Hudson Joanna L, Bundy Christine, Coventry Peter, Dickens Chris, Wood Alex, Reeves David
a Health Psychology Section, Psychology Department , Institute of Psychiatry, Psychology, and Neuroscience, King's College London , London , UK.
b NIHR Collaboration for Leadership in Applied Health Research and Care (CLAHRC) - Greater Manchester and Manchester Academic Health Science Centre, University of Manchester , Manchester , UK.
Psychol Health. 2016 Jul;31(7):873-90. doi: 10.1080/08870446.2016.1156113. Epub 2016 Mar 17.
To explore whether negative emotions mediate the effect of diabetes cognitions on diabetes self-care and conversely whether diabetes cognitions mediate the effect of negative emotions on diabetes self-care.
Longitudinal observational study in adults with type 2 diabetes.
Self-reported depression and anxiety (Diabetes Wellbeing Questionnaire), cognitions (Illness Perceptions Questionnaire-Revised; Beliefs about Medicines Questionnaire), and diabetes self-care (Summary of Diabetes Self-Care Activities Scale) were completed at baseline and six months. Analyses used structural equation modelling.
Baseline medication concerns were associated with elevated symptoms of depression and anxiety at follow-up, but emotions did not mediate medication concern's effect on diabetes self-care. Baseline depression and anxiety symptoms were associated with specific diabetes cognitions over time, but these cognition domains did not mediate emotion's effect on diabetes self-care. Personal control remained independent of emotions and was associated with diabetes self-care over time.
Negative emotions did not act directly or alongside cognitions to influence diabetes self-care. The reciprocal relationship between diabetes cognitions and emotions suggests cognitive restructuring, in addition to other mood management intervention techniques would likely improve the emotional wellbeing of adults with type 2 diabetes. Likewise, personal control beliefs are likely important intervention targets for improving self-care.
探讨消极情绪是否介导糖尿病认知对糖尿病自我管理的影响，以及相反地，糖尿病认知是否介导消极情绪对糖尿病自我管理的影响。
对2型糖尿病成人进行纵向观察研究。
在基线和6个月时完成自我报告的抑郁和焦虑（糖尿病幸福感问卷）、认知（疾病认知问卷修订版；药物信念问卷）以及糖尿病自我管理（糖尿病自我管理活动量表汇总）。分析采用结构方程模型。
基线时对药物治疗的担忧与随访时抑郁和焦虑症状的加重相关，但情绪并未介导药物治疗担忧对糖尿病自我管理的影响。随着时间推移，基线时的抑郁和焦虑症状与特定的糖尿病认知相关，但这些认知领域并未介导情绪对糖尿病自我管理的影响。个人控制与情绪无关，并随着时间推移与糖尿病自我管理相关。
消极情绪并未直接或与认知一起影响糖尿病自我管理。糖尿病认知与情绪之间的相互关系表明，除其他情绪管理干预技术外，认知重构可能会改善2型糖尿病成人的情绪健康。同样，个人控制信念可能是改善自我管理的重要干预目标。
