The influence of emotion regulation and family involvement on diabetes distress among adults with type 2 diabetes

Abstract

Adults with diabetes frequently experience diabetes related distress, which is associated with negative health outcomes. Family members are commonly involved in patients’ diabetes self-management. However, family involvement can have helpful and/or harmful effects on patients’ diabetes outcomes. Use of interpersonal strategies to regulate negative emotions may play a role in patients’ interactions with family members and experience of diabetes distress. This study examined the influences of interpersonal emotion regulation and family and friend involvement on diabetes distress among 373 adults with type 2 diabetes. Two separate three-step sequential linear regression models were used to test the main and interactive effects of harmful and helpful family involvement and interpersonal emotion regulation on diabetes distress. Greater use of interpersonal strategies to regulate negative emotions ( p = .006) and greater harmful family involvement ( p < .001) were significantly associated with greater diabetes distress. Interpersonal emotion regulation moderated the relationship of helpful ( p = .007), but not harmful ( p = .171) family involvement on diabetes distress. Specifically, greater helpful family involvement was associated with lower diabetes distress among adults with low ( p = .017) but not high ( p = .419) use of interpersonal strategies to regulate negative emotions. Helpful family involvement appears to be associated with lower diabetes distress, but only among patients with low levels of interpersonal emotion regulation.

Network structure of family function and self-management in patients with early chronic kidney disease amid the COVID-19 pandemic

“…At this time, it is particularly important for family members to guide patients to learn self-integration, such as developing personal hobbies, learning to vent and make reasonable plans together. F4 “Affection” had the strongest positive correlation with M1 “Self –integration.” This is consistent with the study that the higher the degree of family participation is, the more care for the patient, and the better the patients' regulation strategy ( 53 ). Affection refers to the emotional degree of mutual care and love among family members ( 35 ).…”

“…F4 "Affection" had the strongest positive correlation with M1 "Self -integration." This is consistent with the study that the higher the degree of family participation is, the more care for the patient, and the better the patients' regulation strategy (53). Affection refers to the emotional degree of mutual care and love among family members (35).…”

Diabetes Distress Among Patients Undergoing Surgery for Diabetic Retinopathy and Associated Factors: A Cross-Sectional Survey

“…Beneficial family involvement can improve the physical and mental health of diabetic patients, enhance their self-management ability and improve their glycaemic control. 43 Therefore, health care professionals should pay attention to patients’ family support, improve family health education, help solve problems regarding family management, and promote good family function.…”

Emotion regulation from a virtue perspective

“…Di Giacomo and colleagues [ 1 ] examined the impact of psychological aspects within the scope of hypertension management via the lens of the relationship between emotion regulation and self-care skills. Similarly, Leukel et al [ 2 ] investigated the role of emotion regulation in relation to diabetes-related distress management. Both studies found the significant influence of emotion regulation on enhancing self-care skills and promoting improved psychological outcomes.…”