Patient and partner illness appraisals and health among adults with type 1 diabetes
In a study of 199 couples in which one person had type 1 diabetes, we examined how patient appraisal of the diabetes as shared versus individual was associated with collaborative, supportive and unsupportive behavior and whether patient shared illness appraisal was most beneficial for health when it occurred in the context of supportive behavior. We assessed illness appraisal among patients with type 1 diabetes and their partners and had patients complete relationship and health measures. Results showed partners were more likely than patients to hold shared illness appraisals. Patients’ shared appraisals were associated with more collaborative and instrumental support, more emotional support, less protective buffering, and more overprotective behavior. When patients and partners were consistent in their shared appraisals, support was highest. Regression analysis showed collaborative and instrumental support, as well as emotional support, was related to better psychological and physical health when patients held shared compared to individual illness appraisals.
KeywordsCommunal coping Dyadic coping Type 1 diabetes Social support Couples
The study was funded by the National Institutes of Health DP3 DK103999.
Compliance with ethical standards
Conflict of interest
Vicki S. Helgeson, Cynthia A. Berg, Caitlin S. Kelly, Meredith Van Vleet, Melissa Zajdel, Enjin Lee Tracy and Michelle L. Litchman declare that they have no conflict of interest.
Human and animal rights and Informed consent
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all patients for being included in the study.
- Bodenmann, G. (1997). Dyadic coping: A systematic-transactional view of stress and coping among couples: Theory and empirical findings. European Review of Applied Psychology, 47, 137–140.Google Scholar
- Lewin, A. B., LaGreca, A. M., Geffken, G. R., Williams, L. B., Duke, D. C., Storch, E. A., et al. (2009). Validity and reliability of an adolescent and parent rating scale of type 1 diabetes adherence behaviors: The self-care inventory (SCI). Journal of Pediatric Psychology, 34, 999–1007.CrossRefGoogle Scholar
- Revenson, T. A. (1994). Social support and marital coping with chronic illness. Annals of Behavioral Medicine, 16, 122–130.Google Scholar
- Tracy, E. L., Berg, C. A., Baucom, K. J. W., Turner, S. L., Kelly C. S., Van Vleet, M., et al. (in press). Daily sleep quality and duration and daily stressors in couples coping with Type 1 diabetes. Health Psychology. https://doi.org/10.1037/hea0000690.
- Ware, J. E., Snow, K. K., Kosinski, M., & Gandek, B. (1993). SF-36 Health Survey: Manual and interpretation guide. Boston: Nimrod.Google Scholar
- Zajdel, M., Helgeson, V. S., Seltman, H. J., Korytkowski, M. T., & Hausmann, L. R. M. (2016) Measuring communal coping in type 2 diabetes using a multi-method approach. In Poster presented at the 36th Annual Meeting of the Society of Behavioral Medicine, Washington, D.C.Google Scholar