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Journal of Clinical Psychology in Medical Settings

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01-12-2016

Self-Care Adherence and Psychological Functioning of Older Patients with Type 2 Diabetes: Effects of Persuasion, Social Pressure, and Self-Efficacy

Authors: Fang Yang, Joyce S. Pang, Wendy J. Y. Cheng

Published in: Journal of Clinical Psychology in Medical Settings | Issue 4/2016

Abstract

This cross-sectional study examined the role of family members’ use of persuasion versus pressure as distinct forms of social control by which family members attempt to encourage better diabetes management among older adults with type 2 diabetes mellitus (T2DM). The study also examined how self-efficacy might moderate the relationship between persuasion/pressure, psychological functioning, and self-care adherence. Participants were 96 men and 103 women with T2DM, with a mean age of 63.3 years. Regression results show that neither persuasion nor pressure was significantly related to self-care adherence, but persuasion and pressure were associated in complex ways with diabetes-related emotional distress and depressive symptoms for which significant interaction effects were found. Patients with lower self-efficacy benefited from persuasion, but were adversely affected by pressure. In contrast, patients with higher self-efficacy were adversely affected by persuasion, but were less negatively affected by pressure. Findings highlight the importance of reducing pressure-based social control, considering patients’ self-efficacy when family members seek to influence patients’ self-care behaviors, and targeting patient-family interactions in future interventions.

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Title: Self-Care Adherence and Psychological Functioning of Older Patients with Type 2 Diabetes: Effects of Persuasion, Social Pressure, and Self-Efficacy
Authors: Fang Yang
Joyce S. Pang
Wendy J. Y. Cheng
Publication date: 01-12-2016
Publisher: Springer US
Published in: Journal of Clinical Psychology in Medical Settings / Issue 4/2016
Print ISSN: 1068-9583
Electronic ISSN: 1573-3572
DOI: https://doi.org/10.1007/s10880-016-9470-y

Keynote webinar | Spotlight on medication adherence

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Self-Care Adherence and Psychological Functioning of Older Patients with Type 2 Diabetes: Effects of Persuasion, Social Pressure, and Self-Efficacy

Abstract

Keynote webinar | Spotlight on medication adherence

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