Relationships of Depression, Anxiety, and Stress with Adherence to Self-Management Behaviors and Diabetes Measures in African American Adults with Type 2 Diabetes

Journal of Racial and Ethnic Health Disparities
Diane Orr ChlebowyTimothy Crawford

Abstract

This study examines the relationships of depression, anxiety, and stress with adherence to self-management behaviors and diabetes measures in 42 African American adults with type 2 diabetes (T2D). Participants were recruited from an outpatient clinic located in an urban area of a midsized city in the southeastern USA. The mean age of the sample was 54.9 years (SD = 9.9) and the majority of the participants were female (73.2%), high school graduates (55.3%), unemployed (70.7%), and publicly insured (77.8%). Each participant completed a demographic survey and the Depression, Anxiety and Stress Scale 21. Adherence to self-management behaviors (physical activity, diet, and medication use) was assessed using surveys and self-reports. Glycated hemoglobin (A1c) and body mass index (BMI) were obtained from participants' medical records at the time of the participants' clinic visits. Depression, anxiety, and stress were not significantly correlated with self-management behaviors. Depression (r = 0.38, p = 0.03), anxiety (r = 0.56, p = 0.001), and stress (r = 0.36, p = 0.04) were positively correlated with A1c. The greater the dietary risk assessment score, the higher the A1c (r = 0.34, p = 0.05). Anxiety was the strongest correlate of A...Continue Reading

References

Dec 14, 2002·Journal of Psychosomatic Research·Allison B GrigsbyPatrick J Lustman
Feb 29, 2008·Journal of Affective Disorders·Andrew T GlosterMelinda A Stanley
Feb 3, 2009·Diabetic Medicine : a Journal of the British Diabetic Association·L FisherU Masharani
Aug 28, 2009·International Journal of Geriatric Psychiatry·Wayne J KatonMichael Von Korff
Feb 9, 2011·Psychosomatics·Sarah M MarkowitzSteven A Safren
Jun 7, 2011·Journal of Affective Disorders·Carlos GoisM Luisa Figueira
Oct 25, 2012·Journal of Affective Disorders·Edwin B FisherBrian Oldenburg
Nov 15, 2012·Journal of Psychosomatic Research·Lauren E Edwards, Briana Mezuk
Jan 22, 2013·Journal of Psychosomatic Research·Kimberley J SmithNorbert Schmitz
Feb 27, 2014·Western Journal of Nursing Research·Chandra Y OsbornGarry W Welch
Mar 4, 2014·Endocrinology and Metabolism Clinics of North America·Alexander BystritskyDavid Kronemyer
Mar 13, 2014·Diabetic Medicine : a Journal of the British Diabetic Association·L FisherW H Polonsky
Mar 29, 2014·Diabetic Medicine : a Journal of the British Diabetic Association·H BaumeisterJ Bengel
Dec 3, 2014·The Psychiatric Clinics of North America·Alexander Bystritsky, David Kronemyer
Jan 13, 2015·Annual Review of Public Health·Shona J Kelly, Mubarak Ismail
May 20, 2015·Current Diabetes Reviews·Janaina Menezes ZanoveliJoice Maria da Cunha
Jun 30, 2015·International Journal of Nursing Studies·Jing Li Amy KokLin Zhao
Feb 11, 2016·Journal of Racial and Ethnic Health Disparities·Daphne C WatkinsVicki Johnson-Lawrence
Jul 9, 2016·Experimental Biology and Medicine·Allison Bickett, Hazel Tapp
Apr 24, 2017·Journal of Diabetes and Its Complications·Rita Rastogi KalyaniSherita Hill Golden

❮ Previous
Next ❯

Citations

Jul 28, 2019·Journal of the American Association of Nurse Practitioners·Abidemi Mary Ajuwon, Rene Love

❮ Previous
Next ❯

Related Concepts

Related Feeds

Biomarkers for Type 2 Diabetes

Biomarkers can help understand chronic diseases and assist in risk prediction for prevention and early detection of diseases. Here is the latest research on biomarkers in type 2 diabetes, a disease in which the body is unable to produce or properly use insulin.