CoChat
Sign Up
Cited by 245Diabetes Management and EducationDiabetes Management and ResearchOptimism, Hope, and Well-being

The DOI matches its Crossref record; 49 of the 50 references it cites were found in a registry or an index.

The Network of Psychological Variables in Patients With Diabetes and Their Importance for Quality of Life and Metabolic Control

Rose, Matthias, Fliege, Herbert, Hildebrandt, Martin, Schirop, Thea, Klapp, Burghard F.·2002·Diabetes Care
DOI 10.2337/diacare.25.1.35
Open this paper in CoChat — free account

Abstract

OBJECTIVE—The primary goals in treating patients with diabetes are maintaining blood glucose levels as close to normal as possible and making a relatively normal quality of life achievable. Both of these goals are influenced by a multitude of somatic and psychological factors that should be seen as building a complex network. We examined whether a mathematical model can be construed that can depict the relative significance of each factor for achieving these treatment goals. RESEARCH DESIGN AND METHODS—A total of 625 patients from 32 different treatment facilities were examined (224 type 1 and 401 type 2 diabetic patients) using HbA1c values (high-performance liquid chromatography), number of secondary illnesses, and standardized questionnaires with respect to health-related quality of life (World Health Organization Quality of Life questionnaire), coping behavior (Freiburger Illness-Coping Strategies questionnaire), diabetes-specific knowledge (Test of Diabetes-Specific Knowledge), doctor-patient relationship (Medical Interview Satisfaction Scale), and personality characteristics (Giessen Test and Assessment of Beliefs in Self-Efficacy and Optimism). The analyses were carried out by means of a structural equation model. RESULTS—The model proved to be valid (χ2 = 88.5, df = 76, P = 0.16), showing a sound fit (adjusted goodness of fit [AGFI] = 0.94). It explained 62% of the variance of the quality of life and 5% of the HbA1c values. Subjects characterized by strong beliefs in their self-efficacy and an optimistic outlook on life were more likely to be satisfied with their doctor-patient relationships. They demonstrated more active coping behavior and proved to have a higher quality of life. Active coping behavior was the only psychological variable significant for the HbA1c values. CONCLUSIONS—It was possible to illustrate the various factors involved and their mutual dependency and significance for the treatment goals. Belief in self-efficacy and active coping behavior appear to have the greatest relevance for achieving the primary treatment goals.

Overview

Integrity signals

Registry

Crossref · 10.2337/diacare.25.1.35

Cites

49 of 49 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Verification

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Citations

Cites

Show all 50 references

Research works printed but not linked: 1

  1. Zuzok S: Validierung der Deutschsprachigen Fassung der Medical Interview Satisfaction Scale. Dissertation Fachbereich Humanmedizin, Düsseldorf, Germany, Heinrich-Heine Universität, 2000

Cited by

Sorted by citations

See all 245

Related

Metadata

Authors
Rose, M., Fliege, H., Hildebrandt, M., Schirop, T., & Klapp, B. F.
Affiliations
Humboldt-Universität zu Berlin (DE)
ORCID
Venue
Diabetes Care
Publisher
American Diabetes Association
Published
2002-01-01
Volume
25
Issue
1
Pages
35-42
ISSN
  • 0149-5992 (ISSN-L)
  • 1935-5548
DOI
10.2337/diacare.25.1.35
OpenAlex
W2146350754
Cited by
245
References
50
Citations by year
2025: 2 · 2024: 6 · 2023: 4 · 2022: 7 · 2021: 4 · 2020: 3 · 2019: 2 · 2018: 14 · 2017: 8 · 2016: 7 · 2015: 16 · 2014: 13 · 2013: 22 · 2012: 19
FWCI
7.11
Type
journal article
Language
en
Open access
closed
Locations
  • Diabetes Care (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Research
  • Social Sciences › Psychology › Applied Psychology › Optimism, Hope, and Well-being
Keywords
diabetes mellitus, quality of life, glycemic control, HbA1c, self-efficacy, optimism, coping styles, physician-patient relationship, diabetes knowledge, type 1 diabetes, type 2 diabetes, psychological factors, structural equation modeling
MeSH terms
Blood Glucose, Diabetes Mellitus, Diabetes Mellitus, Type 1, Diabetes Mellitus, Type 2, Educational Status, Employment, Family Practice, Female, Health Status, Glycated Hemoglobin, Humans, Male, Medicine, Patient Education as Topic, Personality Inventory, Physician-Patient Relations, Psychological Tests, Quality of Life, Surveys and Questionnaires, Self Concept, Specialization, Reproducibility of Results, Comorbidity, Patient Satisfaction

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review