Coping with diabetes in adulthood: a meta-analysis
Abstract
Objective A meta-analysis was performed to summarize the relations between coping dimensions (i.e., avoidance, approach, emotion-focused, and problem-focused) and indices of adjustment (i.e., overall, depression, anxiety, glycemic control) in individuals with diabetes.Methods Relevant methodological and statistical information was culled from 21 primary studies consisting of 3,381 people with diabetes. The correlation coefficient was used as the target effect size.Results Use of approach and problem-focused coping was associated with better overall adjustment (small-to-medium effect sizes). Avoidance and emotion-focused coping were not significantly related to overall adjustment. However, negative effect sizes medium-to-large in magnitude were found between emotion-focused coping and specific indices of adjustment (anxiety, depression).Conclusions These findings suggest that coping methods aimed at assuaging both the concomitant negative feelings and specific stressors, such as meeting with doctors and engaging in a new treatment regimen commonly associated with diabetes management, largely improve psychological health. However, these relations are dependent upon both the specific coping method used and the index of adjustment assessed.
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Suboptimal self-management can result from functional limitations, insufficient diabetes education, forgetting and disrupted routines, or psychosocial barriers such as inadequate social support, misinformation, emotional distress, or poor problem-solving and coping skills.
“Suboptimal self-management may be due to functional limitations (e.g., blindness, problems with dexterity, low health literacy and numeracy), lack of appropriate diabetes education, forgetting and disruption in routines,”
From Psychosocial care for people with diabetes: a position statement of the American Diabetes Association (2016) · cites this paper as [29]
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- Authors
- Duangdao, K. M., & Roesch, S. C.
- Affiliations
- University of Nebraska–Lincoln (US)
- San Diego State University (US)
- Corresponding author
- Roesch, Scott C.
- ORCID
- Roesch, Scott C.
- Venue
- Journal of Behavioral Medicine
- Published
- 2008-05-21
- Volume
- 31
- Issue
- 4
- Pages
- 291-300
- ISSN
- 0160-7715 (ISSN-L)
- 1573-3521
- OpenAlex
- W1976955060
- Cited by
- 149
- References
- 67
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 15 · 2023: 8 · 2022: 17 · 2021: 6 · 2020: 9 · 2019: 7 · 2018: 6 · 2017: 8 · 2016: 8 · 2015: 10 · 2014: 10 · 2013: 11 · 2012: 6
- FWCI
- 1.11
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Behavioral Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Social Sciences › Psychology › Applied Psychology › Optimism, Hope, and Well-being
- Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
- Keywords
- diabetes mellitus, coping strategies, problem-focused coping, emotion-focused coping, avoidance coping, approach coping, psychological adjustment, depression, anxiety, glycemic control, diabetes management
- MeSH terms
- Adaptation, Psychological, Adult, Anxiety, Avoidance Learning, Defense Mechanisms, Depression, Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2, Emotions, Female, Humans, Male, Problem Solving, Illness Behavior
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