Geerling Ralph, Holmes-Truscott Elizabeth, Speight Jane, Skinner Tim
School of Psychology, Institute for Health Transformation, Deakin University, Geelong, Victoria, Australia.
The Australian Centre for Behavioural Research in Diabetes, Diabetes Victoria, Carlton, Victoria, Australia.
Diabet Med. 2025 Jul;42(7):e70035. doi: 10.1111/dme.70035. Epub 2025 Apr 4.
To examine the role implicit theories of willpower play in the experience of diabetes distress and general emotional well-being using a cross sectional study design.
Australian adults with type 2 diabetes (N = 270; 56% women; age: 61 ± 12 years), recruited via a national diabetes registry, completed an online survey assessing: willpower beliefs, general emotional well-being, diabetes distress, personality, general self-efficacy and diabetes self-efficacy. Analyses included bivariate correlations and linear regression, adjusted for demographic, clinical and psychological variables.
Unadjusted analyses showed willpower beliefs have moderate correlations with general emotional well-being, emotionality and general self-efficacy; and weak correlations with diabetes distress, diabetes self-efficacy, extraversion, conscientiousness and age. Adjusted analyses showed willpower beliefs are a significant predictor of general emotional well-being, but not diabetes distress, independent of self-efficacy and diabetes distress, and potentially mediated by personality and diabetes self-efficacy.
Willpower beliefs predict general emotional well-being, but not diabetes distress. Further research is needed to confirm these pathways.
采用横断面研究设计，探讨意志力的内隐理论在糖尿病困扰体验和总体情绪幸福感中所起的作用。
通过国家糖尿病登记系统招募了270名澳大利亚2型糖尿病成年患者（女性占56%；年龄：61±12岁），他们完成了一项在线调查，评估内容包括：意志力信念、总体情绪幸福感、糖尿病困扰、人格、一般自我效能感和糖尿病自我效能感。分析包括双变量相关性分析和线性回归分析，并对人口统计学、临床和心理变量进行了校正。
未校正分析显示，意志力信念与总体情绪幸福感、情绪性和一般自我效能感存在中度相关性；与糖尿病困扰、糖尿病自我效能感、外向性、尽责性和年龄存在弱相关性。校正分析显示，意志力信念是总体情绪幸福感的重要预测因素，但不是糖尿病困扰的预测因素，独立于自我效能感和糖尿病困扰，并且可能由人格和糖尿病自我效能感介导。
意志力信念可预测总体情绪幸福感，但不能预测糖尿病困扰。需要进一步研究来证实这些途径。
