Abstract
Poor glucose control can be viewed as a stressor, possibly promulgating diabetes distress. We examined the relationship between perceived blood glucose control and diabetes distress over time using a partially controlled cross-lagged path analysis model. After controlling for demographics, control at 6 months was directly related to change in distress at 12 months. Subsequently, distress at 12 months was directly related to change in control at 18 months. Both 6-month control and distress had significant indirect effects on 18-month control and distress. This demonstrates the nuanced bi-directional relationship between the stress of poor perceived control and diabetes distress.
Original language | English (US) |
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Pages (from-to) | 1966-1975 |
Number of pages | 10 |
Journal | Journal of Health Psychology |
Volume | 26 |
Issue number | 11 |
DOIs | |
State | Published - Sep 2021 |
Keywords
- American Indian
- community-based participatory research
- glucose control
- stress process
- type 2 diabetes
ASJC Scopus subject areas
- Applied Psychology