A longitudinal study of coping, anxiety and glycemic control in adults with type 1 diabetes.
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| Title: | A longitudinal study of coping, anxiety and glycemic control in adults with type 1 diabetes. |
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| Authors: | Sultan S (AUTHOR), Epel E (AUTHOR), Sachon C (AUTHOR), Vaillant G (AUTHOR), Hartemann-Heurtier A (AUTHOR) |
| Source: | Psychology & Health. Jan2008, Vol. 23 Issue 1, p73-89. 17p. |
| Abstract: | Diabetes is a unique disorder in how much it requires a high degree of individual self management strategies. Anxiety and stress can affect glycemic control, and thus management of emotions may be key to good glycemic control. This study is the first to examine how anxiety and coping style, and their interaction, can affect long-term glycemic control. We measured anxiety, coping, and HbA1C, a measure for mean blood glucose levels in the previous 6-8 weeks, in 115 patients with Type 1 diabetes at baseline and roughly 5 years later. We found that coping predicted outcomes, especially for those high in trait anxiety. Trait anxiety predicted limited increases in HbA1C (mean increase = 0.02%). Lower levels of emotion-oriented coping predicted clinically significant increases in HbA1C, but only for those high on baseline trait anxiety (mean increase = 0.92%). Task-oriented coping predicted decreases in state anxiety. Use of task- and emotion-oriented coping appears especially important for highly anxious patients, both for emotional regulation and glycemic control. So, coping styles, basal anxiety and their interactions should be considered in designing follow-up and interventions with diabetic patients. [ABSTRACT FROM AUTHOR] |
| Copyright of Psychology & Health is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 105947722 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: A longitudinal study of coping, anxiety and glycemic control in adults with type 1 diabetes. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Sultan+S%22">Sultan S</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Epel+E%22">Epel E</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Sachon+C%22">Sachon C</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Vaillant+G%22">Vaillant G</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Hartemann-Heurtier+A%22">Hartemann-Heurtier A</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Psychology+%26+Health%22">Psychology & Health</searchLink>. Jan2008, Vol. 23 Issue 1, p73-89. 17p. – Name: Abstract Label: Abstract Group: Ab Data: Diabetes is a unique disorder in how much it requires a high degree of individual self management strategies. Anxiety and stress can affect glycemic control, and thus management of emotions may be key to good glycemic control. This study is the first to examine how anxiety and coping style, and their interaction, can affect long-term glycemic control. We measured anxiety, coping, and HbA1C, a measure for mean blood glucose levels in the previous 6-8 weeks, in 115 patients with Type 1 diabetes at baseline and roughly 5 years later. We found that coping predicted outcomes, especially for those high in trait anxiety. Trait anxiety predicted limited increases in HbA1C (mean increase = 0.02%). Lower levels of emotion-oriented coping predicted clinically significant increases in HbA1C, but only for those high on baseline trait anxiety (mean increase = 0.92%). Task-oriented coping predicted decreases in state anxiety. Use of task- and emotion-oriented coping appears especially important for highly anxious patients, both for emotional regulation and glycemic control. So, coping styles, basal anxiety and their interactions should be considered in designing follow-up and interventions with diabetic patients. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Psychology & Health is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=105947722 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1080/14768320701205218 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 17 StartPage: 73 Titles: – TitleFull: A longitudinal study of coping, anxiety and glycemic control in adults with type 1 diabetes. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Sultan S – PersonEntity: Name: NameFull: Epel E – PersonEntity: Name: NameFull: Sachon C – PersonEntity: Name: NameFull: Vaillant G – PersonEntity: Name: NameFull: Hartemann-Heurtier A IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 01 Text: Jan2008 Type: published Y: 2008 Identifiers: – Type: issn-print Value: 08870446 Numbering: – Type: volume Value: 23 – Type: issue Value: 1 Titles: – TitleFull: Psychology & Health Type: main |
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