Emotional Regulation and Diabetes Distress in Adults With Type 1 and Type 2 Diabetes
- 10 November 2020
- journal article
- research article
- Published by American Diabetes Association in Diabetes Care
- Vol. 44 (1), 20-25
- https://doi.org/10.2337/dc20-1059
Abstract
OBJECTIVE To explore the correlates of diabetes-related distress (DD) with psychometrically valid assessments of emotional regulation in individuals with type 1 and type 2 diabetes. RESEARCH DESIGN AND METHODS Adults with diabetes (n = 298) were assessed for psychological issues possibly associated with diabetes and were further evaluated with measures of negative emotional experience (ER-Exp) and skill at regulating such experiences (ER-Skill) and measures of DD, perceived psychosocial stress, diabetes literacy, and diabetes self-care. RESULTS ER-Exp was directly related to DD, while ER-Skill was inversely related to DD. Together, these ER variables displayed a medium-size relationship (β = 0.45) with DD. Inclusion of variables related to diabetes self-care and perceived psychosocial stress was associated with only an 18% reduction (i.e., β = 0.45 to β = 0.38) in the strength of this relationship, while the magnitude of relationships between DD and perceived psychosocial stress (β = 0.15) and diabetes self-care (β = −0.09) was relatively small. CONCLUSIONS These data suggest that DD is meaningfully linked with negative emotionality, and skill at regulating such emotions, in adults with diabetes. This relationship appears to be stronger than that between DD and perceived psychological stress or diabetes self-care. If so, DD (and possibly A1C) may be improved in those with diabetes and difficulties with negative emotionality.Keywords
This publication has 33 references indexed in Scilit:
- A Review of Treating Depression in Diabetes: Emerging FindingsPsychosomatics, 2011
- Diabetes Distress but Not Clinical Depression or Depressive Symptoms Is Associated With Glycemic Control in Both Cross-Sectional and Longitudinal AnalysesDiabetes Care, 2009
- Mental disorders among persons with diabetes—Results from the World Mental Health SurveysJournal of Psychosomatic Research, 2008
- The Effects of an Emotional Intelligence Program on the Quality of Life and Well-Being of Patients With Type 2 Diabetes MellitusThe Diabetes Educator, 2008
- A longitudinal study of affective and anxiety disorders, depressive affect and diabetes distress in adults with Type 2 diabetesDiabetic Medicine, 2008
- Clinical Depression Versus Distress Among Patients With Type 2 DiabetesDiabetes Care, 2007
- Psychological interventions to improve glycaemic control in patients with type 1 diabetes: systematic review and meta-analysis of randomised controlled trialsBMJ, 2006
- The Science of Emotional IntelligenceCurrent Directions in Psychological Science, 2005
- Development and Validation of a Literacy Assessment Tool for Persons With DiabetesThe Diabetes Educator, 2001
- Affect intensity as an individual difference characteristic: A reviewJournal of Research in Personality, 1987