RESUMEN
We examined whether the association between psychological distress (depression, anxiety and stress) and diabetes-related quality of life (DRQoL) among type 2 diabetes Mellitus (T2DM) patients in Nigeria was moderated by enacted support (ES). Participants were 279 T2DMpatients (Mage = 59.65, SD: 11.57) conveniently sampled from three tertiary health-care institutions in Enugu State, Nigeria. Participants completed measures of diabetes-related Quality of Life, depression, anxiety, and stress. Results showed that ES moderated the relationship between anxiety and DRQoL. Moderation graph revealed that for participants with low and moderate ES, anxiety was positively associated with DRQoL. ES also moderated the association between stress and DRQoL. The moderation graph showed that for participants with low and moderate ES, stress was negatively associated with DRQoL. ES did not, however, moderate the association between depression and DRQoL. Our findings suggest the levels of supports for diabetes management behaviours that may be helpful toT2DM patients. This could guide health managers in developing strategies that might prevent or ameliorate the impact of psychological distress.
Asunto(s)
Diabetes Mellitus Tipo 2 , Distrés Psicológico , Calidad de Vida , Apoyo Social , Anciano , Diabetes Mellitus Tipo 2/epidemiología , Diabetes Mellitus Tipo 2/psicología , Diabetes Mellitus Tipo 2/terapia , Humanos , Persona de Mediana Edad , Nigeria/epidemiologíaRESUMEN
Background: Receiving emotional support from a romantic partner often leads to emotional costs via negative appraisals about the self and one's relationship, but it is unclear whether certain individuals are more susceptible to these costs. We evaluate whether the presence of perfectionistic and dependent dysfunctional attitudes leads to more negative effects of receiving emotional support from a romantic partner. Methods: Twenty-nine couples (27 men, 31 women; mean age 24.5) completed the Dysfunctional Attitudes Scale and then a daily online questionnaire by recording their mood, appraisals, and received emotional support. Mixed-effects regressions were used to evaluate whether perfectionistic and dependent dysfunctional attitudes moderated the relationship between emotional support receipt and subsequent mood and appraisals. Results: Perfectionism did not interact with emotional support but exerted a main effect of increasing negative moods and appraisals. Dependency interacted with emotional support such that those with more dependent attitudes reported greater negative next-day moods and appraisals as a function of emotional support. Conclusions: Individuals with dependent, but not perfectionistic, dysfunctional attitudes are more likely to experience emotional and cognitive costs after receiving emotional support. These costs may stem from activation or exacerbation of the attitudes specific to dependency, including need for acceptance, support, and approval of others.