Positive Emotional Health and Diabetes Care: Concepts, Measurement, and Clinical Implications
Abstract
Background Numerous studies describe the effect of emotional problems, including diabetes-related distress and depression, on diabetes outcomes. Little attention has been devoted to positive emotional health and its potential role in facilitating patients' self-management and improved outcomes.Objective This review describes the conceptualization and measurement of three empirically-tested aspects of positive emotional health (well-being, positive affect, resilience) in the diabetes literature and their relationship to diabetes outcomes.Method A literature review was conducted using PubMed and the Cochrane Library databases from 1970 to January 2011 to identify studies focused on well-being, positive affect, and resilience in diabetes patients.Results Twenty-two studies were identified based on our inclusion criteria. Well-being studies were least likely to include conceptualizations and relied on two primary measurement instruments compared to more heterogeneous presentations found in positive affect and resilience studies. All three aspects of positive emotional health were linked to health-related outcomes and self-management.Conclusion Positive emotional health may facilitate chronic care self-management and improved health outcomes. We present a model to guide future research and intervention development efforts designed to enhance positive emotional health.
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Positive coping shares roots with resilience, which has been shown to impact health behaviors such as diet, physical activity, and overall type 2 diabetes self-management.
“Positive coping shares roots with resilience, which has also been shown to impact health behaviors such as diet, physical activity, and overall T2D self-management [67–69].”
From Positive Psychological Interventions for Patients with Type 2 Diabetes: Rationale, Theoretical Model, and Intervention Development (2015) · cites this paper as [69]
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- Authors
- Robertson, S. M., Stanley, M. A., Cully, J. A., & Naik, A. D.
- Affiliations
- Michael E. DeBakey VA Medical Center (US)
- Corresponding author
- Robertson, Suzanne M.
- Venue
- Psychosomatics
- Publisher
- Elsevier BV
- Published
- 2012-01
- Volume
- 53
- Issue
- 1
- Pages
- 1-12
- ISSN
- 0033-3182 (ISSN-L)
- OpenAlex
- W2067362639
- Cited by
- 69
- References
- 47
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 5 · 2023: 6 · 2022: 6 · 2021: 5 · 2020: 10 · 2019: 3 · 2018: 4 · 2017: 5 · 2015: 3 · 2014: 4 · 2013: 10 · 2012: 2
- FWCI
- 0.84
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychosomatics (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Aging (K23AG027144)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Social Sciences › Psychology › Social Psychology › Psychological Well-being and Life Satisfaction
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Keywords
- diabetes mellitus, well-being, positive affect, resilience, diabetes self-management, diabetes distress, depression, health outcomes, measurement instruments, chronic care
- MeSH terms
- Adaptation, Psychological, Diabetes Mellitus, Emotions, Happiness, Humans, Models, Psychological, Quality of Life, Self Care, Self Concept, Databases, Bibliographic, Treatment Outcome, Outcome Assessment, Health Care, Resilience, Psychological
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