Interaction of self-efficacy and sense of personal control on diabetes distress in older adults with type 2 diabetes
A cross-sectional study
Bibliographic Data
| ID | 22075904 |
|---|---|
| Authors | Zhaoxia Tian (Shanxi Medical University), Xia Ren (0000-0001-8347-628X, Dali Traditional Chinese Medicine Hospital), Quanyi Wang (0000-0001-9552-2503, Shanxi Fenyang Hospital), Wenke Guo (Shanxi Fenyang Hospital), Hongmei Li (0009-0008-0342-8295, Shanxi Medical University, corresponding author), Linping Shang (0000-0002-4009-844X, Shanxi Medical University, corresponding author) |
| Year | 2026 |
| Volume | 14 |
| Pages | 1762971-1762971 |
| Publication date | 2026-02-04 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Public Health (JOURNAL) |
| Journal identifiers | ISSN: 2296-2565 • E-ISSN: 2296-2565 |
| Publisher | Frontiers Media SA (PUBLISHER • CH) |
| DOI | 10.3389/fpubh.2026.1762971 |
| PMID | 41717598 |
| OpenAlex | W7127394375 |
| Language | EN |
| References cited | 34 |
Background Diabetes distress (DD) constitutes a significant barrier to effective diabetes management, impacting self-care behaviors and complication incidence rates. It directly influences quality of life and healthcare resource utilization among gerontal patients. Research on alleviating DD offers a novel perspective for developing personalized self-management plans in clinical practice. Methods This cross-sectional study randomly selected 342 older adults with type 2 diabetes registered at community hospitals. Factors influencing disease distress were assessed using a demographic questionnaire, Diabetes Distress Scale (DDS), Personal Mastery Scale (PMS), General Self-Efficacy Scale (GSES), and Diabetes Self-Management Behavior Scale (DSMB-O). Structural equation modeling was employed for moderated mediation analysis. Results Findings revealed that 59.06% of older adults with T2DM experienced distress. Independent risk factors for DDS included disease duration ≥10 years ( β = 1.181), living alone ( β = 1.592), low educational attainment ( β = −1.639), low household income ( β = 1.432), PMS score <20 ( β = 0.828), and GSES score <30 ( β = 0.887). Under the hypothetical model, the structural equation model revealed that the indirect path coefficients for self-efficacy and general sense of control via self-management on perceived illness distress were significant (−0.081, −0.066, p < 0.005). Concurrently, the chained path was also significant (−0.020, −0.009, p < 0.05). Conclusion Factors influencing disease distress in older adults with T2DM are diverse. The complex interplay between personal mastery and self-efficacy offers new intervention strategies for clinically alleviating diabetes distress
Diabetes mellitus · Disease · Distress · Psychological distress · Sense of control · Type 1 diabetes · Type 2 diabetes · Chronic Disease Management Strategies · Diabetes Management and Education · Mobile Health and mHealth Applications
| Citation velocity | historical |
|---|---|
| Highly cited | No |