Medical College of Wisconsin
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Role of motivation in the relationship between depression, self-care, and glycemic control in adults with type 2 diabetes. Diabetes Educ 2010 Mar-Apr;36(2):276-83 PMID: 20179250 PMCID: PMC3085853

Pubmed ID

20179250

DOI

10.1177/0145721710361389

Abstract

PURPOSE: The mechanism by which depression influences health outcomes in persons with diabetes is uncertain. The purpose of this study was to test whether depression is related to self-care behavior via social motivation and indirectly related to glycemic control via self-care behavior.

METHODS: Patients with diabetes were recruited from an outpatient clinic. Information gathered pertained to demographics, depression, and diabetes knowledge (information); diabetes fatalism (personal motivation); social support (social motivation); and diabetes self-care (behavior). Hemoglobin A1C values were extracted from the patient medical record. Structural equation models tested the predicted pathways.

RESULTS: Higher levels of depressive symptoms were significantly related to having less social support and decreased performance of diabetes self-care behavior. In addition, when depressive symptoms were included in the model, fatalistic attitudes were no longer associated with behavioral performance.

CONCLUSIONS: Among adults with diabetes, depression impedes the adoption of effective self-management behaviors (including physical activity, appropriate dietary behavior, foot care, and appropriate self-monitoring of blood glucose behavior) through a decrease in social motivation.

Author List

Egede LE, Osborn CY

Author

Leonard E. Egede MD Center Director, Chief, Professor in the Medicine department at Medical College of Wisconsin




Scopus

2-s2.0-77953509680   62 Citations

MESH terms used to index this publication - Major topics in bold

African Continental Ancestry Group
Aged
Behavior
Behavior Therapy
Blood Glucose
Depression
Diabetes Mellitus, Type 2
Educational Status
European Continental Ancestry Group
Female
Glycated Hemoglobin A
Health Status
Humans
Income
Male
Middle Aged
Motivation
Self Care
jenkins-FCD Prod-353 9ccd8489072cb19f5b9f808bb23ed672c582f41e