The Correlation between Resilience, Self-efficacy and Illness Perception in Patients with Type 2 Diabetes: A Cross-Sectional Study

Abstract

Background: The present study aims to investigate the correlation between resilience, self-efficacy, and illness perception in patients with type 2 diabetes mellitus in the south of Iran. Materials and methods: The present study is a crosssectional work conducted on 405 patients with type 2 diabetes mellitus who were selected via convenience sampling from clinics in the south of Iran, from December 2019 to July 2020. Data were collected using a questionnaire consisting of four sections: a demographics survey, the Connor-Davidson Resilience Scale (CD-RISC), Lev's Self-efficacy Scale, and Broadbent's Brief Illness Perception Questionnaire (BIPQ). Data analysis was performed in SPSS 22 software using descriptive statistics, Pearson correlation, ANOVA, and multiple regression analysis at a p < 0.05 significance level. Results: The results of the study showed that there were significant positive correlations between the participants' resilience and self-efficacy (r = 0.78, p < 0.001), resilience and illness perception (r = 0.57, p < 0.001), and self-efficacy and illness perception (r = 0.76, p < 0.001). Conclusions: The findings of the present study show that there is a positive correlation between resilience and self-efficacy and illness perception in patients with type 2 diabetes mellitus. patients with diabetes who can successfully cope with the traumatic conditions caused by their illness and have confidence in their ability to perform self-care activities have a more positive view of the manageability of their condition. Therefore, healthcare policymakers and nurses can use interventions designed to enhance resilience and self-efficacy in order to improve diabetic patients' illness perception and management. (Clin Diabetol 2022, 11; 3: 175-182

The effect of social support, diabetes management self-efficacy, and diabetes distress on resilience among patients with type 2 diabetes: a moderated mediation analysis

“…This is consistent with the findings of earlier research, which indicate that higher levels of psychological distress are associated with lower levels of resilience [ 12 ]. In different situations or when being exposed to risk factors, resilience helps patients solve their problems and cope better [ 46 ]. Resilience theory highlights that stressful conditions can decrease an individual’s Resilience, which may, in turn, jeopardize his/her physical and mental health [ 47 ].…”

Illness Perception, Self-Efficacy, and Medication Adherence in Patients With Coronary Artery Disease: A Path Analysis of Conceptual Model

“…In a study on CAD patients, Barham et al reported that the self-efficacy score was 34, which this score was at a moderate level according to the number of questions and rating scales (Barham et al, 2019). Illness perception can be effective in improving self-efficacy in chronic diseases (Mohammadi et al, 2022). The results of Mohammadi et al's study also confirm this relationship.…”

“…The results of Mohammadi et al's study also confirm this relationship. They showed a significant and positive relationship between illness perception and self-efficacy in patients with type 2 diabetes, that is, patients with a greater perception of illness conditions, including the effect of the disease on their lives, had more abilities in performing activities related to self-efficacy and disease management (Mohammadi et al, 2022). However, Knowles et al found a significant but negative relationship between these two variables (Knowles et al, 2020).…”

“…It is important to determine the factors affecting self-efficacy in improving its level because it is not possible to improve the level of self-efficacy without identifying such factors (Hatef et al, 2018). Meanwhile, illness perception can be effective on self-efficacy in patients with chronic diseases (Mohammadi et al, 2022). Self-efficacy can be considered an effective factor in improving self-care and controlling CAD (Barnason et al, 2003).…”

“…In this study, illness perception and self-efficacy had a positive relationship and patients in this study in a high level of illness perception and self-efficacy. The researchers in this study admit that the illness perception should be evaluated in patients who have weak self-control skills and nurses can help patients in this field by carrying out interventions to improve illness perception and self-efficacy (Mohammadi et al, 2022). In the study by Saarti et al in 2016, approximately 71% of the participants adhered to the medication regimen for high blood pressure.…”