scholarly journals COGNITIVE SELF-REGULATION STRATEGIES AND RESILIENCE IN PATIENTS WITH TYPE 2 DIABETES MELLITUS

2021 ◽  
Vol 13 (4) ◽  
pp. 13-20
Author(s):  
Natalya Yurievna Esenkova
Keyword(s):  
Type 2 Diabetes ◽  
Self Regulation ◽  
Cognitive Reappraisal ◽  
Medical Documentation ◽  
Cognitive Representations ◽  
Psychotherapeutic Interventions ◽  
Psychological Method ◽  
Rank Correlation Method ◽  
Regulation Strategies

Background: Medical, economic, socio-demographic, psychological consequences of T2DM justify the need for the development of an interdisciplinary program of clinical and psychological support of patients with T2DM. Aim. This paper aims to study cognitive self-regulation strategies and resilience in patients with T2DM taking into account the duration of the disease, its perception as a severe threat, as well as analysis of the correlation between cognitive self-regulation strategies and resilience components, to clarify the targets of psychotherapeutic interventions in T2DM patients. Materials and methods: An experimental study has been conducted. The study involved 30 patients with a clinical diagnosis of type 2 diabetes (ICD-10 code E11). The clinical psychological method has been used in the study namely psychodiagnostic (controlled, partially standardized) interview and the analysis of medical documentation. The experimental psychological method involves the use of psychodiagnostic techniques: the Adult’s Resilience test, the Brief Illness Perception Questionnaire, the Cognitive Representations of Illness Questionnaire, the Types of Attitude toward Disease technique. For statistical analysis, the following methods have been used: descriptive statistics, comparative statistics (Mann–Whitney criteria, Spearman's rank correlation method). All calculations were performed using the StatSoft STATISTICA 10.0 software package for Windows. Results. It has been revealed that the cognitive representation transforms according to the disease duration and its perception as a severe threat. In T2DM patients, the structural organization of resilience alters with increasing duration of disease. Components of resilience (persistence, self-efficacy, internal locus of control, family and social relationships, spirituality) contribute to cognitive reappraisal of the aversive nature of T2DM. The targets of psychotherapeutic interventions in patients with T2DM are reduction of helplessness-hopelessness construct and an increase of acceptance cognition; transformations of the structure of cognitive representations and cognitive reappraisal strategies occur through increasing links with the components of resilience. Conclusion: cognitive representations about T2DM and components of resilience transform in patients as the disease develops. With an increase in the duration of T2DM, the cognitive helplessness construct remains stable. It has been found that groups of patients with a perception of T2DM as a severe and moderate threat significantly differ both in the components of cognitive perceptions and in the valence of cognitive reevaluation. The targets of psychotherapeutic interventions in patients with type 2 diabetes are formulated.

scholarly journals Glycemic Control in Diabetes Type 2 Patients in Foster Families of Brod-Posavina County During the COVID-19 Pandemic

2021 ◽  
Vol 45 (2) ◽  
pp. 95-102
Author(s):  
Blaženka Miškić ◽  
Vesna Čosić ◽  
Marijana Knezević Praveček ◽  
Daniel Rahelić ◽  
Blaženka Kljaić Bukvić ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Glycemic Control ◽  
Medical Care ◽  
Chronically Ill ◽  
Medical Documentation ◽  
Diabetic Patients ◽  
Adequate Treatment ◽  
Foster Families ◽  
Significant Difference

COVID-19 pandemic has changed everyday life and medical supervision of chronically ill patients. Epidemiological measures, social distancing, and limited access to medical care impair glycemic control in patients with diabetes. Also, type 2 diabetes is a risk factor for more severe form of coronavirus disease. A large proportion of diabetic patients are placed in foster families who also adapt to the new situation. The purpose of this study was to examine the manner and frequency of glycemic control in patients with type 2 diabetes who are placed in foster families in the region of Brod- Posavina County. We established contact with patients suffering from type 2 diabetes situated in foster families and their caregivers. Measurement of glycemia was performed several times a day with regular notes and the data were supplemented by an insight into the medical documentation of patients in the hospital information system. The study included 33 patients with type 2 diabetes. The relationship between HbA1C with fasting and postprandial glycemia was linear. There were no statistically significant differences in HbA1C regulation by type of therapy. There was a significant difference in the number of complications according to the level of HbA1C (Hi square test = 25.982, p <.001). The number of complications generally increased as HbA1C regulation was poorer. During current COVID-19 pandemic, care for patients with type 2 diabetes is significantly limited. Improved medical care for patients can be achieved by establishing cooperation and daily communication between caregivers, family physicians and, if necessary, diabetologists, especially through the use of online platforms and telephone communication, all with the aim of early detection of diabetes complications and adequate treatment of patients in current conditions.

Acceptability of a Self-Regulation Theory-Based mHealth Behavior Intervention for Older Adults with Type 2 Diabetes and Obesity

Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 826-P
Author(s):  
YAGUANG ZHENG ◽  
KATIE WEINGER ◽  
MATT C. GREGAS ◽  
JORDAN GREENBERG ◽  
ZHUOXIN LI ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Older Adults ◽  
Self Regulation ◽  
Behavior Intervention ◽  
Regulation Theory ◽  
Régulation Theory ◽  
Diabetes And Obesity

A Study on Effects and Their Continuity of the Self Regulation Education Program in Patients with Type 2 Diabetes

2009 ◽  
Vol 10 (3) ◽  
pp. 187 ◽  
Author(s):  
Myeong Hee Hong ◽  
Joo Wha Yoo ◽  
Mee Ock Gu ◽  
Soon Ai Kim ◽  
Jeong Rim Lee ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Education Program ◽  
Self Regulation ◽  
The Self

Type 2 Diabetes Self-Management: Controlling a Dynamic System

2008 ◽  
Vol 2 (1) ◽  
pp. 48-62 ◽  
Author(s):  
Helen Altman Klein ◽  
Katherine D. Lippa
Keyword(s):  
Type 2 Diabetes ◽  
Decision Making ◽  
Blood Glucose ◽  
Self Regulation ◽  
Dynamic Control ◽  
Early Death ◽  
Self Management ◽  
Naturalistic Decision Making ◽  
Glucose Levels

People with type 2 diabetes risk disability and early death when they fail to control their blood glucose levels. Despite advances in medicine, pharmacology, human factors, and education, dangerous glucose levels remain endemic. To investigate cognitive barriers to control, we observed American Diabetes Association (ADA) certified training programs; reviewed ADA and National Institute of Health diabetes Web sites; and interviewed patients with type 2 diabetes using a critical decision method. A consistent picture emerged. The prevailing rules and procedures approaches are not preparing patients for the dynamic control task they face. Patients are often unable to understand and use the rules and procedures provided. They are unprepared to detect problems, make sense of dynamic relationships, and manage complex situations. Our results suggest that glucose self-regulation is better conceptualized as a dynamic control challenge requiring complex processes, including problem detection, sensemaking, decision making, and planning/replanning. The mismatch between most patient training and the dynamic demands of glucose regulation helps explain limitations in existing training and poor patient outcomes. We argue that constructs gleaned from naturalistic decision-making research in other complex domains can help many but not all patients develop the cognition necessary for effective blood glucose self-management.

scholarly journals Successful self-management among non-insulin-treated adults with Type 2 diabetes: a self-regulation perspective

2015 ◽  
Vol 32 (11) ◽  
pp. 1504-1512 ◽  
Author(s):  
M. L. Tanenbaum ◽  
H. Leventhal ◽  
J. Y. Breland ◽  
J. Yu ◽  
E. A. Walker ◽  
...  
Keyword(s):  
Type 2 Diabetes ◽  
Self Regulation ◽  
Self Management

Effects of Cultural Diversity and Emotional Regulation Strategies on Team Member Performance

2017 ◽  
Vol 10 ◽  
Author(s):  
Ki Ming Hui ◽  
Timothy C. Bednall ◽  
Lu Wang ◽  
Karin Sanders
Keyword(s):  
Cultural Diversity ◽  
Emotional Regulation ◽  
Team Member ◽  
Negative Emotions ◽  
Self Regulation ◽  
Cognitive Reappraisal ◽  
Individual Performance ◽  
Curvilinear Relationship ◽  
Expressive Suppression ◽  
Regulation Strategies

Research on the effects of cultural diversity on individual team member performance has typically assumed a linear relationship, but has yielded mixed findings. In the study, we address these inconsistencies by hypothesizing an optimal (mid-range) level of diversity that maximizes performance. Given the potential for negative emotions to arise within a diverse team, we also hypothesize that team members who employ emotional self-regulation strategies will demonstrate stronger performance. We adopt an individual-level perspective, assessing diversity as the cultural dissimilarity between each individual and their teammates. Using a sample of 103 postgraduate students (23 teams with 3–6 participants in each), we found evidence of a curvilinear relationship between cultural dissimilarity and individual team member performance. Contrary to our expectations, we found that individual performance is greatest at very low and very high levels of dissimilarity. In terms of emotional regulation strategies, we found that cognitive reappraisal was associated with higher performance, but there was no evidence for the effects of expressive suppression. Together, the present findings challenge the assumption that the diversity-performance relationship is linear. Our findings also indicate individual performance in culturally diverse teams is influenced by individuals’ use of cognitive reappraisal to regulate negative emotions.

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