바로가기메뉴

본문 바로가기 주메뉴 바로가기

The Influence of Diabetes Stress on Depression: The Moderating Effects of Individual Variables

The Korean Journal of Health Psychology / The Korean Journal of Health Psychology, (P)1229-070X; (E)2713-9581
2007, v.12 no.4, pp.851-868
https://doi.org/10.17315/kjhp.2007.12.4.011




  • Downloaded
  • Viewed

Abstract

This study investigated the influence of diabetes stress on depression, and examined the moderating effects of individual variables, such as coping skills, self-efficacy, health locus of control. Participants were 117 diabetes patients by arbitrary sampling. The employed statistical methods were a series of hierarchical regression analyses were applied. The results showed that diabetes stress was significantly related to depression. Main effects revealed that the more experience of diabetes stress and perceive of external health locus of control, the higher level of depression. and the lower of self-efficacy, the higher level of depression. The interactive effects of diabetes stress and two sub-dimensions of self-efficacy(efficacy of self-management /efficacy of specific situation) on depression were confirmed. Finally, external health locus of control was shown to be a moderator in a relationship between diabetes stress and depression. Implications and limitations were discussed.

keywords
diabetes stress, efficacy of self-management, efficacy of specific situations. external health locus of control. depression, 당뇨스트레스, 자기관리효능감, 특수상황대처효능감, 외적통제신념, 우울, diabetes stress, efficacy of self-management, efficacy of specific situations. external health locus of control. depression

Reference

1.

고경봉, 배종훈 (1988). 당뇨병 환자들의 대응전략. 신경정신의학, 27(4), 685-692.

2.

고경봉 (1990). 정신과에 자문의뢰 된 당뇨병환자들의 임상적 특징. 신경정신의학, 29(5), 1022-1028.

3.

고경봉, 이현철 (1992). 인슐린비의존형 당뇨병환자들의 스트레스지각. 신경정신의학, 31(6), 1084-1091.

4.

김영설, 김영진 역 (2004). 당뇨병 진료에서 심리적 문제의 해결. 서울: 도서출판 의학.

5.

김영옥 (1996). 당뇨환자의 자기간호 행위 예측 모형: 스트레스-대처 모형을 기반으로. 연세대학교 대학원 간호학 박사학위논문.

6.

김정호 (2006). 동기상태이론: 스트레스와 웰빙의 통합적 이해. 한국심리학회: 건강, 11(2), 453-484.

7.

김정희, 이장호 (1985). 스트레스 대처방식의 구성요인 및 우울과의 관계. 행동과학 연구, 7, 127-138.

8.

박혜숙, 홍영선, 이혜진, 하은희, 성연아 (2003). 당뇨병 환자에서 우울증과 혈당조절과의 관련성. 대한내과학회지, 64(2), 204-210.

9.

이영호 (1993). 귀인양식, 생활사건, 사건귀인 및 무망감과 우울의 관계: 공변량 구조모형을 통한 분석. 서울대학교 박사학위논문.

10.

이은희 (2004). 대학생들이 경험하는 생활스트레스와 우울: 공변량 구조모형을 통한 대처방식의 조절효과 검증. 한국심리학회지: 건강, 9(1), 25-52.

11.

이평숙, 이용미 (1999). 당뇨병 환자의 스트레스 반응에 영향하는 요인분석. 스트레스연구, 7(2), 45-54.

12.

한진숙, 김정호, 김미리혜 (2004). 마음챙김명상이 과민성대장증후군 환자들의 증상과 심리적 특성에 미치는 효과. 한국심리학회지: 건강, 9(4), 1041-1060.

13.

최은옥 (1999). 능력증강 교육프로그램이 인슐린비의존성 당뇨병 환자의 능력증강상태, 자기간호행위, 및 당대사 조절에 미치는 효과. 서울대학교 대학원 간호학 박사학위논문.

14.

Aiken, L. S., & West, S. G. (1991). Multiple regression: Testing and interpreting interactions. Newbury Park, CA: Sage.

15.

Aldwin, C. M., & Revenson, T. A. (1987). Does coping helps? A reexamination of the relation between coping and mental health. Journal of Personality and Social Psychology, 53, 337-348.

16.

Anderson, L. A. (1990). Health-care communication and selected psychological correlated of adherence in diabetes management, Diabetes Care, 13(2), 66-76.

17.

Bandura, A. (1997). Self-efficacy: The exercise of control. New York: Freeman.

18.

Ciechanowski, P. S., Katon, W. J., & Russo, J. E. (2000). Depression and diabetes. Impact of depressive symptoms on adherence, function, and costs. Archive Internal Medicine, 160, 3278-3285.

19.

Connell, C. M., Davis, W. K., Gallant, M. P., & Sharpe, P. A. (1994). Impact of social support, social cognitive variables, and perceived threat on depression among adults with diabetes. Health Psychology, 13, 263-273.

20.

Davis, W. K., Hess, G. E., & Hiss, R. G. (1988). Psychosocial correlates of survival in diabetes. Diabetes Care, 11, 538-545.

21.

de Groot, M., Jacobson, A. M., Samson, J. A., & Welch, G. (1999). Glycemic control and major depression in type 1 and type 2 diabetes mellitus. Journal of Psychosomatic Research, 46, 425-435.

22.

Dohrenwend, B. S., & Dohrenwend, B. P. (1981). Socioenvironmental factors, stress, and psychopathology. American Journal of Community Psychology, 9, 128-159.

23.

Dunn, S. M., & Turtle, J. R. (1981). The myth of the diabetic personality. Diabetes Care, 4(6), 640-646.

24.

Fisher, E. B., Delamater, A. M., Bertelson, A. D., & Kirkley, B. G. (1982). Psychological factors in diabetes and its treatment. Journal of Consulting and Clinical Psychology, 50(6), 993-1003.

25.

Folkman, S., & Lazarus, R. S. (1985). If it changes it must be a process: Study of emotion and coping during three stages of a college examination. Journal of Personality and Social Psychology, 48, 150-170.

26.

Folkman, S., Lazarus, R. S., Gruen, R. J., & DeLongis, A. (1986). Appraisal, coping, health status and psychological symptoms. Journal of Personality and Social Psychology, 50(3), 571-579.

27.

Gavard, J. A., Lustman, P. J., & Clouse, R. E. (1993). Prevalence of depression in adults with diabetes: An epidemiological evaluation. Diabetes Care, 16, 1167-1178.

28.

Grossman, H. Y., Brink, S., & Hauser, S. T. (1987). Self-efficacy in adolescent girls and boys with insulin-dependent diabetes mellitus. Diabetes Care, 10, 324-329.

29.

Hanson, C. L., Cigrant, J. A., Harris, M. A., Carle, D. L., Relyea, G., & Burghen, G. A. (1989). Coping styles in youths with insulin-dependent diabetes mellitus. Journal of Consulting and Clinical Psychology, 57, 644-651.

30.

Hurley, A. C. (1988). Measuring self care ability in patients with diabetes: The insulin management diabetes self-efficacy scale. In O. L. Strickland & C. F. Waltz(Eds). Measurement of nursing outcomes. 4. New York: Springer Publishing Co.

31.

Lazarus, R. S., & Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer.

32.

Lustman, P. J., Anderson, R. J., Freedland, K. E., de Groot, M., Carney, M. R., & Clouse, (2000). Depression and poor glycemic control: A meta-analytic review of the literature. Diabetes Care, 23(7), 934-942.

33.

Nagasawa, M., Smith, M. C., Barnes, J. H., & Fincham, J. E. (1990). Meta analysis of correlates of diabetes patients' compliance with prescribed medication. Diabetes Educator, 16, 192-200.

34.

Polonsky, W. H. (2002). Understanding and treating patients with diabetes burnout. In B. J. Anderson, & R. R. Rubin (2nd ed.), Practical psychology for diabetes clinicians: Effective techniques for key behavioral issues. American Diabetes Association.

35.

Rotter, J. B. (1966). Generalized expectancies for internal versus external control of reinforcement, Psychological Monographs, 80(1, whole No. 609).

36.

Strickland, B. R. (1978). Internal-external expectancies and health-related Behaviors. Journal of Consulting and Clinical Psychology, 46(6), 1192-1211.

37.

Wallston, K. A., & Wallston, B. S. (1978). Who multidimensional health locus of control scale. Journal of Consulting and Clinical Psychology, 46(6), 1197.

38.

Weaver, R. (1972). Internality, externality, and compliance as related chronic home dialysis patients. Unpublished Master's thesis, Emory University. Georgia. USA.

39.

Wilson, W., Ary, D. V., Biglan, A., Glasgow, R. E., Toobert, D. J., & Campbell, D. R. (1986). Psychosocial predictors of self-care behaviors(compliance) and glycemic control in non-insulin-dependant diabetes mellitus. Diabetes Care, 9(6), 614-622.

40.

Williams, K. E., & Bond, M. J. (2002). The roles of self-efficacy, outcome expectancies and social support in the self-care behaviors of diabetes. Psychology, Health & Medicine, 7(2), 127-141.

41.

Van Tilburg, M. A. L., McCaskill, C. C., Lane, J. D., Edward, C. L., Bethel, A., Feinglos, M. N., & Surwit, R. S. (2001). Depressive mood is a factor in glycemic control in type 1 diabetes. Psychosomatic Medicine, 63, 551-555.

The Korean Journal of Health Psychology