PMID- 25670841
OWN - NLM
STAT- MEDLINE
DCOM- 20161213
LR  - 20181202
IS  - 1552-4175 (Electronic)
IS  - 1099-8004 (Linking)
VI  - 18
IP  - 1
DP  - 2016 Jan
TI  - Risk Factors and Coping Style Affect Health Outcomes in Adults With Type 2 
      Diabetes.
PG  - 82-9
LID - 10.1177/1099800415569845 [doi]
AB  - OBJECTIVE: Most psychosocial interventions among individuals with Type 2 diabetes 
      mellitus (T2DM) target depressive symptoms (DSs) rather than causal antecedents 
      that lead to DSs or affect health-related quality of life (HrQoL). This research 
      investigated a conceptual model of the effects of risk factors and coping styles 
      on HrQoL and DSs in patients with T2DM. METHOD: A descriptive, correlational 
      design was used with a convenience sample of 241 adults with T2DM aged >/= 20 years 
      recruited from a hospital metabolic outpatient department. Data were collected 
      using a demographic questionnaire, the modified Ways of Coping Checklist, the 
      Center for Epidemiological Studies Depression Scale, the Short Form 36 Health 
      Survey, and physiological examination. HbA1C was collected from participants' 
      medical records. Structural equation modeling techniques were used to analyze 
      relationships among risk factors, mediators, and HrQoL. RESULTS: Younger age, 
      more education, and longer duration of diabetes predicted better physical quality 
      of life. Duration of diabetes and three coping styles predicted DSs. Longer 
      duration of diabetes and lower fasting glucose predicted better mental quality of 
      life. Three coping styles acted as mediators between risk factors and health, 
      that is, active and minimizing styles promoted positive outcomes, while avoidance 
      promoted negative outcomes. CONCLUSIONS: This integrated model provides a 
      holistic picture of how risk factors and coping style influence HrQoL and DSs in 
      individuals with T2DM. Nurses could use active coping strategies in cognitive 
      behavioral therapy to enhance glycemic control in patients with T2DM.
CI  - (c) The Author(s) 2015.
FAU - Huang, Chiung-Yu
AU  - Huang CY
AD  - Department of Nursing, I-Shou University, Kaohsiung, Taiwan 
      chiung.huang@gmail.com.
FAU - Lai, Hui-Ling
AU  - Lai HL
AD  - Department of Nursing, Tzu Chi University, Hualien, Taiwan Buddhist Tzu Chi 
      General Hospital, Hualien, Taiwan.
FAU - Lu, Yung-Chuan
AU  - Lu YC
AD  - Department of Endocrinology, E-Da Hospital, Kaohsiung, Taiwan I-Shou University, 
      Kaohsiung, Taiwan.
FAU - Chen, Wen-Kuei
AU  - Chen WK
AD  - College of Management, I-Shou University, Kaohsiung, Taiwan.
FAU - Chi, Shu-Ching
AU  - Chi SC
AD  - I-Shou University, Kaohsiung, Taiwan Department of Nursing, E-Da Hospital, 
      Kaohsiung, Taiwan.
FAU - Lu, Chu-Yun
AU  - Lu CY
AD  - Department of Nursing, I-Shou University, Kaohsiung, Taiwan.
FAU - Chen, Chun-I
AU  - Chen CI
AD  - College of Management, I-Shou University, Kaohsiung, Taiwan.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20150210
PL  - United States
TA  - Biol Res Nurs
JT  - Biological research for nursing
JID - 9815758
SB  - IM
MH  - *Adaptation, Psychological
MH  - Adult
MH  - Aged
MH  - *Attitude to Health
MH  - Diabetes Mellitus, Type 2/*psychology
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Quality of Life/*psychology
MH  - Risk Factors
MH  - Stress, Psychological/*prevention & control
MH  - Surveys and Questionnaires
MH  - Taiwan
MH  - Young Adult
OTO - NOTNLM
OT  - coping
OT  - depressive symptoms
OT  - glycemic control
OT  - health-related quality of life.
OT  - mediators
EDAT- 2015/02/12 06:00
MHDA- 2016/12/15 06:00
CRDT- 2015/02/12 06:00
PHST- 2015/02/12 06:00 [entrez]
PHST- 2015/02/12 06:00 [pubmed]
PHST- 2016/12/15 06:00 [medline]
AID - 1099800415569845 [pii]
AID - 10.1177/1099800415569845 [doi]
PST - ppublish
SO  - Biol Res Nurs. 2016 Jan;18(1):82-9. doi: 10.1177/1099800415569845. Epub 2015 Feb 
      10.