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Cited by 233Diabetes Management and EducationResilience and Mental HealthOptimism, Hope, and Well-being

The role of resilience on psychological adjustment and physical health in patients with diabetes

Open access
Yi, Joyce P., Vitaliano, Peter P., Smith, Ronald E., Yi, Jean C., Weinger, Katie·2008·British Journal of Health Psychology
DOI 10.1348/135910707x186994PMC PMC2899486
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Abstract

OBJECTIVE: This study used a longitudinal design to investigate the buffering role of resilience on worsening HbA(1c) and self-care behaviours in the face of rising diabetes-related distress. METHOD: A total of 111 patients with diabetes completed surveys and had their glycosylated haemoglobin (HbA(1c)) assessed at baseline and at 1-year follow-up. Resilience was defined by a factor score of self-esteem, self-efficacy, self-mastery and optimism. Diabetes-related distress and self-care behaviours were also assessed. RESULTS: Baseline resilience, diabetes-related distress and their interaction predicted physical health (HbA(1c)) at 1 year. Patients with low, moderate and high resilience were identified. Those with low or moderate resilience levels showed a strong association between rising distress and worsening HbA(1c) across time (r=.57, .56, respectively). However, those with high resilience scores did not show the same associations (r=.08). Low resilience was also associated with fewer self-care behaviours when faced with increasing distress (r=-.55). These correlation coefficients remained significant after controlling for starting-points. CONCLUSION: In patients with diabetes, resilience resources predicted future HbA(1c) and buffered worsening HbA(1c) and self-care behaviours in the face of rising distress levels.

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Crossref · 10.1348/135910707x186994

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  • Low stress resilience is associated with worsening levels of HbA1c over 1-year follow-up in individuals with T1DM or T2DM.

    “In this study, low stress resilience was associated with worsening levels of HbA1c over the 1-year follow-up period in both types.”

    From Type 2 diabetes mellitus and psychological stress — a modifiable risk factor (2017) · cites this paper as [117]

  • Among people with diabetes, positive psychological attributes like optimism and positive affect correlate with better medical results, such as improved glucose control and reduced mortality.

    “In patients with diabetes, psychological well-being constructs (e.g., optimism, positive affect) have been associated with superior medical outcomes, including better glucose control and lower mortality rates.”

    From Well-being interventions for individuals with diabetes: A systematic review (2019) · cites this paper as [19]

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Authors
Yi, J. P., Vitaliano, P. P., Smith, R. E., Yi, J. C., & Weinger, K.
Affiliations
  • University of Washington (US)
  • Joslin Diabetes Center (US)
Corresponding author
Yi, Joyce P.
ORCID
Venue
British Journal of Health Psychology
Publisher
Wiley
Published
2008-05
Volume
13
Issue
2
Pages
311-325
ISSN
  • 1359-107X (ISSN-L)
  • 2044-8287
DOI
10.1348/135910707x186994
PMC
PMC2899486
OpenAlex
W2106463140
Cited by
233
References
64
Citations by year
2026: 6 · 2025: 8 · 2024: 10 · 2023: 11 · 2022: 15 · 2021: 13 · 2020: 14 · 2019: 24 · 2018: 18 · 2017: 13 · 2016: 18 · 2015: 21 · 2014: 17 · 2013: 14 · 2012: 14
FWCI
1.95
Type
journal article
Language
en
Open access
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor, 967 d)
Locations
  • British Journal of Health Psychology (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institute of Mental Health (R01MH057663)
  • National Institute of Diabetes and Digestive and Kidney Diseases (R01DK060115, R01DK042315)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
  • Social Sciences › Psychology › Clinical Psychology › Resilience and Mental Health
  • Social Sciences › Psychology › Applied Psychology › Optimism, Hope, and Well-being
Keywords
resilience, diabetes mellitus, diabetes distress, glycosylated haemoglobin, HbA1c, self-care behavior, psychological adjustment, physical health, buffering effect, self-efficacy, self-esteem, optimism, self-control
MeSH terms
Adaptation, Psychological, Depression, Diabetes Mellitus, Female, Follow-Up Studies, Health Status, Glycated Hemoglobin, Humans, Male, Middle Aged, Physical Fitness, Self Care, Self Concept, Severity of Illness Index, Health Behavior, Self Efficacy

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