ArticleActa diabetologica2021
Coping skills and glycaemic control: the mediating role of diabetes distress.
Article in Acta diabetologica, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 8 citations in OpenAlex.
- Coping strategies and their relationship with quality of life in older adults with type 2 diabetes: a binary logistic regression analysis.BMC psychology · 2026Article
- Development and validation of a risk prediction model for demoralization syndrome in patients with type 2 diabetes.Frontiers in public health · 2026Observational
- Diabetes Distress and Self-Efficacy Mediate the Relationship Between Family Function and Coping in Young and Middle-Aged Patients with Type 2 Diabetes Mellitus.Diabetes, metabolic syndrome and obesity : targets and therapy · 2025Article
- Diabetes Distress and Health-Related Quality of Life among Patients with Type 2 Diabetes-Mediating Role of Experiential Avoidance and Moderating Role of Post-Traumatic Growth.International journal of environmental research and public health · 2024Article
- Prevalence and factors associated with diabetes-related distress in type 2 diabetes patients: a study in Hong Kong primary care setting.Scientific reports · 2024Article
- Association between self-disclosure and benefit finding of Chinese cancer patients caregivers: the mediation effect of coping styles.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023Article
- The Association between Personality Factors and Metabolic Parameters among Patients with Non-Alcoholic-Fatty Liver Disease and Type 2 Diabetes Mellitus-A Cross-Sectional Study.Journal of clinical medicine · 2023Article
- Psychological distress, coping methods and self-care among people with diabetes mellitus in Ibadan.Nigerian medical journal : journal of the Nigeria Medical AssociationReview
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
aimsThe present study examined the mediating role of diabetes distress on the relationship between coping and glycaemic control, and evaluated if the afore-mentioned mediation was moderated by insulin treatment in people with type 2 diabetes.
methodsA total of 473 adults with type 2 diabetes were recruited from an outpatient clinic in Hong Kong and invited to take part in a survey that measured adaptive coping, maladaptive coping, and diabetes stress. Glycaemic control was measured by glycated haemoglobin values extracted from medical records. PROCESS v3.4 macro was used to test the moderated mediation model.
resultsAdaptive coping was negatively associated with diabetes distress (-0.29, 95% CI: -0.53, -0.06), whereas maladaptive coping was positively associated with diabetes distress (1.82, 95% CI: 1.12, 2.51). Diabetes distress had a positive relationship with glycated haemoglobin (0.04, 95% CI: 0.02, 0.05), but no correlations were found between glycated haemoglobin and adaptive coping or maladaptive coping. Insulin treatment not only weakened the diabetes distress-glycaemic control relationship (-0.04, 95% CI: -0.06, -0.01), but also weakened the mediation effect of maladaptive coping-glycaemic control relationship via diabetes distress (-0.07, 95% CI: -0.12, -0.02).
conclusionsThe study findings revealed the role of diabetes distress and insulin treatment in the link between coping skills and glycaemic control. Interventions to help boost confidence and autonomy in people with diabetes could help them lessen diabetes distress.
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