Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/23190
Appears in Collections:Management, Work and Organisation Journal Articles
Peer Review Status: Refereed
Title: What are the combined effects of negative emotions and illness cognitions on self-care in people with type 2 diabetes? A longitudinal structural equation model
Authors: Hudson, Joanna L
Bundy, Christine
Coventry, Peter
Dickens, Chris
Wood, Alex M
Reeves, David
Contact Email: alex.wood@stir.ac.uk
Keywords: depression
anxiety
illness cognitions
diabetes self-care
structural equation modelling
longitudinal
Issue Date: 2016
Citation: Hudson JL, Bundy C, Coventry P, Dickens C, Wood AM & Reeves D (2016) What are the combined effects of negative emotions and illness cognitions on self-care in people with type 2 diabetes? A longitudinal structural equation model, Psychology and Health, 31 (7), pp. 873-890.
Abstract: Objective: To explore whether negative emotions mediate the effect of diabetes cognitions on diabetes self-care and conversely whether diabetes cognitions mediate the effect of negative emotions on diabetes self-care.  Design: Longitudinal observational study in adults with type 2 diabetes.  Main outcome measures: Self-reported depression and anxiety (Diabetes Wellbeing Questionnaire), cognitions (Illness Perceptions Questionnaire-Revised; Beliefs about Medicines Questionnaire), and diabetes self-care (Summary of Diabetes Self-Care Activities Scale) were completed at baseline and six months. Analyses used structural equation modelling.  Results: Baseline medication concerns were associated with elevated symptoms of depression and anxiety at follow-up, but emotions did not mediate medication concern’s effect on diabetes self-care. Baseline depression and anxiety symptoms were associated with specific diabetes cognitions over time, but these cognition domains did not mediate emotion’s effect on diabetes self-care. Personal control remained independent of emotions and was associated with diabetes self-care over time.  Conclusions: Negative emotions did not act directly or alongside cognitions to influence diabetes self-care. The reciprocal relationship between diabetes cognitions and emotions suggests cognitive restructuring, in addition to other mood management intervention techniques would likely improve the emotional wellbeing of adults with type 2 diabetes. Likewise, personal control beliefs are likely important intervention targets for improving self-care.
DOI Link: http://dx.doi.org/10.1080/08870446.2016.1156113
Rights: This item has been embargoed for a period. During the embargo please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study. This is an Accepted Manuscript of an article published by Taylor & Francis Group in Psychology & Health on 17 Mar 2016, available online: http://www.tandfonline.com/10.1080/08870446.2016.1156113

Files in This Item:
File Description SizeFormat 
1.Hudson_accepted_psych&health_open.pdf520.18 kBAdobe PDFView/Open
3. Statistical appendix.pdf306.62 kBAdobe PDFView/Open



This item is protected by original copyright



Items in the Repository are protected by copyright, with all rights reserved, unless otherwise indicated.

If you believe that any material held in STORRE infringes copyright, please contact library@stir.ac.uk providing details and we will remove the Work from public display in STORRE and investigate your claim.