The impact of type D personality on self-care of patients with type 2 diabetes: the mediating role of coping strategies

  • PDF / 361,719 Bytes
  • 8 Pages / 595.276 x 790.866 pts Page_size
  • 16 Downloads / 137 Views

DOWNLOAD

REPORT


RESEARCH ARTICLE

The impact of type D personality on self-care of patients with type 2 diabetes: the mediating role of coping strategies Hadi Akbari 1 & Fahimeh Dehghani 1

&

Maryam Salehzadeh 1

Received: 27 December 2019 / Accepted: 25 August 2020 # Springer Nature Switzerland AG 2020

Abstract Purpose As a chronic disease, Diabetes requires special self-care behaviors until the end of life. Psychological factors play an important role in following the self-care plans among patients with diabetes. The present study was designed to examine the relationship between type D personality and self-care with the mediating role of coping strategies in patients with type 2 diabetes. Methods This cross-sectional study was carried out on a sample of 361 patients with type 2 diabetes from Ale-Ebrahim Diabetes Charity Center in Isfahan, Iran. Type D personality, coping strategies and self-care were measured by validated questionnaires. The data were analyzed through Structural Equation Modeling (SEM). Results The results indicated that type D personality affects the self-care behaviors indirectly via emotion-oriented coping. Problem and avoidant oriented coping strategies did not significantly mediate the effect of type D personality on self-care. Conclusion In general, assessing psychological background (such as personality traits and coping strategies) can facilitate the treatment of patients with diabetes by means of self-care enhancement. Keywords Coping strategies . Type D personality . Self-care behaviors . Type 2 diabetes

Introduction Diabetes is one of the most common and costly chronic disease, which has been estimated to inflict suffering on people ranging from a population of 171 million in 2000 to 366 million in 2030 [1]. There are a variety of diabetes forms among which type 2 is the most prevalent kind in adults [2]. In type 2 diabetes, the pancreas produces insulin, yet its amount is insufficient or at times, the body is resistant to it [3]. Having escalated in the recent decades, type 2 diabetes is considered as a disease, which has brought about a great deal of health and socio-economic problems for human societies. Furthermore, it has been known as an impairing disease which may result in a wide range of disabilities [4]. Hence, recognition of the factors that can reduce such problems has been a concern to experts. One of these factors is self-care, which can

* Fahimeh Dehghani [email protected] 1

Department of Psychology, Faculty of Psychology and Educational Sciences, Yazd University, Yazd, Iran

improve the clinical outcomes according to the scientific research [5]. Self-care in diabetes is defined as a gradual process of maturation (knowledge or awareness acquisition), culminating strategies to deal with the complex nature of type 2 diabetes in a social context. The patient’s ability to take care of oneself and his/her perseverance to maintain care consistency in the long run are two essential factors to manage diabetes promptly [6]. Thus, psychological factors can have an impact on self-care beh