The Role of Negative Affect in the Assessment of Quality of Life among Women with Type 1 Diabetes Mellitus

BackgroundThe purpose of this study is to determine the impact of negative affect (defined in terms of lack of optimism, depressogenic attributional style, and hopelessness depression) on the quality of life of women with type 1 diabetes mellitus.MethodsParticipants (n=177) completed either an onlin...

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Main Authors: Nicola R. Gawlik, Malcolm J. Bond
Format: Article
Language:English
Published: Korean Diabetes Association 2017-11-01
Series:Diabetes & Metabolism Journal
Subjects:
Online Access:https://e-dmj.org/Synapse/Data/PDFData/2004DMJ/dmj-42-130.pdf
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author Nicola R. Gawlik
Malcolm J. Bond
author_facet Nicola R. Gawlik
Malcolm J. Bond
author_sort Nicola R. Gawlik
collection DOAJ
description BackgroundThe purpose of this study is to determine the impact of negative affect (defined in terms of lack of optimism, depressogenic attributional style, and hopelessness depression) on the quality of life of women with type 1 diabetes mellitus.MethodsParticipants (n=177) completed either an online or paper questionnaire made available to members of Australian diabetes support groups. Measures of optimism, attributional style, hopelessness depression, disease-specific data, and diabetes-related quality of life were sought. Bivariate correlations informed the construction of a structural equation model.ResultsParticipants were 36.3±11.3 years old, with a disease duration of 18.4±11.2 years. Age and recent glycosylated hemoglobin readings were significant contextual variables in the model. All bivariate associations involving the components of negative affect were as hypothesized. That is, poorer quality of life was associated with a greater depressogenic attributional style, higher hopelessness depression, and lower optimism. The structural equation model demonstrated significant direct effects of depressogenic attributional style and hopelessness depression on quality of life, while (lack of) optimism contributed to quality of life indirectly by way of these variables.ConclusionThe recognition of negative affect presentations among patients, and an understanding of its relevance to diabetes-related quality of life, is a valuable tool for the practitioner.
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spelling doaj.art-230d07726d364055be7c78e659c88d342022-12-21T22:32:51ZengKorean Diabetes AssociationDiabetes & Metabolism Journal2233-60792233-60872017-11-0142213013610.4093/dmj.2018.42.2.130The Role of Negative Affect in the Assessment of Quality of Life among Women with Type 1 Diabetes MellitusNicola R. Gawlik0Malcolm J. Bond1School of Psychology, Flinders University, Adelaide, Australia.School of Medicine, Flinders University, Adelaide, Australia.BackgroundThe purpose of this study is to determine the impact of negative affect (defined in terms of lack of optimism, depressogenic attributional style, and hopelessness depression) on the quality of life of women with type 1 diabetes mellitus.MethodsParticipants (n=177) completed either an online or paper questionnaire made available to members of Australian diabetes support groups. Measures of optimism, attributional style, hopelessness depression, disease-specific data, and diabetes-related quality of life were sought. Bivariate correlations informed the construction of a structural equation model.ResultsParticipants were 36.3±11.3 years old, with a disease duration of 18.4±11.2 years. Age and recent glycosylated hemoglobin readings were significant contextual variables in the model. All bivariate associations involving the components of negative affect were as hypothesized. That is, poorer quality of life was associated with a greater depressogenic attributional style, higher hopelessness depression, and lower optimism. The structural equation model demonstrated significant direct effects of depressogenic attributional style and hopelessness depression on quality of life, while (lack of) optimism contributed to quality of life indirectly by way of these variables.ConclusionThe recognition of negative affect presentations among patients, and an understanding of its relevance to diabetes-related quality of life, is a valuable tool for the practitioner.https://e-dmj.org/Synapse/Data/PDFData/2004DMJ/dmj-42-130.pdfAttributional styleDiabetes mellitus, type 1Hopelessness depressionOptimismQuality of lifeStructural equation modellingWomen
spellingShingle Nicola R. Gawlik
Malcolm J. Bond
The Role of Negative Affect in the Assessment of Quality of Life among Women with Type 1 Diabetes Mellitus
Diabetes & Metabolism Journal
Attributional style
Diabetes mellitus, type 1
Hopelessness depression
Optimism
Quality of life
Structural equation modelling
Women
title The Role of Negative Affect in the Assessment of Quality of Life among Women with Type 1 Diabetes Mellitus
title_full The Role of Negative Affect in the Assessment of Quality of Life among Women with Type 1 Diabetes Mellitus
title_fullStr The Role of Negative Affect in the Assessment of Quality of Life among Women with Type 1 Diabetes Mellitus
title_full_unstemmed The Role of Negative Affect in the Assessment of Quality of Life among Women with Type 1 Diabetes Mellitus
title_short The Role of Negative Affect in the Assessment of Quality of Life among Women with Type 1 Diabetes Mellitus
title_sort role of negative affect in the assessment of quality of life among women with type 1 diabetes mellitus
topic Attributional style
Diabetes mellitus, type 1
Hopelessness depression
Optimism
Quality of life
Structural equation modelling
Women
url https://e-dmj.org/Synapse/Data/PDFData/2004DMJ/dmj-42-130.pdf
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