Journal of Behavioral Medicine

, Volume 33, Issue 1, pp 81–89

Exploring the relationship between diabetes self-efficacy, depressive symptoms, and glycemic control among men and women with type 2 diabetes

  • Andrea Cherrington
  • Kenneth A. Wallston
  • Russell L. Rothman
Article

DOI: 10.1007/s10865-009-9233-4

Cite this article as:
Cherrington, A., Wallston, K.A. & Rothman, R.L. J Behav Med (2010) 33: 81. doi:10.1007/s10865-009-9233-4

Abstract

Depression and low self-efficacy are both associated with worse glycemic control in adults with diabetes, but the relationship between these variables is poorly understood. We conducted a cross-sectional study examining associations between depressive symptoms, self-efficacy, and glycemic control among men (n = 64) and women (n = 98) with type 2 diabetes to see if self-efficacy mediates the relationship between depression and glycemic control. Correlational and mediational analyses examined the relationship between these three variables for the sample as a whole and separately by sex. A significant association between depressive symptoms and glycemic control was found for men (0.34, P < 0.01) but not for women (0.05, P = 0.59). Path analysis suggested that, among men, self-efficacy mediates the relationship between depressive symptoms and glycemic control. We conclude that men with depressive symptoms and type 2 diabetes may need tailored interventions that improve their self-efficacy in order to achieve glycemic control.

Keywords

Diabetes Depression Self-efficacy Gender differences Mediational model 

Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Andrea Cherrington
    • 1
  • Kenneth A. Wallston
    • 2
  • Russell L. Rothman
    • 2
  1. 1.Department of Medicine, Division of General Internal MedicineUniversity of Alabama School of MedicineBirminghamUK
  2. 2.Vanderbilt University Medical CenterNashvilleUSA