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ABSTRACT
This study investigated the impact of anxiety and depression on self-care activities among patients with type 2 diabetes mellitus (T2DM) using a longitudinal, ex-post-facto design. Concepts from the Theory of Reasoned Action, the Theory of Planned Behavior, and Albert Bandura’s work exploring self-efficacy were used to inform this study. Data were collected from primary care clinics providing social work-led integrated care to adults with T2DM. Results showed significant improvements in anxiety, depression, and self-care from the first to the third clinic visits. Findings indicated a significant relationship between anxiety and general diet scores, but anxiety did not have a statistically significant impact on any other self-care activities. No significant relationships were observed between depression and self-care, which was surprising given previous research. Findings have implications for working with adults with T2DM and provide directions for future research in understanding the relationship between mood and self-care among patients with T2DM.
Acknowledgments
The authors would like to acknowledge the Gulf Region Health Outreach Program (GRHOP) for support of this research study. GRHOP was developed jointly by BP and the Plaintiffs’ Steering Committee as part of the Deepwater Horizon Medical Benefits Class Action Settlement, which was approved by the US District Court in New Orleans on January 11, 2013, and became effective on February 12, 2014. The Outreach Program is supervised by the court and is funded with $105 million from the Medical Settlement. The views and conclusions contained in this document are solely those of the authors.
Disclosure statement
No potential conflict of interest was reported by the author(s).