Psychological distress, self-efficacy and glycemic control in type 2 diabetes

2017 ◽  
Vol 27 (4) ◽  
pp. 300-306 ◽  
Author(s):  
L. Indelicato ◽  
M. Dauriz ◽  
L. Santi ◽  
F. Bonora ◽  
C. Negri ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Psychological Distress ◽  
Glycemic Control ◽  
Self Efficacy

scholarly journals Type D personality and its impact on patients with Type 2 diabetes mellitus

2020 ◽  
Author(s):  
Yi-Hsin Lin ◽  
Di-An Chen ◽  
Chemin Lin ◽  
Hsuan Huang
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Psychological Distress ◽  
Glycemic Control ◽  
Perceived Stress ◽  
Self Efficacy ◽  
Self Care ◽  
Type D

Abstract Background: Type D personality (TDP) has been recognized as a risk factor for many diseases. Researches in association with TDP and type 2 diabetes mellitus (T2DM) were limited. Aims: The aim of this study was to estimate the prevalence of TDP, also to assess the relationship between TDP and perceived stress, self-efficacy, self-care behaviors, and psychological distress on Taiwanese patients with T2DM.Methods: 198 patients with T2DM were recruited consecutively from the department of endocrinology of a regional hospital in Taipei, Taiwan from December 2017 to April 2018. The participants completed questionnaires containing questions about sociodemographic characteristics, TDP, illness-related stress, self-efficacy, execution of diabetes management and emotional distress. Their medical records were reviewed for biomedical data.Results: 41.4% of the 198 patients had TDP. Controlling for sociodemographic factors, patients with TDP were reported significantly poorer on glycemic control than those without this personality (P<0.05). Compared to those without TDP, the results showed significantly higher levels of perceived stress (P<0.001) and psychological distress (anxiety and depression) (P<0.001), as well as significantly lower levels of self-efficacy (P<0.001) and self-care behaviors (P<0.001) on patients with TDP. TDP is positively correlated with perceived stress and psychological distress. It is negatively correlated with self-efficacy and self-care behavior scores.Discussion: This study provides the evidence linking TDP with poor glycemic control, self-efficacy, and self-care behaviors, as well as high perceived stress and psychological distress, which highlights the screening of TDP and the specific needs for the care among T2DM patients with TDP.

scholarly journals Do interactions between patients’ psychological distress and adherence to dietary recommendation predict glycemic control among persons with type 2 diabetes in Ghana?

2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Be‐Ikuu Dominic Doglikuu ◽  
Abubakari Abdulai ◽  
Mehdi Yaseri ◽  
Elham Shakibazadeh ◽  
Abolghassem Djazayery ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Psychological Distress ◽  
Glycemic Control ◽  
Dietary Recommendation

scholarly journals The Effect of Social Support on Glycemic Control in Patients with Type 2 Diabetes Mellitus: The Mediating Roles of Self-Efficacy and Adherence

2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Yechang Shao ◽  
Lu Liang ◽  
Linjing Shi ◽  
Chengsong Wan ◽  
Shouyi Yu
Keyword(s):  
Diabetes Mellitus ◽  
Social Support ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Glycemic Control ◽  
Self Efficacy ◽  
Goodness Of Fit ◽  
Equation Modeling ◽  
Ample Evidence

Ample evidence suggests that social support, self-efficacy, and adherence significantly, independently, and together affect glycemic control in patients with type 2 diabetes mellitus (T2DM), but the pathway from social support to glycemic control remains unclear. This study hypothesized that the effect of social support on glycemic control was mediated sequentially by self-efficacy and adherence. Patients with T2DM were recruited from two hospitals in Guangzhou, China, from January 1 to July 31, 2014, and their sociodemographic clinical data and their assessments on social support, self-efficacy, and adherence were obtained from medical records and self-completed questionnaires. Of the 532 patients who participated, 35% achieved glycemic control (i.e., HbA1c < 7%). Social support, self-efficacy, and adherence had significant correlations with each other and with glycemic control (P<0.05). Regression analyses and structural equation modeling showed that better social support was associated to better patient self-efficacy, which, in turn, was associated with better medical adherence, which was associated with improved glycemic control, and the relationship between social support and glycemic control was sequentially and completely mediated by self-efficacy and adherence. The five goodness-of-fit indices confirmed that our data fitted the hypothesized pathway model strongly.

scholarly journals Diabetes Distress, Depressive Symptoms and Type 2 Diabetes Management and Glycemic Control: the Mediating Role of Self-efficacy

2020 ◽  
Author(s):  
Yuexia Gao ◽  
Yarong Han ◽  
Xin Zou ◽  
Judy Xu ◽  
Dean Getrude Mawen ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Depressive Symptoms ◽  
Glycemic Control ◽  
Self Efficacy ◽  
Diabetes Management ◽  
Diabetes Distress ◽  
Hierarchical Regression ◽  
Psychological Variables ◽  
Diabetes Outcomes

Abstract Background: Diabetes distress has been distinguished from depressive symptoms in the linkages to type 2 diabetes management and glycemic control. There are few evidences in rural China untangled the underlying pathways among them. The aim of our study was to examine whether self-efficacy reduced the detrimental effects of psychological variables on diabetes outcomes such as self-care behaviors, glycemic control and health-related quality of life (HRQoL).Methods: 1574 adults diagnosed with type 2 diabetes from 31 rural clinics in China were assessed for psychological variables, self-management and HRQoL. Hemoglobin A1c (HbA1c) data at 6 months after the survey were extracted from electronic medical records. Hierarchical regression model examined independent effects of psychological variables, self-efficacy on diabetes outcomes. KHB method and bootstrapping confidence intervals were employed to test the mediating effect of self-efficacy.Results: Hierarchical regression analysis showed both diabetes distress and depressive symptoms were significantly related to diet and HRQoL, but not related to glycemic control and medication adherence. Depressive symptoms, but not diabetes distress, was directly associated with physical activity. Mediation analysis demonstrated self-efficacy mediated the relationships of both diabetes distress and depressive symptoms on self-care behaviors, glycemic control and HRQoL.Conclusions: Self-efficacy may contribute to better diabetes outcome by ameliorating the effects of diabetes distress and depressive symptoms. Patients with psychological conditions may need tailored intervention that enhance self-efficacy to improve diabetes management.

scholarly journals The Effects of an Educational Self-Efficacy Intervention on Osteoporosis Prevention and Diabetes Self-Management Among Adults With Type 2 Diabetes Mellitus

2014 ◽  
Vol 16 (4) ◽  
pp. 357-367 ◽  
Author(s):  
Mei Ha ◽  
Jie Hu ◽  
Marcia A. Petrini ◽  
Thomas P. McCoy
Keyword(s):  
Type 2 Diabetes ◽  
Glycemic Control ◽  
Calcium Intake ◽  
Self Efficacy ◽  
Dietary Calcium ◽  
Dietary Calcium Intake ◽  
Control Group ◽  
Chinese Adults

Background: Prevalence of osteoporosis (OP) is high among Chinese adults with diabetes. Assessment of OP and fracture risk as well as patient education should be included as part of the management of diabetes. Purpose: The purpose of this pilot study was to test the effectiveness of an educational self-efficacy intervention on knowledge about OP, dietary calcium intake, the importance of physical activity (PA), and glycemic control among Chinese adults with type 2 diabetes residing in Wuhan, China. Method: A quasi-experimental design with repeated measures was employed. Participants were assigned to either the intervention ( n = 23) or the control group ( n = 23). Intervention participants attended 6 weekly 1-hr educational sessions comprising presentations, demonstration, and discussions. Control participants received standard care. Data were collected via questionnaires at pre- and postintervention and at 3-month follow-up, and blood was drawn at preintervention and 3-month follow-up. Results: Participants in the intervention group had significant improvement in OP knowledge, F(2, 43) = 11.504, p < .001; OP self-efficacy, F(2, 43) = 6.915, p = .003; dietary calcium intake, F(2, 43) = 7.856, p = .002; level of PA, F(2, 43) = 4.787, p = .011; diabetes self-care activities, F(2, 43) = 14.009, p < .001; diabetes self-efficacy, F(2, 43) = 19.722, p < .001; and glycemic control (A1C level; t = 2.809, p = .010) compared to the control group at the 3-month follow-up. Conclusion: The results demonstrate the effectiveness of OP prevention education based on self-efficacy theory among Chinese adults with type 2 diabetes.

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