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Illness perceptions as a mediator between emotional distress and management self-efficacy among Chinese Americans with type 2 diabetes

Bibliographic Data

ID12554457
AuthorsYa‐Ching Huang (0000-0002-6004-3593, Texas State University, corresponding author), Julie A Zuñiga (0000-0003-3778-8148, The University of Texas at Austin), Julie Zuniga (The University of Texas at Austin), Alexandra Garcia (0000-0001-8285-471X, The University of Texas at Austin), Alexandra A García (0000-0003-1834-6598, The University of Texas at Austin)
Year2020
Volume27
Issue3
Pages672-686
Publication date2020-09-07
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueEthnicity and Health (JOURNAL)
Journal identifiersISSN: 1355-7858 • E-ISSN: 1465-3419
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/13557858.2020.1817339
PMID32894684
OpenAlexW3084239172
LanguageEN
Citations received4
References cited42

Objectives: Emotional distress and illness perceptions have been linked to patients' self-efficacy for diabetes management. This study, guided by Leventhal's Self-Regulatory Model, explores the direct effects of emotional distress (diabetes distress and depressive symptoms) on diabetes management self-efficacy, and the indirect effects through illness perceptions among Chinese Americans with type 2 diabetes (T2DM). Design: Data were obtained from a cross-sectional study of Chinese Americans with T2DM recruited from health fairs and other community settings ( N = 155, 47.1% male, mean age 69.07 years). Data analyses including descriptive statistics, correlation, and PROCESS mediation models were used to examine the mediation effects of illness perceptions. Results: Diabetes distress and depressive symptoms had direct negative effects on self-efficacy. Perceived treatment control mediated the association between diabetes distress and self-efficacy, while none of the illness perceptions dimensions impacted the relationship between depressive symptoms and self-efficacy. Conclusion: Improved perceptions of treatment control can ameliorate diabetes distress and improve diabetes management self-efficacy among Chinese Americans. Health providers should elicit patients' illness perceptions as a first step in evaluating their diabetes management self-efficacy and provide appropriate culturally-tailored interventions

Anxiety · Diabetes management · Diabetes mellitus · Distress · Emotional distress · Mediation · Psychiatry · Psychological intervention · Psychotherapist · Self-efficacy · Self-management · Type 2 diabetes · Type 2 Diabetes Mellitus · Chronic Disease Management Strategies · Clinical Psychology · Diabetes Management and Education · Medicine · Mental Health Treatment and Access · Psychology

  • Interaction of self-efficacy and sense of personal control on diabetes distress in older adults with type 2 diabetes

    Open Access•Zhaoxia Tian, Xia Ren et al.•Frontiers in Public Health•2026

  • The relationship between patient empowerment and related constructs, affective symptoms and quality of life in patients with type 2 diabetes

    Open Access•Andrea Duarte-Díaz, Lilisbeth Perestelo-Pérez et al.•Frontiers in Public Health•2023

  • The impact of health literacy on complication risk perception in patients with type 2 diabetes

    Open Access•Linxin Xie, Ting Shu et al.•Health Education Research•2026

  • Behavioral and Psychosocial Dynamics in Diabetes Management

    Open Access•Hamzah Alzubaidi, Vitor Hugo Oliveira et al.•Annals of Behavioral Medicine•2025

  • Diagnostic and Statistical Manual of Mental Disorders

    American Psychiatric Association American Psychiatric Association, Ewer Ewer•Diagnostic And Statistical Manual…•2013

  • The Common-Sense Model of Self-Regulation (CSM)

    Open Access•Howard Leventhal, L A Phillips et al.•Journal of Behavioral Medicine•2016

  • Assessing Psychosocial Distress in Diabetes

    William H Polonsky, Lawrence Fisher et al.•Diabetes Care•2005

  • The Revised Illness Perception Questionnaire (IPQ-R)

    Rona Moss-Morris, Rona Moss‐morri et al.•Psychology & Health•2002

  • Is Self-Efficacy Associated With Diabetes Self-Management Across Race/Ethnicity and Health Literacy?

    Urmimala Sarkar, Lawrence Fisher et al.•Diabetes Care•2006

  • The CES-D Scale

    Open Access•Lenore Sawyer Radloff•Applied Psychological Measurement•1977

  • Self-Management of Type 2 Diabetes

    Open Access•Anna Nguyen, Anna Thao Nguyen•Journal of Transcultural Nursing•2014

  • A bidimensional model of acculturation for Korean American older adults

    Open Access•Yuri Jang, Giyeon Kim et al.•Journal of Aging Studies•2007

  • The common sense model of self-regulation

    Martin S Hagger, Severine Koch et al.•Psychological Bulletin•2017

Unique citing works4
Citations per year1,33
Citation span2023 - 2026 (4)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 4

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