PMID- 37650108
OWN - NLM
STAT- MEDLINE
DCOM- 20230901
LR  - 20230901
IS  - 2314-6753 (Electronic)
IS  - 2314-6745 (Print)
VI  - 2023
DP  - 2023
TI  - The Relationship between Trait Impulsivity and Everyday Executive Functions among 
      Patients with Type 2 Diabetes Mellitus: The Mediating Effect of Negative 
      Emotions.
PG  - 5224654
LID - 10.1155/2023/5224654 [doi]
LID - 5224654
AB  - BACKGROUND: In recent years, the incidence of type 2 diabetes mellitus (T2DM) has 
      dramatically increased, imposing a heavy financial burden on society and 
      individuals. The most cost-effective way to control diabetes is diabetes 
      self-management, which depends on patients' executive functions (EFs). However, 
      the level of EFs among patients with T2DM varies greatly. In addition to 
      diabetes-related factors contributing to a decline in EFs, trait impulsivity as a 
      relatively stable personality trait may explicate individual differences in EFs. 
      The objective of this study was to verify the mediating effect of negative 
      emotions on the relationship between trait impulsivity and EFs among patients 
      with T2DM in China. METHODS: A total of 305 patients with T2DM were enrolled 
      consecutively from the endocrinology departments of three tertiary hospitals in 
      China using convenience sampling. The participants completed the Sociodemographic 
      Questionnaire, Mini-Mental State Examination (MMSE), Barratt Impulsiveness 
      Scale-Brief (BIS-Brief), Depression Anxiety and Stress Scales with 21 items 
      (DASS-21), and Behavior Rating Inventory of Executive Function-Adult (BRIEF-A) 
      version. A structural equation modeling was used to verify the mediating effect 
      of negative emotions on the relationship between trait impulsivity and EFs. 
      RESULTS: A total of 32.46% of the participants experienced at least one aspect of 
      daily EF decline. The mediating effect of trait impulsivity on the Behavioral 
      Regulation Index (BRI) of EFs through negative emotions was significant, 
      accounting for 29.57% of the total effect. The mediating effect of trait 
      impulsivity on the Metacognitive Index (MI) of EFs through negative emotions was 
      significant, accounting for 31.67% of the total effect. CONCLUSIONS: Trait 
      impulsivity can positively predict EF decline, which can be alleviated by 
      improving the negative emotions of patients with T2DM. Future research exploring 
      interventions to improve the EFs of patients with T2DM should therefore consider 
      their trait impulsivity and negative emotions.
CI  - Copyright (c) 2023 Na Liu et al.
FAU - Liu, Na
AU  - Liu N
AUID- ORCID: 0000-0003-3018-4421
AD  - Department of Nursing, Air Force Medical University, Xi'an, China.
FAU - Heng, Chun-Ni
AU  - Heng CN
AD  - Department of Endocrinology, The Second Affiliated Hospital of Air Force Medical 
      University, Xi'an, China.
FAU - Cui, Yi
AU  - Cui Y
AUID- ORCID: 0000-0002-5961-3106
AD  - Department of Nursing, Air Force Medical University, Xi'an, China.
FAU - Li, Ling
AU  - Li L
AD  - Department of Endocrinology, The Second Affiliated Hospital of Air Force Medical 
      University, Xi'an, China.
FAU - Guo, Yan-Xue
AU  - Guo YX
AD  - Department of Endocrinology, The Second Medical Center of Chinese PLA General 
      Hospital, Beijing, China.
FAU - Liu, Qin
AU  - Liu Q
AD  - Department of Nursing, Air Force Medical University, Xi'an, China.
FAU - Cao, Bao-Hua
AU  - Cao BH
AUID- ORCID: 0000-0002-0141-1413
AD  - Department of Nursing, Air Force Medical University, Xi'an, China.
FAU - Wu, Di
AU  - Wu D
AUID- ORCID: 0000-0002-0749-3392
AD  - Department of Military Medical Psychology, Air Force Medical University, Xi'an, 
      China.
FAU - Zhang, Yin-Ling
AU  - Zhang YL
AUID- ORCID: 0000-0002-6766-5256
AD  - Department of Nursing, Air Force Medical University, Xi'an, China.
LA  - eng
PT  - Journal Article
DEP - 20230822
PL  - England
TA  - J Diabetes Res
JT  - Journal of diabetes research
JID - 101605237
SB  - IM
MH  - Adult
MH  - Humans
MH  - *Executive Function
MH  - *Diabetes Mellitus, Type 2/complications
MH  - Impulsive Behavior
MH  - China
MH  - Emotions
PMC - PMC10465255
COIS- The authors declare that there is no conflict of interest regarding the 
      publication of this paper.
EDAT- 2023/08/31 06:42
MHDA- 2023/09/01 06:43
PMCR- 2023/08/22
CRDT- 2023/08/31 04:14
PHST- 2022/11/07 00:00 [received]
PHST- 2023/06/29 00:00 [revised]
PHST- 2023/07/28 00:00 [accepted]
PHST- 2023/09/01 06:43 [medline]
PHST- 2023/08/31 06:42 [pubmed]
PHST- 2023/08/31 04:14 [entrez]
PHST- 2023/08/22 00:00 [pmc-release]
AID - 10.1155/2023/5224654 [doi]
PST - epublish
SO  - J Diabetes Res. 2023 Aug 22;2023:5224654. doi: 10.1155/2023/5224654. eCollection 
      2023.