Self-efficacy and its interrelation with family environment and metabolic control in Turkish adolescents with type 1 diabetes

Pınar, Rukiye; Arslanoğlu, İlknur; İşgüven, Pınar; Cizmeci, Filiz; Günöz, Hülya

doi:10.1111/j.1399-543x.2003.00028.x

Cited by 18 publications

(16 citation statements)

References 37 publications

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“…In the present study a substantial number of patients (43–60%) stated that insulin therapy would cause family and friends to be more concerned about them, whereas Polonsky et al. [6] did not report this response, possibly related to differences in culture [15,16].…”

Section: Discussioncontrasting

confidence: 59%

Symptoms of depression and diabetes‐specific emotional distress are associated with a negative appraisal of insulin therapy in insulin‐naïve patients with Type 2 diabetes mellitus. A study from the European Depression in Diabetes [EDID] Research Consortium

Makine¹,

Karşıdağ²,

Kadıoğlu³

et al. 2009

Diabetic Medicine

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Aims A meta-analysis concluded that depression is associated with poor glycaemic control in Type 2 diabetes (DM2). In DM2 patients with deteriorating glycaemic control, the initiation of insulin therapy is often postponed. The aim of the present study was to determine whether symptoms of depression and diabetes-specific emotional distress are associated with a more negative appraisal of insulin therapy. MethodsWe collected cross-sectional data in two outpatient university clinics in Istanbul, Turkey. The study sample consisted of 154 insulin-naïve patients with DM2. A self-report questionnaire was used to obtain demographic and clinical data. Main instruments were the Centre for Epidemiologic Studies Depression Scale, (CES-D), the Problem Areas In Diabetes scale (PAID) and the Insulin Treatment Appraisal Scale (ITAS).Results Analysis of variance revealed that patients with a higher depression score rated insulin therapy significantly more negative then patients with lower depression scores. Moreover, 47% of patients with a high depression score had a negative appraisal of insulin therapy on 7 or more of the 20 ITAS-items, compared to 25 to 29% of those with lowmoderate depression scores. Multiple regression analyses showed that a negative appraisal of insulin therapy was significantly associated with higher depression and diabetes-distress scores and low education, but not with sex, age or duration of diabetes.Conclusions Our results suggest that in insulin-naïve Type 2 diabetes patients, higher levels of depression and diabetesdistress tend to be associated with more negative beliefs about insulin. Whether these negative attitudes translate into postponing initiation of insulin therapy needs to be tested in longitudinal research.Diabet. Med. 26, 28-33 (2009)

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Section: Discussioncontrasting

confidence: 59%

Symptoms of depression and diabetes‐specific emotional distress are associated with a negative appraisal of insulin therapy in insulin‐naïve patients with Type 2 diabetes mellitus. A study from the European Depression in Diabetes [EDID] Research Consortium

Makine¹,

Karşıdağ²,

Kadıoğlu³

et al. 2009

Diabetic Medicine

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“…[50] The study by Pinar on diabetic patients showed that factors like intimacy among family members, existence or lack of existence of conflict in the family, and current affective status of the family can affect the self-efficiency of patients and can lead to increase of self-efficiency and decrease of stress in the family. [51]…”

Section: Resultsmentioning

confidence: 99%

Importance of social support in diabetes care

Rad

Bakht

Feizi

et al. 2013

J Edu Health Promot

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Background and Objectives:Diabetes is one of the major concerns in the third millennium, affecting more people every day. The prevalence of this disease in Iran is reported to be high (about 7.7%). The most important method to control this disease and prevent its complications is self-care. According to various studies, this method has not found its proper place among patients with diabetes due to several reasons. The present study was aimed at determining the relationship between social support, especially family support, and self-care behavior of diabetes patients.Materials and Methods:This study was a narrative review in which the relevant papers of cross-sectional, cohort, clinical trial, and systematic review designs were selected using databases and scientific search engines such as PubMed, ProQuest, SCOPUS, and Elsevier, with the keywords diabetes, social support, and self-care. Moreover, Persian papers were selected from MEDLAB and IRANMEDEX databases and through searching the websites of original research papers published in Iran. All the papers published from 1990 to 2011 were reviewed.Results:The results of the study indicated that the status of self-care and social support in patients with diabetes was not favorable. All the studied papers showed that there was a positive relationship between social support and self-care behavior. Also, some studies pointed to the positive effect of social support, especially family support and more specifically support from the spouse, on controlling blood sugar level and HbA1c.Conclusion:As social support can predict the health promoting behavior, this concept is also capable of predicting self-care behavior of patients with diabetes. Therefore, getting the family members, especially the spouse, involved in self-care behavior can be of significant importance in providing health care to patients with diabetes.

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“…Sex is another important demographic variable that should be considered in future studies. It is unclear whether there are sex differences in self‐care or glycemic control (Helgeson, Lopez et al., 2009; Pereira, Berg‐Cross, Almeida, & Machado, 2008; Pinar, Arslanoglu, Isgüven, Cizmeci, & Gunoz, 2003). However, it is clear that sex may moderate some of the relations between psychosocial factors and diabetes outcomes.…”

Section: Conclusion and Directions For Future Researchmentioning

confidence: 99%

Implications of Psychosocial Factors for Diabetes Outcomes among Children with Type 1 Diabetes: A Review

Helgeson¹,

Palladino²

2012

Social & Personality Psych

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We adopt a risk and resistance framework to review the literature on the psychosocial factors that influence diabetes outcomes—specifically self‐care behavior (blood glucose monitoring, diet, exercise, insulin administration) and glycemic control. We examine both personal and social/environmental risk and resistance factors. We conclude by suggesting conceptual and methodological directions for future research. Conceptually, we suggest that researchers examine the synergy among variables that cut across domains, mechanisms linking psychosocial factors to diabetes outcomes, and the impact of goals on health. Methodologically, we suggest that researchers examine age, gender, and race as moderator variables; utilize momentary data collection technology; and employ more sophisticated longitudinal analyses.

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Self-efficacy and its interrelation with family environment and metabolic control in Turkish adolescents with type 1 diabetes

Abstract: In the present study, there was no relationship between self-efficacy, family environment, and metabolic control in the total sample, but in girls, self-efficacy and family cohesion was positively correlated.

Cited by 18 publications

References 37 publications

Symptoms of depression and diabetes‐specific emotional distress are associated with a negative appraisal of insulin therapy in insulin‐naïve patients with Type 2 diabetes mellitus. A study from the European Depression in Diabetes [EDID] Research Consortium

Symptoms of depression and diabetes‐specific emotional distress are associated with a negative appraisal of insulin therapy in insulin‐naïve patients with Type 2 diabetes mellitus. A study from the European Depression in Diabetes [EDID] Research Consortium

Importance of social support in diabetes care

Implications of Psychosocial Factors for Diabetes Outcomes among Children with Type 1 Diabetes: A Review

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