What is it about?
This study analyses associations of the two most common mental problem factors in diabetes, symptoms of depression and diabetes-related distress, with self-management behaviors and glycemic outcome (HbA1c) using structural equation modelling.
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Why is it important?
Depression and diabetes distress are the most common mental problem factors in diabetes, are highly correlated and both considered to affect diabetes self-management, health behavior and related health outcomes. However, the likely impacts are not well understood and distinguished, and studies analysing both variables' associations in joint analyses are scarce; a corresponding theoretical framework model by Snoek et al. (2015) has not been rigorously tested. The present study is based on this framework and analyses the factors' direct and indirect associations self-management behaviors and glycemic outcome (HbA1c) using structural equation modelling in people with type 1 and type 2 diabetes. The findings support a stronger negative association of depressive symptoms on glycemic outcome (mediated via self-management) compared to diabetes distress in both major types of diabetes.
Perspectives
This work provides important novel insights into the putative prelative relevance of these affective variables. Furthermore, it provides a methodological framework for future studies aiming to evaluate these variables' impacts using longitudinal data.
Andreas Schmitt
Diabetes Center Mergentheim
Read the Original
This page is a summary of: Associations of depression and diabetes distress with self-management behavior and glycemic control., Health Psychology, February 2021, American Psychological Association (APA),
DOI: 10.1037/hea0001037.
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