Coping styles, well-being, and self-care behaviors among African Americans with type 2 diabetes.

Publisher: Sage Publications, Country of Publication: United States NLM ID: 7701401 Publication Model: Print Cited Medium: Print ISSN: 0145-7217 (Print) Linking ISSN: 01457217 NLM ISO Abbreviation: Diabetes Educ

Publication: Thousand Oaks, Calif. : Sage Publications, : American Assn. of Diabetes Educators
Original Publication: Chicago, American Assn. of Diabetes Educators.

Adaptation, Psychological* ; Health Status* ; Self Care*; Black People/*statistics & numerical data ; Diabetes Mellitus, Type 2/*genetics ; Diabetes Mellitus, Type 2/*rehabilitation; Adult ; Aged ; Attitude to Health ; Employment ; Female ; Humans ; Income ; Male ; Middle Aged ; Social Adjustment ; Unemployment ; United States ; Black or African American

Purpose: The purpose of this study was to describe how coping styles among African Americans with type 2 diabetes relate to diabetes appraisals, self-care behaviors, and health-related quality of life or well-being.
Methods: This cross-sectional analysis of baseline measures from 185 African Americans with type 2 diabetes enrolled in a church-based randomized controlled trial uses the theoretical framework of the transactional model of stress and coping to describe bivariate and multivariate associations among coping styles, psychosocial factors, self-care behaviors, and well-being, as measured by validated questionnaires.
Results: Among participants who were on average 59 years of age with 9 years of diagnosed diabetes, passive and emotive styles of coping were used most frequently, with older and less educated participants using more often passive forms of coping. Emotive styles of coping were significantly associated with greater perceived stress, problem areas in diabetes, and negative appraisals of diabetes control. Both passive and active styles of coping were associated with better diabetes self-efficacy and competence in bivariate analysis. In multivariate analysis, significant proportions of the variance in dietary behaviors and mental well-being outcomes (general and diabetes specific) were explained, with coping styles among the independent predictors. A positive role for church involvement in the psychological adaptation to living with diabetes was also observed.
Conclusions: In this sample of older African Americans with diabetes, coping styles were important factors in diabetes appraisals, self-care behaviors, and psychological outcomes. These findings suggest potential benefits in emphasizing cognitive and behavioral strategies to promote healthy coping outcomes in persons living with diabetes.

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K12 HD001438 United States HD NICHD NIH HHS; K12 HD001438-06 United States HD NICHD NIH HHS; U48/CCU409660 International PHS HHS

Date Created: 20080607 Date Completed: 20080729 Latest Revision: 20240712

20240712

PMC2668814

10.1177/0145721708316946

18535323