苦恼
调解
医学
自我效能感
糖尿病
心理干预
2型糖尿病
临床心理学
糖尿病管理
自我管理
2型糖尿病
情绪困扰
精神科
心理学
焦虑
心理治疗师
法学
内分泌学
机器学习
计算机科学
政治学
作者
Ya-Ching Huang,Julie A. Zuñiga,Alexandra García
标识
DOI:10.1080/13557858.2020.1817339
摘要
Objectives: Emotional distress and illness perceptions have been linked to patients’ self-efficacy for diabetes management. This study, guided by Leventhal’s Self-Regulatory Model, explores the direct effects of emotional distress (diabetes distress and depressive symptoms) on diabetes management self-efficacy, and the indirect effects through illness perceptions among Chinese Americans with type 2 diabetes (T2DM).Design: Data were obtained from a cross-sectional study of Chinese Americans with T2DM recruited from health fairs and other community settings (N = 155, 47.1% male, mean age 69.07 years). Data analyses including descriptive statistics, correlation, and PROCESS mediation models were used to examine the mediation effects of illness perceptions.Results: Diabetes distress and depressive symptoms had direct negative effects on self-efficacy. Perceived treatment control mediated the association between diabetes distress and self-efficacy, while none of the illness perceptions dimensions impacted the relationship between depressive symptoms and self-efficacy.Conclusion: Improved perceptions of treatment control can ameliorate diabetes distress and improve diabetes management self-efficacy among Chinese Americans. Health providers should elicit patients’ illness perceptions as a first step in evaluating their diabetes management self-efficacy and provide appropriate culturally-tailored interventions.
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