Toward effective interventions to reduce diabetes distress among adults with type 1 diabetes: Enhancing Emotion regulation and cognitive skills.
Cognition
Diabetes
Diabetes distress
Emotion regulation
Journal
Patient education and counseling
ISSN: 1873-5134
Titre abrégé: Patient Educ Couns
Pays: Ireland
ID NLM: 8406280
Informations de publication
Date de publication:
08 2019
08 2019
Historique:
received:
12
01
2019
revised:
20
03
2019
accepted:
26
03
2019
pubmed:
7
4
2019
medline:
26
3
2020
entrez:
7
4
2019
Statut:
ppublish
Résumé
We tested three models to determine how improvements in emotion regulation (ER) and cognitive skills (CS) as a result of intervention operate to affect reductions in diabetes distress DD. Change data were drawn from the baseline and 9-month T1-REDEEM trial. Adults with type 1 diabetes were recruited from several U.S. states and Toronto, Canada. A primary and two alternative structural equation models were tested to explore the directionality of effect: primary model - changes in ER and CS drive changes in DD; reverse model - changes in DD drive changes in ER and CS; and bidirectional model - changes in ER, CS and DD occur together with no directionality. All three models displayed a good fit to the data. The primary model indicated 7 significant directional pathways: improvements in ER and CS operate together to drive reductions in DD. The reverse model only indicated that reductions in DD affected changes in one CS variable; and the bidirectional model indicated only that these results were bidirectional. Reductions in all tested domains of DD occurred together. Improvements in ER and CS drive reductions in DD. Interventions to reduce high DD should focus on improving ER and CS.
Identifiants
pubmed: 30952482
pii: S0738-3991(19)30101-6
doi: 10.1016/j.pec.2019.03.021
pmc: PMC6565487
mid: NIHMS1526141
pii:
doi:
Types de publication
Journal Article
Multicenter Study
Research Support, N.I.H., Extramural
Langues
eng
Pagination
1499-1505Subventions
Organisme : NIDDK NIH HHS
ID : R01 DK094863
Pays : United States
Informations de copyright
Copyright © 2019 Elsevier B.V. All rights reserved.
Références
Diabetes Care. 2010 May;33(5):1034-6
pubmed: 20150291
J Psychosom Res. 2014 Apr;76(4):265-74
pubmed: 24630175
Lancet Diabetes Endocrinol. 2015 Jun;3(6):461-471
pubmed: 25995124
Diabet Med. 2007 Jan;24(1):48-54
pubmed: 17227324
Diabetes Educ. 2007 Mar-Apr;33(2):291-9
pubmed: 17426304
Diabetes Care. 2018 Sep;41(9):1862-1869
pubmed: 29976567
Diabetes Care. 2016 Nov;39(11):1963-1971
pubmed: 27335319
Health Psychol. 2015 May;34(5):505-13
pubmed: 25110840
Diabet Med. 2018 Jun 13;:
pubmed: 29896760
Health Psychol. 2016 Oct;35(10):1154-8
pubmed: 27089457
J Pers Soc Psychol. 2000 Jun;78(6):1150-69
pubmed: 10870915
Soc Sci Med. 1997 Oct;45(8):1207-21
pubmed: 9381234
Diabet Med. 2017 Nov;34(11):1508-1520
pubmed: 28799294
Behav Res Ther. 2016 Nov;86:35-49
pubmed: 27492851
Curr Diab Rep. 2018 Mar 21;18(5):23
pubmed: 29564640
Diabet Med. 2014 Jun;31(6):739-46
pubmed: 24494593
Lancet Diabetes Endocrinol. 2015 Jun;3(6):450-460
pubmed: 25995123
J Child Psychol Psychiatry. 2017 Apr;58(4):361-383
pubmed: 28035675
Patient Educ Couns. 2018 Jan;101(1):124-131
pubmed: 28739179
J Diabetes Complications. 2015 May-Jun;29(4):572-7
pubmed: 25765489
J Diabetes Complications. 2016 Aug;30(6):1123-8
pubmed: 27118163
Assessment. 2008 Sep;15(3):329-42
pubmed: 18310597
Diabetes Care. 2013 Sep;36(9):2551-8
pubmed: 23735726