Common sense model of self-regulation for understanding adherence and quality of life in type 2 diabetes with structural equation modeling

Abstract Background Although several studies indicate the effects of diabetes type 2 on health-related quality of life (HRQoL) in female subjects, the related impact of the disease on HRQoL in their family members has rarely been the focus of the empirical research. In this study we aim to investigate associations between diabetes in women and the HRQoL in these women and their family members, using the structural equation modeling (SEM). Methods This family-based study was conducted on 794 women (11.1% with diabetes) as well as their spouses and children who participated in the Tehran Lipid and Glucose Study (TLGS) from 2014 to 2016. Data on HRQoL were collected using the Iranian version of the Short-Form 12-Item Health Survey version 2 (SF-12v2) and the Pediatric Quality of Life Inventory version™ 4.0 (PedsQL). SEM was conducted to evaluate the network of associations among studied variables. Data were analyzed using IBM SPSS Statistics & AMOS version 23 software. Results Mean age of women was 41.37 ± 5.32 years. Diabetes in women significantly affected their mental HRQoL (β = − 0.11, P < 0.01) but showed no significant direct associations with physical and mental HRQoL in their spouses or their children. However, poor mental HRQoL in women with diabetes was associated with decrease in both physical (β = − 0.02, P = 0.013) and mental (β = − 0.03, P < 0.01) HRQoL in their spouses and total HRQoL score in children (β = − 0.02, P < 0.01). Conclusions Among women with diabetes type 2, beyond its effect on their mental HRQoL per se, demonstrated a negative association with the self-assessment of health status in their spouses and children. Such familial consequences are mainly attributed to the negative effect of the disease on the mental rather than the physical HRQoL in women with diabetes.

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Risk Factors and Coping Style Affect Health Outcomes in Adults With Type 2 Diabetes

Biological Research For Nursing ◽

10.1177/1099800415569845 ◽

2015 ◽

Vol 18 (1) ◽

pp. 82-89 ◽

Cited By ~ 11

Author(s):

Chiung-Yu Huang ◽

Hui-Ling Lai ◽

Yung-Chuan Lu ◽

Wen-Kuei Chen ◽

Shu-Ching Chi ◽

...

Keyword(s):

Quality Of Life ◽

Risk Factors ◽

Type 2 Diabetes ◽

Coping Style ◽

Coping Styles ◽

Equation Modeling ◽

Duration Of Diabetes ◽

And Coping

Objective: Most psychosocial interventions among individuals with Type 2 diabetes mellitus (T2DM) target depressive symptoms (DSs) rather than causal antecedents that lead to DSs or affect health-related quality of life (HrQoL). This research investigated a conceptual model of the effects of risk factors and coping styles on HrQoL and DSs in patients with T2DM. Method: A descriptive, correlational design was used with a convenience sample of 241 adults with T2DM aged ≥ 20 years recruited from a hospital metabolic outpatient department. Data were collected using a demographic questionnaire, the modified Ways of Coping Checklist, the Center for Epidemiological Studies Depression Scale, the Short Form 36 Health Survey, and physiological examination. HbA1C was collected from participants’ medical records. Structural equation modeling techniques were used to analyze relationships among risk factors, mediators, and HrQoL. Results: Younger age, more education, and longer duration of diabetes predicted better physical quality of life. Duration of diabetes and three coping styles predicted DSs. Longer duration of diabetes and lower fasting glucose predicted better mental quality of life. Three coping styles acted as mediators between risk factors and health, that is, active and minimizing styles promoted positive outcomes, while avoidance promoted negative outcomes. Conclusions: This integrated model provides a holistic picture of how risk factors and coping style influence HrQoL and DSs in individuals with T2DM. Nurses could use active coping strategies in cognitive behavioral therapy to enhance glycemic control in patients with T2DM.

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Extending the Common Sense Model to Explore the Impact of the Fear of COVID-19 on Quality of Life in an International Inflammatory Bowel Disease Cohort

Journal of Clinical Psychology in Medical Settings ◽

10.1007/s10880-021-09823-y ◽

2021 ◽

Author(s):

Bree Hayes ◽

Pragalathan Apputhurai ◽

Antonina Mikocka-Walus ◽

Manuel Barreiro-de Acosta ◽

Charles N. Bernstein ◽

...

Keyword(s):

Quality Of Life ◽

Inflammatory Bowel Disease ◽

Common Sense ◽

Bowel Disease ◽

Common Sense Model ◽

Inflammatory Bowel ◽

The Common ◽

The Impact ◽

Sense Model

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Applying the Common Sense Model to predicting quality of life in alopecia areata: The role of illness perceptions and coping strategies

Journal of Health Psychology ◽

10.1177/1359105317752826 ◽

2018 ◽

Vol 24 (11) ◽

pp. 1461-1472

Author(s):

Heidi Willemse ◽

Margot van der Doef ◽

Henriët van Middendorp

Keyword(s):

Quality Of Life ◽

Common Sense ◽

Alopecia Areata ◽

Illness Perceptions ◽

Avoidant Coping ◽

Common Sense Model ◽

The Common ◽

Sense Model

Applying the Common Sense Model, this cross-sectional study examines associations between illness perceptions and quality of life and the mediating role of coping in 243 adults with alopecia areata, a chronic dermatological condition. At least some QoL impairment was reported by 84 percent of participants, with 31 percent reporting very to extremely large impairment. Stronger perceptions of consequences, emotional representations, identity, and lower attribution to chance were related to more impairment, with avoidant coping acting as (partial) mediator. Illness perceptions and avoidant coping seem to play an important role in QoL and are relevant intervention targets in alopecia areata.

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