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. 2008 May;13(Pt 2):311-25.
doi: 10.1348/135910707X186994. Epub 2007 Mar 1.

The role of resilience on psychological adjustment and physical health in patients with diabetes

Joyce P Yi  1 , Peter P Vitaliano, Ronald E Smith, Jean C Yi, Katie Weinger
Affiliations

The role of resilience on psychological adjustment and physical health in patients with diabetes

Joyce P Yi et al. Br J Health Psychol. 2008 May.

Abstract

Objective: This study used a longitudinal design to investigate the buffering role of resilience on worsening HbA(1c) and self-care behaviours in the face of rising diabetes-related distress.

Method: A total of 111 patients with diabetes completed surveys and had their glycosylated haemoglobin (HbA(1c)) assessed at baseline and at 1-year follow-up. Resilience was defined by a factor score of self-esteem, self-efficacy, self-mastery and optimism. Diabetes-related distress and self-care behaviours were also assessed.

Results: Baseline resilience, diabetes-related distress and their interaction predicted physical health (HbA(1c)) at 1 year. Patients with low, moderate and high resilience were identified. Those with low or moderate resilience levels showed a strong association between rising distress and worsening HbA(1c) across time (r=.57, .56, respectively). However, those with high resilience scores did not show the same associations (r=.08). Low resilience was also associated with fewer self-care behaviours when faced with increasing distress (r=-.55). These correlation coefficients remained significant after controlling for starting-points.

Conclusion: In patients with diabetes, resilience resources predicted future HbA(1c) and buffered worsening HbA(1c) and self-care behaviours in the face of rising distress levels.

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Figures

Figure 1
Figure 1
Change in Diabetes-related Distress (PAID) and Change in HbA1c for Low (LO), Moderate (MOD), and High (HI) Resilience Groups
See this image and copyright information in PMC

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