Advertisement

Journal of Behavioral Medicine

, Volume 25, Issue 1, pp 17–31 | Cite as

Relation of Diabetic Patients' Health-Related Control Appraisals and Physician–Patient Interpersonal Impacts to Patients' Metabolic Control and Satisfaction with Treatment

  • Stephen M. Auerbach
  • John N. Clore
  • Donald J. Kiesler
  • Tamara Orr
  • Phillip O. Pegg
  • Ben G. Quick
  • Christopher Wagner
Article

Abstract

Desire for healthcare control, health locus of control, perceived control over diabetes, satisfaction with diabetes treatment, and general personality traits were assessed in 54 Type 1 and Type 2 diabetic patients of the same male endocrinologist during a regularly scheduled office visit. At the end of the consultation, both patients and the physician completed a measure describing the interpersonal impacts produced in each by the other's control and affiliation behaviors. Patient success at diabetes control was assessed via glycosylated hemoglobin A1C (HA1C) level on the day of the visit and variability in HA1C levels across several visits. Patients' satisfaction with treatment was unrelated to diabetes control measures. Patients' desire for behavioral involvement in their own healthcare and NEO Agreeableness scores were positively associated with diabetes control. Better diabetes control also resulted when the physician perceived patients to be more controlling and less submissive, and when there was more reciprocity in patient and physician's perceptions of the other's controlling interpersonal behavior. Findings support the conclusion that both a patient's self-reported desire for involvement in his or her healthcare and the transactional fit of patient–physician interpersonal behaviors are potentially important contributors to better diabetes outcomes.

diabetes patient control doctor–patient interpersonal relationship interpersonal complementarity 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

REFERENCES

  1. Anderson, R. M., Arnold, M. S., Funnall, M. M., Fitzgerald, J. T., Butler, P. M., and Feste, C. C. (1995). Patient empowerment: Results of a randomized trial. Diabetes Care 18: 943–949.Google Scholar
  2. Anderson, R. M., Funnell, M. M., Barr, P. A., Dedrick, R. F., and Davies, W. K. (1991). Learning to empower patients: Results of professional education program for diabetes educators. Diabetes Care 14: 584–590.Google Scholar
  3. Auerbach, S. M. (1989). Stress management and coping research in the health care setting. An overview and methodological commentary. J. Consult. Clin. Psychol. 57: 388–395.Google Scholar
  4. Auerbach, S. M. (2000). Should patients have control over their own health care?: Empirical evidence and research issues. Ann. Behav. Med. 22: 246–259.Google Scholar
  5. Auerbach, S. M. (2001). Do patients want control over their own health care?: A review of measures, findings, and research issues. J. Health Psychol. 6: 191–203.Google Scholar
  6. Auerbach, S. M., Martelli, M., and Mercuri, L. G. (1983). Anxiety, information, interpersonal impacts, and adjustment to a stressful health care situation. J. Pers. Soc. Psychol. 44: 1284–1296.Google Scholar
  7. Auerbach, S. M., Meredith, J., Mercuri, L. G., and Alexander, J. (1984). Psychological factors in adjustment to orthognathic surgery. J. Oral Maxillofac. Surg. 42: 435–440.Google Scholar
  8. Auerbach, S. M., and Pegg, P. (2001). Appraisal of desire for control over healthcare: Structure, stability, and relation to health locus of control and to the “big five” personality traits, Manuscript submitted for publication.Google Scholar
  9. Boon, H., and Stewart, M. (1998). Patient-physician communication assessment instruments: 1986 to 1996 in review. Patient Educ. Counsel. 35: 161–176.Google Scholar
  10. Braddock, C. H., Edwards, K. A., Hasenberg, N. M., Laidley, T. L., and Levinson, W. (1999). Informed decision making in outpatient practice: Time to get back to basics. J. Am. Med. Assoc. 282: 2313–2320.Google Scholar
  11. Bradley, C. (1994a). Diabetes Treatment Satisfaction Questionnaire (DTSQ). In Bradley, C. (Ed.), Handbook of Psychology and Diabetes, Harwood Academic, Amsterdam, The Netherlands, pp. 111–132.Google Scholar
  12. Bradley, C. (1994b). Measures of perceived control of diabetes. In Bradley, C. (Ed.), Handbook of Psychology and Diabetes, Harwood Academic, Amsterdam, The Netherlands, pp. 291–331.Google Scholar
  13. Burish, T. G., Carey, M. P., Wallston, K. A., Stein, M. J., Jamison, R. N., and Lyles, J. N. (1984). Health locus of control and chronic disease: An external orientation may be advantageous. J. Soc. Clin. Psychol. 4: 326–332.Google Scholar
  14. Coates, V. E., and Boore, J. R. P. (1998). Influence of psychological factors on the selfmanagement of insulin-dependent diabetes mellitus. J. Adv. Nurs. 27: 528–537.Google Scholar
  15. Christensen, A. J., and Smith, T. (1995). Personality and patient adherence: Correlates of the five-factor model in renal dialysis. J. Behav. Med. 18: 305–313.Google Scholar
  16. Cohen, S., and Edwards, J. F. (1989). Personality characteristics as moderators of the relationship between stress and disorder. In Neufeld, R. (Ed.), Advances in the Investigation of Psychological Stress,Wiley, New York, pp. 235–283.Google Scholar
  17. Costa, P. T., and McCrae, R. R. (1992). NEOPI/FFI Manual Supplement, Psychological Assessment Resources, Odessa, FL.Google Scholar
  18. Cox, D. J., and Gonder-Frederick, L. (1992). Major developments in behavioral diabetes research. J. Consult. Clin. Psychol. 60: 628–638.Google Scholar
  19. D. J., Gonder-Frederick, L., Pohl, S., and Pennebaker, J. (1986). Diabetes. In Holroyd, K. A., and Creer T. L. (Eds.), Self-Management of Chronic Disease: Handbook of Clinical Interventions and Research, Academic Press, Orlando, FL. Patients' Metabolic Control and Satisfaction With Treatment 31Google Scholar
  20. Cox, D. J., Kovatchev, B. P., Julian, D. M., Gonder-Frederick, L. A., Polonsky, W. H., Schlundt, D. G., and Clarke, W. L. (1994). Frequency of severe hypoglycemia in insulin-dependent diabetes mellitus can be predicted from self-monitoring blood glucose data. J. Clin. Endocrinol. Metab. 79: 1659–1662.Google Scholar
  21. DiMatteo, M. R., and Friedman, H. S. (Issue Eds.). (1979). Interpersonal relations in health care. J. Soc. Issues 35(1): 1–213.Google Scholar
  22. Greenfield, S., Kaplan, S. H., and Ware, J. E. (1985). Expanding involvement in patient care: Effects on patient outcomes. Ann. Intern. Med. 102: 520–528.Google Scholar
  23. Greenfield, S., Kaplan, S. H., Ware, J. E., Yano, E. M., and Frank, H. J. L. (1988). Patients' participation in medical care: Effects on blood sugar control and quality of life in diabetes. J. Gen. Intern. Med. 3: 448–457.Google Scholar
  24. Kiesler, D. J. (1983). The 1982 Interpersonal Circle:Ataxonomy for complementarity in human transactions. Psychol. Rev. 90: 185–214.Google Scholar
  25. Kiesler, D. J. (1996). Contemporary Interpersonal Theory and Research: Personality, Psychopathology and Psychotherapy,Wiley, NY.Google Scholar
  26. Kiesler, D. J., and Schmidt, J. A. (1993). The Impact Message Inventory: Form IIA Octant Scoring Version, Mind Garden, Redwood City, CA.Google Scholar
  27. Krantz, D. S., Baum, A., and Wideman, W. (1980). Assessment of preferences for self-treatment and information in health care. J. Pers. Soc. Psychol. 39: 977–990.Google Scholar
  28. Mahler, H. I., and Kulik, J. A. (1990). Preferences for health care involvement, perceived control, and surgical recovery: A prospective study. Soc. Sci. Med. 31: 743–751.Google Scholar
  29. Mahler, H. I., and Kulik, J. A. (1991). Health care involvement preferences and social-emotional recovery of male coronary-artery-bypass patients. Health Psychol. 10: 399–408.Google Scholar
  30. Marshall, G. N., Wortman, C. B., Vickers, R. R., Kusulas, J. W., and Hervig, L. K. (1994). The five-factor model of personality as a framework for personality-health research. J. Pers. Soc. Psychol. 67: 278–286.Google Scholar
  31. Pendleton, L., and House, W. C. (1984). Preferences for treatment approaches in medical care: College students versus diabetic outpatients. Med. Care 22: 644–646.Google Scholar
  32. Quill, T. E., and Brody, H. (1996). Physician recommendations and patient autonomy: Finding a balance between physician power and patient choice. Ann. Intern. Med. 125: 763–769.Google Scholar
  33. Rost, K. M., Flavin, K. S., Cole, K., and McGill, J. B. (1991). Change in metabolic control and functional status after hospitalization: Impact of patient activation intervention in diabetic patients. Diabetes Care 14: 881–889.Google Scholar
  34. Schmidt, J. A., Wagner, C. C., and Kiesler, D. J. (1999). Psychometric properties of the octant scale Impact Message Inventory (IMI-C): A structural evaluation. J. Counsel. Psychol. 46: 325–334.Google Scholar
  35. Skinner, E. A. (1996). A guide to constructs of control. J. Pers. Soc. Psychol. 71: 549–570.Google Scholar
  36. Smith, M. S., Wallston, K. A., and Smith, C. A. (1995). The development and validation of the Perceived Health Competence Scale. Health Educ. Res. 10: 51–64.Google Scholar
  37. von Friederichs-Fitzwater, M. M., Callahen, E. J., Flynn, N., and Williams, J. (1991). Relational control in physician-patient encounters. Health Commun. 3: 17–36.Google Scholar
  38. Wallston, K. A., and Wallston, B. S. (1982). Who is responsible for your health? The construct of health locus of control. In Saunders, G., and Suls, J. (Eds.), Social Psychology of Health and Illness, Erlbaum, Hillsdale, NJ, pp. 65–95.Google Scholar
  39. Wallston, K. A., Wallston, B. S., and De Vellis, R. (1978). Development of the multidimensional Health Locus of Control (MHLOC) Scales. Health Educ. Monogr. 6: 160–170.Google Scholar
  40. Wooldridge, K. L., Wallston, K. A., Graber, A. L., Brown, A. W., and Davidson, P. (1992). The relationship between health beliefs, adherence, and metabolic control of diabetes. Diabet. Educ. 18: 495–500.Google Scholar

Copyright information

© Plenum Publishing Corporation 2002

Authors and Affiliations

  • Stephen M. Auerbach
    • 1
  • John N. Clore
    • 2
  • Donald J. Kiesler
    • 1
  • Tamara Orr
    • 1
  • Phillip O. Pegg
    • 1
  • Ben G. Quick
    • 1
  • Christopher Wagner
    • 3
  1. 1.Department of PsychologyVirginia Commonwealth UniversityRichmond, Virginia
  2. 2.Department of Internal Medicine, Medical College of VirginiaVirginia Commonwealth UniversityUSA
  3. 3.Department of Rehabilitation Counseling, Medical College of VirginiaVirginia Commonwealth UniversityUSA

Personalised recommendations