Prospective study on influence of psychosocial factors on glycemic control in Japanese patients with type 2 diabetes

Rika Nakahara, Kazuhiro Yoshiuchi, Hiroaki Kumano, Yoko Hara, Hiroyuki Suematsu, Tomifusa Kuboki

Research output: Contribution to journalArticle

79 Citations (Scopus)

Abstract

The authors prospectively assessed the causal relationship between psychosocial factors and glycemic control in 256 Japanese outpatients with Type 2 diabetes. Using structural-equation modeling, they first developed a causal model in which glycosylated hemoglobin (HbA1c) at 6 months after assessment was influenced by the baseline psychosocial factors. Then, the reliability of the causal model was investigated with measurement of HbA 1c at 12 months after baseline. Self-efficacy directly reinforced adherence, and adherence had a direct association with future HbA1c. Other psychosocial factors, including social support, diabetes-related distress, daily burden, and emotion-focused coping prospectively influenced HbA 1c indirectly through self-efficacy.

Original languageEnglish
Pages (from-to)240-246
Number of pages7
JournalPsychosomatics
Volume47
Issue number3
DOIs
Publication statusPublished - 2006
Externally publishedYes

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Type 2 Diabetes Mellitus
Prospective Studies
Self Efficacy
Psychology
Glycosylated Hemoglobin A
Social Support
Emotions
Outpatients
Type 2 Diabetes
Self-efficacy
Adherence
Causal Model
Causal
Structural Equation Modeling
Diabetes
Burden
Hemoglobin
Emotion

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Psychology(all)

Cite this

Prospective study on influence of psychosocial factors on glycemic control in Japanese patients with type 2 diabetes. / Nakahara, Rika; Yoshiuchi, Kazuhiro; Kumano, Hiroaki; Hara, Yoko; Suematsu, Hiroyuki; Kuboki, Tomifusa.

In: Psychosomatics, Vol. 47, No. 3, 2006, p. 240-246.

Research output: Contribution to journalArticle

Nakahara, Rika ; Yoshiuchi, Kazuhiro ; Kumano, Hiroaki ; Hara, Yoko ; Suematsu, Hiroyuki ; Kuboki, Tomifusa. / Prospective study on influence of psychosocial factors on glycemic control in Japanese patients with type 2 diabetes. In: Psychosomatics. 2006 ; Vol. 47, No. 3. pp. 240-246.
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