The Relation Between Diabetes Self-Efficacy and Psychological Distress Among Older Adults

Abstract

Objective This study examined racial/ethnic differences in the relationship between diabetes self-efficacy and psychological distress among older adults with diabetes mellitus. Method Adults aged 60 or older with a diagnosis of diabetes mellitus (N = 3,067) were drawn from the 2009 California Health Interview Survey (CHIS). Hierarchical multiple regression analyses were conducted. Results After controlling for covariates, African Americans and those with higher levels of diabetes self-efficacy tended to have lower levels of psychological distress. Significant interactions were found in the Hispanic/Latino and Asian groups: The effect of diabetes self-efficacy on psychological distress was greater for Hispanics/Latinos and Asians than non-Hispanic Whites. Discussion Findings suggest that diabetes self-efficacy is associated with psychological distress among older diabetic patients and that race/ethnicity moderates the relationship between diabetes self-efficacy and psychological distress. Increasing diabetes self-efficacy will help racial/ethnic minority older patients with diabetes to improve psychological well-being at a greater level.

Associations of changes in psychosocial factors and their interactions with diabetes distress in patients with type 2 diabetes: a longitudinal study

“…The associations between changes in psychosocial factors and change in diabetes distress may have ethnic differences (Kim et al . ). This study need to be conducted on diverse ethnic groups in the future.…”

“…A person who believes that he or she can lead a self‐determined life will experience less hopelessness and thus may experience less psychological distress (Kim et al . ). Cross‐sectional studies have reported a negative association between diabetes self‐efficacy and diabetes distress in patients with T2DM (Wardian & Sun , Kim et al .…”

“…Some modifiable psychosocial factors such as self‐management behaviours, self‐efficacy and social support (Aikens , Karlsen & Bru , Wardian & Sun , Kim et al . ) have been found to associate with or predict diabetes distress in patients with T2DM. Nevertheless, understanding the associations of changes in various psychosocial factors with change in diabetes distress by prospective design may provide useful knowledge to design specific interventions rather than investigating the association or prediction of psychosocial factors on diabetes distress to reduce diabetes distress.…”

“…Cross‐sectional studies have reported a negative association between diabetes self‐efficacy and diabetes distress in patients with T2DM (Wardian & Sun , Kim et al . ); however, few studies have evaluated the relationships between change in diabetes self‐efficacy and change in diabetes distress.…”

Associations of Social Support and Self-Efficacy With Quality of Life in Older Adults With Diabetes

“…Several studies have examined the relationship between both social support (Condrasky, Baruth, Wilcox, & Carter, 2013; Shaya et al, 2013; Utz et al, 2008; Watkins, Quinn, Ruggiero, Quinn, & Choi, 2013) and self- efficacy (Al Sayah, Majumdar, Egede, & Johnson, 2015; Kim, Shim, Ford, & Baker, 2015; Peek et al, 2012; Peyrot et al, 2014; Steinhardt, Mamerow, Brown, & Jolly, 2009) and diabetes related outcomes. However, few studies have examined the relationship between social support and self-efficacy among AAs with diabetes (Heisler & Piette, 2005; Hunt, Grant, & Pritchard, 2012; Klug, Toobert, & Fogerty, 2008; Lorig, Ritter, Villa, & Armas, 2009).…”