Stress, appraisal, autonomous support and coping: an integrative perspective of adult type 2 diabetes management in Newfoundland and Labrador

Roy, Krishna Rani (2018) Stress, appraisal, autonomous support and coping: an integrative perspective of adult type 2 diabetes management in Newfoundland and Labrador. Masters thesis, Memorial University of Newfoundland.

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Abstract

In the present study, data was collected from 165 adult type 2 diabetes patients in Newfoundland and Labrador to understand their psychosocial behaviour associated with blood glucose (HbA1c). Patient characteristics and the effect of four types of psychosocial behaviour on HbA1c are examined. A high prevalence of poor glycemic control is found in the participants having BMI ≥ 35. The participants with higher stress have a negative appraisal of diabetes. The highly stressed group has a tendency to use emotion-oriented coping and to have a poor perception of autonomous supportiveness. Two path models are developed conducting regressions analyses. The first one shows that stress, appraisal and coping can explain 7.4% of the variance in HbA1c. The second path model shows that appraisal plays a role of mediator and can explain 5.8% of the variance in HbA1c. Finally, 50.4% of the variance in stress can be explained by appraisal, coping and autonomous perception.

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