دورية أكاديمية
Sense of coherence, self-esteem, and health locus of control in subjects with type 1 diabetes mellitus with/without satisfactory metabolic control
| العنوان: | Sense of coherence, self-esteem, and health locus of control in subjects with type 1 diabetes mellitus with/without satisfactory metabolic control |
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| المؤلفون: | Nuccitelli, C., Valentini, A., Caletti, M. T., Caselli, C., Mazzella, N., Forlani, G., Marchesini, G. |
| المساهمون: | Nuccitelli, C., Valentini, A., Caletti, M.T., Caselli, C., Mazzella, N., Forlani, G., Marchesini, G.* |
| سنة النشر: | 2018 |
| المجموعة: | IRIS Università degli Studi di Bologna (CRIS - Current Research Information System) |
| مصطلحات موضوعية: | Health locus of control, Responsibility, Self-efficacy, Self-esteem, Sense of coherence, Type 1 diabetes mellitu, Adult, Diabetes Mellitus, Type 1, Female, Follow-Up Studie, Human, Male, Metabolic Disease, Prognosi, Surveys and Questionnaire, Health Behavior, Internal-External Control, Self Concept, Endocrinology, Diabetes and Metabolism |
| الوصف: | Background: Despite intensive training, a few individuals with Type 1 diabetes mellitus (T1DM) fail to reach the desired metabolic targets. Aim: To evaluate the association between disease-related emotional and cognitive aspects and metabolic control in subjects with T1DM. Subjects and methods: Health locus of control (HLOC), sense of coherence (SOC), and self-esteem were assessed in T1DM subjects using validated questionnaires. Sixty-seven consecutive subjects who did not attain the desired HbA1c target (mean HbA1c, 8.3% [67 mmol/mol]) were compared with 30 cases in satisfactory metabolic control (HbA1c levels <7%–53 mmol/mol). Results: In the overall population, SOC was negatively associated with BMI and average HbA1c, as was the association of self-esteem with HbA1c. Subjects attaining the desired metabolic target were characterized by higher SOC scores, higher Internal HLOC and prevalent Internal vs. Powerful-others HLOC. Compared to subjects in good metabolic control, subjects with unsatisfactory control had lower scores of SOC, Internal HLOC and Self-esteem, with no difference in Powerful others, or Chance HLOC. In the same group, SOC in the upper tertile was significantly associated with self-esteem (OR 1.35; 95% CI 1.08–1.69) and PHLOC (OR 1.24; 95% CI 1.03–1.49), after adjustment for age, sex, educational level, and comorbidities. Conclusions: Patients who fail to reach a satisfactory metabolic control tend to rely on significant others, trusting in the physicians’ skills or on the efficiency of the health-care system. Strategies aimed at increasing self-efficacy and SOC, based on personal ability, are eagerly awaited to help patients improve diabetes care. |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | STAMPA |
| اللغة: | English |
| العلاقة: | info:eu-repo/semantics/altIdentifier/pmid/28803346; info:eu-repo/semantics/altIdentifier/wos/WOS:000426043800005; volume:41; issue:3; firstpage:307; lastpage:314; numberofpages:8; journal:JOURNAL OF ENDOCRINOLOGICAL INVESTIGATION; http://hdl.handle.net/11585/652771Test; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85027325919; http://link.springer.com/journal/40618Test |
| DOI: | 10.1007/s40618-017-0741-8 |
| الإتاحة: | https://doi.org/10.1007/s40618-017-0741-8Test http://hdl.handle.net/11585/652771Test http://link.springer.com/journal/40618Test |
| رقم الانضمام: | edsbas.34BEB89E |
| قاعدة البيانات: | BASE |
| DOI: | 10.1007/s40618-017-0741-8 |
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