Assessment of diabetes acceptance can help identify patients with ineffective diabetes self-care and poor diabetes control
Abstract
AIMS: To estimate the associations between insufficient diabetes acceptance and relevant diabetes outcomes. METHODS: A total of 320 patients completed questionnaires on diabetes non-acceptance (the Acceptance and Action Diabetes Questionnaire), diabetes distress (the Problem Areas in Diabetes Scale), depressive mood (the Center for Epidemiologic Studies Depression Scale), coping with illness (the Freiburg Questionnaire of Coping with Illness), self-care activities (the Summary of Diabetes Self-Care Activities Measure) and quality of life (the Short Form-36 Health Questionnaire). A six-item version of the Acceptance and Action Diabetes Questionnaire showing good reliability and validity was established, and the associations between insufficient acceptance and clinical outcomes were estimated. RESULTS: Higher diabetes non-acceptance correlated significantly with less active coping (-0.37), reduced self-care (-0.43) and higher HbA1c levels (0.31), higher diabetes distress (0.53) and more depressive symptoms (0.36). Correlations of diabetes non-acceptance with diabetes self-care/glycaemic control were significantly higher than were those of depressive mood or diabetes distress with these criteria. CONCLUSIONS: Low diabetes acceptance is associated with impaired self-care and glycaemic control. Assessment of diabetes acceptance may facilitate the detection of patients at high risk and may present an essential target for treatments to improve diabetes control that is more relevant than elevated depressive mood or diabetes distress.
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Evidence suggests strong associations between higher disease acceptance and increased well-being and quality of life as well as less depressive symptoms in adults with diabetes (Schmitt et al., 2014; Schmitt et al., 2018).
“Furthermore, evidence suggests strong associations between higher disease acceptance and increased well-being and quality of life as well as less depressive symptoms in adults with diabetes (Schmitt et al., 2014; Schmitt et al., 2018),”
From Involving patients' perspective in the development of an internet- and mobile-based CBT intervention for adolescents with chronic medical conditions: Findings from a qualitative study (2021) · cites this paper as Schmitt et al., 2014
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- Authors
- Schmitt, A., Reimer, A., Kulzer, B., Haak, T., Gahr, A., & Hermanns, N.
- Affiliations
- German Diabetes Center Mergentheim (DE)
- Corresponding author
- Schmitt, A.
- Venue
- Diabetic Medicine
- Publisher
- Wiley
- Published
- 2014-08-02
- Volume
- 31
- Issue
- 11
- Pages
- 1446-1451
- ISSN
- 0742-3071 (ISSN-L)
- 1464-5491
- OpenAlex
- W2091739234
- Cited by
- 88
- References
- 24
- Citations by year
- 2026: 7 · 2025: 8 · 2024: 8 · 2023: 8 · 2022: 10 · 2021: 10 · 2020: 7 · 2019: 8 · 2018: 6 · 2017: 7 · 2016: 6 · 2015: 3
- FWCI
- 4.29
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Diabetic Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Bundesministerium für Bildung und Forschung (01GI1107)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
- Keywords
- diabetes self-care, glycemic control, HbA1c, diabetes distress, depressive mood, coping with illness, quality of life, Problem Areas in Diabetes scale, diabetes risk assessment
- MeSH terms
- Adaptation, Psychological, Adult, Attitude to Health, Combined Modality Therapy, Depression, Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2, Female, Germany, Humans, Hyperglycemia, Hypoglycemia, Male, Middle Aged, Patient Compliance, Psychiatric Status Rating Scales, Quality of Life, Surveys and Questionnaires, Self Care, Stress, Psychological, Prevalence, Diabetes Complications
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