ArticleInternational journal of behavioral medicine2019
Depressive Symptoms Mediate the Relationship between Emotional Cutoff and Type 2 Diabetes Mellitus.
Article in International journal of behavioral medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Machine learning-based risk predictive models for depression in patients with diabetes: a systematic review and meta-analysis.Frontiers in endocrinology · 2026Pooled it
- From Family Patterns to Eating Disorder Risk: The Role of Social Media, Appearance Ideals, and Body Image Among Emerging and Young Adults.Nutrients · 2026Article
- Exploring the relationship between binge eating and differentiation of self: the mediating role of emotional distress and work stress.Frontiers in nutrition · 2024Article
- Personality and Family Risk Factors for Poor Mental Well-Being.International journal of environmental research and public health · 2023Article
- The Relationship between Type 2 Diabetes, Differentiation of Self, and Emotional Distress: Jews and Arabs in Israel.Nutrients · 2021Article
- The effects of mindfulness training on the level of happiness and blood sugar in diabetes patients.Journal of diabetes and metabolic disorders · 2020Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDifferentiation of self is a family systems construct defined as the ability to balance intimacy and autonomy and to separate instinctually driven emotional reactions and thoughtfully considered goal-directed functioning. In theory, low differentiation of self is reflected by four components: a low tendency to take an I-position in relationships (i.e., to own one's thoughts and feelings); emotional cutoff from others; a greater tendency to fuse with others; and a tendency towards emotional reactivity. Low differentiation of self is associated with anxiety and depression, which are risk factors for type 2 diabetes mellitus. The current study examines the relationship between differentiation of self and type 2 diabetes mellitus.
methodIndividuals with type 2 diabetes mellitus (N = 107) and healthy individuals (N = 145) completed the Differentiation of Self Inventory-Revised (DSI-R), the State-Trait Anxiety Inventory (STAI), and the Beck Depression Inventory (BDI-II).
resultsCompared with healthy individuals, participants with type 2 diabetes had more severe depressive symptoms, higher levels of emotional cutoff, and a lower tendency to take an I-position, but had similar levels of trait anxiety, emotional reactivity, and fusion with others (factor analysis revealed these factors were not separable in the current sample and thus were merged into a single construct). Importantly, the severity of depressive symptoms mediated the relationship between emotional cutoff and being in the type 2 diabetes study group rather than the healthy group.
conclusionThese findings suggest a new perspective on the role of psychological patterns in type 2 diabetes mellitus development and progression.
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