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

Publication ,  Journal Article
Newlin, K; Melkus, GD; Peyrot, M; Koenig, HG; Allard, E; Chyun, D
Published in: Int J Psychiatry Med
2010

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.

Duke Scholars

Published In

Int J Psychiatry Med

DOI

ISSN

0091-2174

Publication Date

2010

Volume

40

Issue

4

Start / End Page

439 / 459

Location

United States

Related Subject Headings

  • Young Adult
  • Spirituality
  • Sick Role
  • Self Care
  • Quality of Life
  • Psychiatry
  • Power, Psychological
  • Middle Aged
  • Humans
  • Female
 

Citation

APA
Chicago
ICMJE
MLA
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Newlin, K., Melkus, G. D., Peyrot, M., Koenig, H. G., Allard, E., & Chyun, D. (2010). Coping as a mediator in the relationships of spiritual well-being to mental health in black women with type 2 diabetes. Int J Psychiatry Med, 40(4), 439–459. https://doi.org/10.2190/PM.40.4.g
Newlin, Kelley, Gail D. Melkus, Mark Peyrot, Harold G. Koenig, Emily Allard, and Deborah Chyun. “Coping as a mediator in the relationships of spiritual well-being to mental health in black women with type 2 diabetes.Int J Psychiatry Med 40, no. 4 (2010): 439–59. https://doi.org/10.2190/PM.40.4.g.
Newlin K, Melkus GD, Peyrot M, Koenig HG, Allard E, Chyun D. Coping as a mediator in the relationships of spiritual well-being to mental health in black women with type 2 diabetes. Int J Psychiatry Med. 2010;40(4):439–59.
Newlin, Kelley, et al. “Coping as a mediator in the relationships of spiritual well-being to mental health in black women with type 2 diabetes.Int J Psychiatry Med, vol. 40, no. 4, 2010, pp. 439–59. Pubmed, doi:10.2190/PM.40.4.g.
Newlin K, Melkus GD, Peyrot M, Koenig HG, Allard E, Chyun D. Coping as a mediator in the relationships of spiritual well-being to mental health in black women with type 2 diabetes. Int J Psychiatry Med. 2010;40(4):439–459.
Journal cover image

Published In

Int J Psychiatry Med

DOI

ISSN

0091-2174

Publication Date

2010

Volume

40

Issue

4

Start / End Page

439 / 459

Location

United States

Related Subject Headings

  • Young Adult
  • Spirituality
  • Sick Role
  • Self Care
  • Quality of Life
  • Psychiatry
  • Power, Psychological
  • Middle Aged
  • Humans
  • Female