Spousal protective buffering and type 2 diabetes outcomes.
Matthew D Johnson1, Jared R Anderson2, Ann Walker3
1Department of Human Ecology, University of Alberta.
Summary
Spousal protective buffering impacts type 2 diabetes management, but its effect depends on the patient's illness appraisal. This highlights the nuanced role of couple coping in chronic illness.
Area of Science:
- Health Psychology
- Behavioral Medicine
- Couples Therapy
Background:
- Chronic illnesses like type 2 diabetes significantly impact individuals and their partners.
- Understanding couple coping mechanisms is crucial for effective chronic illness management.
Purpose of the Study:
- To examine how spousal protective buffering relates to type 2 diabetes outcomes (dietary adherence, exercise, HbA1c).
- To investigate if patient appraisals of diabetes (distress, control, self-efficacy, consequences) moderate these associations.
Main Methods:
- 117 married couples where one partner had type 2 diabetes participated.
- Data collected via surveys from both spouses and patients.
- Path analysis was used for statistical analysis.
Main Results:
- Protective buffering was linked to less exercise when patients reported low diabetes distress and perceived fewer consequences.
- Higher HbA1c levels were associated with protective buffering when patients reported high diabetes control.
Conclusions:
- Spousal protective buffering's association with diabetes outcomes is not uniform.
- The patient's appraisal of their diabetes significantly influences the effectiveness of spousal support.
- Findings underscore the importance of considering patient perspectives in couple-based chronic illness interventions and suggest future longitudinal research.
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