Explaining improvement in diabetes distress: a longitudinal analysis of the predictive relevance of resilience and acceptance in people with type 1 diabetes
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| Titel: | Explaining improvement in diabetes distress: a longitudinal analysis of the predictive relevance of resilience and acceptance in people with type 1 diabetes |
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| Autoren: | Gina Lehmann, Philipp Ziebell, Andreas Schmitt, Bernhard Kulzer, Norbert Hermanns, Dominic Ehrmann |
| Quelle: | Acta Diabetol |
| Verlagsinformationen: | Springer Science and Business Media LLC, 2023. |
| Publikationsjahr: | 2023 |
| Schlagwörter: | Adult, Diabetes Complications, Diabetes Mellitus, Type 1, ddc:150, Diabetes distress, Diabetes Complications [MeSH], Resilience, Psychological [MeSH], Adult [MeSH], Psychological resilience, Humans [MeSH], Prospective Studies [MeSH], Type 1 diabetes, Diabetes acceptance, Original Article, Mental health, Prospective study, Diabetes Mellitus, Type 1/complications [MeSH], Stress, Psychological/etiology [MeSH], Humans, Prospective Studies, Resilience, Psychological, Stress, Psychological, 3. Good health |
| Beschreibung: | Aims To analyze if midterm improvement in diabetes distress can be explained by resilience, diabetes acceptance, and patient characteristics. Methods N = 179 adults with type 1 diabetes were enrolled during their stay at a tertiary diabetes center (monocentric enrolment) and followed up over three months in a prospective, observational study (‘DIA-LINK1’). Improvement in diabetes distress was assessed as reduction in the Problem Areas in Diabetes Scale score from baseline to follow-up. Resilience (Resilience Scale-13), acceptance (Diabetes Acceptance Scale), and patient characteristics were analyzed as predictors of improvement in diabetes distress using hierarchical multiple regression. Results Greater reductions in diabetes distress were significantly explained by lower diabetes acceptance at baseline (β = −0.34, p p > 0.05). When change in diabetes acceptance from baseline to follow-up was added to the model, improved diabetes distress was explained by increasing diabetes acceptance (β = 0.41, p β = -0.18, p = 0.03), while baseline diabetes acceptance was no longer significantly associated (β = −0.14, p > 0.05). Conclusions Diabetes acceptance is inversely related to diabetes distress, and increasing acceptance explained greater improvement in diabetes distress. These findings suggest that increasing diabetes acceptance may facilitate the reduction of diabetes distress. Treatment approaches targeting acceptance might be useful for the mental healthcare of people with type 1 diabetes and clinically elevated diabetes distress. |
| Publikationsart: | Article Other literature type |
| Dateibeschreibung: | application/pdf |
| Sprache: | English |
| ISSN: | 1432-5233 |
| DOI: | 10.1007/s00592-023-02180-2 |
| Zugangs-URL: | https://pubmed.ncbi.nlm.nih.gov/37747554 https://repository.publisso.de/resource/frl:6489973 https://opus.bibliothek.uni-wuerzburg.de/files/38742/s00592-023-02180-2.pdf https://opus.bibliothek.uni-wuerzburg.de/frontdoor/index/index/docId/38742 https://doi.org/10.1007/s00592-023-02180-2 https://nbn-resolving.org/urn:nbn:de:bvb:20-opus-387429 |
| Rights: | CC BY |
| Dokumentencode: | edsair.doi.dedup.....0f260c292f303041ce6a47cd6d39d580 |
| Datenbank: | OpenAIRE |
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Nájsť tento článok vo Web of Science | Abstract: | Aims To analyze if midterm improvement in diabetes distress can be explained by resilience, diabetes acceptance, and patient characteristics. Methods N = 179 adults with type 1 diabetes were enrolled during their stay at a tertiary diabetes center (monocentric enrolment) and followed up over three months in a prospective, observational study (‘DIA-LINK1’). Improvement in diabetes distress was assessed as reduction in the Problem Areas in Diabetes Scale score from baseline to follow-up. Resilience (Resilience Scale-13), acceptance (Diabetes Acceptance Scale), and patient characteristics were analyzed as predictors of improvement in diabetes distress using hierarchical multiple regression. Results Greater reductions in diabetes distress were significantly explained by lower diabetes acceptance at baseline (β = −0.34, p p > 0.05). When change in diabetes acceptance from baseline to follow-up was added to the model, improved diabetes distress was explained by increasing diabetes acceptance (β = 0.41, p β = -0.18, p = 0.03), while baseline diabetes acceptance was no longer significantly associated (β = −0.14, p > 0.05). Conclusions Diabetes acceptance is inversely related to diabetes distress, and increasing acceptance explained greater improvement in diabetes distress. These findings suggest that increasing diabetes acceptance may facilitate the reduction of diabetes distress. Treatment approaches targeting acceptance might be useful for the mental healthcare of people with type 1 diabetes and clinically elevated diabetes distress. |
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| ISSN: | 14325233 |
| DOI: | 10.1007/s00592-023-02180-2 |