焦虑
临床心理学
应对(心理学)
心理干预
心理学
结构方程建模
感知
2型糖尿病
联想(心理学)
糖尿病
自我效能感
精神科
医学
心理治疗师
内分泌学
统计
数学
神经科学
作者
Meiqi Xin,Vicky Chan,Alice P.S. Kong,Joseph T. F. Lau,Linda D. Cameron,Winnie W. S. Mak,Phoenix K. H. Mo
标识
DOI:10.1016/j.pec.2022.107581
摘要
Based on the common-sense model of self-regulation, this study aimed to explicate the mechanism underlying the effect of illness representations on self-care behaviours and anxiety symptoms among patients with type 2 diabetes.A telephone survey was administered to 473 patients in Hong Kong. Structural equation modelling was used to test if threat and control perceptions regarding diabetes would be associated with self-reported self-care behaviours and anxiety symptoms through adoption of adaptive/maladaptive coping strategies and diabetes-related self-efficacy.Control perceptions but not threat perceptions were positively associated with self-care behaviours. Control perceptions had a positive indirect association with self-care behaviours through more problem-focused coping and diabetes-related self-efficacy. Threat perceptions simultaneously had a positive indirect association through more problem-focused coping and a negative indirect association through more avoidant coping and lower diabetes-related self-efficacy. In contrast, threat and control perceptions were positively and negatively, respectively, associated with anxiety symptoms. Problem-focused and avoidant coping consistently mediated the indirect association between threat perceptions and anxiety symptoms.Threat and control perceptions were associated with diabetes self-care behaviours and anxiety symptoms through different self-regulation pathways.Our findings inform possible targets for self-management interventions to simultaneously enhance self-care behaviours and alleviate diabetes-associated anxiety.
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