Subject    :    [2018 Apr;42(2)] The Role of Negative Affect in the Assessment of Quality of Life among Women with Type 1 Diabetes Mellitus
Writer KDA
Date 2019-03-05 17:59:41 Hit 318
   
Diabetes Metab J. 2018 Apr;42(2):130-136. English.
Published online Nov 07, 2017.  https://doi.org/10.4093/dmj.2018.42.2.130 
Copyright © 2018 Korean Diabetes Association
   
The Role of Negative Affect in the Assessment of Quality of Life among Women with Type 1 Diabetes Mellitus
Nicola R. Gawlik,1,* and Malcolm J. Bond2
1School of Psychology, Flinders University, Adelaide, Australia.
2School of Medicine, Flinders University, Adelaide, Australia.

Corresponding author: Malcolm J. Bond. School of Medicine, Flinders University, GPO Box 2100, Adelaide 5001, Australia. Email: malcolm.bond@flinders.edu.au

 

*Current affiliation: Relationships Australia South Australia, Adelaide, Australia.
 
Received May 01, 2017; Accepted September 07, 2017.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.



Abstract

Background

The purpose of this study is to determine the impact of negative affect (defined in terms of lack of optimism, depressogenic attributional style, and hopelessness depression) on the quality of life of women with type 1 diabetes mellitus.

Methods

Participants (n=177) completed either an online or paper questionnaire made available to members of Australian diabetes support groups. Measures of optimism, attributional style, hopelessness depression, disease-specific data, and diabetes-related quality of life were sought. Bivariate correlations informed the construction of a structural equation model.

Results

Participants were 36.3±11.3 years old, with a disease duration of 18.4±11.2 years. Age and recent glycosylated hemoglobin readings were significant contextual variables in the model. All bivariate associations involving the components of negative affect were as hypothesized. That is, poorer quality of life was associated with a greater depressogenic attributional style, higher hopelessness depression, and lower optimism. The structural equation model demonstrated significant direct effects of depressogenic attributional style and hopelessness depression on quality of life, while (lack of) optimism contributed to quality of life indirectly by way of these variables.

Conclusion

The recognition of negative affect presentations among patients, and an understanding of its relevance to diabetes-related quality of life, is a valuable tool for the practitioner.

   
Keywords:
Attributional styleDiabetes mellitus, type 1Hopelessness depressionOptimismQuality of lifeStructural equation modellingWomen

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