Psychological moderator variables and metabolic control in recent onset type 1 diabetic patients—a two year longitudinal study

Spiess, Klaus; Sachs, Gabriele; Moser, Gabriele; Pietschmann, Péter; Schernthaner, Guntram; Prager, R.

doi:10.1016/0022-3999(94)90120-1

Cited by 35 publications

(34 citation statements)

References 36 publications

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“…1. Tables 1 and 2, and the Electronic supplementary material (ESM Table 1), detail the papers that were included in (n=14) [27][28][29][30][31][32][33][34][35][36][37][38][39][40] and excluded from (n=11) the review. There were 16 relationships between psychosocial measures and disease-related factors in populations with diabetes and six relationships between psychosocial measures and diseaserelated factors in populations without diabetes at baseline.…”

Section: Resultsmentioning

confidence: 99%

An association of adverse psychosocial factors with diabetes mellitus: a meta-analytic review of longitudinal cohort studies

2008

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Aims/hypothesis There has been substantial interest in the association between psychosocial stress and risk of diabetes mellitus, but no data on the systematic quantification of the causal relationship have been published. This analysis aims to evaluate the association between adverse psychosocial factors and diabetes mellitus. Methods We performed a search of Medline, PsycINFO, Web of Science and PubMed up to July 2008. The studies included were prospective cohort studies investigating the association between adverse psychosocial factors and risk of diabetes mellitus. Results There were 22 relationships between psychosocial factors and disease-related factors (in 14 papers), of which 16 evaluated the associations of adverse psychosocial factors with diabetes control in diabetic populations and six evaluated the associations of adverse psychosocial factors with the incidence of diabetes in populations without any diagnosed diabetes. The overall meta-analysis demonstrated that adverse psychosocial factors were significantly associated with poor diabetes control (combined correlation coefficient, r=0.096, p=0.006), whereas adverse psychosocial factors were not associated with incident diabetes mellitus. More notably, sensitivity analyses showed that low social support was more robustly associated with poor diabetes control than stressful events per se or stress-prone personality or coping style, and that adverse psychosocial factors were associated with poor control of type 1 and type 2 diabetes. Conclusions/interpretation The current review revealed a detrimental association of psychosocial factors with the prognosis of both type 1 and type 2 diabetes. However, any aetiological effect of adverse psychosocial factors remains elusive as a result of the small number of individuals enrolled in the cohorts studied.

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Section: Resultsmentioning

confidence: 99%

An association of adverse psychosocial factors with diabetes mellitus: a meta-analytic review of longitudinal cohort studies

2008

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“…Several studies supported that improved metabolic control, more favorable adjustment, and better emotional status in persons with diabetes have been associated with problem-focused and cognitive coping strategies (Gafvels & Wandell, 2005;Lundman & Norberg, 1993;Maes, Leventhal, & De Ridder, 1996;Penckofer, Jalowiec, Fink, & Hutson-Danekas, 1991;Rose, Fliege, Hildebrandt, Schirop, & Klapp, 2002;Spiess et al, 1994). Inversely, poor adjustment and adherence, low self-esteem, negative affect, loneliness, and lower quality of life were generally associated with avoidance and emotion-focused coping strategies (Bombadier, D'Amico, & Jordan, 1990;Perry, 1990;Peyrot et al, 1999;Sherbourne, Hays, Ordway, & DiMatteo, 1992;Weijman et al, 2005;White et al, 1992).…”

Section: Emotional Distressmentioning

confidence: 99%

Illness representations, emotional distress, coping strategies, and coping efficacy as predictors of patient outcomes in type 2 diabetes

Hart¹,

Grindel²

2010

J of Nursing and Healthcare

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hart pl & grindel cg (2010) Journal of Nursing and Healthcare of Chronic Illness2, 225–240 Illness representations, emotional distress, coping strategies, and coping efficacy as predictors of patient outcomes in type 2 diabetes Aim. To examine the relationship between illness representations, emotional distress, coping strategies, and coping efficacy as predictors of self‐care behaviour and A1c levels in individuals with type 2 diabetes. Background. Diabetes mellitus affects 23·6 million Americans and is the seventh leading cause of death in the United States. Reduction in complications can be best achieved by individuals’ adhering to appropriate lifestyle changes and maintaining tight glycemic control. Understanding the degree of influence that psychosocial factors have on individuals’ decisions to perform self‐regulation activities will give insight on strategies to encourage better decision‐making to prevent acute and chronic complications. Methods. A descriptive, correlational design examined the psychosocial factors to determine the predictive relationships with self‐care behaviour and A1c levels. Participants were 119 men and women recruited from physician offices, medical clinics, and diabetes education centers. The research was conducted from March–December 2007. Results. Participants perceived their diabetes to be a chronic, moderately cyclical condition with negative consequences and with moderate amounts of symptomatology that greatly influenced their emotional status. Hierarchical multiple linear regression analyses revealed that a) coping efficacy uniquely accounted for 9% of the variance in self‐care behaviour and b) illness representations, particularly timeline‐cyclical, uniquely accounted for 12% of the variance in A1c levels. Conclusions. The findings confirm how illness representations, emotional distress, coping strategies, and coping efficacy influence self‐care behaviour and health outcomes. Psychosocial factors can influence lifestyle behaviour changes and outcomes of individuals with diabetes mellitus. Relevance to clinical practice. Findings from the study have implications for nurses in the areas of assessment, diabetes management, coping skills training, and cognitive behavioural therapy. Nurses should incorporate these strategies into their daily practice to help individuals identify successful coping strategies, enhance coping efficacy, and change misconceptions about diabetes mellitus to improve self‐care behaviour and health outcomes.

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“…, considerada padrão-ouro para o diagnóstico psiquiátrico (3,(26)(27)(28), apresentou resultados discrepantes (6,1 a 36,6%), com um dos autores encontrando uma prevalência igual a zero (29). Um grande intervalo nas taxas de prevalência (8,5 a 60%) também foi identificado na revisão sistemática publicada por Gavard e cols.…”

Section: 0%) Até Mesmo O Uso Da Structured Clinical Interview Forunclassified

“…Muito embora alguns autores tenham conseguido confirmar tal achado (12,15,20,35,36), a maioria falhou ao tentar encontrar uma relação entre a presença de sintomatologia depressiva e a hemoglobina glicosilada (HbA 1c ) (11,13,14,23,28,29,32,33,(37)(38)(39)(40)(41). Em 2000, Lustman e cols.…”

Section: Impacto Da Depressão No Diabetesunclassified

Diabetes mellitus e depressão: uma revisão sistemática

Moreira¹,

Papelbaum²,

Appolinário³

et al. 2003

Arq Bras Endocrinol Metab

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A presença de depressão no paciente com diabetes mellitus (DM) parece relacionar-se a alterações no curso clínico da doença. O objetivo deste trabalho é realizar uma revisão sistemática sobre a associação entre o DM e depressão. Foi realizada uma pesquisa bibliográfica utilizando as bases de dados MEDLINE e LILACS para identificar artigos relevantes, publicados entre 1990 e 2001, que avaliassem esta associação. Foram analisadas informações referentes à prevalência, ao impacto e ao tratamento da depressão no DM. A prevalência de depressão no DM variou de 0 a 60,5%. Sintomas depressivos relacionaram-se a um pior controle glicêmico, a um aumento e a uma maior gravidade das complicações clínicas, a uma piora da qualidade de vida e ao comprometimento de aspectos sociais, econômicos e educacionais ligados ao DM. O tratamento da depressão está relacionado à melhora dos níveis glicêmicos, podendo contribuir para um melhor controle de diversos aspectos relacionados ao DM. The presence of depression in a patient with diabetes mellitus (DM) seems to be related to changes in the clinical course of the disease. The purpose of this study is to perform a systematic review on the association of DM and depression. A bibliographic search was performed using the MEDLINE and LILACS databases to identify relevant articles, published from 1990 to 2001, which evaluate this relationship. Information concerning prevalence, impact and treatment of depression in DM were analyzed. The prevalence of depression varied from 0 to 60.5%. The presence of depressive symptoms were associated with a poor glycemic control, an increase in the number and severity of clinical complications, a worse quality of life and impairment of social, educational and economic aspects related to DM. The treatment of depression is associated with an improvement in glycemic levels, which may contribute to a better control of several aspects related to DM. (Arq Bras Endocrinol Metab 2003;47/1:19-29)

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Psychological moderator variables and metabolic control in recent onset type 1 diabetic patients—a two year longitudinal study

Cited by 35 publications

References 36 publications

An association of adverse psychosocial factors with diabetes mellitus: a meta-analytic review of longitudinal cohort studies

An association of adverse psychosocial factors with diabetes mellitus: a meta-analytic review of longitudinal cohort studies

Illness representations, emotional distress, coping strategies, and coping efficacy as predictors of patient outcomes in type 2 diabetes

Diabetes mellitus e depressão: uma revisão sistemática

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