The Impact of Self-Stigma, Role Strain, and Diabetes Distress on Quality of Life and Glycemic Control in Women With Diabetes: A 6-Month Prospective Study

Wang, Ruey‐Hsia; Chen, Shi Yu; Hsu, Hui Chun; Huang, Chiu Ling

doi:10.1177/10998004211009606

Cited by 18 publications

(18 citation statements)

References 42 publications

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“…The higher the self-stigma, the lower the quality of life. These results are consistent with the results of previous studies indicating that the higher the self-stigma, the lower the quality of life of patients with diabetes [ 28 ]. This indicates that the assessment and control of self-stigma are necessary among patients with diabetes.…”

Section: Discussionsupporting

confidence: 93%

Influence of Diabetes Knowledge, Self-Stigma, and Self-Care Behavior on Quality of Life in Patients with Diabetes

2022

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Globally, almost 9.3% of the population aged 20–80 years have been diagnosed with diabetes making diabetes management a global health problem beyond specific regions or races. This study aimed to determine the effect of diabetes knowledge, self-stigma, and self-care behavior on the quality of life of patients with diabetes. This descriptive research study evaluated 180 patients receiving diabetes treatment at the outpatient Department of Endocrinology at C University Hospital. Data were collected between 30 July 2019, and 30 August 2019. The study variables were general patient characteristics, disease-related characteristics, quality of life, diabetes knowledge, self-stigma, and self-care behavior. Factors affecting the quality of life were analyzed by hierarchical regression. Self-stigma (β = −0.298), monthly income (β = 0.270), and self-care behavior (β = 0.140) significantly affected the quality of life, in that order. The higher the self-stigma, the lower the quality of life, and the higher the monthly income and the level of self-care behavior, the higher the quality of life. A psychosocial support program to positively change the attitude toward diabetes is needed to improve the quality of life among patients with diabetes.

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Section: Discussionsupporting

confidence: 93%

Influence of Diabetes Knowledge, Self-Stigma, and Self-Care Behavior on Quality of Life in Patients with Diabetes

2022

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“…This study employed a cross-sectional design and was part of a larger prospective study (Wang et al, 2021). Two hundred ninety-eight women aged 20-64 years were selected using convenience sampling from three outpatient endocrine clinics in Taiwan.…”

Section: Design and Samplingmentioning

confidence: 99%

Impact of Type D Personality, Role Strain, and Diabetes Distress on Depression in Women With Type 2 Diabetes: A Cross-Sectional Study

Chen

Hsu²,

Huang

et al. 2023

Journal of Nursing Research

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Background: Women with diabetes face a significantly elevated risk of developing depression. Clarifying the factors associated with depression is critical to designing more timely interventions for this vulnerable population.Purpose: This study was developed to examine the impact of Type D personality, diabetes-care-related role strain, and diabetes-related distress on depression in women with Type 2 diabetes.

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“…A previous study of people with type 2 diabetes indicated that people with Type D personality had greater diabetes distress [19]. Greater diabetes distress was known to induce worse blood glycemic control [20,21] and poor HRQOL in people with type 2 diabetes [22][23][24]. Together these observation studies suggest that the relationships between Type D personality and HbA1c and HRQOL would be mediated by diabetes distress.…”

Section: Introductionmentioning

confidence: 89%

Parallel Mediation Model Linking Type D Personality with Adverse Health Outcomes in People with Type 2 Diabetes

Lee¹,

Lee²,

Chae³

et al. 2021

Preprint

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Background: This study aims to investigate a parallel mediation model to directly link Type D personality with adverse glycated hemoglobin (HbA1c) health outcomes and health-related quality of life (HRQOL), and indirectly through diabetes distress and social isolation in people with type 2 diabetes.Methods: Secondary data analysis of a cross-sectional survey was used. Data on 524 people with type 2 diabetes from June 2020 to February 2021 were recruited from outpatient clinics. The analyzed components of the data set were Type D personality, diabetes distress, social isolation, HbA1c, and health-related quality of life (HRQOL). The hypothesized parallel mediation model was tested using the PROCESS macro for SPSS. A 10,000-bootstrap bias-corrected procedure was used to estimate 95% confidence intervals for indirect effects.Results: Type D personality was present in 31.3% of the participants. The direct effect of Type D personality on HbA1c was insignificant, but was significant on HRQOL. The indirect effects of Type D personality on HbA1c and HRQOL through diabetes distress and social isolation were both significant. The indirect effect on HRQOL through diabetes distress was greater than that through social isolation.Conclusion: People with a Type D personality more often experienced negative emotions in response to the burden of living with and managing diabetes and might have fewer interpersonal contacts, which in turn impair glycemic control and HRQOL. This study identified the mechanisms underlying the relationship between Type D personality and glycemic control and HRQOL in people with type 2 diabetes. Both diabetes distress and social isolation mediated these relationships. Health professionals must monitor people with type 2 diabetes to determine the presence of Type D personality. It is particularly recommended for those with Type D personality to be provided with interventions to reduce diabetes distress and to enhance social isolation in order to improve their glycemic control and HRQOL.

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The Impact of Self-Stigma, Role Strain, and Diabetes Distress on Quality of Life and Glycemic Control in Women With Diabetes: A 6-Month Prospective Study

Cited by 18 publications

References 42 publications

Influence of Diabetes Knowledge, Self-Stigma, and Self-Care Behavior on Quality of Life in Patients with Diabetes

Influence of Diabetes Knowledge, Self-Stigma, and Self-Care Behavior on Quality of Life in Patients with Diabetes

Impact of Type D Personality, Role Strain, and Diabetes Distress on Depression in Women With Type 2 Diabetes: A Cross-Sectional Study

Parallel Mediation Model Linking Type D Personality with Adverse Health Outcomes in People with Type 2 Diabetes

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