dc.contributor.author | Hudson, JL | |
dc.contributor.author | Bundy, C | |
dc.contributor.author | Coventry, P | |
dc.contributor.author | Dickens, C | |
dc.contributor.author | Wood, A | |
dc.contributor.author | Reeves, D | |
dc.date.accessioned | 2016-04-29T08:01:43Z | |
dc.date.issued | 2016-03-17 | |
dc.description.abstract | OBJECTIVE: To explore whether negative emotions mediate the effect of diabetes cognitions on diabetes self-care and conversely whether diabetes cognitions mediate the effect of negative emotions on diabetes self-care. DESIGN: Longitudinal observational study in adults with type 2 diabetes. MAIN OUTCOME MEASURES: Self-reported depression and anxiety (Diabetes Wellbeing Questionnaire), cognitions (Illness Perceptions Questionnaire-Revised; Beliefs about Medicines Questionnaire), and diabetes self-care (Summary of Diabetes Self-Care Activities Scale) were completed at baseline and six months. Analyses used structural equation modelling. RESULTS: Baseline medication concerns were associated with elevated symptoms of depression and anxiety at follow-up, but emotions did not mediate medication concern's effect on diabetes self-care. Baseline depression and anxiety symptoms were associated with specific diabetes cognitions over time, but these cognition domains did not mediate emotion's effect on diabetes self-care. Personal control remained independent of emotions and was associated with diabetes self-care over time. CONCLUSIONS: Negative emotions did not act directly or alongside cognitions to influence diabetes self-care. The reciprocal relationship between diabetes cognitions and emotions suggests cognitive restructuring, in addition to other mood management intervention techniques would likely improve the emotional wellbeing of adults with type 2 diabetes. Likewise, personal control beliefs are likely important intervention targets for improving self-care. | en_GB |
dc.description.sponsorship | NIHR Collaboration for Leadership in Applied Health Research and Care Greater Manchester at Salford Royal NHS Foundation Trust
NIHR CLAHRC for the South West Peninsula (UK) | en_GB |
dc.identifier.doi | 10.1080/08870446.2016.1156113 | |
dc.identifier.uri | http://hdl.handle.net/10871/21306 | |
dc.language.iso | en | en_GB |
dc.publisher | Taylor & Francis (Routledge) | en_GB |
dc.relation.replaces | 10871/19844 | |
dc.relation.replaces | http://hdl.handle.net/10871/19844 | |
dc.relation.url | http://www.ncbi.nlm.nih.gov/pubmed/26988897 | en_GB |
dc.rights.embargoreason | Publisher policy | en_GB |
dc.rights | This is the author accepted manuscript. The final version is available from Taylor & Francis via the DOI in this record. | en_GB |
dc.subject | anxiety | en_GB |
dc.subject | depression | en_GB |
dc.subject | diabetes self-care | en_GB |
dc.subject | illness cognitions | en_GB |
dc.subject | longitudinal | en_GB |
dc.subject | structural equation modelling | en_GB |
dc.title | What are the combined effects of negative emotions and illness cognitions on self-care in people with type 2 diabetes? A longitudinal structural equation model. | en_GB |
dc.type | Article | en_GB |
dc.identifier.issn | 0887-0446 | |
pubs.merge-from | 10871/19844 | |
pubs.merge-from | http://hdl.handle.net/10871/19844 | |
dc.identifier.journal | Psychology and Health | en_GB |