Coping as a mediator in the relationships of spiritual well-being to mental health in black women with type 2 diabetes.

Journal Article (Journal Article)

OBJECTIVE: Examine coping as a mediator in the relationships of spiritual well-being to mental health in Black women with type 2 diabetes (T2DM). METHODS: Using a cross-sectional design, data were collected from a convenience sample of 45 Black women with T2DM. Measures of coping strategies, spiritual well-being (religious and existential well-being), and mental health, as measured by diabetes-specific distress (DSED), were collected. Bivariate findings informed mediational, trivariate model development. RESULTS: Religious well-being was significantly related to cognitive reframing (CR) coping strategies (p = 0.026) but not DSED (p = 0.751). Existential well-being was significantly related to CR (beta = 0.575,p < 0.001), direct assistance (DA) coping (beta = 0.368, p = 0.006) and DSED (beta = -0.338, p = 0.023). Although CR (beta = -0.305, p = 0.021) and DA (beta = -0.262, p = 0.041) had significant bivariate associations with DSED, the relationships were not significant when existential well-being was controlled. However, the relationship of existential well-being to DSED was mediated by specific CR and DA strategies that were associated with DSED to varying degrees -"I came up with a couple different solutions to the problem" (beta = -0.301, p = 0.049); "I came out of the experience better than I went in" (beta = -0.308, p = 0.061); and "I talked to someone who could do something concrete about the problem" (beta = -0.272, p = 0.078). CONCLUSION: Findings indicate that diabetes care address spiritual well-being, both its religious and existential components, in Black women with T2DM.

Full Text

Duke Authors

Cited Authors

  • Newlin, K; Melkus, GD; Peyrot, M; Koenig, HG; Allard, E; Chyun, D

Published Date

  • 2010

Published In

Volume / Issue

  • 40 / 4

Start / End Page

  • 439 - 459

PubMed ID

  • 21391414

International Standard Serial Number (ISSN)

  • 0091-2174

Digital Object Identifier (DOI)

  • 10.2190/PM.40.4.g


  • eng

Conference Location

  • United States