Background
Methods
Subjects
Total (n = 140) | Male (n = 73) | Female (n = 67) | P-value | |
---|---|---|---|---|
Age (years) | 62.06 ± 11.17 | 63.20 ± 9.56 | 60.87 ± 12.66 | n.s. |
Disease duration (years) | 9.90 ± 8.02 | 9.37 ± 6.90 | 10.48 ± 9.10 | n.s. |
Living together with | ||||
(includes multiple answers) | ||||
Spouse | 113 (80.7%) | 69 (94.5%) | 44 (65.7%) | |
Sibling (s) | 1 (0.7%) | 0 (0%) | 1 (1.5%) | |
Children | 82 (58.6%) | 34 (46.6%) | 48 (71.6%) | |
Father/Mother | 20 (14.3%) | 9 (1.2%) | 11 (1.6%) | |
Other | 2 (1.4%) | 1 (0.1%) | 1 (0.1%) | |
Treatment method (s) | ||||
(includes multiple answers) | ||||
Diet | 77 (55.0%) | 42 (57.5%) | 35 (52.2%) | |
Exercise | 55 (39.3%) | 35 (47.9%) | 20 (29.9%) | |
Oral hypoglycemic agents | 93 (66.4%) | 53 (72.6%) | 40 (59.7%) | |
Insulin | 28 (20.0%) | 8 (11.0%) | 20 (29.9%) | |
Oral + Insulin | 7 (0.5%) | 2 (0.3%) | 4 (0.6%) | |
HbA1c (%, NGSP*) | 7.27 ± 1.23 | 7.09 ± 1.06 | 7.47 ± 1.39 | n.s. |
Questionnaire structure
Analytical methods and ethical considerations
Results
The relationship between stress awareness/coping and gender, age, family, and treatment method
The influence of gender on stress awareness and coping
Male (n = 73) | Female (n = 67) | ||
---|---|---|---|
ADS | |||
Sense of self-control1) | 6.18 ± 1.02 | 5.91 ± 1.12 | |
Psychological impact of diabetes2) | 9.18 ± 2.80*** | 11.55 ± 2.91 | |
Efforts for symptom management3) | 2.32 ± 0.83 | 2.33 ± 0.75 | |
SCI | |||
Pla (Problem solving) | 6.92 ± 3.75 | 6.79 ± 3.99 | |
Con (Confrontational) | 5.16 ± 3.35 | 4.70 ± 3.15 | |
See (Seeking social support) | 4.15 ± 3.46 | 4.85 ± 3.27 | |
Acc (Accepting responsibility) | 6.85 ± 4.12 | 7.09 ± 3.74 | |
Sel (Self-controlling) | 6.07 ± 3.52* | 7.61 ± 3.73 | |
Esc (Escape-avoidance) | 3.99 ± 2.62** | 5.58 ± 3.14 | |
Dis (Distancing) | 5.48 ± 3.48** | 7.48 ± 4.14 | |
Pos (Positive reappraisal) | 6.66 ± 4.33 | 8.00 ± 4.02 | |
Co (Cognitive) | 24.10 ± 12.56 | 25.16 ± 12.11 | |
Em (Emotional) | 21.18 ± 11.52** | 26.97 ± 12.79 |
The influence of age on stress awareness and coping
ADS | SCI | |||||||||||||
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Sense of self-control1) | Psychological impact of diabetes2) | Efforts for symptom management3) | Pla | Con | See | |||||||||
Years | Male (n = 73) | n | Female (n = 65) | n | Male | Female | Male | Female | Male | Female | Male | Female | Male | Female |
40-49 | 6.00 ± 1.15 | 7 | 5.57 ± 0.76 | 13 | 11.00 ± 1.63 | 11.72 ± 3.81 | 2.57 ± 0.79 | 2.64 ± 0.74 | 7.57 ± 2.99 | 7.43 ± 3.06 | 8.29 ± 3.30 | 6.00 ± 2.94 | 6.14 ± 3.76 | 5.43 ± 3.99 |
50-59 | 6.06 ± 0.85 | 16 | 5.58 ± 0.90 | 12 | 9.88 ± 2.68 | 11.50 ± 2.78 | 2.38 ± 1.02 | 2.17 ± 1.11 | 6.81 ± 3.69 | 6.17 ± 2.86 | 4.69 ± 2.63 | 4.42 ± 2.68 | 4.75 ± 3.68 | 5.08 ± 2.54 |
60-69 | 6.26 ± 1.03 | 31 | 6.15 ± 1.18 | 19 | 8.90 ± 2.95 | 11.65 ± 3.10 | 2.29 ± 0.74 | 2.20 ± 0.52 | 6.61 ± 3.76 | 6.20 ± 4.38 | 4.58 ± 2.94 | 4.00 ± 3.01 | 3.87 ± 3.49 | 4.15 ± 2.68 |
70-79 | 6.21 ± 1.13 | 19 | 6.10 ± 1.34 | 21 | 8.37 ± 2.73 | 11.38 ± 2.27 | 2.21 ± 0.85 | 2.33 ± 0.66 | 7.26 ± 4.24 | 7.29 ± 4.77 | 5.37 ± 4.07 | 4.67 ± 3.58 | 3.37 ± 2.99 | 5.00 ± 3.71 |
SCI
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Acc
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Sel
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Esc
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Dis
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Pos
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Co
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Em
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Years
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Male
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Female*
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Male*
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Female*
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Male**
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Female*
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Male
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Female**
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Male
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Female**
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Male
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Female
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Male
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Female*
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40-49 | 7.71 ± 4.86 | 7.86 ± 2.60 | 9.00 ± 2.31 | 7.79 ± 2.86 | 7.00 ± 3.06 | 7.00 ± 3.37 | 5.00 ± 2.65 | 7.29 ± 3.91 | 6.71 ± 4.54 | 9.07 ± 3.95 | 29.43 ± 12.71 | 27.21 ± 11.00 | 28.00 ± 9.93 | 30.71 ± 11.44 |
50-59 | 6.25 ± 4.16 | 5.67 ± 3.17 | 5.31 ± 3.09 | 7.58 ± 2.94 | 4.19 ± 2.48 | 4.42 ± 2.64 | 5.25 ± 2.54 | 5.67 ± 3.23 | 7.13 ± 3.98 | 6.83 ± 1.99 | 23.06 ± 12.18 | 22.50 ± 7.47 | 21.31 ± 10.71 | 23.33 ± 9.08 |
60-69 | 6.19 ± 3.75 | 5.75 ± 4.30 | 5.29 ± 3.30 | 5.70 ± 3.56 | 3.48 ± 2.59 | 4.45 ± 2.84 | 4.87 ± 3.34 | 6.05 ± 4.11 | 6.26 ± 4.45 | 6.05 ± 3.62 | 22.71 ± 12.19 | 21.30 ± 12.64 | 18.45 ± 11.44 | 21.05 ± 12.61 |
70-79 | 8.11 ± 4.36 | 8.67 ± 3.55 | 6.89 ± 4.01 | 9.33 ± 4.14 | 3.53 ± 1.95 | 6.38 ± 3.09 | 6.84 ± 4.40 | 10.00 ± 3.74 | 6.89 ± 4.63 | 9.81 ± 4.42 | 25.26 ± 13.76 | 29.00 ± 13.61 | 23.00 ± 12.22 | 32.19 ± 13.30 |
The influence of treatment method on stress awareness and coping
Treatment | Diet | Exercise | Oral hypoglycemic agents | Insulin | |||||||||||||
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Male | Female | Male | Female | Male | Female | Male | Female | ||||||||||
Yes n = 42 | No n = 31 | Yes n = 35 | No n = 32 | Yes n = 35 | No n = 38 | Yes n = 20 | No n = 47 | Yes n = 53 | No n = 20 | Yes n = 40 | No n = 27 | Yes n = 8 | No n = 65 | Yes n = 20 | No n = 46 | ||
ADS | |||||||||||||||||
Sense of self-control1) | 6.50 ± 0.97** | 5.74 ± 0.93 | 5.97 ± 1.04 | 5.84 ± 1.22 | 6.37 ± 0.91 | 6.00 ± 1.09 | 6.15 ± 1.14 | 5.81 ± 1.12 | 6.19 ± 1.11 | 6.15 ± 0.75 | 5.90 ± 1.06 | 5.93 ± 1.24 | 5.88 ± 0.35 | 6.22 ± 1.07 | 6.15 ± 1.35 | 5.81 ± 1.01 | |
Psychological impact of diabetes2) | 9.00 ± 3.00 | 9.42 ± 2.53 | 11.43 ± 2.88 | 11.69 ± 2.99 | 9.34 ± 2.80 | 9.03 ± 2.83 | 12.25 ± 2.83 | 11.26 ± 2.93 | 8.94 ± 3.03 | 9.80 ± 1.99 | 11.58 ± 2.85 | 11.52 ± 3.06 | 9.75 ± 1.28 | 9.11 ± 2.93 | 12.50 ± 3.46 | 11.15 ± 2.59 | |
Efforts for symptom management3) | 2.29 ± 0.83 | 2.35 ± 0.84 | 2.34 ± 0.76 | 2.31 ± 0.74 | 2.31 ± 0.80 | 2.32 ± 0.87 | 2.15 ± 0.49 | 2.40 ± 0.83 | 2.21 ± 0.82 | 2.60 ± 0.82 | 2.30 ± 0.76 | 2.37 ± 0.74 | 2.88 ± 0.83* | 2.25 ± 0.81 | 2.20 ± 1.01 | 2.38 ± 0.61 | |
SCI | Pla | 7.14 ± 3.96 | 6.61 ± 3.49 | 8.20 ± 4.00** | 5.25 ± 3.43 | 6.91 ± 3.72 | 6.92 ± 3.83 | 8.25 ± 3.63 | 6.17 ± 4.02 | 7.09 ± 3.88 | 6.45 ± 3.44 | 6.38 ± 4.00 | 7.41 ± 3.97 | 6.13 ± 4.36 | 7.02 ± 3.70 | 7.35 ± 4.65 | 6.55 ± 3.71 |
Con | 4.79 ± 3.34 | 5.68 ± 3.36 | 5.37 ± 3.16 | 3.97 ± 3.01 | 4.51 ± 2.76 | 5.76 ± 3.78 | 5.00 ± 2.77 | 4.57 ± 3.31 | 5.43 ± 3.59 | 4.45 ± 2.58 | 4.45 ± 3.31 | 5.07 ± 2.91 | 4.88 ± 3.60 | 5.20 ± 3.35 | 5.90 ± 3.52* | 4.19 ± 2.86 | |
See | 4.45 ± 3.85 | 3.74 ± 2.86 | 5.09 ± 3.23 | 4.59 ± 3.35 | 3.89 ± 3.48 | 4.39 ± 3.47 | 5.30 ± 3.44 | 4.66 ± 3.22 | 4.26 ± 3.62 | 3.85 ± 3.05 | 4.35 ± 3.29 | 5.59 ± 3.15 | 4.00 ± 2.33 | 4.17 ± 3.59 | 5.10 ± 2.79 | 4.74 ± 3.48 | |
Acc | 7.05 ± 3.94 | 6.58 ± 4.39 | 7.57 ± 3.88 | 6.56 ± 3.56 | 7.29 ± 3.77 | 6.45 ± 4.42 | 8.05 ± 3.94 | 6.68 ± 3.62 | 6.87 ± 4.28 | 6.80 ± 3.75 | 6.68 ± 3.93 | 7.70 ± 3.42 | 5.25 ± 3.92 | 7.05 ± 4.12 | 6.75 ± 4.18 | 7.23 ± 3.58 | |
Sel | 6.00 ± 3.72 | 6.16 ± 3.30 | 8.57 ± 3.70* | 6.56 ± 3.53 | 5.63 ± 3.03 | 6.47 ± 3.92 | 8.55 ± 3.09 | 7.21 ± 3.94 | 6.30 ± 3.60 | 5.45 ± 3.32 | 7.25 ± 3.81 | 8.15 ± 3.61 | 5.00 ± 4.31 | 6.20 ± 3.43 | 8.10 ± 4.01 | 7.40 ± 3.63 | |
Esc | 3.57 ± 2.42 | 4.55 ± 2.81 | 5.94 ± 3.08 | 5.19 ± 3.22 | 3.57 ± 2.38 | 4.37 ± 2.80 | 6.45 ± 3.24 | 5.21 ± 3.06 | 4.04 ± 2.75 | 3.85 ± 2.30 | 5.25 ± 3.04 | 6.07 ± 3.28 | 3.50 ± 2.27 | 4.05 ± 2.67 | 5.70 ± 3.16 | 5.53 ± 3.17 | |
Dis | 5.21 ± 3.63 | 5.84 ± 3.30 | 7.94 ± 4.15 | 6.97 ± 4.12 | 5.20 ± 3.39 | 5.74 ± 3.59 | 8.40 ± 3.66 | 7.09 ± 4.30 | 5.53 ± 3.59 | 5.35 ± 3.25 | 7.13 ± 4.29 | 8.00 ± 3.92 | 5.00 ± 3.96 | 5.54 ± 3.45 | 8.30 ± 4.07 | 7.13 ± 4.16 | |
Pos | 6.57 ± 4.66 | 6.77 ± 3.91 | 9.03 ± 3.82* | 6.88 ± 3.98 | 6.80 ± 4.41 | 6.53 ± 4.31 | 9.65 ± 3.62* | 7.30 ± 4.00 | 6.77 ± 4.49 | 6.35 ± 3.96 | 7.58 ± 4.23 | 8.63 ± 3.66 | 6.25 ± 4.53 | 6.71 ± 4.34 | 8.55 ± 4.19 | 7.77 ± 3.96 | |
Con | 24.71 ± 12.78 | 23.26 ± 12.42 | 28.43 ± 11.60* | 21.59 ± 11.81 | 23.97 ± 11.60 | 24.21 ± 13.54 | 29.25 ± 11.00 | 23.43 ± 12.25 | 24.60 ± 13.09 | 22.75 ± 11.25 | 23.75 ± 12.72 | 27.26 ± 11.03 | 21.25 ± 13.79 | 24.45 ± 12.48 | 26.15 ± 12.28 | 24.74 ± 12.14 | |
Em | 20.07 ± 11.86 | 22.68 ± 11.05 | 29.34 ± 12.33 | 24.38 ± 12.97 | 19.83 ± 10.07 | 22.42 ± 12.71 | 30.45 ± 10.89 | 25.49 ± 13.35 | 21.70 ± 12.22 | 19.80 ± 9.54 | 25.35 ± 12.83 | 29.37 ± 12.58 | 18.75 ± 12.60 | 21.48 ± 11.45 | 29.60 ± 14.07 | 25.85 ± 12.19 |
The influence of cohabiting family on stress and coping
Male | Female | ||||
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With spouse (n = 69) | Without spouse (n = 4) | With spouse (n = 44) | Without spouse (n = 23) | ||
ADS | |||||
Sense of self-control1) | 6.13 ± 0.98 | 7.00 ± 1.41 | 5.75 ± 1.01 | 6.22 ± 1.28 | |
Psychological impact of diabetes2) | 9.22 ± 2.85 | 8.50 ± 1.73 | 10.89 ± 2.91** | 12.83 ± 2.52 | |
Efforts for symptom management3) | 2.32 ± 0.83 | 2.25 ± 0.96 | 2.30 ± 0.67 | 2.39 ± 0.89 | |
SCI | |||||
Pla (Problem solving) | 6.67 ± 3.62* | 11.25 ± 3.77 | 6.64 ± 4.08 | 7.09 ± 3.90 | |
Con (Confrontational) | 5.03 ± 3.26 | 7.50 ± 4.65 | 4.66 ± 3.12 | 4.78 ± 3.27 | |
See (Seeking social support) | 3.94 ± 3.41* | 7.75 ± 2.22 | 4.41 ± 3.26 | 5.70 ± 3.20 | |
Acc (Accepting responsibility) | 6.59 ± 4.02* | 11.25 ± 3.59 | 7.55 ± 3.76 | 6.22 ± 3.63 | |
Sel (Self-controlling) | 5.83 ± 3.38* | 10.25 ± 3.77 | 7.77 ± 3.56 | 7.30 ± 4.12 | |
Esc (Escape-avoidance) | 3.83 ± 2.51* | 6.75 ± 3.30 | 5.66 ± 3.08 | 5.44 ± 3.33 | |
Dis (Distancing) | 5.32 ± 3.38 | 8.25 ± 4.50 | 7.64 ± 4.24 | 7.17 ± 4.00 | |
Pos (Positive reappraisal) | 6.39 ± 4.24* | 11.25 ± 3.59 | 8.00 ± 3.84 | 8.00 ± 4.42 | |
Co (Cognitive) | 23.17 ± 12.09** | 40.00 ± 10.95 | 24.82 ± 12.11 | 25.83 ± 12.36 | |
Em (Emotional) | 20.42 ± 10.90* | 34.25 ± 15.82 | 27.55 ± 12.50 | 25.87 ± 13.54 |