The role of emotion dysregulation in self-management behaviors among adults with type 2 diabetes

IF 2.8 3区医学 Q2 PSYCHOLOGY, CLINICAL

Journal of Behavioral Medicine Pub Date : 2024-04-26 DOI:10.1007/s10865-024-00483-5

Sophie R. Kollin, Kim L. Gratz, Aaron A. Lee

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Abstract

Suboptimal disease self-management among adults with type 2 diabetes is associated with greater risk of diabetes related health complications and mortality. Emotional distress has been linked with poor diabetes self-management; however, few studies have examined the role of emotion dysregulation in diabetes management. The purpose of this study was to examine the relations between different facets of emotion dysregulation and diabetes self-management behaviors among a sample of 373 adults with type 2 diabetes. Separate median regression and binary logistic regression models were used to examine the association of emotion dysregulation facets and each diabetes self-care behavior (i.e., medication nonadherence, diet, exercise, self-monitoring of blood glucose (SMBG), foot care, and smoking). Generally, greater difficulties in emotion regulation were associated with poorer self-management behaviors. However, several facets of emotion dysregulation were linked with better self-management behaviors. Addressing emotion dysregulation among adults with type 2 diabetes has the potential to improve diabetes related self-management.

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情绪失调在成人 2 型糖尿病患者自我管理行为中的作用

成人 2 型糖尿病患者自我管理疾病的能力不足与糖尿病相关并发症和死亡的风险增加有关。情绪困扰与不良的糖尿病自我管理有关；然而，很少有研究探讨情绪失调在糖尿病管理中的作用。本研究的目的是在 373 名 2 型糖尿病成人样本中考察情绪失调的不同方面与糖尿病自我管理行为之间的关系。研究分别采用了中位回归和二元逻辑回归模型来考察情绪调节障碍的不同方面与每种糖尿病自我护理行为（即不按时服药、饮食、运动、自我血糖监测（SMBG）、足部护理和吸烟）之间的关系。一般来说，情绪调节困难越大，自我管理行为越差。然而，情绪失调的几个方面与较好的自我管理行为有关。解决成年 2 型糖尿病患者的情绪失调问题有可能改善与糖尿病相关的自我管理行为。

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来源期刊

Journal of Behavioral Medicine PSYCHOLOGY, CLINICAL-

CiteScore

5.70

自引率

3.20%

发文量

112

期刊介绍： The Journal of Behavioral Medicine is a broadly conceived interdisciplinary publication devoted to furthering understanding of physical health and illness through the knowledge, methods, and techniques of behavioral science. A significant function of the journal is the application of this knowledge to prevention, treatment, and rehabilitation and to the promotion of health at the individual, community, and population levels.The content of the journal spans all areas of basic and applied behavioral medicine research, conducted in and informed by all related disciplines including but not limited to: psychology, medicine, the public health sciences, sociology, anthropology, health economics, nursing, and biostatistics. Topics welcomed include but are not limited to: prevention of disease and health promotion; the effects of psychological stress on physical and psychological functioning; sociocultural influences on health and illness; adherence to medical regimens; the study of health related behaviors including tobacco use, substance use, sexual behavior, physical activity, and obesity; health services research; and behavioral factors in the prevention and treatment of somatic disorders. Reports of interdisciplinary approaches to research are particularly welcomed.