Prospective study on influence of psychosocial factors on glycemic control in Japanese patients with type 2 diabetes

Rika Nakahara; Kazuhiro Yoshiuchi; Hiroaki Kumano; Yoko Hara; Hiroyuki Suematsu; Tomifusa Kuboki

doi:10.1176/appi.psy.47.3.240

Prospective study on influence of psychosocial factors on glycemic control in Japanese patients with type 2 diabetes

Rika Nakahara^*, Kazuhiro Yoshiuchi, Hiroaki Kumano, Yoko Hara, Hiroyuki Suematsu, Tomifusa Kuboki

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

90 Citations (Scopus)

Abstract

The authors prospectively assessed the causal relationship between psychosocial factors and glycemic control in 256 Japanese outpatients with Type 2 diabetes. Using structural-equation modeling, they first developed a causal model in which glycosylated hemoglobin (HbA_1c) at 6 months after assessment was influenced by the baseline psychosocial factors. Then, the reliability of the causal model was investigated with measurement of HbA _1c at 12 months after baseline. Self-efficacy directly reinforced adherence, and adherence had a direct association with future HbA_1c. Other psychosocial factors, including social support, diabetes-related distress, daily burden, and emotion-focused coping prospectively influenced HbA _1c indirectly through self-efficacy.

Original language	English
Pages (from-to)	240-246
Number of pages	7
Journal	Psychosomatics
Volume	47
Issue number	3
DOIs	https://doi.org/10.1176/appi.psy.47.3.240
Publication status	Published - 2006
Externally published	Yes

ASJC Scopus subject areas

Arts and Humanities (miscellaneous)
Applied Psychology
Psychiatry and Mental health

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10.1176/appi.psy.47.3.240

Cite this

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abstract = "The authors prospectively assessed the causal relationship between psychosocial factors and glycemic control in 256 Japanese outpatients with Type 2 diabetes. Using structural-equation modeling, they first developed a causal model in which glycosylated hemoglobin (HbA1c) at 6 months after assessment was influenced by the baseline psychosocial factors. Then, the reliability of the causal model was investigated with measurement of HbA 1c at 12 months after baseline. Self-efficacy directly reinforced adherence, and adherence had a direct association with future HbA1c. Other psychosocial factors, including social support, diabetes-related distress, daily burden, and emotion-focused coping prospectively influenced HbA 1c indirectly through self-efficacy.",

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AU - Suematsu, Hiroyuki

AU - Kuboki, Tomifusa

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Prospective study on influence of psychosocial factors on glycemic control in Japanese patients with type 2 diabetes

Abstract

ASJC Scopus subject areas

UN SDGs

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