Relationship between Type D personality and adverse health outcomes in people with type 2 diabetes: The parallel mediating roles of diabetes distress and social isolation

Abstract Aim To investigate the relationship between Type D personality and adverse health outcomes [glycated haemoglobin (HbA1c) and health‐related quality of life (HRQOL)] directly, and indirectly via diabetes distress and social isolation in people with type 2 diabetes. Design A secondary analysi...

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Main Authors: Eun‐Hyun Lee, Young Whee Lee, Duckhee Chae, Eun Hee Kang, Hyun‐Jung Kang
Format: Article
Language:English
Published: Wiley 2023-05-01
Series:Nursing Open
Subjects:
Online Access:https://doi.org/10.1002/nop2.1587
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author Eun‐Hyun Lee
Young Whee Lee
Duckhee Chae
Eun Hee Kang
Hyun‐Jung Kang
author_facet Eun‐Hyun Lee
Young Whee Lee
Duckhee Chae
Eun Hee Kang
Hyun‐Jung Kang
author_sort Eun‐Hyun Lee
collection DOAJ
description Abstract Aim To investigate the relationship between Type D personality and adverse health outcomes [glycated haemoglobin (HbA1c) and health‐related quality of life (HRQOL)] directly, and indirectly via diabetes distress and social isolation in people with type 2 diabetes. Design A secondary analysis of 524 participant's data derived from a cross‐sectional, correlational study with people with type 2 diabetes. Methods Data were analysed using the PROCESS macro of SPSS. Results Type D personality was present in 31.3% of the participants, and exerted a direct effect on HRQOL but not on HbA1c. Type D personality indirectly affected both HbA1c and HRQOL via the mediators of diabetes distress and social isolation. Nurses need to monitor people with type 2 diabetes to determine whether Type D personality is present. Those with Type D personality should be provided with interventions to reduce diabetes distress and alleviate social isolation in order to improve HbA1c and HRQOL.
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spelling doaj.art-9cd30fe4ecdd4792aa163e0714f607422023-04-06T09:45:47ZengWileyNursing Open2054-10582023-05-011053347335510.1002/nop2.1587Relationship between Type D personality and adverse health outcomes in people with type 2 diabetes: The parallel mediating roles of diabetes distress and social isolationEun‐Hyun Lee0Young Whee Lee1Duckhee Chae2Eun Hee Kang3Hyun‐Jung Kang4Graduate School of Public Health Ajou University Suwon Republic of KoreaDepartment of Nursing Inha University Incheon Republic of KoreaCollege of Nursing Chonnam National University Gwangju Republic of KoreaGraduate School of Public Health Ajou University Suwon Republic of KoreaGraduate School of Public Health Ajou University Suwon Republic of KoreaAbstract Aim To investigate the relationship between Type D personality and adverse health outcomes [glycated haemoglobin (HbA1c) and health‐related quality of life (HRQOL)] directly, and indirectly via diabetes distress and social isolation in people with type 2 diabetes. Design A secondary analysis of 524 participant's data derived from a cross‐sectional, correlational study with people with type 2 diabetes. Methods Data were analysed using the PROCESS macro of SPSS. Results Type D personality was present in 31.3% of the participants, and exerted a direct effect on HRQOL but not on HbA1c. Type D personality indirectly affected both HbA1c and HRQOL via the mediators of diabetes distress and social isolation. Nurses need to monitor people with type 2 diabetes to determine whether Type D personality is present. Those with Type D personality should be provided with interventions to reduce diabetes distress and alleviate social isolation in order to improve HbA1c and HRQOL.https://doi.org/10.1002/nop2.1587diabetesdistressglycated haemoglobinhealth‐related quality of lifemediationpersonality
spellingShingle Eun‐Hyun Lee
Young Whee Lee
Duckhee Chae
Eun Hee Kang
Hyun‐Jung Kang
Relationship between Type D personality and adverse health outcomes in people with type 2 diabetes: The parallel mediating roles of diabetes distress and social isolation
Nursing Open
diabetes
distress
glycated haemoglobin
health‐related quality of life
mediation
personality
title Relationship between Type D personality and adverse health outcomes in people with type 2 diabetes: The parallel mediating roles of diabetes distress and social isolation
title_full Relationship between Type D personality and adverse health outcomes in people with type 2 diabetes: The parallel mediating roles of diabetes distress and social isolation
title_fullStr Relationship between Type D personality and adverse health outcomes in people with type 2 diabetes: The parallel mediating roles of diabetes distress and social isolation
title_full_unstemmed Relationship between Type D personality and adverse health outcomes in people with type 2 diabetes: The parallel mediating roles of diabetes distress and social isolation
title_short Relationship between Type D personality and adverse health outcomes in people with type 2 diabetes: The parallel mediating roles of diabetes distress and social isolation
title_sort relationship between type d personality and adverse health outcomes in people with type 2 diabetes the parallel mediating roles of diabetes distress and social isolation
topic diabetes
distress
glycated haemoglobin
health‐related quality of life
mediation
personality
url https://doi.org/10.1002/nop2.1587
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