SciELO - Scientific Electronic Library Online

 
vol.15 número1Factors affecting mothers' choice of breastfeeding vs. formula feeding in the lower Umfolozi district war memorial hospital, KwaZulu-NatalValue-sensitive clinical accompaniment in community nursing science índice de autoresíndice de assuntospesquisa de artigos
Home Pagelista alfabética de periódicos  

Serviços Personalizados

Artigo

Indicadores

Links relacionados

  • Em processo de indexaçãoCitado por Google
  • Em processo de indexaçãoSimilares em Google

Compartilhar


Health SA Gesondheid (Online)

versão On-line ISSN 2071-9736
versão impressa ISSN 1025-9848

Health SA Gesondheid (Online) vol.15 no.1 Cape Town  2010

 

ORIGINAL RESEARCH

 

Coping responses as predictors of satisfaction with life amongst a group of patients diagnosed with diabetes mellitus

 

 

Chrisma PretoriusI; Stephen P. WalkerI; Karel G.F. EsterhuyseII

IUnit for Professional Training and Service in the Behavioural Sciences, University of the Free State, South Africa
IIDepartment of Psychology, University of the Free State, South Africa

Correspondence

 

 


ABSTRACT

The purpose of this study was to investigate the extent to which coping responses could predict the level of life satisfaction experienced by patients suffering from diabetes mellitus.
A non-experimental, cross-sectional design was adopted. The sample consisted of 154 individuals (62 Type I diabetics, 80 Type II diabetics, and 12 individuals for whom diagnostic information was not available) recruited from the outpatient diabetes clinic at a large state hospital. All participants completed the Coping Responses Inventory - Adult Version, as well as the Satisfaction with Life Scale. Initially, Pearson product-moment correlation coefficients were calculated to examine the relationship between the predictor variables (coping responses) and the criterion variable (satisfaction with life). Hierarchical regression analyses were conducted to determine the amount of variance in the satisfaction with life scores that was explained by coping responses.
The combination of approach and avoidance coping subscales accounted for 33% of the variance in the participants' satisfaction with life scores. However, upon further analysis, the avoidance coping subscales were found to account for 28% of the variance in the sample's satisfaction with life. The cognitive avoidance subscale and the acceptance or resignation subscale were found to correlate negatively with satisfaction with life at the 1% level of significance.
It appears that approach coping responses do not predict the satisfaction with life experienced by individuals suffering from diabetes. However, avoidant coping responses, particularly cognitive avoidance and acceptance or resignation, are predictive of lower levels of satisfaction with life.

Keywords: approach coping responses; avoidant coping responses; coping responses inventory; diabetes mellitus; satisfaction with life


OPSOMMING

Die doel van hierdie navorsing was om vas te stel tot watter mate hanteringsgedrag (coping responses) die vlak van lewenstevredenheid by pasiënte wat aan diabetes ly kan voorspel.
'n Nie-eksperimentele, dwarssnit ontwerp is gebruik. Die steekproef het uit 154 individue (62 Tipe I-diabetes, 80 Tipe II-diabetes en 12 individue waarvan die diagnostiese inligting nie beskikbaar was nie) bestaan, wat van die buitepasiënte kliniek by 'n groot staatshospitaal verkry is. Alle deelnemers het die Coping Responses Inventory - Adult Version, sowel as die Satisfaction with Life Scale voltooi. Aanvanklik is die Pearson produkmoment korrelasie koëffisiënte bereken om die verhouding tussen die voorspeller-veranderlikes (coping responses/hanteringsgedrag) en die kriterium-veranderlike (satisfaction with life/lewenstevredenheid) te ondersoek. Hiërargiese regressie-analise is uitgevoer om die hoeveelheid variansie in die lewenstevredenheid-telling wat deur hanteringsgedrag verklaar is, te bepaal.
Die kombinasie van approach en avoidance coping subscales het 33% van die variansie in die deelnemers se Lewenstevredenheid-telling verklaar. Na verdere ontleding is egter gevind dat die avoidance coping subscales 28% van die variansie in die lewenstevredenheid van die steekproef verklaar het. Daar is gevind dat die cognitive avoidance subscale en die acceptance or resignation subscale negatief op die 1 % peil van betekenisvolheid met lewenstevredenheid korreleer.
Dit blyk dat toenaderings (approach coping responses) nie die lewenstevredenheid by individue wat aan diabetes ly, voorspel nie. Vermydingsgedrag (avoidant coping responses), in besonder kognitiewe vermyding en aanvaarding of berusting, is egter voorspellend van laer vlakke van lewenstevredenheid.


 

 

“Full text available only in PDF format”

 

 

REFERENCES

Coelho, R., Amorim, I. & Prata, J., 2003, 'Coping styles and quality of life in patients with non-insulin-dependent diabetes mellitus', Psychosomatics 44, 312-318.         [ Links ]

Delamater, A.M., Jacobson, A.M., Anderson, B., Cox, D., Fisher, L., Lustman, P., Rubin, R. & Wysocki, T., 2001, 'Psychosocial therapies in diabetes', Diabetes Care 24, 1286-1292.         [ Links ]

Diener, E., Emmons, R.A., Larsen, R.J. & Griffin, S., 1985, 'The satisfaction with life scale', Journal of Personality Assessment 49, 71-75.         [ Links ]

Foster, J.J. & Parker, I., 1995, Carrying out investigations in psychology: Methods and statistics, The British Psychological Society, Leicester.         [ Links ]

Heijmans, M., Rijken, M., Foets, M., De Ridder, D., Schreurs, K. & Bensing, J., 2004, 'The stress of being chronically ill: From disease-specific to task-specific aspects', Journal of Behavioral Medicine 27, 255-271.         [ Links ]

Lazarus, R.S., 1993, 'Coping theory and research: Past, present and future', Psychosomatic Medicine 55, 234-247.         [ Links ]

Lazarus, R.S. & Folkman, S., 1987, 'Transtheoretical theory and research on emotions and coping', European Journal of Personality 1, 141-169.         [ Links ]

Madhu, K. & Sridhar, G.R., 2001, 'Coping with diabetes: A paradigm for coping with chronic illness', International Journal of Diabetes in Developing Countries 21, 103-111.         [ Links ]

Moos, R.H., 1993, 'Coping Responses Inventory: CRI-Adult form professional manual, Psychological Assessment Resource Inc., Odessa, FL.         [ Links ]

Moos, R.H. & Holahan, C.J., 2003, 'Dispositional and contextual perspectives on coping: Toward an integrative framework', Journal of Clinical Psychology 59, 1387-1403.         [ Links ]

Roglic, G., Unwin, N., Bennett, P.H., Mathers, C., Tuomiletho, J., Nag, S., Connolly, V. & King, H., 2005, 'The burden of mortality attributable to diabetes', Diabetes Care 28, 2130-2135.         [ Links ]

Rose, M., Fliege, H., Hildebrandt, M., Schirop, T. & Klapp, B.F., 2002, 'The network of psychological variables in patients with diabetes and their importance for quality of life and metabolic control', Diabetes Care 25, 35-42.         [ Links ]

Rowley, C., 1999, Factors influencing patient adherence in diabetes, University of Calgary, Alberta.         [ Links ]

Sacco, W.P. & Yanover, T., 2006, 'Diabetes and depression: The role of social support and medical symptoms', Journal of Behavioral Medicine 29, 523-531.         [ Links ]

SAS Institute 2003, SAS User's Guide: Statistics Version 8.2 edn., SAS Institute, Cary.         [ Links ]

Snellman, I. & Wikblad, K., 2006, 'Health in patients with Type 2 diabetes: An interview study based on the Welfare Theory of Health', Scandinavian Journal of Caring Science 20, 462-471.         [ Links ]

Sperry, L., 2006, Psychological treatment of chronic illness: The biopsychosocial therapy approach, American Psychological Association, Washington DC, WA.         [ Links ]

Spollett, G.R., 2006, 'Type 2 diabetes across the life span', in C. Mensing (ed.), The Art and Science of Diabetes Self-Management Education: A Desk Reference for Healthcare Professionals, pp. 215-231, American Association of Diabetes Educators, Chicago.         [ Links ]

Sridhar, G.R. & Madhu, K., 2002, 'Psychosocial and cultural issues in diabetes mellitus', Current Science 83, 1556-1564.         [ Links ]

Sriram, V., Sridhar, G.R. & Madhu, K., 2001, 'Gender differences in living with type 2 diabetes', International Journal of Diabetes in Developing Countries 21, 97-102.         [ Links ]

Steyn, H.S., 1999, Practical significance: The use of effect sizes, PU for CHE, Potchefstroom.         [ Links ]

Willoughby, D.F., Kee, C.C., Demi, A. & Parker, V., 2000, 'Coping and psychosocial adjustment of women with diabetes', The Diabetes Educator 26, 105-112.         [ Links ]

 

 

Correspondence:
Stephen Walker
UNIBS
Internal Box 10
University of the Free State
PO Box 339
Bloemfontein 9300
South Africa
email: walkersp@ufs.ac.za

Received: 05 Nov. 2009
Accepted: 12 Aug. 2010
Published: 04 Nov. 2010

Creative Commons License Todo o conteúdo deste periódico, exceto onde está identificado, está licenciado sob uma Licença Creative Commons