Diabetes patients experience significant distress. Improving health-related quality of life (HRQoL) is cardinal in the management of all chronic health conditions. We investigated the moderating role of social support (SS) in the relationship between diabetes distress (DD) and HRQoL. Three hundred and ninety-six type 2 diabetes mellitus (T2DM) patients (M age = 57.71 years) completed measures of relevant variables. Results showed that SS moderated DD-HRQoL association. Our findings provided a guide on extent of support for T2DM management behaviors that may be helpful in ameliorating impacts of stress on patients’ health.
BarreraM (1986) Distinctions between social support concepts, measures and model. American Journal of Community Psychology14(4): 413–445.
2.
BowenPGClayOJLeeLT, et al. (2015) Associations of social support and self-efficacy with quality of life in older adults with diabetes. Journal of Gerontological Nursing41(12): 21–29.
3.
BrunoBAChoiDThorpeKE, et al. (2019) Relationship among diabetes distress, decisional conflict, quality of life, and patient perception of chronic illness care in a cohort of patients with type 2 diabetes and other comorbidities. Diabetes Care42(7): 1170–1177.
4.
BurroughsTEDesikanRWatermanBM, et al. (2004) Development and validation of the diabetes quality of life brief clinical inventory. Diabetes Spectrum17(1): 41–49.
5.
CasselJ (1976) The contribution of the social environment to host resistance: The Fourth Wade Hampton Frost Lecture. American Journal of Epidemiology104(2): 107–123.
6.
Centre for Disease and Control (2020) Health-related Quality of Life Concept. Available at: https://www.cdc.gov/hrqol/concept.htm (accessed 24 August 2020).
7.
ChenHTaichmanDBDoyleRL (2008) Health-related quality of life and patient- reported outcomes in pulmonary arterial hypertension. Proceedings of the American Thoracic Society5(5): 623–630.
8.
ChewBHMohd-SidikSShariff-GhazaliS (2015) Negative effects of diabetes–related distress on health-related quality of life: an evaluation among the adult patients with type 2 diabetes mellitus in three primary healthcare clinics in Malaysia. Health and Quality of Life Outcomes13(1): 187.
9.
ChoNShawJEKarurangaS, et al. (2018) IDF diabetes atlas: Global estimates of diabetes prevalence for 2017 and projections for 2045. Diabetes Research and Clinical Practice138: 271–281.
10.
FaridahINPerwitasariDAPusfitaM, et al. (2017) Relationship between emotional distress and quality of life on type 2 diabetes mellitus patients in Meranti island regency hospital. In IOP Conference Series. Materials Science and Engineering259(1).
11.
FieldA (2013) Discovering Statistics Using IBM SPSS Statistics: And Sex and Drugs and Rock 'n' Roll. Los Angeles: Sage.
12.
FisherLHesslerDMPolonskyWH, et al. (2012) When is diabetes distress clinically meaningful?: Establishing cut points for the Diabetes Distress Scale. Diabetes Care35(2): 259–264.
13.
FisherLMullanJTSkaffMM, et al. (2009). Predicting diabetes distress in patients with Type 2 diabetes: A longitudinal study. Diabetic Medicine26(6): 622–627.
14.
Gallegos-CarrilloKGarcía-PeñaCDurán-MuñozCA, et al. (2009) Relationship between social support and the physical and mental wellbeing of older Mexican adults with diabetes. Revista de investigacion clinica61(5): 383–391.
15.
GariepyGHonkaniemiHQuesnel-ValleeA (2016) Social support and protection from depression: Systematic review of current findings in Western countries. The British Journal of Psychiatry209(4): 284–293.
16.
GlasgowREToobertDJBarreraMJr, et al. (2005). The chronic illness resources survey: Cross-validation and sensitivity to intervention. Health Education Research20(4): 402–409.
17.
GözFKaraozSGozM, et al. (2007). Effects of the diabetic patients’ perceived social support on their quality-of-life. Journal of Clinical Nursing16(7): 1353–1360.
18.
HarandiTFTaghinasabMMNayeriTD (2017) The correlation of social support with mental health: A meta-analysis. Electronic Physician9(9): 5212–5222.
19.
HayesAF (2018) PROCESS macro for SPSS and SAS. The PROCESS macro for SPSS and SAS. Introduction to mediation, moderation, and conditional PROCESS analysis, second edition: A regression-based approach.
JannooZWahYBLazimAM, et al. (2017) Examining diabetes distress, medication adherence, diabetes self-care activities, diabetes-specific quality of life and health-related quality of life among type 2 diabetes mellitus patients. Journal of Clinical & Translational Endocrinology9: 48–54.
22.
KalraGGillSTangTS (2020) Depression and diabetes distress in South Asian adults living in low and middle income countries: A scoping review. Canadian Journal of Diabetes4(6): 521–529.e1
23.
KirkJKEbertCNGambleGP, et al. (2013). Social support strategies in adult patients with diabetes: A review of strategies in the USA and Europe. Expert Review of Endocrinology & Metabolism8(4): 379–389.
24.
KnowlesSRApputhuraiPO’BrienCL, et al. (2020) Exploring the relationships between illness perceptions, self-efficacy, coping strategies, psychological distress and quality of life in a cohort of adults with diabetes mellitus. Psychology, Health & Medicine25(2), 214–228.
25.
KrauseN (1986) Social support, stress, and well-being among older adults. Journal of Gerontology41(4): 512–519.
26.
MukrimMEAlshammariNMAlshammariWM, et al. (2019). Prevalence of depression, anxiety, and stress among diabetes mellitus patients in Arar, Northern Saudi. International Journal of Medicine in Developing Countries3(3): 229–233.
27.
NicolucciAKovacs BurnsKHoltRI, et al. (2013) Diabetes Attitudes, Wishes and Needs second study (DAWN2™): Cross-national benchmarking of diabetes-related psychosocial outcomes for people with diabetes. Diabetic Medicine30(7): 767–777.
28.
NwakobiME (2014) Diabetes Mellitus (Type 2) Associated Psychological Stress of Patients in Nigeria. Doctoral dissertation, Walden University, Minneapolis, MN.
29.
ObosiACFatunbiAM (2018) Psychosocial predictors of health-related quality of life among diabetes patient 1 and 2. Journal of Diabetes and Clinical Practice1(2): 2–9.
30.
OnuDUIfeagwaziCMChukwuorjiJC (2020a). Does posttraumatic growth buffer the association between death anxiety and quality of life among people living with HIV/AIDS?. Journal of Clinical Psychology in Medical Settings1–10.
31.
OnuDUIfeagwaziCMOnyedibeMCC (2020b) Enacted support matters in the relationship between psychological distress and health-related quality of life among type 2 diabetes patients in Nigeria. Psychology, Health & Medicine1–8.
32.
OnuDUUgwuDIorfaKS (2020c) Negative centralisation of HIV/AIDS’ trauma and health-related quality of life: Do posttraumatic stress symptoms explain the link?African Journal of AIDS Research19(3): 1–8.
33.
PapathanasiouASheaSKoutsovasilisA, et al. (2008) Reporting distress and quality of life of patients with diabetes mellitus in primary and secondary care in Greece. Mental Health in Family Medicine5(2): 85.
34.
PetersmannANauckMMüller-WielandD, et al. (2018) Definition, classification and diagnosis of diabetes mellitus. Experimental and Clinical Endocrinology & Diabetes, 126(7): 406–410.
35.
PolonskyWHFisherLEarlesJ, et al. (2005). Assessing psychosocial distress in diabetes: Development of the diabetes distress scale. Diabetes Care28: 626–631.
36.
PunthakeeZGoldenbergRKatzP. (2018). Definition, classification and diagnosis of diabetes, prediabetes and metabolic syndrome. Canadian Journal of Diabetes42: S10–S15.
37.
VijanS (2010) In the clinic. Type 2 diabetes. Annals of Internal Medicine152(5): ITC31–15.
ViswesvaranCSanchezJIFisherJ (1999) The role of social support in the process of work stress: A meta-analysis. Journal of Vocational Behavior54(2): 314–333.
40.
ZhuYFishAFLiF, et al. (2016) Psychosocial factors not metabolic control impact the quality of life among patients with type 2 diabetes in China. Acta Diabetologica53(4): 535–541.
