The mediating effect of coping styles and self‐efficacy between perceived stress and satisfaction with QOL in Chinese adolescents with type 1 diabetes

Abstract

Aims (a) To explore the effect of perceived stress on satisfaction with quality of life (QOL) among Chinese adolescents with type 1 diabetes (T1D); and (b) to determine if coping styles and self‐efficacy are mediators of the association between perceived stress and satisfaction with QOL. Background Adolescents with T1D experience ongoing stress related to a complex treatment regimen and live with a condition that differentiates them from their peers. It is important to know how adolescents with T1D cope with the stress and what psychosocial attributes contribute to satisfaction with QOL. Design Cross‐sectional study. Methods Data were collected from a sample of adolescents with T1D (N = 90) who had enrolled in a randomized control trial (baseline data) and a supplemental sample of N = 59 adolescents with T1D was recruited from a diabetes clinic from January 2016 ‐ December 2016. Results The mean age of the participants was 13.91 years (range 8–20 years), the mean diabetes duration was 4.02 years. Approximately one‐quarter of the sample exceeded the criterion score for perceived stress of 26, indicating stress sufficient to have a negative impact on physical and mental health. Adolescents with increased stress reported lower satisfaction with QOL compared with adolescents with less stress. Both externalization coping and self‐efficacy were the mediators of the relationship between perceived stress and satisfaction with QOL. Conclusions Many Chinese adolescents with T1D reported elevated stress levels which was associated with decreased satisfaction with QOL. There is a need for culturally relevant interventions to improve coping by limiting the use of externalized coping styles and strengthening self‐efficacy.

The effects of family functioning and resilience on self‐management and glycaemic control among youth with type 1 diabetes

“…In line with previous studies (Lin et al, ; Rohan et al, ), we found that self‐management was significantly and positively related to better control of HbA 1c . Corresponding to the low level of self‐management, nearly half of the participants in this study did not achieve the HbA 1c control target; This result was similar to Yang's finding (Yang et al, ). Therefore, greater attention should be paid to both family‐ and individual‐related factors that influence self‐management and glycaemic control among Chinese youth with T1D.…”

“…However, studies showed that youths are at increased risk for suboptimal glycaemic control (Hartl, Seiffge-Krenke, & Laursen, 2015;Schwandt et al, 2017). According to studies from mainland China, youth had an average HbA 1c ranging from 8.25%-9.2% and more than 50% of these youth failed to achieve the goal of glycaemic control, namely, HbA 1c below 7.5% (Huo et al, 2018;McGuire et al, 2017;Yang et al, 2018).…”

Work stress, perceived social support, self‐efficacy and burnout among Chinese registered nurses

“…When nurses experience a high rate of workplace stress, they will have increased feeling of illness, such as headaches, gastrointestinal upset, insomnia, upper respiratory tract infections, dizziness or depression (Callaghan et al, ). Additionally, several empirical studies have shown that WS significantly influenced nurses' burnout (Khamisa et al, ), perceived social support (PSS) (Jin, Zhang, Li, Deng, & Gao, ), self‐efficacy (Yang et al, ) and job satisfaction (Khamisa et al, ).…”

“…Although some studies have shown a bivariate effect between WS, self‐efficacy, PSS and burnout (Babaeiamiri, ; Hu et al, ; Jin et al, ; Khamisa et al, ; Laschinger et al, ; Yang et al, ), no studies have been found to put these variables in one model simultaneously. Therefore, according to Lazarus and Folkman's () Cognitive Theory of Stress and empirical evidence, we proposed this model to explore in‐depth the structural relationships between the study variables and determine the degree of their influences.…”

Predictor of self‐efficacy in individuals with chronic disease: Stress‐coping strategies

“…Self‐efficacy and coping with stress in chronic diseases affect the course of the disease (Ceyhan & Unsal, 2018; Knowles et al, 2020; Ozdemir & Tasci, 2013; Tielemans et al, 2015). International studies on these issues related to chronic diseases observed that there was a relationship between patients’ self‐efficacies and their coping strategies in many disease groups such as stroke, cancer, diabetes mellitus, respiratory system diseases and joint/connective tissue diseases (Benka et al, 2014; Calık Var et al, 2016; Ceyhan & Unsal, 2018; Chirico, Lucidi, et al, 2017; Geng et al, 2018; Knowles et al, 2020; Koehler et al, 2009; Saconi et al, 2020; Tielemans et al, 2015; Yang et al, 2019; Zhang et al, 2008). There was a strong relationship between coping and self‐efficacy of patients with cancer and stroke (Chirico, Lucidi, et al, 2017; Chirico, Serpentini, et al, 2017; Geng et al, 2018; Koehler et al, 2009; Tielemans et al, 2015).…”