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Gepubliceerd in: Journal of Behavioral Medicine 5/2020

22-10-2019

Adult attachment insecurity and associations with diabetes distress, daily stressful events and self-management in type 1 diabetes

Auteurs: C. S. Kelly, C. A. Berg, V. S. Helgeson

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 5/2020

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Abstract

Anxious and avoidant attachment may be detrimental for diabetes distress and management. Additionally, individuals’ perceptions of their partner’s involvement may affect these associations. The study explored cross-sectionally and at the daily level whether anxious and avoidant attachment associated with diabetes distress or stressors and diabetes management, and whether higher perceived collaboration and support (C&S) moderated associations between attachment and diabetes management. Individuals with type 1 diabetes (N = 199; M age = 46.82; 52.3% women) completed measures of diabetes distress, diabetes-related C&S, self-care, average blood glucose (hemoglobin A1c), and attachment insecurity, and daily diary measures of diabetes-related C&S, diabetes stressors, mean blood glucose, and self-care. Higher anxious and avoidant attachment associated with higher diabetes distress. Higher anxious attachment associated with more daily stressors. Anxious attachment associated with lower self-care. C&S did not moderate any associations. Findings highlight the need to consider attachment when designing interventions to reduce diabetes-related distress.
Voetnoten
1
Speaking English as a primary language was necessary for cognitive testing that was part of the larger study protocol.
 
2
Supplemental analyses of the interpersonal distress subscale were conducted post hoc but for clarity the results are not presented. In general, interpersonal distress did not have as strong associations with attachment insecurity or diabetes management compared to the originally used total score of diabetes distress. However, the pattern of results was largely the same.
 
3
In addition to the a priori covariates we tested, we also examined low blood glucose episodes in a typical week and comorbidities as covariates post-hoc. Our results were the same with the addition of these post-hoc covariates. However, as the variables themselves were less interpretable than our a priori covariates, we chose to not include them in the main text.
 
4
As C&S was conceptualized as the moderator, we included the interaction on Level 2, despite the data being daily diary. Additional analysis examined cross-level interactions between attachment and C&S, and found similar results.
 
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Metagegevens
Titel
Adult attachment insecurity and associations with diabetes distress, daily stressful events and self-management in type 1 diabetes
Auteurs
C. S. Kelly
C. A. Berg
V. S. Helgeson
Publicatiedatum
22-10-2019
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 5/2020
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-019-00111-7