TY - JOUR
T1 - Association of social problem solving with glycemic control in a sample of urban African Americans with type 2 diabetes
AU - Hill-Briggs, Felicia
AU - Gary, Tiffany L.
AU - Yeh, Hsin Chieh
AU - Batts-Turner, Marian
AU - Powe, Neil R.
AU - Saudek, Christopher D.
AU - Brancati, Frederick L.
N1 - Funding Information:
Social Problem-Solving Inventory—Revised: Short Form sample items were reproduced with permission. Copyright ©c 1996, 2002 Multi-Health Systems Inc. All rights reserved. This work was supported by grants from the National Institutes of Health (R01-DK48177 and R01-DK48177-S1) and the Johns Hopkins University Outpatient Department General Clinical Research Center (R0052).
PY - 2006/2
Y1 - 2006/2
N2 - The Social Problem-Solving Inventory - Revised, Short Form, was administered to 65 urban African Americans with type 2 diabetes to examine association of generic problem-solving styles and orientation with hemoglobin A1C (A1C). Eighty-five percent of participants had total social problem-solving scores in the Average range or higher. In linear regression models adjusted for education, each interquartile increase in impulsive/careless score was associated with a 0.82 increase in A1C (%) (p = 0.01), and each interquartile increase in avoidant score was associated with a 1.62 Increase in A1C (%) (p = 0.004). After adjusting for depressive symptoms, the association of impulsive/careless style with A1C was attenuated, while the association of avoidant problem solving with A1C remained significant (p = 0.01). Associations of rational problem-solving style, positive orientation, and negative orientation with A1C and health behaviors were not statistically significant. Ineffective problem-solving styles may prove to be important targets for intervention to improve glycemic control.
AB - The Social Problem-Solving Inventory - Revised, Short Form, was administered to 65 urban African Americans with type 2 diabetes to examine association of generic problem-solving styles and orientation with hemoglobin A1C (A1C). Eighty-five percent of participants had total social problem-solving scores in the Average range or higher. In linear regression models adjusted for education, each interquartile increase in impulsive/careless score was associated with a 0.82 increase in A1C (%) (p = 0.01), and each interquartile increase in avoidant score was associated with a 1.62 Increase in A1C (%) (p = 0.004). After adjusting for depressive symptoms, the association of impulsive/careless style with A1C was attenuated, while the association of avoidant problem solving with A1C remained significant (p = 0.01). Associations of rational problem-solving style, positive orientation, and negative orientation with A1C and health behaviors were not statistically significant. Ineffective problem-solving styles may prove to be important targets for intervention to improve glycemic control.
KW - Disease control
KW - Health behaviors
KW - Minorities
KW - Problem solving
KW - Self-management
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U2 - 10.1007/s10865-005-9037-0
DO - 10.1007/s10865-005-9037-0
M3 - Article
C2 - 16397820
AN - SCOPUS:33644766143
SN - 0160-7715
VL - 29
SP - 69
EP - 78
JO - Journal of Behavioral Medicine
JF - Journal of Behavioral Medicine
IS - 1
ER -