When knowing is not enough: Emotional distress and depression reduce the positive effects of health literacy on diabetes self-management.
Identifieur interne : 000734 ( Main/Exploration ); précédent : 000733; suivant : 000735When knowing is not enough: Emotional distress and depression reduce the positive effects of health literacy on diabetes self-management.
Auteurs : Louise Schinckus [Belgique] ; Florence Dangoisse [Belgique] ; Stephan Van Den Broucke [Belgique] ; Moïra Mikolajczak [Belgique]Source :
- Patient education and counseling [ 1873-5134 ] ; 2018.
Descripteurs français
- KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Auto-efficacité (MeSH), Autosoins (psychologie), Compétence informationnelle en santé (MeSH), Diabète de type 2 (psychologie), Diabète de type 2 (thérapie), Dépression (psychologie), Enquêtes et questionnaires (MeSH), Femelle (MeSH), Gestion de soi (MeSH), Humains (MeSH), Mâle (MeSH), Stress psychologique (MeSH), Sujet âgé (MeSH), Émotions (MeSH), Études transversales (MeSH).
- MESH :
- psychologie : Autosoins, Diabète de type 2, Dépression.
- thérapie : Diabète de type 2.
- Adulte, Adulte d'âge moyen, Auto-efficacité, Compétence informationnelle en santé, Enquêtes et questionnaires, Femelle, Gestion de soi, Humains, Mâle, Stress psychologique, Sujet âgé, Émotions, Études transversales.
English descriptors
- KwdEn :
- Adult (MeSH), Aged (MeSH), Cross-Sectional Studies (MeSH), Depression (psychology), Diabetes Mellitus, Type 2 (psychology), Diabetes Mellitus, Type 2 (therapy), Emotions (MeSH), Female (MeSH), Health Literacy (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Self Care (psychology), Self Efficacy (MeSH), Self-Management (MeSH), Stress, Psychological (MeSH), Surveys and Questionnaires (MeSH).
- MESH :
Abstract
OBJECTIVES
Adequate self-management activities are important predictors of diabetes outcomes. As diabetes literacy and self-efficacy are strong predictors of diabetes self-care, self-management education programs focus essentially on these factors. This study investigated whether emotional distress or depression moderates the relation between health literacy, self-efficacy and diabetes self-care behaviors.
METHODS
128 people with type 2 diabetes were recruited in hospitals, through general practitioners and via a diabetes website, and completed a questionnaire assessing health literacy, self-efficacy, diabetes-related distress, depression and self-care behaviors.
RESULTS
Multiple regression analysis confirms that health literacy and self-efficacy significantly predict reported self-care behaviors. Additional regression analyses reveal that distress or depression do not predict self-care behaviors directly, but moderate the effect of health literacy, which has a weaker impact in patients experiencing distress or depression. In contrast, distress and depression do not moderate the effect of self-efficacy on diabetes self-care behaviors.
CONCLUSION
Emotional distress, whether related to diabetes or not, prevents patients from acting on their competence to perform adequate self-management behaviors.
PRACTICE IMPLICATIONS
Diabetes Professionals should pay more attention to the patients' affective state and its influence on self-care. Psychological support should be integrated in the care for people suffering from type 2 diabetes.
DOI: 10.1016/j.pec.2017.08.006
PubMed: 28855062
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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<author><name sortKey="Mikolajczak, Moira" sort="Mikolajczak, Moira" uniqKey="Mikolajczak M" first="Moïra" last="Mikolajczak">Moïra Mikolajczak</name>
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<term>Cross-Sectional Studies (MeSH)</term>
<term>Depression (psychology)</term>
<term>Diabetes Mellitus, Type 2 (psychology)</term>
<term>Diabetes Mellitus, Type 2 (therapy)</term>
<term>Emotions (MeSH)</term>
<term>Female (MeSH)</term>
<term>Health Literacy (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Self Care (psychology)</term>
<term>Self Efficacy (MeSH)</term>
<term>Self-Management (MeSH)</term>
<term>Stress, Psychological (MeSH)</term>
<term>Surveys and Questionnaires (MeSH)</term>
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<term>Adulte d'âge moyen (MeSH)</term>
<term>Auto-efficacité (MeSH)</term>
<term>Autosoins (psychologie)</term>
<term>Compétence informationnelle en santé (MeSH)</term>
<term>Diabète de type 2 (psychologie)</term>
<term>Diabète de type 2 (thérapie)</term>
<term>Dépression (psychologie)</term>
<term>Enquêtes et questionnaires (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Gestion de soi (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Stress psychologique (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Émotions (MeSH)</term>
<term>Études transversales (MeSH)</term>
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<term>Diabète de type 2</term>
<term>Dépression</term>
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<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Depression</term>
<term>Diabetes Mellitus, Type 2</term>
<term>Self Care</term>
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<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Cross-Sectional Studies</term>
<term>Emotions</term>
<term>Female</term>
<term>Health Literacy</term>
<term>Humans</term>
<term>Male</term>
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<term>Adulte d'âge moyen</term>
<term>Auto-efficacité</term>
<term>Compétence informationnelle en santé</term>
<term>Enquêtes et questionnaires</term>
<term>Femelle</term>
<term>Gestion de soi</term>
<term>Humains</term>
<term>Mâle</term>
<term>Stress psychologique</term>
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<front><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b>
</p>
<p>Adequate self-management activities are important predictors of diabetes outcomes. As diabetes literacy and self-efficacy are strong predictors of diabetes self-care, self-management education programs focus essentially on these factors. This study investigated whether emotional distress or depression moderates the relation between health literacy, self-efficacy and diabetes self-care behaviors.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>128 people with type 2 diabetes were recruited in hospitals, through general practitioners and via a diabetes website, and completed a questionnaire assessing health literacy, self-efficacy, diabetes-related distress, depression and self-care behaviors.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>Multiple regression analysis confirms that health literacy and self-efficacy significantly predict reported self-care behaviors. Additional regression analyses reveal that distress or depression do not predict self-care behaviors directly, but moderate the effect of health literacy, which has a weaker impact in patients experiencing distress or depression. In contrast, distress and depression do not moderate the effect of self-efficacy on diabetes self-care behaviors.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSION</b>
</p>
<p>Emotional distress, whether related to diabetes or not, prevents patients from acting on their competence to perform adequate self-management behaviors.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>PRACTICE IMPLICATIONS</b>
</p>
<p>Diabetes Professionals should pay more attention to the patients' affective state and its influence on self-care. Psychological support should be integrated in the care for people suffering from type 2 diabetes.</p>
</div>
</front>
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<AbstractText Label="CONCLUSION">Emotional distress, whether related to diabetes or not, prevents patients from acting on their competence to perform adequate self-management behaviors.</AbstractText>
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