This initial report suggests that learning to be kinder to oneself (rather than being harshly self-critical) may have both emotional and metabolic benefits among patients with diabetes.
According to social capital theory, small cooperatives with simple business operations have more social capital in their membership than large, complex cooperatives. The geographical and social proximity among members, and between members and leadership, fosters social capital. This proposition is investigated empirically using data from member surveys in three Swedish farm supply and grain marketing cooperatives that vary greatly in size, from about 36,000 to 1600 and 150 members. The findings strongly support the view that the smaller the cooperative, the higher the social capital, expressed in terms of members' involvement, trust, satisfaction, and loyalty. [EconLit citations: A130; P130; Q130]
In addition to further demonstrating the link between distress and metabolic outcomes, these findings suggest that self-compassion might buffer patients from the negative metabolic consequences of diabetes-distress.
Depression and severe psychological distress are frequently comorbid with diabetes and are associated with reduced adherence to medication and healthy lifestyle regimens, poorer glycemic control, and increased complications. The mixed success of existing treatments for depression in diabetes patients suggests a need for supplementary approaches to this common problem. This article reviews recent evidence for the benefits of self-compassion in chronically ill patients, suggesting its utility as a clinical tool for improving self-care, depression, and glycemic control in diabetes. Possible physical and psychological pathways by which self-compassion may promote better outcomes in diabetes patients are considered, with particular attention given to reductions in negative self-judgment and improved motivation to undertake self-care.
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