Self-Care Adherence and Psychological Functioning of Older Patients with Type 2 Diabetes: Effects of Persuasion, Social Pressure, and Self-Efficacy
JOURNAL OF CLINICAL PSYCHOLOGY IN MEDICAL SETTINGS
卷: 23 期: 4 頁: 389-401
DOI: 10.1007/s10880-016-9470-y
出版年: DEC 2016
JOURNAL OF CLINICAL PSYCHOLOGY IN MEDICAL SETTINGS
影響因子
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JCR®類別
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類別中的排序
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JCR 分區
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PSYCHOLOGY, CLINICAL
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82/122
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Q3
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出版商SPRINGER/PLENUM PUBLISHERS, 233 SPRING ST, NEW YORK, NY 10013 USA
ISSN: 1068-9583
eISSN: 1573-3572
研究領域Psychology
摘要
This cross-sectional study examined the role of family members' use of persuasion versus pressure as distinct forms of social control by which family members attempt to encourage better diabetes management among older adults with type 2 diabetes mellitus (T2DM). The study also examined how self-efficacy might moderate the relationship between persuasion/pressure, psychological functioning, and self-care adherence. Participants were 96 men and 103 women with T2DM, with a mean age of 63.3 years. Regression results show that neither persuasion nor pressure was significantly related to self-care adherence, but persuasion and pressure were associated in complex ways with diabetes-related emotional distress and depressive symptoms for which significant interaction effects were found. Patients with lower self-efficacy benefited from persuasion, but were adversely affected by pressure. In contrast, patients with higher self-efficacy were adversely affected by persuasion, but were less negatively affected by pressure. Findings highlight the importance of reducing pressure-based social control, considering patients' self-efficacy when family members seek to influence patients' self-care behaviors, and targeting patient-family interactions in future interventions.
關鍵詞
作者信息
通訊作者地址: Yang, F (通訊作者)
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Shanghai Univ, Sch Sociol & Polit Sci, Dept Social Work, A501,99 Shangda Rd, Shanghai 200444, Peoples R China.
增強組織信息的名稱
Shanghai University
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地址:
基金資助致謝
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基金資助機構
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授權號
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Shanghai Municipal Education Commission "Chenguang Scholar Program"
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15CG46
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Mitsui Sumitomo Insurance Welfare Foundation
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M4060918.100
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Dr. Fang Yang's work was supported by a grant from Shanghai Municipal Education Commission "Chenguang Scholar Program" (15CG46) and a grant from Mitsui Sumitomo Insurance Welfare Foundation (M4060918.100). The authors gratefully acknowledge their support. The authors also thank research assistants for their assistance with data collection, the Diabetic Society of Singapore and all the patients for their support in the data collection.
出版商
SPRINGER/PLENUM PUBLISHERS, 233 SPRING ST, NEW YORK, NY 10013 USA
類別 / 分類
研究方向:Psychology
Web of Science 類別:Psychology, Clinical
文獻信息
文獻類型:Article
語種:English
入藏號: WOS:000389602900010
ISSN: 1068-9583
eISSN: 1573-3572
