Spousal overprotection is indirectly associated with poorer dietary adherence for patients with type 2 diabetes via diabetes distress when active engagement is low

Johnson, Matthew D.; Anderson, Jared R.; Walker, Ann F.; Wilcox, Alison; Lewis, Virginia L.; Robbins, David C.

doi:10.1111/bjhp.12105

Cited by 20 publications

(21 citation statements)

References 41 publications

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“…Very few studies examining dyadic processes in relation to glycemic control incorporate diabetic patient factors (Fisher, ; Lister et al., ). Instead, focus has largely been on the role of the spouse and their impact on the patient's self‐management behaviors (e.g., Henry et al., ; Johnson et al., ; Schokker et al., ). From a family systems perspective, it is important to understand that the role of the spouse is not independent of the patient, but rather the two are a part of a dynamic system in which their actions influence, and are influenced by one another (Bowen, ).…”

Section: Discussionmentioning

confidence: 99%

“…Research by Johnson et al. (, ), Stephens, Rook, Franks, Khan, and Iida (), and Stephens et al. () support this notion, demonstrating that illness appraisals predict spousal coping behaviors (e.g., protective buffering, overprotection) linked to outcomes such as dietary adherence and DM‐related distress.…”

Section: Couples Religion and Diabetesmentioning

confidence: 94%

“…The DCM posits that how couples conceptualize and appraise the illness, whether positive or negative, influences how they respond to it, which further informs outcomes (Berg & Upchurch, 2007). Research by Johnson et al (2013Johnson et al ( , 2015, Stephens, Rook, Franks, Khan, and Iida (2010), and Stephens et al (2013) support this notion, demonstrating that illness appraisals predict spousal coping behaviors (e.g., protective buffering, overprotection) linked to outcomes such as dietary adherence and DMrelated distress. Houston-Barrett and Wilson (2014) also found that couples who were able to positively transform their perspectives regarding DM reported greater success in managing DM in comparison to couples who rejected their relationship with the illness.…”

Section: Couples Religion and Diabetesmentioning

confidence: 99%

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Religious Coping and Glycemic Control in Couples with Type 2 Diabetes

Fincham

Seibert

May

et al. 2017

J Marital Family Therapy

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This study examines the role of religious coping in couples' diabetes management processes. Eighty-seven couples where one spouse had type 2 diabetes were surveyed. The relationships between religious coping (positive and negative), shared glycemic control activities (e.g., planning a healthy diet), and glycemic control were examined using repeated measures ANOVA and SEM. Findings show spousal engagement in shared activities is significantly associated with glycemic control. Furthermore, the use of negative religious coping by the diabetic spouse, and positive religious coping by the nondiabetic spouse, related to lower levels and higher levels of shared glycemic control activities, respectively. Religious coping and shared glycemic control activities appear integral to couples managing type 2 diabetes and, may serve as useful points of intervention.

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Section: Discussionmentioning

confidence: 99%

Section: Couples Religion and Diabetesmentioning

confidence: 94%

Section: Couples Religion and Diabetesmentioning

confidence: 99%

See 1 more Smart Citation

Religious Coping and Glycemic Control in Couples with Type 2 Diabetes

Fincham

Seibert

May

et al. 2017

J Marital Family Therapy

View full text Add to dashboard Cite

show abstract

“…Conversely, too much or inappropriate supportive behaviour can also be a source of distress. For example, overprotectiveness in partners of individuals with diabetes has been found to influence coping and dietary non-compliance, when couples are partaking in low amounts of exercise 45. Self-efficacy has also been demonstrated to mediate the association between high levels of protectiveness in partners and self-reported diabetes distress 46…”

Section: The Wider Impact Of Diabetes Distressmentioning

confidence: 99%

Diabetes distress: understanding the hidden struggles of living with diabetes and exploring intervention strategies

Berry

Lockhart

Davies

et al. 2015

Postgraduate Medical Journal

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Diabetes Distress is a rational emotional response to the threat of a life-changing illness. Distinct from depression, it is rooted in the demands of diabetes management and is a product of psychological adjustment. Diabetes distress has been found to be significantly associated with HbA1c and self-care, which demonstrates its clinical use in treatment outcomes. Interpersonal factors such as perceived support and protectiveness of partners significantly contribute to elevated distress, suggesting that these are valued areas of focus for interventions. Pioneering large-scale research, DAWN2, gives voices to the families of those with diabetes and reaffirms the need to consider psychosocial factors in routine diabetes care. Structured diabetes education programmes are the most widely used in helping individuals cope with diabetes, but they fail to consider the psychological or interpersonal aspects of diabetes management. Psycho-educational approaches are found to be effective in reducing diabetes distress while also improving HbA1c. Certain limitations in the current literature are discussed, along with future directions. Of utmost importance is the need for health practitioners, irrespective of background, to demonstrate an understanding of diabetes distress and actively engage in discussion with individuals struggling to cope with diabetes; to normalize this and integrate it into routine diabetes practice.

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“…Finally, although the studies described here can shed light on how economic pressure may hinder the patient's diabetes management, they did not take into account the interdependent nature of couple relationships in the management of chronic illnesses (Berg & Upchurch, 2007). Intimate partners represent a powerful contextual influence that can help or hinder one's ability to manage type 2 diabetes, as demonstrated in prior publications using the same data as the present study (Johnson et al, 2013(Johnson et al, , 2014(Johnson et al, , 2015. As such, research utilizing the relationship dyad should consider the shared influence that one partner's experience (economic or emotional stress) can have on the others' (emotional contagion theory; see Johnson, Galambos, Horne, Finn, & Neyer, 2017).…”

Section: Economic Pressure and Couples With Chronic Illnessesmentioning

confidence: 76%

Associations Between Economic Pressure and Diabetes Efficacy in Couples with Type 2 Diabetes

et al. 2017

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Objective The purpose of this study was to explore dyadic associations between economic pressure and diabetes self-efficacy via emotional distress in patients with type 2 diabetes and their partners. Background Understanding how economic pressure is associated with successful diabetes management is an important area for research, as couples with type 2 diabetes can incur heavy economic pressures that could likely influence diabetes outcomes. Method Data from 117 married couples were used to test actor–partner associations using moderated mediation analyses in a structural equation modeling framework. Problem-solving communication was tested as a possible moderator of the economic pressure–emotional distress pathway. Results Results revealed that greater patient economic pressure was associated with lower patient and spouse confidence in the patient’s diabetes management ability through higher levels of patient emotional distress. The deleterious association between economic pressure and emotional distress was less pronounced when spouses reported more effective problem-solving communication. Conclusion These results provide evidence that the economic pressure couples with type 2 diabetes face may reduce the patient and spouse’s confidence in the patient’s diabetes management ability. Implications This study demonstrates the importance of couple’s relationship processes in buffering the impact of economic pressure on diabetes management, providing a clear target for intervention and education efforts.

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Spousal overprotection is indirectly associated with poorer dietary adherence for patients with type 2 diabetes via diabetes distress when active engagement is low

Cited by 20 publications

References 41 publications

Religious Coping and Glycemic Control in Couples with Type 2 Diabetes

Religious Coping and Glycemic Control in Couples with Type 2 Diabetes

Diabetes distress: understanding the hidden struggles of living with diabetes and exploring intervention strategies

Associations Between Economic Pressure and Diabetes Efficacy in Couples with Type 2 Diabetes

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