|
KMID : 0613620180380010191
|
|
Health Social Welfare Review
2018 Volume.38 No. 1 p.191 ~ p.215
|
|
|
Effects of Depression, Impulsivity and Diabetes Management Behaviors on Glycemic Control in Adults with Type 2 Diabetes Mellitus
|
|
Seo Ji-Hyeon
Kim Jung-Min
Choi Ji-Young
|
|
|
Abstract
|
|
|
|
The purpose of this study was to assess levels of depression, impulsivity and diabetes self-care management in adults with type 2 diabetes mellitus, and examine the association of depression, impulsivity and self-care with glycemic control. A total of 60 adults diagnosed with type 2 diabetes mellitus completed the self-report questionnaires assessing depression, impulsivity, and diabetes self-care activities. HbA1c, an index of glycemic control, was obtained from medical records at baseline and about 4 months later. Depression was correlated with elevated level of HbA1c. Impulsivity was correlated with poor self-care in general dietary behavior, and non-planning impulsivity was correlated with low level of HbA1c at 4 months later. In hierarchical multiple regression analyses after controlling for age, gender, and duration of disease, glycemic control was associated with high level of depression and low level of impulsivity. Also, an interaction effect between impulsivity and depression on glycemic control was observed. This finding suggests that impulsivity might operate as a buffer in the association between depression and poor glycemic control. Limitations of this study are its small sample size and the self-reporting method by which depression, impulsivity and diabetes self-care management were evaluated. Replication of the present study’s results in a large-scale study using behavior task and structured interviews would strengthen the generalizability of these results.
|
|
|
KEYWORD
|
|
|
Diabetes Mellitus, Type 2, Impulsivity, Depression, Self Care, Glycemic Control
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|