Spousal Influence on Diabetes Self-care: Moderating Effects of Distress and Relationship Quality on Glycemic Control
| العنوان: | Spousal Influence on Diabetes Self-care: Moderating Effects of Distress and Relationship Quality on Glycemic Control |
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| المؤلفون: | James M. Lenhard, Amy K. Otto, Scott D. Siegel, Christine Perndorfer, Emily C. Soriano, Jean-Philippe Laurenceau, Howard Tennen, Jeffrey S. Gonzalez, Sy Miin Chow, Biing Jiun Shen |
| المصدر: | Ann Behav Med |
| بيانات النشر: | Oxford University Press (OUP), 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Male, media_common.quotation_subject, 030209 endocrinology & metabolism, Glycemic Control, Type 2 diabetes, Psychological Distress, 03 medical and health sciences, 0302 clinical medicine, Diabetes management, Diabetes mellitus, medicine, Humans, Interpersonal Relations, Quality (business), Spouses, General Psychology, Aged, media_common, Glycemic, 030505 public health, Continuous glucose monitoring, business.industry, social sciences, Middle Aged, medicine.disease, Self Care, Psychiatry and Mental health, Distress, Diabetes Mellitus, Type 2, Self care, Female, Self Report, 0305 other medical science, business, Regular Articles, Clinical psychology |
| الوصف: | Background Spouses often attempt to influence patients' diabetes self-care. Spousal influence has been linked to beneficial health outcomes in some studies, but to negative outcomes in others. Purpose We aimed to clarify the conditions under which spousal influence impedes glycemic control in patients with type 2 diabetes. Spousal influence was hypothesized to associate with poorer glycemic control among patients with high diabetes distress and low relationship quality. Methods Patients with type 2 diabetes and their spouses (N = 63 couples) completed self-report measures before patients initiated a 7-day period of continuous glucose monitoring. Mean glucose level and coefficient of variation (CV) were regressed on spousal influence, diabetes distress, relationship quality, and their two- and three-way interactions. Results The three-way interaction significantly predicted glucose variability, but not mean level. Results revealed a cross-over interaction between spousal influence and diabetes distress at high (but not low) levels of relationship quality, such that spousal influence was associated with less variability among patients with low distress, but more among those with high distress. Among patients with high distress and low relationship quality, a 1 SD increase in spousal influence predicted a difference roughly equivalent to the difference between the sample mean CV and a CV in the unstable glycemia range. Conclusions This was the first study to examine moderators of the link between spousal influence and glycemic control in diabetes. A large effect was found for glucose variability, but not mean levels. These novel results highlight the importance of intimate relationships in diabetes management. |
| تدمد: | 1532-4796 0883-6612 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::18ac062f605ea0d087ba8ec70923f4ffTest https://doi.org/10.1093/abm/kaaa038Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....18ac062f605ea0d087ba8ec70923f4ff |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15324796 08836612 |
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