Disturbed eating, illness perceptions, and coping among adults with type 1 diabetes on intensified insulin treatment, and their associations with metabolic control

J Health Psychol. 2021 Apr;26(5):688-700. doi: 10.1177/1359105319840688. Epub 2019 Apr 3.

Abstract

This study investigated associations between psychological aspects and metabolic control among adults with type 1 diabetes (n = 282). Linear regression analyses demonstrated that the illness perception personal control and the coping strategy seeking emotional social support explained 23.2 percent of the variance in hemoglobin A1c among females (β = 0.40, p < 0.001 and β = -0.22, p < 0.01, respectively). Among males, only personal control remained significant, explaining 13.9 percent of the variance in hemoglobin A1c (β = 0.37, p < 0.001). The associations between psychological correlates and hemoglobin A1c indicate that addressing such aspects clinically may facilitate metabolic control, thereby potentially contributing to reduce the risk of complications.

Keywords: coping; diabetes; eating disorders; health psychology; illness perception.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adaptation, Psychological*
  • Adult
  • Diabetes Mellitus, Type 1 / drug therapy
  • Diabetes Mellitus, Type 1 / psychology*
  • Feeding Behavior*
  • Female
  • Glycated Hemoglobin / analysis
  • Humans
  • Insulins
  • Male
  • Social Support

Substances

  • Glycated Hemoglobin A
  • Insulins