Exploring the relationship between diabetes self-efficacy, depressive symptoms, and glycemic control among men and women with type 2 diabetes.

Cherrington A, Wallston KA, Rothman RL
J Behav Med. 2010 33 (1): 81-9

PMID: 20128112 · PMCID: PMC4435554 · DOI:10.1007/s10865-009-9233-4

Depression and low self-efficacy are both associated with worse glycemic control in adults with diabetes, but the relationship between these variables is poorly understood. We conducted a cross-sectional study examining associations between depressive symptoms, self-efficacy, and glycemic control among men (n = 64) and women (n = 98) with type 2 diabetes to see if self-efficacy mediates the relationship between depression and glycemic control. Correlational and mediational analyses examined the relationship between these three variables for the sample as a whole and separately by sex. A significant association between depressive symptoms and glycemic control was found for men (0.34, P < 0.01) but not for women (0.05, P = 0.59). Path analysis suggested that, among men, self-efficacy mediates the relationship between depressive symptoms and glycemic control. We conclude that men with depressive symptoms and type 2 diabetes may need tailored interventions that improve their self-efficacy in order to achieve glycemic control.

MeSH Terms (16)

Adolescent Adult Aged Aged, 80 and over Cross-Sectional Studies Depression Diabetes Mellitus, Type 2 Female Glycemic Index Humans Male Middle Aged Self Efficacy Sex Characteristics Treatment Outcome Young Adult

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