes Institute, Dasman, Kuwait
| | - Genevie Fernandes
- Centre for Population Health Sciences, Usher Institute, University of Edinburgh, Edinburgh, UK
| | | | - Jay Patel
- Centre for Population Health Sciences, Usher Institute, University of Edinburgh, Edinburgh, UK.
- Faculty of Medicine and Health, University of Leeds, Leeds, UK.
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Öztürk Z, Turan GB, Dönmez O. The mediating role of psychological resilience in the effect of strength of religious faith on coping with stress in people with type 2 diabetes: A SEM analysis. Nurs Open 2024; 11:e70044. [PMID: 39285639 PMCID: PMC11405462 DOI: 10.1002/nop2.70044] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2023] [Revised: 08/18/2024] [Accepted: 09/03/2024] [Indexed: 09/22/2024] Open
Abstract
AIM This study was conducted to examine the mediating role of psychological resilience in the effect of strength of religious faith on coping with stress in people with type 2 diabetes. DESIGN This study has a cross-sectional descriptive-analytical study. METHODS It was conducted with 184 people with type 2 diabetes who were admitted to a family health centre in Erzurum, the east of Turkey. The data were collected by using the 'Santa Clara Strength of Religious Faith Questionnaire', 'Brief Resilience Scale (BRS)' and 'Scale of Ways of Coping With Stress (SWCS)'. The study was reported by following the STROBE recommendations. Structural equation modelling and bootstrapping method were used to analyse the data. This study was reported following the STROBE recommendations. RESULTS In the study, according to the model, the direct effect of strength of religious faith on SWCS (β = 0.564; p < 0.01) and BRS (β = 0.545; p < 0.01) was moderate, positive and significant. In addition, the effect of resilience on coping with stress (β = 0.320; p < 0.01) was also found to be moderate, positive and significant. The total effect of strength of religious faith on coping with stress mediated by resilience (β = 0.738; p < 0.01) was found to be highly positive and significant. The model explains 61.7% of the variance in coping with stress. Fit index values according to the model were found as χ2 = 2368.02, df: 980, χ2/df 2.368, RMSEA 0.088, CFI 0.773, TLI 0.760 and SRMR 0.083. It was found that strength of religious faith had a positive effect on coping with stress in people with type-2 diabetes, and this effect was strengthened by the mediating role of psychological resilience. PATIENT OR PUBLIC CONTRIBUTION This study shows the effect of religious belief and psychological resilience in increasing the coping skills of people with type-2 diabetes. Therefore, taking religious beliefs and spirituality into consideration in nursing care may increase patients' coping skills.
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Affiliation(s)
- Zeynep Öztürk
- Department of Nursing, Faculty of Health SciencesErzurum Teknik UniversityErzurumTurkey
| | | | - Orhun Dönmez
- Saltuklu Family Health CenterAziziye/ErzurumTurkey
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Pan J, Fu L, Sun Y. A theory based study on diabetes self-management in older Chinese adults. Geriatr Nurs 2024; 58:255-265. [PMID: 38843754 DOI: 10.1016/j.gerinurse.2024.05.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2024] [Revised: 05/10/2024] [Accepted: 05/22/2024] [Indexed: 08/06/2024]
Abstract
Approximately 1 in 3 (or 80 million) Chinese age 60 years or older are living with type 2 diabetes in China. New perspectives are needed to understand the intricate phenomenon of diabetes self-management (DSM) in older Chinese adults. Guided by the expanded Tripartite Model of Self-Management, this study aimed to identify the inter-relationships between the tripartite components simultaneously and their influencing factors. This cross-sectional study included a stratified random sample of 98 community-dwelling adults age 60 or older with type 2 diabetes. Findings revealed distinct predictors for knowledge about DSM, DSM behaviors and coping. There were significant inter-relationships among the tripartite components. The theoretical model was a good fit for the data. This study provides valuable insights into the complex relationships between knowledge about DSM, DSM behaviors, and coping strategies, offering direct implications for improving the health outcomes of older adults with diabetes.
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Affiliation(s)
- Jie Pan
- Department of Nursing, School of Medicine, Foshan University, Guangdong Province 528231, China
| | - Li Fu
- Department of Medical Foundations, School of Medicine, Foshan University, Guangdong Province 528231, China
| | - Yiyuan Sun
- College of Nursing and Public Health, Adelphi University, 1 South Ave., Garden City, NY 11530, United States.
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Varallo G, Franceschini C, Rapelli G, Zenesini C, Baldini V, Baccari F, Antelmi E, Pizza F, Vignatelli L, Biscarini F, Ingravallo F, Plazzi G. Navigating narcolepsy: exploring coping strategies and their association with quality of life in patients with narcolepsy type 1. Sci Rep 2024; 14:11837. [PMID: 38783152 PMCID: PMC11116444 DOI: 10.1038/s41598-024-62698-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2023] [Accepted: 05/20/2024] [Indexed: 05/25/2024] Open
Abstract
Narcolepsy type 1 (NT1) is a chronic neurological disorder characterized by symptoms such as excessive daytime sleepiness, sudden sleep episodes, disrupted nocturnal sleep, cataplexy, sleep paralysis, and hypnagogic hallucinations, which significantly impact the overall well-being and quality of life of individuals. While psychological factors have gained attention, there is limited research on the coping strategies employed by patients with NT1 and their association with quality of life. This study aimed to compare coping strategies in patients with NT1 and controls, as well as assess the relationship between coping strategies and quality of life in patients with NT1. A total of 122 individuals diagnosed with NT1 and 138 controls were enrolled in this cross-sectional study. Participants completed questionnaires assessing coping strategies and health-related quality of life. A Mann-Whitney U test was conducted to compare the use of different coping strategies by patients with NT1 and controls. Spearman's rho correlation was performed to examine the association between coping strategies and quality of life in the NT1 group. Results showed that patients with NT1 exhibited differences in the use of coping strategies compared to controls. They reported lower use of active coping, planning, instrumental, and emotional social support, and higher use of behavioral and mental disengagement. Denial and behavioral disengagement were significantly and negatively associated with quality of life. Identifying coping strategies and their association with quality of life may aid in the development of tailored interventions aimed at improving the adoption of effective coping strategies and reducing the use of maladaptive coping strategies.
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Affiliation(s)
- Giorgia Varallo
- Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy
| | | | - Giada Rapelli
- Department of Medicine and Surgery, University of Parma, Parma, Italy
| | - Corrado Zenesini
- IRCCS Istituto Delle Scienze Neurologiche Di Bologna, Bologna, Italy
| | - Valentina Baldini
- Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy
| | - Flavia Baccari
- IRCCS Istituto Delle Scienze Neurologiche Di Bologna, Bologna, Italy
| | - Elena Antelmi
- IRCCS Istituto Delle Scienze Neurologiche Di Bologna, Bologna, Italy
- Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
| | - Fabio Pizza
- IRCCS Istituto Delle Scienze Neurologiche Di Bologna, Bologna, Italy
- Department of Biomedical and Neuromotor Sciences (DIBINEM), Alma Mater Studiorum, University of Bologna, Bologna, Italy
| | - Luca Vignatelli
- IRCCS Istituto Delle Scienze Neurologiche Di Bologna, Bologna, Italy
| | - Francesco Biscarini
- Department of Biomedical and Neuromotor Sciences (DIBINEM), Alma Mater Studiorum, University of Bologna, Bologna, Italy
| | - Francesca Ingravallo
- Department of Medical and Surgical Sciences (DIMEC), Alma Mater Studiorum, University of Bologna, Bologna, Italy
| | - Giuseppe Plazzi
- Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy.
- IRCCS Istituto Delle Scienze Neurologiche Di Bologna, Bologna, Italy.
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Alcántara-Garcés MT, Rodríguez-Ramírez AM, García-Ulloa AC, García-Alanis M, Martínez-Reyes GN, Del Moral Vidal LP, Arizmendi-Rodríguez RE, Hernández-Jiménez S, Almeda-Valdes P. Coping and risk perception during the COVID-19 pandemic in type 2 diabetes: Does it influence metabolic control? PLOS GLOBAL PUBLIC HEALTH 2024; 4:e0002793. [PMID: 38349901 PMCID: PMC10863872 DOI: 10.1371/journal.pgph.0002793] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/01/2023] [Accepted: 12/19/2023] [Indexed: 02/15/2024]
Abstract
Diabetes and poor glycemic control are significant predictors of severity and death in the COVID-19 disease. The perception of this risk in individuals with type 2 diabetes (T2D) could modify coping styles, leading to behaviors associated with better self-care and metabolic control. Theoretically, active coping is associated with better glycemic control in patients with T2D. Nonetheless, information during extreme risk like the COVID-19 pandemic is still limited. Our objective was to evaluate the association between coping styles and risk perception in the COVID-19 pandemic and the change in metabolic parameters. This is a prospective study that included individuals with T2D treated in a tertiary care center during the COVID-19 outbreak who returned to follow-up one year later. We assessed coping styles and risk perception with the Extreme Risk Coping Scale and the risk perception questionnaire. Clinical characteristics and metabolic parameters were registered in both visits. Groups were compared using Kruskal Wallis tests, and changes in metabolic parameters were assessed with Wilcoxon rank sum tests. Our sample included 177 participants at baseline, and 118 concluded the study. Passive coping was more frequent in women. Low-risk perception was associated with higher age, lower psychiatric comorbidities, and lower frequency of psychiatric treatment compared with other risk perception groups. Patients with active coping plus high-risk perception did not have a change in metabolic parameters at follow-up, whereas patients with other coping styles and lower risk perception had an increase in total cholesterol, LDL-cholesterol, and triglycerides. There were no differences by coping group or by risk perception in glycemic control.
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Affiliation(s)
- María Teresa Alcántara-Garcés
- Centro de Atención Integral del Paciente con Diabetes (CAIPaDi) Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico
| | - Alejandra Monserrat Rodríguez-Ramírez
- Centro de Atención Integral del Paciente con Diabetes (CAIPaDi) Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico
| | - Ana Cristina García-Ulloa
- Centro de Atención Integral del Paciente con Diabetes (CAIPaDi) Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico
| | - Mario García-Alanis
- Neurology and Psychiatry Department, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico
| | - Gabriela Nazareth Martínez-Reyes
- Endocrinology and Metabolism Department, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico
| | - Lupita Paola Del Moral Vidal
- Endocrinology and Metabolism Department, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico
| | - Rodrigo Eduardo Arizmendi-Rodríguez
- Centro de Atención Integral del Paciente con Diabetes (CAIPaDi) Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico
| | - Sergio Hernández-Jiménez
- Centro de Atención Integral del Paciente con Diabetes (CAIPaDi) Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico
| | - Paloma Almeda-Valdes
- Endocrinology and Metabolism Department, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico
- Metabolic Diseases Research Unit, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico
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Li X, Xu K. Coping with depression: a narrative study of an online depression community in China. Int J Qual Stud Health Well-being 2023; 18:2268379. [PMID: 37847860 PMCID: PMC10583619 DOI: 10.1080/17482631.2023.2268379] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/06/2022] [Accepted: 10/04/2023] [Indexed: 10/19/2023] Open
Abstract
PURPOSE The goal of this study was to explore the coping strategies of depression sufferers that have worked for them based on the study of an online depression community. METHODS We conducted a thematic narrative analysis of 120 stories posted by the members in the largest online depression community in China. MaxQDA version 18 was used to code the data, and the analytic approach was consistent with the category-centred approach of grounded theory. RESULTS The study found that the coping strategies mainly include self-reconciliation (e.g., perceiving/accepting feelings, accepting the present self, and holding hope for the future), actions (recreational activities, physical exercise, and engaging in volunteer work), addressing the stressors and symptoms (e.g., staying away from stressors, seeing the doctor), and seeking interpersonal support (e.g., seeking support from family, friends, and peers). CONCLUSION The findings revealed the coping strategies that were helpful and examined how they functioned for the affected members, which make up for the lack of attention to the individual experiences of depression sufferers in coping research. The findings also have practical implications for the related education and consultation, providing useful insights for doctors and patients. These ways of coping are based on depression sufferer' anonymous narratives, which can be convincing to clients.
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Affiliation(s)
- Xin Li
- College of Communication Science and Art, Chengdu University of Technology, Chengdu, China
| | - Kaibin Xu
- Foreign Studies College, Hunan Normal University, Changsha, China
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Cho J, Song M, Niziol LM, Heisler M, Resnicow K, Musch DC, Lee P, Da rnley-Fisch D, Newman-Casey PA. Patient-Centered Outcomes After a Medication Adherence Intervention: a Pilot Study. J Glaucoma 2023; 32:891-899. [PMID: 37054438 PMCID: PMC10544696 DOI: 10.1097/ijg.0000000000002228] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2022] [Accepted: 03/14/2023] [Indexed: 04/15/2023]
Abstract
PRCIS Self-determination theory (SDT) guided behavioral interventions are effective in improving several patient-centered metrics, including glaucoma-related distress. However, whether improvement in patient-centered metrics can drive an improvement in medication-taking behavior remains to be seen. OBJECTIVE The 7-month Support, Educate, Empower (SEE) personalized glaucoma coaching program was previously shown to improve glaucoma medication adherence by 21 percent points. This study's goal was to assess the impact of the SEE program on self-determination theory (SDT) metrics and other patient-centered outcome measures. PARTICIPANTS AND METHODS Glaucoma patients (≥40 y old, taking ≥1 medication) self-reporting poor medication adherence were recruited at the University of Michigan. Eight surveys (with 10 subscales) were completed before and after the 7-month SEE program. Three surveys assessed changes in SDT (Treatment Self-regulation Questionnaire, Healthcare-Climate Questionnaire, Perceived Competence) while the others assessed participants' Glaucoma Knowledge, Glaucoma Medication Self-efficacy, Glaucoma-related distress, Perceived benefits, confidence asking and getting questions answered. RESULTS Thirty-nine participants completed the SEE program. Significant improvements were in 7 subscales, including all three SDT tenets of competence (mean change =0.9, SD =±1.2, adjusted P =0.0002), autonomy (0.5, ±0.9, 0.044), and relatedness ( P =0.002). Glaucoma-related distress (-2.0, ±3.2, 0.004), confidence in asking questions (1.1, ±2.0, 0.008), and confidence in getting questions answered (1.0, ±2.0, 0.009) also improved. Glaucoma-related distress was correlated with perceived competence ( r =-0.56, adjusted P =0.005), and an increase in perceived competence was associated with a decrease in glaucoma-related distress (β=-0.43, 95% CI -0.67 - -0.20, adjusted P =0.007). CONCLUSIONS The SEE program improved participants' autonomous motivation, perceived support, perceived competence, glaucoma-related distress, and competence. These results point to the promising potential of SDT-guided behavioral interventions in improving patient-centered metrics.
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Affiliation(s)
- Juno Cho
- Department of Ophthalmology & Visual Sciences, University of Michigan Medical School, Ann Arbor, MI
| | - Melinda Song
- Department of Ophthalmology & Visual Sciences, University of Michigan Medical School, Ann Arbor, MI
| | - Leslie M. Niziol
- Department of Ophthalmology & Visual Sciences, University of Michigan Medical School, Ann Arbor, MI
| | - Michele Heisler
- Institute for Health Policy and Innovation, University of Mich igan, Ann Arbor, MI
- Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI
| | - Ken Resnicow
- Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI
- Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, MI
| | - David C. Musch
- Department of Ophthalmology & Visual Sciences, University of Michigan Medical School, Ann Arbor, MI
- Institute for Health Policy and Innovation, University of Mich igan, Ann Arbor, MI
| | - Paul Lee
- Department of Ophthalmology & Visual Sciences, University of Michigan Medical School, Ann Arbor, MI
- Institute for Health Policy and Innovation, University of Mich igan, Ann Arbor, MI
| | | | - Paula Anne Newman-Casey
- Department of Ophthalmology & Visual Sciences, University of Michigan Medical School, Ann Arbor, MI
- Institute for Health Policy and Innovation, University of Mich igan, Ann Arbor, MI
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8
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Sittner KJ, Herman KA, Gonzalez MB, Walls ML. A longitudinal study of positive mental health and coping among Indigenous adults with type 2 diabetes. ANXIETY, STRESS, AND COPING 2023; 36:339-352. [PMID: 35587950 PMCID: PMC9674796 DOI: 10.1080/10615806.2022.2076082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/09/2020] [Revised: 04/13/2022] [Accepted: 05/02/2022] [Indexed: 10/18/2022]
Abstract
OBJECTIVE Indigenous Peoples and scholars call for strengths-based approaches to research inclusive of Indigenous resiliency and positive outcomes. The purpose of this study was to examine positive mental health for Indigenous adults with type 2 diabetes and to determine if positive mental health is linked to community connectedness (a coping resource) and active coping (a coping response). METHODS Participants (N = 194 at baseline) were randomly selected from clinical records, at least 18 years old with a type 2 diabetes diagnosis, and self-identified as American Indian. RESULTS Latent growth curve models revealed that average positive mental health was predicted to decrease over the four waves of the study, although not for participants with above-average active coping at baseline. Community connectedness at baseline was associated with higher initial levels of positive mental health. Within-person change in active coping and community connectedness were both associated with increases in positive mental health. CONCLUSION This study aligns with previous research demonstrating that coping can influence health outcomes, and furthers the stress process literature by showing that active coping and community connectedness can impact positive mental health for Indigenous adults with Type 2 Diabetes.
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Affiliation(s)
| | - Kaley A. Herman
- Johns Hopkins Bloomberg School of Public Health, Department of International Health; Center for American Indian Health; Duluth, MN
| | - Miigis B. Gonzalez
- Johns Hopkins Bloomberg School of Public Health, Department of International Health; Center for American Indian Health; Duluth, MN
| | - Melissa L. Walls
- Johns Hopkins Bloomberg School of Public Health, Department of International Health; Center for American Indian Health; Duluth, MN
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Muniandy M, Richdale AL, Arnold SRC, Trollor JN, Lawson LP. Brief Report: Longitudinal Role of Coping Strategies on Mental Health Outcomes in Autistic Youth and Adults. J Autism Dev Disord 2023:10.1007/s10803-023-05953-4. [PMID: 37017862 DOI: 10.1007/s10803-023-05953-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/27/2023] [Indexed: 04/06/2023]
Abstract
The stress literature suggests that coping strategies are implicated in mental health outcomes. However, the longitudinal relationship between coping strategies and mental health in the autistic adult population has not yet been examined. This 2-year longitudinal study examined the predictive role of both baseline and change in coping strategy use over time (i.e., an increase or decrease) on anxiety, depression, and well-being after 2-years in 87 autistic adults aged 16 to 80 years. Controlling for baseline mental health, both baseline and increase in disengagement coping strategies (e.g., denial, self-blame) predicted higher anxiety and depression, and lower well-being, while an increase in engagement coping strategies (e.g., problem solving, acceptance) predicted higher well-being. These findings extend the current coping literature in autistic adults, offering insight into mental health support and intervention options.
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Affiliation(s)
- Melanie Muniandy
- Olga Tennison Autism Research Centre, School of Psychology and Public Health, La Trobe University, Bundoora, VIC, 3086, Australia
- Cooperative Research Centre for Living with Autism (Autism CRC), Brisbane, QLD, Australia
| | - Amanda L Richdale
- Olga Tennison Autism Research Centre, School of Psychology and Public Health, La Trobe University, Bundoora, VIC, 3086, Australia
- Cooperative Research Centre for Living with Autism (Autism CRC), Brisbane, QLD, Australia
| | - Samuel R C Arnold
- Cooperative Research Centre for Living with Autism (Autism CRC), Brisbane, QLD, Australia
- Department of Developmental Disability Neuropsychiatry (3DN), UNSW Sydney, 34 Botany St, Sydney, NSW, 2052, Australia
| | - Julian N Trollor
- Cooperative Research Centre for Living with Autism (Autism CRC), Brisbane, QLD, Australia
- Department of Developmental Disability Neuropsychiatry (3DN), UNSW Sydney, 34 Botany St, Sydney, NSW, 2052, Australia
| | - Lauren P Lawson
- Olga Tennison Autism Research Centre, School of Psychology and Public Health, La Trobe University, Bundoora, VIC, 3086, Australia
- Cooperative Research Centre for Living with Autism (Autism CRC), Brisbane, QLD, Australia
- Department of Psychology and Counselling, School of Psychology and Public Health, La Trobe University, Bundoora, VIC, Australia
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10
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Nagabhirava G, Godi SM, Goel AD. Fear, Psychological Impact, and Coping During the Initial Phase of COVID-19 Pandemic Among the General Population in India. Cureus 2021; 13:e20317. [PMID: 35028216 PMCID: PMC8747978 DOI: 10.7759/cureus.20317] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/09/2021] [Indexed: 01/09/2023] Open
Abstract
Introduction Public health emergencies such as pandemics affect the health, safety, and well-being of both individuals and societies. Thus, this study aims to better understand the fear due to coronavirus disease (COVID) and associated levels of anxiety, depression, stress, and coping in the general public of India during the initial stage of the COVID-19 outbreak. Materials and methods This was a cross-sectional study to assess the psychological impact of COVID-19 and coping levels among the general population during the coronavirus pandemic’s initial phase. An online survey was conducted using a snowball sampling technique. Results A total of 489 people responded to the survey. The prevalence rates of depression, anxiety and stress were 27.2%, 21.5%, and 15.3% respectively. Female gender, age below 35 years, history of medical or psychiatric illness, and those who had personal contact with persons with COVID-19 were significantly associated with presence of depression, anxiety, and stress whereas spending more than 1 hour on COVID-19-related information was associated with significant stress. Conclusion This study concludes that the prevalence rates of psychological problems were high during the COVID-19 pandemic. These are directly related to the fear associated with COVID-19 but had an inverse relationship with the resilient coping levels.
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Sadeghzadeh C, Wallace DD, Gonzalez Rodriguez H, Barrington C. Coping with diabetes stress among adults in rural Dominican Republic: "I don't think about it". Chronic Illn 2021; 17:391-403. [PMID: 31619054 DOI: 10.1177/1742395319882069] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
OBJECTIVES As type 2 diabetes prevalence increases across Latin America, understanding local approaches to coping with diabetes stress is essential to providing care that incorporates patients' values and preferences. This study explored a local phenomenon, "no le doy mente" (I don't think about it), used by adults with type 2 diabetes in the Dominican Republic to cope with diabetes stress. METHODS We conducted 19 qualitative in-depth interviews with adults with type 2 diabetes (10 men, 9 women) recruited from one rural clinic. Using an inductive analytic approach including iterative coding, memos, and matrices, we identified reasons, strategies, and perceived benefits of not thinking about type 2 diabetes among participants. RESULTS Participants described not thinking about diabetes as an active process to maintain a sense of normalcy despite significant life changes following diagnosis. They avoided thinking about diabetes by staying busy, proactively managing type 2 diabetes through diet and medication, and turning to their faith. Participants perceived that enacting no le doy mente helped to protect their overall health and well-being. DISCUSSION Future research should investigate provider perceptions of no le doy mente to align patient and provider communication and mindfulness-based stress reduction as a way to support people with type 2 diabetes avoid dwelling on negative thoughts about diabetes.
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Affiliation(s)
- Claire Sadeghzadeh
- Health Behavior, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA
| | - Deshira D Wallace
- Health Behavior, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA
| | - Humberto Gonzalez Rodriguez
- Health Behavior, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA
| | - Clare Barrington
- Health Behavior, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA
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12
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Márquez-Palacios JH, Urzúa-Morales A, Calderón-Carvajal C, Salazar-Estrada JG, Díaz-Reséndiz FDJ. El efecto mediador del sentido de coherencia en la relación entre autocuidado y control glucémico de personas diabéticas. Glob Health Promot 2021. [DOI: 10.1177/1757975920987388] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Mantener un adecuado control de la diabetes se relaciona con variables como autocuidado y sentido de coherencia que reducen las tasas de morbilidad y mortalidad. El objetivo fue evaluar el efecto mediador del sentido de coherencia en la relación entre autocuidado y niveles de glucosa en sangre de personas con diabetes. A 220 sujetos con diabetes mellitus tipo 2 se les aplicó un instrumento para autocuidado y otro para sentido de coherencia, mientras que la hemoglobina glucosilada se obtuvo del expediente médico, posteriormente se analizaron los datos por medio de un modelo de ecuaciones estructurales. Los resultados muestran que tanto el autocuidado ( c’ = −0.33; p < 0.05), como el sentido de coherencia ( b = −0.34; p < 0.05) tienen un efecto directo sobre los niveles de glucosa, así como también un efecto indirecto significativo (−0.168; p < 0.05). El efecto total de AC sobre A1c corresponde a −0.498. En consecuencia, este modelo estimado corresponde a un modelo de mediación simple parcial. Los resultados confirman la hipótesis de que el sentido de coherencia en personas con diabetes media la relación entre AC y HbA1c. El enfoque salutogénico mejora la adherencia a las conductas de autocuidado, lo que puede facilitar el control glucémico de la enfermedad.
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Affiliation(s)
| | | | | | | | - Felipe de Jesús Díaz-Reséndiz
- Laboratorio de Análisis Conductual, Centro Universitario del Sur, Universidad de Guadalajara, Ciudad Guzmán, Jalisco, México
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Lau CYK, Kong APS, Lau JTF, Chan V, Mo PKH. Coping skills and glycaemic control: the mediating role of diabetes distress. Acta Diabetol 2021; 58:1071-1079. [PMID: 33768380 DOI: 10.1007/s00592-021-01679-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/20/2020] [Accepted: 01/11/2021] [Indexed: 10/21/2022]
Abstract
AIMS The present study examined the mediating role of diabetes distress on the relationship between coping and glycaemic control, and evaluated if the afore-mentioned mediation was moderated by insulin treatment in people with type 2 diabetes. METHODS A total of 473 adults with type 2 diabetes were recruited from an outpatient clinic in Hong Kong and invited to take part in a survey that measured adaptive coping, maladaptive coping, and diabetes stress. Glycaemic control was measured by glycated haemoglobin values extracted from medical records. PROCESS v3.4 macro was used to test the moderated mediation model. RESULTS Adaptive coping was negatively associated with diabetes distress (-0.29, 95% CI: -0.53, -0.06), whereas maladaptive coping was positively associated with diabetes distress (1.82, 95% CI: 1.12, 2.51). Diabetes distress had a positive relationship with glycated haemoglobin (0.04, 95% CI: 0.02, 0.05), but no correlations were found between glycated haemoglobin and adaptive coping or maladaptive coping. Insulin treatment not only weakened the diabetes distress-glycaemic control relationship (-0.04, 95% CI: -0.06, -0.01), but also weakened the mediation effect of maladaptive coping-glycaemic control relationship via diabetes distress (-0.07, 95% CI: -0.12, -0.02). CONCLUSIONS The study findings revealed the role of diabetes distress and insulin treatment in the link between coping skills and glycaemic control. Interventions to help boost confidence and autonomy in people with diabetes could help them lessen diabetes distress.
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Affiliation(s)
- Christine Y K Lau
- Centre for Health Behaviours Research, JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, Hong Kong SAR
| | - Alice P S Kong
- Division of Endocrinology and Diabetes, Department of Medicine and Therapeutics, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, Hong Kong SAR
| | - Joseph T F Lau
- Centre for Health Behaviours Research, JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, Hong Kong SAR
| | - Virginia Chan
- Centre for Health Behaviours Research, JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, Hong Kong SAR
| | - Phoenix K H Mo
- Centre for Health Behaviours Research, JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, Hong Kong SAR.
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Kim JHJ, Bright EE, Williamson TJ, Krull JL, Weihs KL, Stanton AL. Transitions in coping profiles after breast cancer diagnosis: implications for depressive and physical symptoms. J Behav Med 2021; 44:1-17. [PMID: 32535673 PMCID: PMC7736058 DOI: 10.1007/s10865-020-00159-w] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2019] [Accepted: 05/14/2020] [Indexed: 12/17/2022]
Abstract
The objective of this study was to determine whether: (a) cancer-related coping profiles change across time; (b) coping profile transition types predict changes in depressive and physical symptoms. Latent transition analysis was conducted with repeated measures of seven cancer-related coping processes from 460 women recently diagnosed with breast cancer. In multilevel models, coping profile transition groups were entered as predictors of symptoms across 12 months. Three coping profiles emerged at study entry, with two profiles at later assessments. Forty-eight percent of women maintained high-moderate approach-oriented coping over time. Specific factors (e.g., age, acceptance of emotions) differentiated the transition groups. Women who increased and then maintained high-moderate approach-oriented coping had relatively high initial depressive symptoms that declined steeply. When cancer-related acceptance predominated, women experienced increasing physical symptoms. Distinct cancer-related coping patterns are related to the level of and change in depressive and physical symptoms longitudinally. Early intervention to increase approach-oriented coping strategies could yield favorable outcomes.
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Affiliation(s)
- Jacqueline H J Kim
- Department of Psychology, University of California (UCLA), Los Angeles, CA, USA.
| | - Emma E Bright
- Department of Psychology, University of California (UCLA), Los Angeles, CA, USA
| | | | - Jennifer L Krull
- Department of Psychology, University of California (UCLA), Los Angeles, CA, USA
| | - Karen L Weihs
- Department of Psychiatry, University of Arizona Cancer Center, The University of Arizona, Tucson, AZ, USA
| | - Annette L Stanton
- Department of Psychology, University of California (UCLA), Los Angeles, CA, USA
- UCLA Jonsson Comprehensive Cancer Center, Los Angeles, CA, USA
- Department of Psychiatry and Biobehavioral Sciences, University of California (UCLA), Los Angeles, CA, USA
- Cousins Center for Psychoneuroimmunology, Los Angeles, CA, USA
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15
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Roma P, Monaro M, Colasanti M, Ricci E, Biondi S, Di Domenico A, Verrocchio MC, Napoli C, Ferracuti S, Mazza C. A 2-Month Follow-Up Study of Psychological Distress among Italian People during the COVID-19 Lockdown. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17218180. [PMID: 33167479 PMCID: PMC7663995 DOI: 10.3390/ijerph17218180] [Citation(s) in RCA: 78] [Impact Index Per Article: 19.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/25/2020] [Revised: 10/22/2020] [Accepted: 11/03/2020] [Indexed: 12/16/2022]
Abstract
The spread of coronavirus disease 2019 (COVID-19) has called for unprecedented measures, including a national lockdown in Italy. The present study aimed at identifying psychological changes (e.g., changes in depression, stress, and anxiety levels) among the Italian public during the lockdown period, in addition to factors associated with these changes. An online follow-up survey was administered to 439 participants (original sample = 2766), between 28 April and 3 May 2020. A paired sample t-test tested for differences in stress, anxiety, and depression over the period. Multivariate regression models examined associations between sociodemographic variables, personality traits, coping strategies, depression, and stress. Results showed an increase in stress and depression over the lockdown, but not anxiety. Negative affect and detachment were associated with higher levels of depression and stress. Higher levels of depression at the start of the lockdown, as well as fewer coping strategies and childlessness, were associated with increased depression at follow-up, whereas higher levels of stress at the start of the lockdown and younger age were associated with higher stress at follow-up. These results may help us to identify persons at greater risk of suffering from psychological distress as a result lockdown conditions, and inform psychological interventions targeting post-traumatic symptoms.
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Affiliation(s)
- Paolo Roma
- Department of Human Neuroscience, Sapienza University of Rome, 00185 Rome, Italy; (P.R.); (M.C.); (S.B.); (S.F.)
| | - Merylin Monaro
- Department of General Psychology, University of Padova, 35131 Padova, Italy;
| | - Marco Colasanti
- Department of Human Neuroscience, Sapienza University of Rome, 00185 Rome, Italy; (P.R.); (M.C.); (S.B.); (S.F.)
| | - Eleonora Ricci
- Department of Neuroscience, Imaging and Clinical Sciences, “G. d’Annunzio” University of Chieti-Pescara, 66100 Chieti, Italy;
| | - Silvia Biondi
- Department of Human Neuroscience, Sapienza University of Rome, 00185 Rome, Italy; (P.R.); (M.C.); (S.B.); (S.F.)
| | - Alberto Di Domenico
- Department of Psychological, Health and Territorial Sciences, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy; (A.D.D.); (M.C.V.)
| | - Maria Cristina Verrocchio
- Department of Psychological, Health and Territorial Sciences, University “G. d’Annunzio” of Chieti-Pescara, 66100 Chieti, Italy; (A.D.D.); (M.C.V.)
| | - Christian Napoli
- Department of Medical Surgical Science and Translational Medicine, Sapienza University of Rome, 00189 Rome, Italy;
| | - Stefano Ferracuti
- Department of Human Neuroscience, Sapienza University of Rome, 00185 Rome, Italy; (P.R.); (M.C.); (S.B.); (S.F.)
| | - Cristina Mazza
- Department of Neuroscience, Imaging and Clinical Sciences, “G. d’Annunzio” University of Chieti-Pescara, 66100 Chieti, Italy;
- Correspondence: ; Tel.: +39-3461374688
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16
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The Effects of a Stress Management Group Education Program on Symptoms of Depression, Anxiety, and Stress in People With Comorbid Diabetes and Chronic and/or Recurrent Foot and Ankle Complications. Orthop Nurs 2020; 39:305-314. [PMID: 32956271 DOI: 10.1097/nor.0000000000000695] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
BACKGROUND Individuals with diabetic foot and ankle complications are at heightened risk for depression, anxiety, and stress. PURPOSE This study evaluated the effect of a stress management group education (SMGE) program in this population. METHODS The 21-question Depression Anxiety Stress Scales and the Problem Areas in Diabetes scale were administered prior to, upon completion of, and at approximately 6 weeks after the program. RESULTS Twenty-five patients from an urban diabetic foot and ankle center completed the study. CONCLUSION The SMGE program demonstrated decreased levels of anxiety, depression, and diabetes problem areas for our study population.
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Murakami H, Yasui‐Furukori N, Otaka H, Nakayama H, Murabayashi M, Mizushiri S, Matsumura K, Tanabe J, Matsuhashi Y, Yanagimachi M, Sugawara N, Shimoda K, Daimon M. Coping styles associated with glucose control in individuals with type 2 diabetes mellitus. J Diabetes Investig 2020; 11:1215-1221. [PMID: 32017452 PMCID: PMC7477505 DOI: 10.1111/jdi.13225] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/22/2019] [Revised: 01/21/2020] [Accepted: 02/02/2020] [Indexed: 01/26/2023] Open
Abstract
AIMS/OBJECTIVES Glycemic control varies according to stress level and the efficacy of control measures, affecting the outcomes of diabetes. Although detailed coping styles have not been well studied in patients with type 2 diabetes mellitus, problem-focused coping strategies are believed to be related to better control of blood glucose. Associations between coping profiles/dimensions and blood glucose control were examined in individuals with type 2 diabetes. MATERIALS AND METHODS The participants included 503 Japanese patients (mean age 63.9 ± 12.6 years) with type 2 diabetes. The average glycated hemoglobin A1c (HbA1c) levels were calculated from HbA1c levels measured more than four times within the 12 months before the assessment. Coping profiles were assessed using the Brief Scale for Coping Profile. Lifestyle factors were also included in the analyses. RESULTS Factors other than age were not associated with HbA1c levels in patients who used insulin. Conversely, habitual alcohol consumption, single status, the adaptive emotion-focused coping dimension, and changing mood and changing one's point of view profiles were associated with HbA1c levels. CONCLUSIONS These findings suggest that adaptive emotion-focused coping supports glycemic control in type 2 diabetes patients who do not use insulin. Additional studies using a longitudinal design are required to further examine the relationships between psychological factors and glycemic control.
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Affiliation(s)
- Hiroshi Murakami
- Department of Endocrinology and MetabolismHirosaki University Graduate School of MedicineHirosakiJapan
| | - Norio Yasui‐Furukori
- Department of NeuropsychiatryHirosaki University Graduate School of MedicineHirosakiJapan
- Department of PsychiatryDokkyo Medical University School of MedicineMibuJapan
| | - Hideyuki Otaka
- Department of Endocrinology and MetabolismHirosaki University Graduate School of MedicineHirosakiJapan
| | - Hirofumi Nakayama
- Department of Endocrinology and MetabolismHirosaki University Graduate School of MedicineHirosakiJapan
| | - Masaya Murabayashi
- Department of Endocrinology and MetabolismHirosaki University Graduate School of MedicineHirosakiJapan
| | - Satoru Mizushiri
- Department of Endocrinology and MetabolismHirosaki University Graduate School of MedicineHirosakiJapan
| | - Koki Matsumura
- Department of Endocrinology and MetabolismHirosaki University Graduate School of MedicineHirosakiJapan
| | - Jutaro Tanabe
- Department of Endocrinology and MetabolismHirosaki University Graduate School of MedicineHirosakiJapan
| | - Yuki Matsuhashi
- Department of Endocrinology and MetabolismHirosaki University Graduate School of MedicineHirosakiJapan
| | - Miyuki Yanagimachi
- Department of Endocrinology and MetabolismHirosaki University Graduate School of MedicineHirosakiJapan
| | - Norio Sugawara
- Department of PsychiatryDokkyo Medical University School of MedicineMibuJapan
- Department of Clinical EpidemiologyTranslational Medical CenterNational Center of Neurology and PsychiatryKodairaJapan
| | - Kazutaka Shimoda
- Department of PsychiatryDokkyo Medical University School of MedicineMibuJapan
| | - Makoto Daimon
- Department of Endocrinology and MetabolismHirosaki University Graduate School of MedicineHirosakiJapan
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18
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Kato A, Yoshiuchi K, Fujimaki Y, Fujimori S, Kobayashi Y, Yamada T, Kobayashi M, Izumida Y, Suzuki R, Yamauchi T, Kadowaki T. Understanding the experiences of long-term maintenance of self-worth in persons with type 2 diabetes in Japan: a qualitative study. BMJ Open 2020; 10:e034758. [PMID: 32759240 PMCID: PMC7409958 DOI: 10.1136/bmjopen-2019-034758] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
OBJECTIVE Persons with type 2 diabetes are often stigmatised for having what is considered a lifestyle-related disease. Accordingly, some blame themselves for their condition, resulting in feelings of low self-worth that ultimately impact their self-management behaviours. However, there are no studies examining why some do not blame themselves for their condition and manage to maintain their self-worth in relation to their illness. This study aimed to explore an understanding of how such persons experience the maintenance of self-worth in relation to their illness over the lifelong course of treatment. DESIGN A cross-sectional qualitative study. Face-to-face semistructured interviews were conducted with a purposive sampling strategy. The data was analysed using a qualitative descriptive method that involved concurrent data collection and constant comparative analysis. SETTING Two tertiary-level hospitals in Japan. PARTICIPANTS Thirty-three outpatients with type 2 diabetes who currently had good glycaemic control but had previously had poor glycaemic control. RESULTS Three themes explaining the maintenance of self-worth were identified: (1) Participants gained 'control' over their illness by living a 'normal life.' They found a way to eat preferred foods, dine out with family and friends, travel and work as usual; (2) Participants discovered the positive aspects of type 2 diabetes, as they felt 'healthier' from the treatment and felt a sense of security and gratitude for the care they received from healthcare professionals; (3) Participants discovered a new sense of self-worth by moving towards goals for type 2 diabetes treatment and experienced inner growth through positive lifestyle choices. CONCLUSIONS The process of restoring and maintaining self-worth should be brought to the attention of healthcare professionals in diabetes care. These professionals could help patients discover positive self-representations through diabetes treatment (eg, a realisation that one does not lack self-control) and could aid in increasing patient engagement in diabetes self-management.
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Affiliation(s)
- Asuka Kato
- Department of Health and Social Behavior, School of Public Health, The University of Tokyo, Tokyo, Japan
| | - Kazuhiro Yoshiuchi
- Department of Stress Sciences and Psychosomatic Medicine, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
| | - Yuko Fujimaki
- Department of Internal Medicine, School of Medicine, Teikyo University, Tokyo, Japan
| | - Shin Fujimori
- Department of Internal Medicine, School of Medicine, Teikyo University, Tokyo, Japan
| | - Yuka Kobayashi
- Department of Diabetes and Metabolic Diseases, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
| | - Tomohide Yamada
- Department of Diabetes and Metabolic Diseases, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
| | - Masatoshi Kobayashi
- Department of Diabetes and Metabolic Diseases, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
| | - Yoshihiko Izumida
- Department of Diabetes and Metabolic Diseases, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
| | - Ryo Suzuki
- Department of Diabetes and Metabolic Diseases, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
| | - Toshimasa Yamauchi
- Department of Diabetes and Metabolic Diseases, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
| | - Takashi Kadowaki
- Department of Diabetes and Metabolic Diseases, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
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19
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Rivas T, Carreira M, Domínguez-López M, Ruiz de Adana MS, Anarte MT. Development and Preliminary Validation of a New Type 1 Diabetes Adjustment Scale (DAS-1). Front Psychol 2020; 11:533. [PMID: 32372997 PMCID: PMC7177012 DOI: 10.3389/fpsyg.2020.00533] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2019] [Accepted: 03/05/2020] [Indexed: 01/09/2023] Open
Abstract
BACKGROUND This study focuses on the development and validation of a new Type 1 Diabetes Adjustment Scale (DAS-1). METHOD A total of 204 participants aged 15-65 with type 1 diabetes completed the self-report measures of the DAS-1, which includes clinical and psychological variables. RESULTS Robust confirmatory factor analysis detected a unidimensional structure of the item scores. The omega coefficient was 0.91 and test-retest reliability was 0.87. Classifying subjects as in a Positive or Negative mood state, ROC analysis yielded an optimal cut-off of 50 for the DAS-1 scores, with a clinical accuracy of AUC = 0.85. The DAS-1 demonstrated evidence of good reliability and acceptable construct validity. CONCLUSION The DAS-1 demonstrated good clinical utility, good sensitivity and adequate specificity. Clinical and theoretical implications of these results are discussed.
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Affiliation(s)
- Teresa Rivas
- Department of Psychobiology and Behavioral Sciences Methodology, University of Málaga, Málaga, Spain
| | - Mónica Carreira
- Department of Personality, Assessment and Psychological Treatment, Institute of Biomedical Research of Malaga (IBIMA), University of Málaga, Málaga, Spain
| | - Marta Domínguez-López
- Diabetes Unit, Department of Endocrinology and Nutrition, Institute of Biomedical Research of Málaga (IBIMA), Regional University Hospital of Málaga, University of Málaga, Málaga, Spain
- CIBERDEM, Madrid, Spain
| | - Maria Soledad Ruiz de Adana
- Diabetes Unit, Department of Endocrinology and Nutrition, Institute of Biomedical Research of Málaga (IBIMA), Regional University Hospital of Málaga, University of Málaga, Málaga, Spain
- CIBERDEM, Madrid, Spain
| | - María Teresa Anarte
- Department of Personality, Assessment and Psychological Treatment, Institute of Biomedical Research of Malaga (IBIMA), University of Málaga, Málaga, Spain
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20
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Cheng C, Yang C, Inder K, Chan SWC. Illness Perceptions, Coping Strategies, and Quality of Life in People With Multiple Chronic Conditions. J Nurs Scholarsh 2020; 52:145-154. [DOI: 10.1111/jnu.12540] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/02/2019] [Indexed: 12/12/2022]
Affiliation(s)
- Cheng Cheng
- PhD candidate, School of Nursing and Midwifery, the University of Newcastle, Callaghan, Australia; Lecturer, Department of Nursing Bengbu Medical College Bengbu China
| | - Cong‐Yan Yang
- Head nurse, Department of Nursing the First Affiliated Hospital of Bengbu Medical College Bengbu China
| | - Kerry Inder
- Associate Professor, School of Nursing and Midwifery the University of Newcastle Callaghan Australia
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21
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Depression and Its Relationship with Coping Strategies and Illness Perceptions during the COVID-19 Lockdown in Greece: A Cross-Sectional Survey of the Population. DEPRESSION RESEARCH AND TREATMENT 2020; 2020:3158954. [PMID: 32908697 PMCID: PMC7450302 DOI: 10.1155/2020/3158954] [Citation(s) in RCA: 62] [Impact Index Per Article: 15.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/13/2020] [Revised: 07/18/2020] [Accepted: 07/28/2020] [Indexed: 12/11/2022]
Abstract
OBJECTIVE The COVID-19 epidemic has shown a more benign course in Greece possibly due to the early lockdown measures. Mental health consequences of the lockdown however are unknown. In addition, illness perceptions and relevant strategies to cope with the stress of the epidemic may have played a role in complying with the restrictions. We conducted a survey of the Greek population with the aim to investigate the prevalence of anxiety and depression during the lockdown, the emotional impact of the epidemic, and the effect of coping strategies and illness perceptions in mental health. METHODS Adult persons were invited during the peak of the lockdown period through social media. Depressive and anxiety symptoms were assessed with the PHQ-9 and GAD-2 scales, respectively. Coping strategies were assessed with selected items of the Brief COPE questionnaire, while illness beliefs were assessed with items from the revised Illness Perception Questionnaire (IPQ-R). RESULTS A total of 3379 individuals took part. A strong emotional impact of the epidemic was more often in women and in those with severe financial difficulties. Levels of depressive and anxiety symptoms were high but similar to past assessments. Participants showed high levels of personal control and used more often positive strategies to cope with the stress of the epidemic. Depressive symptoms were higher in the younger, in students, in those with a stronger emotional impact, in those isolated due to symptoms, and those overexposed to media for COVID-19-related news. Lower levels of depression were seen in those using positive coping strategies and showing high levels of personal and treatment control. CONCLUSIONS The study shows that certain psychological and social determinants were associated with increased depressive symptoms during the lockdown warranting the development of public health guidelines to mitigate the effects of the epidemic to the mental health of the population.
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Livneh H. The use of generic avoidant coping scales for psychosocial adaptation to chronic illness and disability: A systematic review. Health Psychol Open 2019; 6:2055102919891396. [PMID: 31839978 PMCID: PMC6896135 DOI: 10.1177/2055102919891396] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022] Open
Abstract
This systematic review examined the validity of generic coping-with-stress measures in the relationships between avoidance-type coping and psychosocial adaptation to chronic illness and disability. Major data bases were searched for studies on the association between avoidance-type coping and psychosocial adaptation to chronic illness and disability. Findings indicated that reliance upon avoidance-type coping is linked to reports of poorer psychosocial adaptation. The veracity of these findings must be treated cautiously owing to conceptual, structural, psychometric, and other issues. Users of generic coping measures should consider these concerns prior to empirically investigating the link between generic avoidance-type coping measures and psychosocial adaptation among people with chronic illness and disability.
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Knowles SR, Apputhurai P, O’Brien CL, Ski CF, Thompson DR, Castle DJ. Exploring the relationships between illness perceptions, self-efficacy, coping strategies, psychological distress and quality of life in a cohort of adults with diabetes mellitus. PSYCHOL HEALTH MED 2019; 25:214-228. [DOI: 10.1080/13548506.2019.1695865] [Citation(s) in RCA: 37] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Affiliation(s)
- Simon R Knowles
- Department of Psychology, Faculty of Health, Arts and Design, Swinburne University, Melbourne, Australia
- Department of Psychiatry, The University of Melbourne, Melbourne, Australia
- Mental Health Service, St. Vincent’s Hospital, Melbourne, Australia
| | - Pragalathan Apputhurai
- Department of Psychology, Faculty of Health, Arts and Design, Swinburne University, Melbourne, Australia
| | - Casey L O’Brien
- Department of Psychiatry, The University of Melbourne, Melbourne, Australia
- Mental Health Service, St. Vincent’s Hospital, Melbourne, Australia
| | - Chantal F Ski
- Department of Psychiatry, The University of Melbourne, Melbourne, Australia
- School of Nursing and Midwifery, Queen’s University Belfast, Belfast, UK
| | - David R Thompson
- Department of Psychiatry, The University of Melbourne, Melbourne, Australia
- School of Nursing and Midwifery, Queen’s University Belfast, Belfast, UK
| | - David J Castle
- Department of Psychiatry, The University of Melbourne, Melbourne, Australia
- Mental Health Service, St. Vincent’s Hospital, Melbourne, Australia
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24
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McCoy MA, Theeke LA. A systematic review of the relationships among psychosocial factors and coping in adults with type 2 diabetes mellitus. Int J Nurs Sci 2019; 6:468-477. [PMID: 31728402 PMCID: PMC6838910 DOI: 10.1016/j.ijnss.2019.09.003] [Citation(s) in RCA: 23] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2018] [Revised: 07/17/2019] [Accepted: 09/04/2019] [Indexed: 01/28/2023] Open
Abstract
Type 2 diabetes mellitus contributes to poor health outcomes including mortality, yet there is a gap in the literature when seeking to understand the influence of psychosocial factors on coping in this population. The paper presents a systematic review of quantitative studies that examined relationships among psychosocial determinants and coping in adults with type 2 diabetes. This review is the second layer of knowledge discovery for the concept, “Taking on a life-altering change is a rhythmical journey of experiencing ups and downs on the way to acceptance.” The life-altering change was determined to be a diagnosis of type 2 diabetes, the journey is the ups and downs of coping with the diagnosis as people work toward acceptance of type 2 diabetes. The review includes a synthesis of findings from 22 quantitative studies of psychosocial factors and coping in adults with type 2 diabetes. Anxiety, depression, stress, and diabetes distress were identified as key influential psychosocial factors. Increased social support was inversely related to emotional distress and coping styles were related to social well-being, psychological health, and physical health outcomes. The positive coping style of problem-focused coping was linked to improved psychological and physical health. Emotional responses to diagnosis were related to depression and anxiety. Negative coping styles of resignation, protest, or isolation were higher in women and linked to poorer quality of life, while avoidance was linked to increased diabetes-related distress and depressive symptoms.
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Affiliation(s)
- Melissa A. McCoy
- Division of Nursing, Davis and Elkins College, Elkins, WV, United States
- School of Nursing, West Virginia University, Morgantown, WV, United States
- Corresponding author. Division of Nursing, Davis and Elkins College, Elkins, WV, United States.
| | - Laurie A. Theeke
- School of Nursing, West Virginia University, Morgantown, WV, United States
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Bakhach M, Reid MW, Pyatak EA, Berget C, Cain C, Thomas JF, Klingensmith GJ, Raymond JK. Home Telemedicine (CoYoT1 Clinic): A Novel Approach to Improve Psychosocial Outcomes in Young Adults With Diabetes. DIABETES EDUCATOR 2019; 45:420-430. [PMID: 31244396 DOI: 10.1177/0145721719858080] [Citation(s) in RCA: 42] [Impact Index Per Article: 8.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
PURPOSE To assess the impact of a home telemedicine clinic model (CoYoT1 Clinic) on psychosocial and behavioral outcomes designed for young adults (YAs) with type 1 diabetes (T1D). METHODS YAs self-selected to participate in the CoYoT1 Clinic or serve as a usual care control. CoYoT1 Clinic visits consisted of an individual appointment with a provider and a group appointment with other YAs with T1D using home telemedicine. Psychosocial and behavioral functioning was assessed by 4 measures: Diabetes Distress Scale, Self-Efficacy for Diabetes Scale, Self-Management of Type 1 Diabetes in Adolescence Scale, and Center for Epidemiologic Studies Depression Scale. RESULTS Forty-two patients participated in the CoYoT1 Clinic and 39 patients served as controls. CoYoT1 participants reported lower levels of distress (P = .03), increased diabetes self-efficacy (P = .01), and improved ability to communicate with others about diabetes (P = .04) over the study period compared to controls. YA males in the control group reported increases in depressive symptoms (P = .03) during the study period, but CoYoT1 participants showed no changes. CONCLUSION Group home telemedicine for YAs with T1D positively affects diabetes distress, self-efficacy, and diabetes-specific communication. These positive findings have the potential to also affect the YAs' long-term diabetes outcomes. Further investigation of the model is needed.
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Affiliation(s)
- Marwan Bakhach
- Children's Hospital Los Angeles, University of Southern California, Keck School of Medicine, Los Angeles, California
| | - Mark W Reid
- Children's Hospital Los Angeles, University of Southern California, Keck School of Medicine, Los Angeles, California
| | - Elizabeth A Pyatak
- Chan Division of Occupational Science and Occupational Therapy, Ostrow School of Dentistry, University of Southern California, Los Angeles, California
| | - Cari Berget
- Barbara Davis Center for Diabetes, University of Colorado, Department of Pediatrics, Anschutz Medical Campus, Aurora, Colorado
| | - Cindy Cain
- Barbara Davis Center for Diabetes, University of Colorado, Department of Pediatrics, Anschutz Medical Campus, Aurora, Colorado
| | - John Fred Thomas
- Department of Telehealth, School of Medicine, University of Colorado, Aurora, Colorado.,Department of Psychiatry, School of Medicine, University of Colorado, Aurora, Colorado.,Department of Epidemiology, School of Public Health, University of Colorado, Aurora, Colorado
| | - Georgeanna J Klingensmith
- Barbara Davis Center for Diabetes, University of Colorado, Department of Pediatrics, Anschutz Medical Campus, Aurora, Colorado
| | - Jennifer K Raymond
- Children's Hospital Los Angeles, University of Southern California, Keck School of Medicine, Los Angeles, California
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Cheng C, Inder K, Chan SWC. Patients' experiences of coping with multiple chronic conditions: A meta-ethnography of qualitative work. Int J Ment Health Nurs 2019; 28:54-70. [PMID: 30232822 DOI: 10.1111/inm.12544] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 08/24/2018] [Indexed: 12/21/2022]
Abstract
Multiple chronic conditions (MCCs) pose a major and growing burden on the individuals' health. The ways in which people cope with their stresses related to their chronic conditions are significant to their health outcomes. This review sought to understand lived experiences of coping with MCCs by a meta-ethnography of qualitative studies. Twenty-six studies were identified in four electronic databases including PubMed, PsycINFO, EMBASE, and CINAHL that were searched from 1966 to 2017. A seven-step analytic method was used after a quality evaluation based on Joanna Briggs Institute Qualitative Assessment and Review Instrument (JBI-QARI). The findings illustrated that experiences of coping with MCCs were interacted with (i) appraisals of MCCs, (ii) strategies to maintain a normal life, (iii) strategies to keep the spirits up, and (iv) coping in the social context. To sum up, this review provided a collection of narratives on coping with MCCs. The findings would help to recognize the high complexity experienced by these patients, also potentially offered a foundation for the design of a feasible intervention to more optimally highlight the demands of managing MCCs.
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Affiliation(s)
- Cheng Cheng
- School of Nursing and Midwifery, University of Newcastle, Newcastle, New South Wales, Australia.,School of Nursing, Bengbu Medical College, Bengbu, Anhui, China
| | - Kerry Inder
- School of Nursing and Midwifery, University of Newcastle, Newcastle, New South Wales, Australia
| | - Sally Wai-Chi Chan
- School of Nursing and Midwifery, University of Newcastle, Newcastle, New South Wales, Australia
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Stanton AL, Wiley JF, Krull JL, Crespi CM, Weihs KL. Cancer-related coping processes as predictors of depressive symptoms, trajectories, and episodes. J Consult Clin Psychol 2018; 86:820-830. [PMID: 30265041 DOI: 10.1037/ccp0000328] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Abstract
OBJECTIVE Although numerous studies address the relationships of depression with coping processes directed toward approaching or avoiding stressful experiences, the large majority are cross-sectional in design, assess coping processes at only one timepoint, or solely include prediction of the linear slope of depressive symptoms. In this research, coping processes were investigated as predictors of depressive symptoms, symptom trajectory classes (consistently high, recovery, consistently low), and major depressive episodes (MDEs) over 12 months in the cancer context. METHOD Women (N = 460) within 4 months of breast cancer diagnosis completed assessments of cancer-related coping processes, depressive symptoms, and MDEs at 7 points across 1 year. RESULTS Beyond sociodemographic and medical variables, coping through cancer-related avoidance an average of 2 months after diagnosis was associated with likelihood of being in the high depressive symptom trajectory class and occurrence of a MDE during the year. Less decline in avoidant coping over time also predicted poor outcomes. In contrast, high initial engagement in approach-oriented coping, as well as increases in coping through emotional expression and acceptance, were associated with lower depressive symptoms across assessments and higher likelihood of being in the recovery or low trajectory class. CONCLUSIONS Greater engagement in cancer-related avoidant coping was associated with all three indicators of depression, and greater approach-oriented coping was related to more favorable outcomes (except MDE). Sustained or increasing coping through emotional expression or acceptance predicted recovery from initially high depressive symptoms. Approach- and avoidance-oriented coping processes constitute malleable targets for preventive and ameliorative approaches. (PsycINFO Database Record (c) 2018 APA, all rights reserved).
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Affiliation(s)
| | | | | | - Catherine M Crespi
- Center for Cancer Prevention and Control Research, Jonsson Comprehensive Cancer Center, University of California, Los Angeles
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Horenstein A, Potter CM, Heimberg RG. How does anxiety sensitivity increase risk of chronic medical conditions? CLINICAL PSYCHOLOGY-SCIENCE AND PRACTICE 2018. [DOI: 10.1111/cpsp.12248] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Arielle Horenstein
- Adult Anxiety Clinic of Temple; Department of Psychology; Temple University; Philadelphia Pennsylvania
| | - Carrie M. Potter
- Department of Psychiatry of Cambridge Health Alliance; Harvard Medical School; Boston Massachusetts
| | - Richard G. Heimberg
- Adult Anxiety Clinic of Temple; Department of Psychology; Temple University; Philadelphia Pennsylvania
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Sürücü HA, Besen DB, Duman M, Yeter Erbil E. Coping with Stress among Pregnant Women with Gestational Diabetes Mellitus. J Caring Sci 2018; 7:9-15. [PMID: 29637051 PMCID: PMC5889800 DOI: 10.15171/jcs.2018.002] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2017] [Accepted: 12/08/2017] [Indexed: 12/15/2022] Open
Abstract
Introduction: The
stress of pregnancy itself, gestational diabetes mellitus (GDM) that develops
during pregnancy is also a stressor, because it can cause serious maternal and
fetal health problems. The aim of this study was to examine the relationships
between the characteristics of pregnant women with GDM and their styles of
coping with stress.
Methods: This descriptive
cross-sectional study was conducted on 126 pregnant women with GDM.
The sample consisted of patients who applied to the diabetes mellitus
training polyclinic of a training and research
and university hospital in southeastern Turkey, Data were evaluated using
descriptive statistics, Kolmogorov-Smirnov normality tests, Spearman's rho and
Pearson Correlation analysis, the Student’s t-test, Mann–Whitney U-test and
Kruskal–Wallis- test by SPSS software (version 13.0).
Results: It was determined that a planned pregnancy, a high educational level, a first pregnancy and weight gain were important factors in the women with GDM in the study who coped effectively with stress during pregnancy. Unemployment and a second or subsequent pregnancy were important factors in the women with GDM< who coped ineffectively with stress during pregnancy. In addition, it was determined that the hemoglobin HbA1c levels of the pregnant women with GDM with "optimistic" and "submissive" approaches towards coping with stress were lower.
Conclusion: It was determined that pregnant women with optimistic and submissive approaches towards coping with stress had lower HbA1c levels. It is suggested that randomized controlled studies be conducted to further determine the coping styles of patients with GDM.
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Affiliation(s)
- Hamdiye Arda Sürücü
- Department of Nursing, Ataturk School of Health, Dicle University, Diyarbakir, Turkey
| | - Dilek Büyükkaya Besen
- Department of Internal Medicine Nursing, Faculty of Nursing, Dokuz Eylul University, Izmir, Turkey
| | - Mesude Duman
- Department of Nursing, Ataturk School of Health, Dicle University, Diyarbakir, Turkey
| | - Elif Yeter Erbil
- Public Hospitals Diyarbakir, Education and Research Hospital, Diabetes Education Center, Diyarbakir, Turkey
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Arigo D, Juth V, Trief P, Wallston K, Ulbrecht J, Smyth JM. Unique relations between post-traumatic stress disorder symptoms and patient functioning in type 2 diabetes. J Health Psychol 2017; 25:652-664. [PMID: 28859527 DOI: 10.1177/1359105317727839] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023] Open
Abstract
This study examined reported post-traumatic stress disorder symptoms in adults with poorly controlled type 2 diabetes who had no history of psychiatric diagnosis or treatment (n = 184, MHbA1c = 9.13%, standard deviation = 1.68). Participants reported moderate to severe intensity of post-traumatic stress disorder symptoms (M = 19.17, SD = 17.58). Together, depressive and post-traumatic stress disorder symptoms accounted for 10-40 percent of the variance in type 2 diabetes outcomes; post-traumatic stress disorder symptoms were associated with elevated diabetes distress and more frequent exercise and self-blood glucose testing (unique R2 ~ 3%). Post-traumatic stress disorder symptoms may be overlooked in type 2 diabetes among patients without formal psychiatric diagnoses, and warrant increased attention.
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32
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The relationship of mothers' coping strategies and health behavior with oral health care for children. PEDIATRIC DENTAL JOURNAL 2017. [DOI: 10.1016/j.pdj.2017.06.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
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Rzeszutek M, Gruszczyńska E, Firląg-Burkacka E. Coping profiles and subjective well-being among people living with HIV: less intensive coping corresponds with better well-being. Qual Life Res 2017; 26:2805-2814. [PMID: 28584892 PMCID: PMC5597686 DOI: 10.1007/s11136-017-1612-7] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/01/2017] [Indexed: 01/07/2023]
Abstract
Purpose The aim of this study was to investigate the relationship between coping strategies and subjective well-being (SWB) among people living with HIV (PLWH) using the latent profile analysis (LPA) with control for socio-medical covariates. Methods The sample comprised five hundred and thirty people (N = 530) with a confirmed diagnosis of HIV+. The study was cross-sectional with SWB operationalized by satisfaction with life (Satisfaction with Life Scale) and positive and negative affect (PANAS-X). Coping with stress was measured by the Brief COPE Inventory, enriched by several items that assessed rumination and enhancement of positive emotional states. Additionally, the relevant socio-medical variables were collected. Results The one-step model of LPA revealed the following: (1) a solution with five different coping profiles suited the data best; (2) socio-medical covariates, except for education, were not related to the profiles’ membership. Further analysis with SWB as a distal outcome showed that higher intensity coping profiles have significantly worse SWB when compared with lower intensity coping profiles. However, the lowest SWB was noted for mixed intensity coping profile (high adaptive/low maladaptive). Conclusions The person-centered approach adopted in this study informs about the heterogeneity of disease-related coping among PLWH and its possible reactive character, as the highest SWB was observed among participants with the lowest intensity of coping.
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Affiliation(s)
- Marcin Rzeszutek
- Faculty of Psychology, University of Warsaw, Stawki 5/7, 00-183, Warsaw, Poland.
| | - Ewa Gruszczyńska
- Health Psychology Department, University of Social Sciences and Humanities, Chodakowska 19/31, 03-815, Warsaw, Poland
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Chew BH, Vos RC, Shariff Ghazali S, Shamsuddin NH, Fernandez A, Mukhtar F, Ismail M, Mohd Ahad A, Sundram NN, Ali SZM, Rutten GEHM. The effectiveness of a value-based EMOtion-cognition-Focused educatIonal programme to reduce diabetes-related distress in Malay adults with Type 2 diabetes (VEMOFIT): study protocol for a cluster randomised controlled trial. BMC Endocr Disord 2017; 17:22. [PMID: 28376921 PMCID: PMC5379686 DOI: 10.1186/s12902-017-0172-8] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/18/2017] [Accepted: 03/23/2017] [Indexed: 02/08/2023] Open
Abstract
BACKGROUND Type 2 diabetes mellitus (T2DM) patients experience many psychosocial problems related to their diabetes. These often lead to emotional disorders such as distress, stress, anxiety and depression, resulting in decreased self-care, quality of life and disease control. The purpose of the current study is to evaluate the effectiveness of a brief value-based emotion-focused educational programme in adults with T2DM on diabetes-related distress (DRD), depressive symptoms, illness perceptions, quality of life, diabetes self-efficacy, self-care and clinical outcomes. METHODS A cluster randomised controlled trial will be conducted in 10 public health clinics in Malaysia, all providing diabetes care according to national clinical practice guidelines. Patients' inclusion criteria: Malay, ≥ 18 years with T2DM for at least 2 years, on regular follow-up with one of three biomarkers HbA1c, systolic blood pressure and LDL-cholesterol sub-optimally controlled, and with a mean 17-item Diabetes Distress Scale (DDS-17) score ≥ 3. The intervention consists of four sessions and one booster over a period of 4 months that provide information and skills to assist patients in having proper perceptions of their T2DM including an understanding of the treatment targets, understanding and managing their emotions and goal-setting. The comparator is an attention-control group with three meetings over a similar period. With an estimated intra-cluster correlation coefficient ρ of 0.015, a cluster size of 20 and 20% non-completion, the trial will need to enroll 198 patients. PRIMARY OUTCOME the between groups difference in proportion of patients achieving a mean DDS-17 score < 3 (non-significant distress) at 6 months post-intervention. Secondary outcomes will be the differences in the above mentioned variables between groups. DISCUSSION We hypothesize that primary and secondary outcomes will improve significantly after the intervention compared to the comparator group. The results of this study can contribute to better care for T2DM patients with DRD. TRIAL REGISTRATION ClinicalTrials.gov NCT02730078 . Registered on 29 March 2016, last updated on 4 January 2017.
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Affiliation(s)
- Boon-How Chew
- Department of Family Medicine, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 Serdang, Selangor Malaysia
- Department of General Practice, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Huispost Str.6.131, P.O. Box 85500, 3508 GA Utrecht, The Netherlands
| | - Rimke C. Vos
- Department of General Practice, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Huispost Str.6.131, P.O. Box 85500, 3508 GA Utrecht, The Netherlands
| | - Sazlina Shariff Ghazali
- Department of Family Medicine, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 Serdang, Selangor Malaysia
| | - Nurainul Hana Shamsuddin
- Department of Family Medicine, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 Serdang, Selangor Malaysia
| | - Aaron Fernandez
- Department of Psychiatry, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 Serdang, Selangor Malaysia
| | - Firdaus Mukhtar
- Department of Psychiatry, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, 43400 Serdang, Selangor Malaysia
| | - Mastura Ismail
- Health Clinic Seremban 2, Jalan S2, A2, Seremban 2, 27300 Seremban, Negeri Sembilan Malaysia
| | - Azainorsuzila Mohd Ahad
- Health Clinic Port Dickson, KM 1, Jalan Seremban-Port Dickson, 71000 Port Dickson, Negeri Sembilan Malaysia
| | | | | | - Guy E. H. M. Rutten
- Department of General Practice, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Huispost Str.6.131, P.O. Box 85500, 3508 GA Utrecht, The Netherlands
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Gonzalez JS, Tanenbaum ML, Commissariat PV. Psychosocial factors in medication adherence and diabetes self-management: Implications for research and practice. ACTA ACUST UNITED AC 2017; 71:539-551. [PMID: 27690483 DOI: 10.1037/a0040388] [Citation(s) in RCA: 178] [Impact Index Per Article: 25.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Abstract
Diabetes is a chronic illness that places a significant self-management burden on affected individuals and families. Given the importance of health behaviors-such as medication adherence, diet, physical activity, blood glucose self-monitoring-in achieving optimal glycemic control in diabetes, interventions designed and delivered by psychologists hold promise in assisting children, adolescents, and adults with diabetes in improving their health status and lowering their risk of serious complications. This article first provides an overview of diabetes self-management and associated challenges and burdens. Socioeconomic status factors that may influence diabetes management and outcomes are briefly highlighted. We then review the evidence base for select psychosocial factors that may be implicated in diabetes self-management. Modifiable targets of psychological intervention are presented across 3 overarching domains: (a) knowledge, beliefs, and related cognitive constructs; (b) emotional distress and well-being; and (c) behavioral skills and coping. Important methodological issues facing future research are discussed, along with opportunities for psychologists in improving the care and treatment outcomes of individuals and families living with diabetes. In conclusion, we advocate for continued research emphasis on improving psychosocial aspects of living with diabetes, with greater attention to the situational context in which the self-regulatory processes underlying self-management occur. Psychologists have important roles to play in reducing emotional distress, improving patient knowledge, and providing training in behavioral skills to promote successful self-management and to support patient-centered diabetes care. (PsycINFO Database Record
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36
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Clari M, Matarese M, Ivziku D, De Marinis MG. Self-Care of People with Chronic Obstructive Pulmonary Disease: A Meta-Synthesis. PATIENT-PATIENT CENTERED OUTCOMES RESEARCH 2017; 10:407-427. [DOI: 10.1007/s40271-017-0218-z] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Young-Hyman D, de Groot M, Hill-Briggs F, Gonzalez JS, Hood K, Peyrot M. Psychosocial Care for People With Diabetes: A Position Statement of the American Diabetes Association. Diabetes Care 2016; 39:2126-2140. [PMID: 27879358 PMCID: PMC5127231 DOI: 10.2337/dc16-2053] [Citation(s) in RCA: 623] [Impact Index Per Article: 77.9] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Affiliation(s)
- Deborah Young-Hyman
- Office of Behavioral and Social Science Research, National Institutes of Health, Bethesda, MD
| | - Mary de Groot
- Indiana University School of Medicine, Indianapolis, IN
| | | | - Jeffrey S Gonzalez
- Yeshiva University and the Albert Einstein College of Medicine, Bronx, NY
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Donald JN, Atkins PW, Parker PD, Christie AM, Ryan RM. Daily stress and the benefits of mindfulness: Examining the daily and longitudinal relations between present-moment awareness and stress responses. JOURNAL OF RESEARCH IN PERSONALITY 2016. [DOI: 10.1016/j.jrp.2016.09.002] [Citation(s) in RCA: 49] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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39
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Chun KM, Kwan CML, Strycker LA, Chesla CA. Acculturation and bicultural efficacy effects on Chinese American immigrants' diabetes and health management. J Behav Med 2016; 39:896-907. [PMID: 27412776 PMCID: PMC5014659 DOI: 10.1007/s10865-016-9766-2] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2015] [Accepted: 07/04/2016] [Indexed: 10/21/2022]
Abstract
The primary goal of this study was to examine effects of bicultural efficacy, or perceived confidence in dealing with bicultural acculturation stressors, on type 2 diabetes management and health for first-generation, Cantonese-speaking, Chinese American immigrants (N = 162) recruited for a larger community-based diabetes intervention study (Chesla et al. in Res Nurs Health 36(4):359-372, 2013. doi: 10.1002/nur.21543 ). The current study also tested whether a new Bicultural Efficacy in Health Management (BEFF-HM) scale is a more robust predictor of diabetes and health outcomes than proxy (years in the U.S.) and general acculturation measures. Hierarchical regression analyses of cross-sectional data revealed that high BEFF-HM was significantly related to positive outcomes on five of six diabetes and health measures as hypothesized after accounting for participant characteristics, proxy and general acculturation measures, and social support. Proxy and general acculturation measures failed to predict any study outcome supporting our secondary hypothesis that BEFF-HM is a better predictor of Chinese American immigrants' diabetes and health management. An immigrant-focused research approach advances understanding of acculturation and bicultural efficacy effects on health by identifying key acculturation domains for study.
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Affiliation(s)
- Kevin M Chun
- Department of Psychology, University of San Francisco, 2130 Fulton Street, San Francisco, CA, USA.
| | - Christine M L Kwan
- Sau Po Centre on Ageing, The University of Hong Kong, Pok Fu Lam Road, Hong Kong, Hong Kong
| | | | - Catherine A Chesla
- Department of Family Health Care Nursing, University of California, San Francisco, CA, USA
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Donald JN, Atkins PWB, Parker PD, Christie AM, Guo J. Cognitive Defusion Predicts More Approach and Less Avoidance Coping With Stress, Independent of Threat and Self-Efficacy Appraisals. J Pers 2016; 85:716-729. [DOI: 10.1111/jopy.12279] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- James N. Donald
- Institute for Positive Psychology and Education, Australian Catholic University
| | - Paul W. B. Atkins
- Institute for Positive Psychology and Education, Australian Catholic University
| | - Philip D. Parker
- Institute for Positive Psychology and Education, Australian Catholic University
| | | | - Jiesi Guo
- Institute for Positive Psychology and Education, Australian Catholic University
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Ebrahimi H, Karimi Moonaghi H, Asghari Jafarabadi M, Namdar Areshtanab H, Jouybari L. Development and Preliminary Validation of Diabetes Adjustment Assessment Scale (DAAS): a New Measure of Adjustment with Type 2 Diabetes. J Caring Sci 2016; 5:145-52. [PMID: 27354978 PMCID: PMC4923838 DOI: 10.15171/jcs.2016.015] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2015] [Accepted: 10/29/2015] [Indexed: 02/04/2023] Open
Abstract
Introduction: Several adjustment scales are available for
Diabetes, but, unfortunately most of them focused on the limited dimensions of diabetes
and are not specific for type 2 diabetes. The aim of this study was to develop a
multidimensional scale for Diabetes type 2 Adjustment Assessment and to test preliminary
validity, reliability and clinical utility of the scale for this population. Methods: In this methodological design study, the Diabetes
Adjustment Assessment Scale was developed and the psychometric properties of this scale
was assessed in patients with Type 2 diabetes. This study included internal consistency,
content validity and exploratory factor analysis. Results: 1000 patients with type 2 diabetes completed the
45-item Diabetes Adjustment Scale. After eliminating two item, the 43-item measure
demonstrated good internal consistency (Cronbach’s α= 0.75). Factor analysis identified
eight factors including; reshape (11 questions), seek to acceptance of illness (7
questions), normal life with the disease (6 questions), initial self-management (2
questions), comparing (4 questions), initial imaging of illness (4 questions), return to
resources(3 questions), and advanced self- management (6 questions). Conclusion: Considering that validity and reliability
indexes of the scale are reported in an appropriate level, it can be used as a valid and
reliable tool in measuring level of adjustment with type2 diabetes.
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Affiliation(s)
- Hossein Ebrahimi
- Department of Psychiatric Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Hossein Karimi Moonaghi
- Department of Medical-Surgical Nursing, Faculty of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
| | | | - Hossein Namdar Areshtanab
- Department of Psychiatric Nursing, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran
| | - Leila Jouybari
- Department of Pediatric and Family Health Nursing, Faculty of Nursing and Midwifery, Golestan University of Medical Sciences, Gorgan, Iran
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Olvera RL, Fisher-Hoch SP, Williamson DE, Vatcheva KP, McCormick JB. Depression in Mexican Americans with diagnosed and undiagnosed diabetes. Psychol Med 2016; 46:637-646. [PMID: 26511778 PMCID: PMC5836321 DOI: 10.1017/s0033291715002160] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
BACKGROUND Depression and diabetes commonly co-occur; however, the strength of the physiological effects of diabetes as mediating factors towards depression is uncertain. METHOD We analyzed extensive clinical, epidemiological and laboratory data from n = 2081 Mexican Americans aged 35-64 years, recruited from the community as part of the Cameron County Hispanic Cohort (CCHC) divided into three groups: Diagnosed (self-reported) diabetes (DD, n = 335), Undiagnosed diabetes (UD, n = 227) and No diabetes (ND, n = 1519). UD participants denied being diagnosed with diabetes, but on testing met the 2010 American Diabetes Association and World Health Organization definitions of diabetes. Depression was measured using the Center for Epidemiological Studies - Depression (CES-D) scale. Weighted data were analyzed using dimensional and categorical outcomes using univariate and multivariate models. RESULTS The DD group had significantly higher CES-D scores than both the ND and UD (p ⩽ 0.001) groups, whereas the ND and UD groups did not significantly differ from each other. The DD subjects were more likely to meet the CES-D cut-off score for depression compared to both the ND and UD groups (p = 0.001), respectively. The UD group was also less likely to meet the cut-off score for depression than the ND group (p = 0.003). Our main findings remained significant in models that controlled for socio-demographic and clinical confounders. CONCLUSIONS Meeting clinical criteria for diabetes was not sufficient for increased depressive symptoms. Our findings suggest that the 'knowing that one is ill' is associated with depressive symptoms in diabetic subjects.
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Affiliation(s)
- Rene L. Olvera
- The University of Texas Health Science Center at San Antonio, Department of Psychiatry, Division of Genetic Epidemiology, San Antonio, TX., U.S.A
| | | | - Douglas E. Williamson
- The University of Texas Health Science Center at San Antonio, Department of Psychiatry, Division of Genetic Epidemiology, San Antonio, TX., U.S.A
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Mohn J, Graue M, Assmus J, Zoffmann V, B Thordarson H, Peyrot M, Rokne B. Self-reported diabetes self-management competence and support from healthcare providers in achieving autonomy are negatively associated with diabetes distress in adults with Type 1 diabetes. Diabet Med 2015; 32:1513-9. [PMID: 26032125 PMCID: PMC4744962 DOI: 10.1111/dme.12818] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 05/26/2015] [Indexed: 01/06/2023]
Abstract
AIM To investigate the associations of self-perceived competence in diabetes management and autonomy support from healthcare providers with diabetes distress in adults with Type 1 diabetes mellitus that is not optimally controlled [HbA(1c) ≥ 64 mmol/mol (8.0%)]. METHODS This cross-sectional study comprised blood sampling and three self-report questionnaires, the Problem Areas in Diabetes scale, the Perceived Competence in Diabetes Scale and a measure of autonomy support by healthcare providers, the Health Care Climate Questionnaire. We fitted blockwise linear regression models to assess the associations between Problem Areas in Diabetes score and the variables of interest (autonomy support and perceived diabetes competence), controlling for clinical and sociodemographic variables. RESULTS Of the study sample [n = 178; mean age 36.7 (±10.7) years], 31.5% had long-term complications and 43.2% reported elevated (≥40) Problem Areas in Diabetes scores. A significant negative association was found between autonomy support and Problem Areas in Diabetes score (B = -3.61, P = 0.001), indicating that lower autonomy support was associated with greater diabetes distress. When perceived competence was controlled, it mediated the association of autonomy support with diabetes distress, reducing it to non-significance. There was a significant negative association between perceived competence and Problem Areas in Diabetes score (B = -8.89, P < 0.001), indicating that lower perceived competence was associated with greater perceived distress. CONCLUSIONS There was an indirect (fully mediated) relationship between autonomy support and diabetes distress; autonomy support was associated with increased perceived competence, which, in turn, was associated with reduced distress. Healthcare providers' communication styles enhancing perceived competence through autonomy support may contribute to effective treatment for people with Type 1 diabetes and suboptimum glycaemic control.
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MESH Headings
- Adult
- Blood Glucose Self-Monitoring
- Combined Modality Therapy
- Cross-Sectional Studies
- Diabetes Complications/prevention & control
- Diabetes Mellitus, Type 1/blood
- Diabetes Mellitus, Type 1/complications
- Diabetes Mellitus, Type 1/psychology
- Diabetes Mellitus, Type 1/therapy
- Female
- Glycated Hemoglobin/analysis
- Health Knowledge, Attitudes, Practice
- Hospitals, University
- Humans
- Hyperglycemia/prevention & control
- Male
- Middle Aged
- Norway
- Outpatient Clinics, Hospital
- Patient Compliance
- Patient Education as Topic
- Personal Autonomy
- Self Care
- Self Report
- Stress, Psychological/complications
- Stress, Psychological/prevention & control
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Affiliation(s)
- J Mohn
- Department of Medicine, Section of Endocrinology, Haukeland University Hospital, Norway
- Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway
- Bergen University College, Centre for Evidence-Based Practice, Norway
| | - M Graue
- Bergen University College, Centre for Evidence-Based Practice, Norway
- Department of Pediatrics, Haukeland University Hospital, Bergen, Norway
| | - J Assmus
- Haukeland University Hospital, Centre for Clinical Research, Bergen, Norway
| | - V Zoffmann
- Research Unit Women's and Children's Health, Copenhagen University Hospital, Rigshospitalet and the Institute of Clinical Medicine, Copenhagen University, Copenhagen, Denmark
| | - H B Thordarson
- Department of Medicine, Section of Endocrinology, Haukeland University Hospital, Norway
| | - M Peyrot
- Department of Sociology, Loyola University Maryland, Baltimore, MD, USA
| | - B Rokne
- Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway
- Department for Research and Development, Haukeland University Hospital, Bergen, Norway
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44
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Mendenhall E. Beyond Comorbidity: A Critical Perspective of Syndemic Depression and Diabetes in Cross-cultural Contexts. Med Anthropol Q 2015; 30:462-478. [PMID: 25865829 DOI: 10.1111/maq.12215] [Citation(s) in RCA: 58] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022]
Abstract
This article examines the comorbidity concept in medical anthropology. I argue that the dearth of articles on comorbidity in medical anthropology may result from the rise of syndemic theory. Syndemics recognize how social realities shape individual illness experiences as well as distribution of diseases across populations. I discuss synergistic interactions foundational to the syndemics construct through my research of depression and diabetes comorbidity in vulnerable populations from urban United States, India, and South Africa. I argue that social and economic factors that cluster with depression and diabetes alone and together exemplify the biosocial processes that are at the heart of syndemics. In doing so, I illustrate how social, cultural, and economic factors shape individual-level experiences of co-occurring diseases despite similar population-level trends. Finally, I discuss the relevance of syndemics for the fields of medicine and public health while cautioning what must not be lost in translation across disciplines.
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Affiliation(s)
- Emily Mendenhall
- Science, Technology, and International Affairs Program, Edmund A. Walsh School of Foreign Service, Georgetown University
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45
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Smith C, Brinkmann A, Schneiderman JU. Latino Caregiver Psychosocial Factors and Health Care Services for Children Involved in the Child Welfare System. CHILDREN AND YOUTH SERVICES REVIEW 2015; 52:97-102. [PMID: 25844001 PMCID: PMC4379508 DOI: 10.1016/j.childyouth.2015.03.011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
Children in the child welfare system have a high prevalence of health problems, making pediatric health service use critical. Latino children represent a growing proportion of the child welfare system, and are at increased risk for health problems. Many have argued that Latino caregivers can provide Latino children with the least disruptive out-of-home placement, but little is known about how caregiver factors might relate to health services utilization or child health status within this population. This study assessed relationships between caregiver psychosocial factors, health care service utilization, and health status for children in the child welfare system. This sample featured 48 Latino caregivers involved in child welfare. Logistic regression models were used to test for relationships between caregiver psychosocial factors and appointment adherence and child health status. Problem-focused coping was positively related to well-child status. No psychosocial factors were related to medical appointment adherence. Case workers may help improve child health outcomes by promoting problem-focused coping skills among Latino caregivers.
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Affiliation(s)
- Caitlin Smith
- Department of Psychology, University of Southern California, 3620 South McClintock Ave./SGM 501, Los Angeles, CA 90089
| | - Andrea Brinkmann
- School of Social Work, University of Southern California, 669 West 34th Street, Los Angeles, CA 90089
| | - Janet U. Schneiderman
- School of Social Work, University of Southern California, 669 West 34th Street, Los Angeles, CA 90089
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Borg S, Palaszewski B, Gerdtham UG, Fredrik O, Roos P, Gudbjörnsdottir S. Patient-reported outcome measures and risk factors in a quality registry: a basis for more patient-centered diabetes care in Sweden. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2014; 11:12223-46. [PMID: 25431875 PMCID: PMC4276611 DOI: 10.3390/ijerph111212223] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/13/2014] [Revised: 10/23/2014] [Accepted: 11/12/2014] [Indexed: 12/22/2022]
Abstract
Diabetes is one of the chronic diseases that constitute the greatest disease burden in the world. The Swedish National Diabetes Register is an essential part of the diabetes care system. Currently it mainly records clinical outcomes, but here we describe how it has started to collect patient-reported outcome measures, complementing the standard registry data on clinical outcomes as a basis for evaluating diabetes care. Our aims were to develop a questionnaire to measure patient abilities and judgments of their experience of diabetes care, to describe a Swedish diabetes patient sample in terms of their abilities, judgments, and risk factors, and to characterize groups of patients with a need for improvement. Patient abilities and judgments were estimated using item response theory. Analyzing them together with standard risk factors for diabetes comorbidities showed that the different types of data describe different aspects of a patient's situation. These aspects occasionally overlap, but not in any particularly useful way. They both provide important information to decision makers, and neither is necessarily more relevant than the other. Both should therefore be considered, to achieve a more complete evaluation of diabetes care and to promote person-centered care.
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Affiliation(s)
- Sixten Borg
- Health Economics Unit, Department of Clinical Sciences in Malmö, Lund University, SE-223 81 Lund, Sweden.
| | - Bo Palaszewski
- The National Diabetes Register, SE-413 45 Gothenburg, Sweden.
| | - Ulf-G Gerdtham
- Health Economics Unit, Department of Clinical Sciences in Malmö, Lund University, SE-223 81 Lund, Sweden.
| | - Odegaard Fredrik
- Ivey Business School, Western University, 1255 Western Road, London ON N6G ON1, Canada.
| | - Pontus Roos
- Health Economics Unit, Department of Clinical Sciences in Malmö, Lund University, SE-223 81 Lund, Sweden.
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Maricutoiu LP, Crasovan DI. Coping and defence mechanisms: What are we assessing? INTERNATIONAL JOURNAL OF PSYCHOLOGY 2014; 51:83-92. [PMID: 25418688 DOI: 10.1002/ijop.12113] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2014] [Revised: 10/17/2014] [Accepted: 10/24/2014] [Indexed: 11/10/2022]
Abstract
The present research study addresses the disparity between theoretical considerations and empirical evidence regarding the relationships between coping strategies and defence mechanisms. Self-reported measures of coping and defences were administered to a Romanian adult sample (N = 542; 74.53% female, mean age = 31.28). Using structural equation modelling, models that assumed independence between coping and defences were compared with models that assumed the existence of relationships between the two concepts. Findings identified strong relationships between coping and defences, indicating large common variance between the two concepts. Furthermore, results suggested that coping and defences can be classified into two independent types of adaptation processes. Results of this research study suggested that coping and defences are facets of common adaptation processes.
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Affiliation(s)
| | - Danut I Crasovan
- Post-Graduate Research Center COMMSCIE, West University of Timisoara, Romania
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Pereira MG, Machado JC, Sousa MR, Pedras S. A study of a couple with type 2 diabetes: dyadic adjustment and psychological morbidity. Rev Assoc Med Bras (1992) 2014; 60:318-26. [PMID: 25211415 DOI: 10.1590/1806-9282.60.04.010] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2013] [Accepted: 01/30/2014] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE this study assessed dyadic adjustment and psychological morbidity in type 2 diabetic patients and their partners, focusing on the role of gender. METHODS 214 diabetic patients and their partners participated in the cross-sectional study and were assessed on psychological morbidity (HADS) and marital adjustment (RDAS). Data was analyzed using dyadic analysis, a statistical process that studies the patient/partner dyads simultaneously. RESULTS results revealed that the negative relationship between dyadic adjustment and psychological morbidity in female patients was stronger than in male diabetic patients or in partners of male diabetic patients. On the other hand, the relationship between dyadic adjustment and psychological morbidity in partners of diabetic men was stronger than the same relationship in partners of diabetic women. CONCLUSION since gender is a moderator, it is important to attend to the different needs of female and male patients and the education of diabetic patients should be centered on the patient/partner dyad.
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Affiliation(s)
| | - José C Machado
- Institute of Social Sciences, School of Psychology, University of Minho, Braga, Portugal
| | | | - Susana Pedras
- School of Psychology, University of Minho, Braga, Portugal
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Psychological Responses of Division I Female Athletes Throughout Injury Recovery: A Case Study Approach. JOURNAL OF CLINICAL SPORT PSYCHOLOGY 2014. [DOI: 10.1123/jcsp.2014-0034] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Using the Integrated Model of Response to Sport Injury as a theoretical framework, athletes’ psychological strengths and emotional responses were explored throughout the injury process using a case study approach. Four Division I athletes completed measures of mental toughness, hardiness, and optimism before their season (time 1), once they became injured (time 2), midway through rehabilitation (time 3), and when they were cleared to participate (time 4). Coping behavior, psychological response, and rehabilitation adherence were recorded at time 2–time 4, while recovering. In addition, interviews were conducted after time 4. Mental toughness, hardiness, and optimism varied over time and across cases, with broad individual differences in response to injury. Athletes experienced a loss of athletic identity combined with feelings of guilt and helplessness over the initial stages of injury, but positive experiences were also found. All cases also reported playing through injury. Understanding the psychological strengths and responses of athletes can help professionals work with injured athletes.
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50
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Rivera-Hernandez M. Depression, self-esteem, diabetes care and self-care behaviors among middle-aged and older Mexicans. Diabetes Res Clin Pract 2014; 105:70-8. [PMID: 24846446 PMCID: PMC4762225 DOI: 10.1016/j.diabres.2014.04.017] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/09/2013] [Revised: 03/14/2014] [Accepted: 04/20/2014] [Indexed: 10/25/2022]
Abstract
AIMS Examine the associations of depression and self-esteem on self-care activities and care received among Mexicans with diabetes. METHODS Using data from the Mexican Nutrition and Health Survey 2012, logistic regression models were fit to test the associations between each self-care activity and diabetes care, and self-esteem and depression. RESULTS People with low self-esteem were less likely to follow a diet, but no other associations were found. Contrary to what was expected, there were no relationships between depression and quality of care received or self-care behaviors. CONCLUSION Current findings support the importance of looking at mental health and emotional state among older adults with diabetes. Future studies should explore the relationship between different psychological barriers to proper diabetes management.
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Affiliation(s)
- Maricruz Rivera-Hernandez
- Bio Med Gerontology Health, Brown University, Center for Gerontology and Healthcare Research, Box G-S121-6, Providence, RI 02912-G, United States.
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