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 |
Author(s): | 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 | Size | Format | |
---|---|---|---|---|
1.Hudson_accepted_psych&health_open.pdf | 520.18 kB | Adobe PDF | View/Open | |
3. Statistical appendix.pdf | 306.62 kB | Adobe PDF | View/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.