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

82 Citations (Scopus)


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
Issue number3
Publication statusPublished - 2006 Jan 1


ASJC Scopus subject areas

  • Arts and Humanities (miscellaneous)
  • Applied Psychology
  • Psychiatry and Mental health

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