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Published in: International Journal of Behavioral Medicine 2/2014

01-04-2014

The Association of Type 2 Diabetes Patient and Spouse Illness Representations with Their Well-being: A Dyadic Approach

Authors: Georgia Dimitraki, Evangelos C. Karademas

Published in: International Journal of Behavioral Medicine | Issue 2/2014

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Abstract

Background

The aim of this study was to examine the relation between certain illness representations and the physical and psychological well-being of persons with type 2 diabetes mellitus and their spouses.

Purpose

In this study, we examined the relation of type 2 diabetes patients and their spouses’ representations of illness consequences and timeline (chronicity and cyclicality/predictability) to the physical and psychological well-being of both. The interaction between patient and spouse illness representations was also studied.

Methods

A dyadic analysis approach was employed, while the Actor–Partner Interdependence Model was used to examine dyadic effects. One hundred and sixty-eight individuals nested in 84 couples participated.

Results

Regarding illness representations, both actor (i.e., the effects of a person’s own characteristics on own outcomes) and partner (i.e., the effects of the partner’s characteristics on a person’s outcomes) effects were identified but only for patients’ well-being. Certain significant interactions were also found: patients’ timeline-cyclical representations were weakly associated with their anxiety and depression symptoms when spouses perceived diabetes as less unpredictable. Also, spouses’ perceptions of consequences were more strongly related to their anxiety when patients perceived diabetes as less burdensome.

Conclusions

Overall, the findings indicate a type of synergy between patient and spouse illness representations. They also emphasize the interdependence between diabetes patients and their partners, and the need to examine adaptation to illness within a dyadic-regulation framework as well.
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Metadata
Title
The Association of Type 2 Diabetes Patient and Spouse Illness Representations with Their Well-being: A Dyadic Approach
Authors
Georgia Dimitraki
Evangelos C. Karademas
Publication date
01-04-2014
Publisher
Springer US
Published in
International Journal of Behavioral Medicine / Issue 2/2014
Print ISSN: 1070-5503
Electronic ISSN: 1532-7558
DOI
https://doi.org/10.1007/s12529-013-9296-z

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