Negative emotions, self-care activities on glycemic control in adults with type 2 diabetes: a cross-sectional study

ABSTRACT

Glycemic control has become a focus of concern among diabetic patients. However, only 26.71% of patients achieved better glycemic control in China. Given the complexity of glycemic control, it is worth investigating the potential mechanisms between negative emotions and glycemic control. A total of 428 participants were recruited from a tertiary hospital (the number of hospital beds>500). They completed questionnaires consisting of demographics, Zung Self-Assessed Anxiety Scale(SAS), Zung Self-Assessed Depression Scale(SDS), and the Summary of Diabetes Self-Care Activities (SDSCA). HbA1 c was used to measure glycemic control. Descriptive analysis, Pearson correlation analysis, and Bootstrap analysis were conducted to analyze data. A total of 428 questionnaires were distributed, with 28 invalid questionnaires (93.46% were valid). Depression and self-care activities (exercise, medication) were associated with glycemic control. At the same time, the Bootstrap analysis revealed that self-care activities (exercise: standardized coefficient β = 0.0181, p < 0.05, medication: standardized coefficient β = 0.0211, p < 0.05) mediated the relationship between depression and glycemic control.

KEYWORDS:

• China
• diabetes
• depression
• glycemic control

Acknowledgments

We thank the patients and families for their support and participation. We are also grateful to all the subjects who participated in this study.

Disclosure statement

The authors claim that there are no conflicts of interest.

Authors’ contributions

Conceived and designed the experiments: YJY HP

Data collection: TYZ YX XJS

Analyzed the data: TYZ

Contributed reagents/materials/analysis tools: XXY XHQ ZXQ

Wrote the paper: TYZ LC XJS