Communal coping with type 2 diabetes: A 5-year measurement burst study.

IF 3.2 2区 心理学 Q1 PSYCHOLOGY
Vicki S Helgeson, Fiona Horner
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引用次数: 0

Abstract

Objective: Communal coping is an interpersonal coping style that has been linked to positive psychosocial and health outcomes. The study goals were (a) to investigate changes in communal coping among persons with diabetes (PWD) over 5 years and (b) to assess how links of communal coping to outcomes change over that time.

Method: A measurement burst design was used. Couples in which one person had Type 2 diabetes (64% White, 36% Black) completed a 14-day diary shortly after diagnosis (M = 1.88 years) (2012-2017) and again 5 years later. Mean levels of communal coping (shared appraisal, collaboration) among PWD were compared across the two bursts to assess changes in communal coping. Multilevel modeling was used to assess links of between- and within-person communal copings to psychosocial (mood, coping, positive support, and negative interactions) and diabetes (glucose checking, glucose level, and dietary adherence) outcomes. Interactions with time were included to determine how links of communal coping to outcomes changed over time.

Results: Communal coping decreased across the 5 years among the 99 PWD. Consistent with past research, within- and between-person communal copings were linked to positive psychosocial outcomes and improved diet. Overall, between-person communal coping was more strongly linked to positive outcomes at Time 2 than Time 1. The opposite pattern was observed at the within-person level, but it was less consistent for diabetes outcomes, and several exceptions emerged.

Conclusions: Person-level communal coping becomes more important over time. Interventions aimed at sustaining communal coping may facilitate better health among people with Type 2 diabetes. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

共同应对2型糖尿病:一项为期5年的测量突发研究
目的:共同应对是一种人际应对方式,与积极的社会心理和健康结果有关。研究的目的是(a)调查糖尿病患者(PWD)在5年内社区应对的变化,(b)评估社区应对与结果的联系在这段时间内是如何变化的。方法:采用测量突发设计。其中一方患有2型糖尿病(白人占64%,黑人占36%)的夫妇在诊断后不久(M = 1.88年)(2012-2017年)完成了14天的日记,5年后再次完成日记。我们比较了两次爆发中PWD群体应对的平均水平(共同评估、合作),以评估群体应对的变化。多层模型用于评估人与人之间和人与人之间的公共应对与社会心理(情绪、应对、积极支持和消极互动)和糖尿病(血糖检查、血糖水平和饮食依从性)结果的联系。包括与时间的相互作用,以确定公共应对与结果的联系如何随时间变化。结果:99名残疾患者的集体应对能力在5年内有所下降。与过去的研究一致,人与人之间的公共应对与积极的社会心理结果和改善饮食有关。总体而言,时间2比时间1与积极结果的关系更为密切。在个人水平上观察到相反的模式,但在糖尿病结果上不太一致,并且出现了一些例外。结论:随着时间的推移,个人层面的公共应对变得越来越重要。旨在维持共同应对的干预措施可能促进2型糖尿病患者的健康。(PsycInfo Database Record (c) 2025 APA,版权所有)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Health Psychology
Health Psychology 医学-心理学
CiteScore
4.90
自引率
2.40%
发文量
170
审稿时长
4-8 weeks
期刊介绍: Health Psychology publishes articles on psychological, biobehavioral, social, and environmental factors in physical health and medical illness, and other issues in health psychology.
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