Selected Factors Determining a Way of Coping with Stress in Type 2 Diabetic PatientsReport as inadecuate




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BioMed Research InternationalVolume 2014 2014, Article ID 587823, 7 pages

Research Article

Department of Internal Medicine and Diabetology, Medical University of Lodz, N. Barlicki Memorial Teaching Hospital No. 1, Kopcinskiego 22, 90-153 Lodz, Poland

Department of Psychological Research Methodology and Statistics, Institute of Psychology, University of Lodz, Smugowa 10-12, 91-433 Lodz, Poland

Jas and Malgosia Foundation for Helping Children, Tatrzanska 105, 93-279 Lodz, Poland

Department of Pneumonology and Allergology, Medical University of Lodz, N. Barlicki Memorial Teaching Hospital No. 1, Kopcinskiego 22, 90-153 Lodz, Poland

Received 28 February 2014; Accepted 13 May 2014; Published 3 July 2014

Academic Editor: Konstantinos Papatheodorou

Copyright © 2014 Anna Beata Sobol-Pacyniak et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objectives. The aim of the study was to examine factors which determine stress coping styles in type 2 diabetic T2D patients, with regard to selected demographic variables, clinical diabetes-related variables and selected psychical variables anxiety level and assessment of depressive disorders. Methods. 50 T2D patients, aged 59.9 ± 10.2 years were assessed by Coping Inventory for Stressful Situations CISS, Spielberger State-Trait Anxiety Inventory STAI, and Beck Depression Inventory BDI. In the statistical analysis simple and multivariable logistic regression models were used. Results. Variables significantly increasing the selection risk of stress coping style different from preferred task-oriented strategy in a simple logistic regression model are: hypoglycemia within three months prior to the research: odds ratio OR = 6.86 95% confidence interval CI 1.25–37.61, taking antidepressants or neuroleptics: OR =15.42 95% CI 2.42–98.33, severe depression in Beck’s scale: OR = 84.00 95% CI 6.51–1083.65, high state-anxiety level: OR = 9.60 95% CI 1.08–85.16, and high trait-anxiety level: OR = 18.40 95%CI 2.96–114.31, but in a multivariable model, diagnosed depression is the strongest factor: OR = 32.38 95% CI 4.94–212.13. Conclusions. In T2D patients, the strategy to cope with stress appears to be mostly influenced by psychical predisposition.





Author: Anna Beata Sobol-Pacyniak, Wiesław Szymczak, Paulina Kwarta, Jerzy Loba, and Tadeusz Pietras

Source: https://www.hindawi.com/



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