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Related Experiment Videos

Coping, control, and adjustment in Type 2 diabetes.

S D Macrodimitris1, N S Endler

  • 1Department of Psychology, York University, Toronto, Ontario, Canada. smacro@yorku.ca

Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association
|June 14, 2001
PubMed
Summary

For adults with Type 2 diabetes, higher perceived control and instrumental coping strategies improve psychological and physiological adjustment. Emotional preoccupation coping worsens depression and anxiety, impacting health outcomes.

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Area of Science:

  • Psychology
  • Endocrinology
  • Health Psychology

Background:

  • Type 2 diabetes management requires effective coping strategies and psychological adjustment.
  • Understanding the interplay between coping mechanisms, perceived control, and health outcomes is crucial for patient well-being.

Purpose of the Study:

  • To investigate the associations between coping strategies, perceived control, and psychological/physiological adjustment in adults with Type 2 diabetes.
  • To examine the moderating and mediating roles of perceived control and coping styles in diabetes adjustment.

Main Methods:

  • Survey research involving 115 adults diagnosed with Type 2 diabetes.
  • Assessment of coping strategies (emotional preoccupation, palliative, instrumental) and perceived control.
  • Measurement of psychological adjustment (depression, state anxiety) and physiological adjustment (hemoglobin A1c).

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Main Results:

  • Emotional preoccupation and palliative coping correlated positively with depression and anxiety.
  • Perceived control negatively correlated with depression, anxiety, and hemoglobin A1c (HbA1c).
  • Instrumental coping predicted lower depression; perceived control moderated coping-adjustment relationships and mediated control-adjustment links.

Conclusions:

  • Perceived control is vital for psychological and physiological adjustment in Type 2 diabetes.
  • Instrumental coping strategies are beneficial, while emotional preoccupation coping is detrimental.
  • Findings support the goodness-of-fit hypothesis and highlight the importance of fostering perceived control.