How does anger coping style affect glycemic control in diabetes patients?

  • Joyce P. Yi
  • Jean C. Yi
  • Peter P. Vitaliano
  • Katie Weinger

DOI: 10.1080/10705500802219481

Cite this article as:
Yi, J.P., Yi, J.C., Vitaliano, P.P. et al. Int. J. Behav. Med. (2008) 15: 167. doi:10.1080/10705500802219481


Background: Although various forms of anger have been found to influence the psychological and physical health in many chronic illness populations, little is known about the effects of anger in diabetes patients. Purpose: Associations between anger coping style, diabetes-related psychological distress, and glycosylated hemoglobin (HbA1c) were examined in 100 diabetes patients. Method: Participants completed the Problem Areas in Diabetes and Coping Styles questionnaires, and had HbA1c assessments at study entry (Time 1 = T1), six months (T2), and 12 months after T1 (T3). Results: Linear regression analyses revealed T1 anger coping associated with T3 HbA1c (β = .22, p < .05), but T1 HbA1c did not associate with T3 anger coping (β = .13, p = NS). After controlling for significant covariates (of gender, age, education, type and duration of diabetes), regression analyses revealed that T2 diabetes-related psychological distress partially mediated this association. Conclusion: These results suggested that higher levels of anger coping may promote poorer glycemic control in diabetes patients by provoking greater diabetes-related distress. Areas of future research on this topic are discussed.

Key words

anger copingpsychological distressglycemic controldiabetes

Copyright information

© International Society of Behavioral Medicine 2008

Authors and Affiliations

  • Joyce P. Yi
    • 1
  • Jean C. Yi
    • 2
  • Peter P. Vitaliano
    • 3
  • Katie Weinger
    • 4
  1. 1.Department of Endocrinology/DiabetesChildren’s Hospital and Regional Medical CenterSeattle
  2. 2.Fred Hutchinson Cancer Research CenterBiobehavioral SciencesSeattle
  3. 3.Department of Psychiatry and Behavioral SciencesUniversity of WashingtonSeattle
  4. 4.Behavioral and Mental Health Research, Joslin Diabetes Center, Department of PsychiatryHarvard Medical SchoolBoston