Skip to main content
main-content
Top

Tip

Swipe om te navigeren naar een ander artikel

Gepubliceerd in: Quality of Life Research 4/2011

01-05-2011

Determinants of quality of life in type 2 diabetes population: the inclusion of personality

Auteurs: Ikuyo Imayama, Ronald C. Plotnikoff, Kerry S. Courneya, Jeffrey A. Johnson

Gepubliceerd in: Quality of Life Research | Uitgave 4/2011

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Objective

The identification of factors that affect quality of life (QoL) is crucial to ameliorate the increasing burden of diabetes. This study tested a multi-dimensional model that consisted of factors across three domains (personal, medical, and lifestyle factors) to understand determinants of QoL in adults with type 2 diabetes.

Research design and methods

A total of 1,147 adults with type 2 diabetes completed a self-report survey which assessed demographic factors, personality (activity sub-trait), medical factors (diabetes duration, insulin use, number of comorbidities, and Body Mass Index), lifestyle behaviors (smoking, physical activity, and diet), and two indicators of QoL [i.e., health-related quality of life (HRQL) and life satisfaction (LS)].

Results

The model explained 27.1 and 18.2% of the variance for HRQL and LS, respectively. Age was positively related to HRQL (β = 0.14, P < 0.01). Personality (sub-activity trait) was the strongest, independent variable in both HRQL (β = 0.25, P < 0.01) and LS (β = 0.25, P < 0.01) after controlling for demographic, medical, and lifestyle factors. Physical activity was positively associated (β = 0.14, P < 0.01) with HRQL but not with LS.

Conclusions

Personality may be a useful screening tool to distinguish adults with type 2 diabetes who are at risk for poor QoL.
Literatuur
1.
go back to reference Rubin, R. R., & Peyrot, M. (1999). Quality of life and diabetes. Diabetes/Metabolism Research and Reviews, 15(3), 205–218. PubMedCrossRef Rubin, R. R., & Peyrot, M. (1999). Quality of life and diabetes. Diabetes/Metabolism Research and Reviews, 15(3), 205–218. PubMedCrossRef
2.
go back to reference Fries, J. F., & Spitz, P. W. (1990). The hierarchy of patient outcomes. In B. Spilker (Ed.), Quality of life assessments in clinical trials (pp. 25–35). New York: Raven Press. Fries, J. F., & Spitz, P. W. (1990). The hierarchy of patient outcomes. In B. Spilker (Ed.), Quality of life assessments in clinical trials (pp. 25–35). New York: Raven Press.
3.
go back to reference Diener, E., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The satisfaction with life scale. Journal of Personality Assessment, 49(1), 71–75. PubMedCrossRef Diener, E., Emmons, R. A., Larsen, R. J., & Griffin, S. (1985). The satisfaction with life scale. Journal of Personality Assessment, 49(1), 71–75. PubMedCrossRef
4.
go back to reference Glasgow, R. E., Ruggiero, L., Eakin, E. G., Dryfoos, J., & Chobanian, L. (1997). Quality of life and associated characteristics in a large national sample of adults with diabetes. Diabetes Care, 20(4), 562–567. PubMedCrossRef Glasgow, R. E., Ruggiero, L., Eakin, E. G., Dryfoos, J., & Chobanian, L. (1997). Quality of life and associated characteristics in a large national sample of adults with diabetes. Diabetes Care, 20(4), 562–567. PubMedCrossRef
5.
go back to reference Maddigan, S. L., Feeny, D. H., Majumdar, S. R., Farris, K. B., & Johnson, J. A. (2006). Understanding the determinants of health for people with type 2 diabetes. American Journal of Public Health, 96(6), 1649–1655. PubMedCrossRef Maddigan, S. L., Feeny, D. H., Majumdar, S. R., Farris, K. B., & Johnson, J. A. (2006). Understanding the determinants of health for people with type 2 diabetes. American Journal of Public Health, 96(6), 1649–1655. PubMedCrossRef
6.
go back to reference Grigg, A., Thommasen, H. V., Tildesley, H., & Michalos, A. (2006). Comparing self-rated health, satisfaction and quality of life scores between diabetics and others living in the Bella Coola Valley. Social Indicators Research, 76(2), 263–281. CrossRef Grigg, A., Thommasen, H. V., Tildesley, H., & Michalos, A. (2006). Comparing self-rated health, satisfaction and quality of life scores between diabetics and others living in the Bella Coola Valley. Social Indicators Research, 76(2), 263–281. CrossRef
7.
go back to reference Rose, M., Burkert, U., Scholler, G., Schirop, T., Danzer, G., & Klapp, B. F. (1998). Determinants of the quality of life of patients with diabetes under intensified insulin therapy. Diabetes Care, 21(11), 1876–1885. PubMedCrossRef Rose, M., Burkert, U., Scholler, G., Schirop, T., Danzer, G., & Klapp, B. F. (1998). Determinants of the quality of life of patients with diabetes under intensified insulin therapy. Diabetes Care, 21(11), 1876–1885. PubMedCrossRef
8.
go back to reference Diener, E., Oishi, S., & Lucas, R. E. (2003). Personality, culture, and subjective well-being. Annual Review of Psychology, 54, 403–425. PubMedCrossRef Diener, E., Oishi, S., & Lucas, R. E. (2003). Personality, culture, and subjective well-being. Annual Review of Psychology, 54, 403–425. PubMedCrossRef
9.
go back to reference DeNeve, K. M., & Cooper, H. (1998). The happy personality: a meta-analysis of 137 personality traits and subjective well-being. Psychological Bulletin, 124(2), 197–229. PubMedCrossRef DeNeve, K. M., & Cooper, H. (1998). The happy personality: a meta-analysis of 137 personality traits and subjective well-being. Psychological Bulletin, 124(2), 197–229. PubMedCrossRef
10.
go back to reference Schimmack, U., Oishi, S., Furr, R. M., & Funder, D. C. (2004). Personality and life satisfaction: A facet-level analysis. Personality and Social Psychology Bulletin, 30(8), 1062–1075. PubMedCrossRef Schimmack, U., Oishi, S., Furr, R. M., & Funder, D. C. (2004). Personality and life satisfaction: A facet-level analysis. Personality and Social Psychology Bulletin, 30(8), 1062–1075. PubMedCrossRef
11.
go back to reference Yamaoka, K., Shigehisa, T., Ogoshi, K., Haruyama, K., Watanabe, M., Hayashi, F., et al. (1998). Health-related quality of life varies with personality types: a comparison among cancer patients, non-cancer patients and healthy individuals in a Japanese population. Quality of Life Research, 7(6), 535–544. PubMedCrossRef Yamaoka, K., Shigehisa, T., Ogoshi, K., Haruyama, K., Watanabe, M., Hayashi, F., et al. (1998). Health-related quality of life varies with personality types: a comparison among cancer patients, non-cancer patients and healthy individuals in a Japanese population. Quality of Life Research, 7(6), 535–544. PubMedCrossRef
12.
go back to reference Deary, I. J., & Frier, B. M. (1996). Personality stress and diabetes. In C. D. Spielberger, I. G. Sarason, & J. Brebner (Eds.), Stress and emotion: anxiety, anger, and curiosity (Vol. 15, pp. 33–49). New York: Hemisphere Pub. Corp. Deary, I. J., & Frier, B. M. (1996). Personality stress and diabetes. In C. D. Spielberger, I. G. Sarason, & J. Brebner (Eds.), Stress and emotion: anxiety, anger, and curiosity (Vol. 15, pp. 33–49). New York: Hemisphere Pub. Corp.
13.
go back to reference Plotnikoff, R. C., Karunamuni, N. D., Johnson, J. A., Kotovych, M., & Svenson, L. W. (2008). Health-related behaviours in adults with diabetes: Associations with health care utilization and costs. Canadian Journal of Public Health, 99(3), 227–231. Plotnikoff, R. C., Karunamuni, N. D., Johnson, J. A., Kotovych, M., & Svenson, L. W. (2008). Health-related behaviours in adults with diabetes: Associations with health care utilization and costs. Canadian Journal of Public Health, 99(3), 227–231.
14.
go back to reference Plotnikoff, R. C., Taylor, L. M., Wilson, P. M., Courneya, K. S., Sigal, R. J., Birkett, N., et al. (2006). Factors associated with physical activity in Canadian adults with diabetes. Medicine and Science in Sports and Exercise, 38(8), 1526–1534. PubMedCrossRef Plotnikoff, R. C., Taylor, L. M., Wilson, P. M., Courneya, K. S., Sigal, R. J., Birkett, N., et al. (2006). Factors associated with physical activity in Canadian adults with diabetes. Medicine and Science in Sports and Exercise, 38(8), 1526–1534. PubMedCrossRef
15.
go back to reference Plotnikoff, R. C., Lippke, S., Karunamuni, N., Eves, N., Courneya, K. S., Sigal, R., et al. (2007). Co-morbidity, functionality and time since diagnosis as predictors of physical activity in individuals with type 1 or type 2 diabetes. Diabetes Research and Clinical Practice, 78(1), 115–122. PubMedCrossRef Plotnikoff, R. C., Lippke, S., Karunamuni, N., Eves, N., Courneya, K. S., Sigal, R., et al. (2007). Co-morbidity, functionality and time since diagnosis as predictors of physical activity in individuals with type 1 or type 2 diabetes. Diabetes Research and Clinical Practice, 78(1), 115–122. PubMedCrossRef
17.
go back to reference Rhodes, R. E., Courneya, K. S., & Jones, L. W. (2004). Personality and social cognitive influences on exercise behavior: Adding the activity trait to the theory of planned behavior. Psychology of Sport and Exercise, 5(3), 243–254. CrossRef Rhodes, R. E., Courneya, K. S., & Jones, L. W. (2004). Personality and social cognitive influences on exercise behavior: Adding the activity trait to the theory of planned behavior. Psychology of Sport and Exercise, 5(3), 243–254. CrossRef
18.
go back to reference Toobert, D. J., Hampson, S. E., & Glasgow, R. E. (2000). The summary of diabetes self-care activities measure: Results from 7 studies and a revised scale. Diabetes Care, 23(7), 943–950. PubMedCrossRef Toobert, D. J., Hampson, S. E., & Glasgow, R. E. (2000). The summary of diabetes self-care activities measure: Results from 7 studies and a revised scale. Diabetes Care, 23(7), 943–950. PubMedCrossRef
19.
go back to reference Eriksson, I., Unden, A. L., & Elofsson, S. (2001). Self-rated health. Comparisons between three different measures. Results from a population study. International Journal of Epidemiology, 30(2), 326–333. PubMedCrossRef Eriksson, I., Unden, A. L., & Elofsson, S. (2001). Self-rated health. Comparisons between three different measures. Results from a population study. International Journal of Epidemiology, 30(2), 326–333. PubMedCrossRef
21.
go back to reference Quesnel-Vallée, A. (2007). Self-rated health: Caught in the crossfire of the quest for ‘true’ health? International Journal of Epidemiology, 36(6), 1161–1164. PubMedCrossRef Quesnel-Vallée, A. (2007). Self-rated health: Caught in the crossfire of the quest for ‘true’ health? International Journal of Epidemiology, 36(6), 1161–1164. PubMedCrossRef
22.
go back to reference Cunny, K. A., & Perri, M., I. I. I. (1991). Single-item vs multiple-item measures of health-related quality of life. Psychological Reports, 69(1), 127–130. PubMedCrossRef Cunny, K. A., & Perri, M., I. I. I. (1991). Single-item vs multiple-item measures of health-related quality of life. Psychological Reports, 69(1), 127–130. PubMedCrossRef
23.
go back to reference Hays, R. D., Sherbourne, C. D., & Mazel, R. M. (2000). The RAND 36-item health survey 1.0. Health Economics, 2(3), 217–227. CrossRef Hays, R. D., Sherbourne, C. D., & Mazel, R. M. (2000). The RAND 36-item health survey 1.0. Health Economics, 2(3), 217–227. CrossRef
24.
go back to reference Courneya, K. S., Bobick, T. M., Rhodes, R. E., Jones, L. W., Friedenreich, C. M., & Arthur, K. (2000). Personality correlates of patients’ subjective well-being after surgery for colorectal cancer: An application of the five-factor model. Journal of Psychosocial Oncology, 18(4), 61–72. CrossRef Courneya, K. S., Bobick, T. M., Rhodes, R. E., Jones, L. W., Friedenreich, C. M., & Arthur, K. (2000). Personality correlates of patients’ subjective well-being after surgery for colorectal cancer: An application of the five-factor model. Journal of Psychosocial Oncology, 18(4), 61–72. CrossRef
25.
go back to reference Maddigan, S. L., Majumdar, S. R., & Johnson, J. A. (2005). Understanding the complex associations between patient-provider relationships, self-care behaviours, and health-related quality of life in type 2 diabetes: A structural equation modeling approach. Quality of Life Research, 14(6), 1489–1500. PubMedCrossRef Maddigan, S. L., Majumdar, S. R., & Johnson, J. A. (2005). Understanding the complex associations between patient-provider relationships, self-care behaviours, and health-related quality of life in type 2 diabetes: A structural equation modeling approach. Quality of Life Research, 14(6), 1489–1500. PubMedCrossRef
26.
go back to reference Duangdao, K. M., & Roesch, S. C. (2008). Coping with diabetes in adulthood: A meta analysis. Journal of Behavioral Medicine, 31(4), 291–300. PubMedCrossRef Duangdao, K. M., & Roesch, S. C. (2008). Coping with diabetes in adulthood: A meta analysis. Journal of Behavioral Medicine, 31(4), 291–300. PubMedCrossRef
27.
go back to reference Russell, D. W., Booth, B., Reed, D., & Laughlin, P. R. (1997). Personality, social networks, and perceived social support among alcoholics: a structural equation analysis. Journal of Personality, 65(3), 649–692. PubMedCrossRef Russell, D. W., Booth, B., Reed, D., & Laughlin, P. R. (1997). Personality, social networks, and perceived social support among alcoholics: a structural equation analysis. Journal of Personality, 65(3), 649–692. PubMedCrossRef
28.
go back to reference Swickert, R. J., Rosentreter, C. J., Hittner, J. B., & Mushrush, J. E. (2002). Extraversion, social support processes, and stress. Personality and Individual Differences, 32(5), 877–891. CrossRef Swickert, R. J., Rosentreter, C. J., Hittner, J. B., & Mushrush, J. E. (2002). Extraversion, social support processes, and stress. Personality and Individual Differences, 32(5), 877–891. CrossRef
29.
go back to reference Li, C., Ford, E. S., Mokdad, A. H., Jiles, R., & Giles, W. H. (2007). Clustering of multiple healthy lifestyle habits and health-related quality of life among U.S. adults with diabetes. Diabetes Care, 30(7), 1770–1776. PubMedCrossRef Li, C., Ford, E. S., Mokdad, A. H., Jiles, R., & Giles, W. H. (2007). Clustering of multiple healthy lifestyle habits and health-related quality of life among U.S. adults with diabetes. Diabetes Care, 30(7), 1770–1776. PubMedCrossRef
31.
go back to reference Segrin, C. (2003). Age moderates the relationship between social support and psychosocial problems. Human Communication Research, 29(3), 317–342. CrossRef Segrin, C. (2003). Age moderates the relationship between social support and psychosocial problems. Human Communication Research, 29(3), 317–342. CrossRef
32.
go back to reference Ho, S. Y., Mak, K. K., Thomas, G. N., Schooling, M., Fielding, R., Janus, E. D., et al. (2007). The relation of chronic cardiovascular diseases and diabetes mellitus to perceived health, and the moderating effects of sex and age. Social Science and Medicine, 65(7), 1386–1396. PubMedCrossRef Ho, S. Y., Mak, K. K., Thomas, G. N., Schooling, M., Fielding, R., Janus, E. D., et al. (2007). The relation of chronic cardiovascular diseases and diabetes mellitus to perceived health, and the moderating effects of sex and age. Social Science and Medicine, 65(7), 1386–1396. PubMedCrossRef
Metagegevens
Titel
Determinants of quality of life in type 2 diabetes population: the inclusion of personality
Auteurs
Ikuyo Imayama
Ronald C. Plotnikoff
Kerry S. Courneya
Jeffrey A. Johnson
Publicatiedatum
01-05-2011
Uitgeverij
Springer Netherlands
Gepubliceerd in
Quality of Life Research / Uitgave 4/2011
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-010-9772-8

Andere artikelen Uitgave 4/2011

Quality of Life Research 4/2011 Naar de uitgave