| Literature DB >> 16684941 |
Rika Nakahara1, Kazuhiro Yoshiuchi, Hiroaki Kumano, Yoko Hara, Hiroyuki Suematsu, Tomifusa Kuboki.
Abstract
The authors prospectively assessed the causal relationship between psychosocial factors and glycemic control in 256 Japanese outpatients with Type 2 diabetes. Using structural-equation modeling, they first developed a causal model in which glycosylated hemoglobin (HbA(1c)) at 6 months after assessment was influenced by the baseline psychosocial factors. Then, the reliability of the causal model was investigated with measurement of HbA(1c) at 12 months after baseline. Self-efficacy directly reinforced adherence, and adherence had a direct association with future HbA(1c). Other psychosocial factors, including social support, diabetes-related distress, daily burden, and emotion-focused coping prospectively influenced HbA(1c) indirectly through self-efficacy.Entities:
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Year: 2006 PMID： 16684941 DOI： 10.1176/appi.psy.47.3.240
Source DB: PubMed Journal: Psychosomatics ISSN： 0033-3182 Impact factor: 2.386