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04-12-2018 | ORIGINAL PAPER

Is Self-Compassion Related to Behavioural, Clinical and Emotional Outcomes in Adults with Diabetes? Results from the Second Diabetes MILES—Australia (MILES-2) Study

Auteurs: Adriana D. Ventura, Giesje Nefs, Jessica L. Browne, Anna M. Friis, Frans Pouwer, Jane Speight

Gepubliceerd in: Mindfulness | Uitgave 7/2019

Abstract

Diabetes mellitus is a complex chronic condition requiring daily self-management to prevent/delay the onset of diabetes-related complications. The emphasis on control for diabetes self-management can lead to feelings of self-blame and failure when targets are not reached. Self-compassion may offer an alternative way of relating to the self when such feelings arise, and in turn, positively influence diabetes health outcomes. However, little is known about how self-compassion relates to behavioural, clinical and emotional outcomes in adults with diabetes. The aim of the current study was therefore to determine the associations between self-compassion and diabetes-related health behaviours and clinical outcomes, and emotional health outcomes. Cross-sectional data from adults (N = 1907) aged 18–75 years with type 1 or type 2 diabetes, who participated in the second Diabetes MILES—Australia (MILES-2) study, were analysed. Behavioural outcomes were healthy eating and physical activity (SDSCA subscales); clinical outcome was self-reported haemoglobin A1c (HbA_1c; an important measure of average blood glucose in diabetes management); emotional outcomes were depressive symptoms (PHQ-8), anxiety symptoms (GAD-7) and diabetes distress (PAID). Self-compassion was measured using the Self-Compassion Scale Short-Form (SCS-SF). Self-compassion was significantly lower among those with severe diabetes distress or moderate-to-severe symptoms of depression and anxiety, as compared to those with no/mild symptoms. Further, hierarchical linear regression analyses, split by diabetes type, revealed that self-compassion was significantly associated with all specified outcomes, with the strongest associations observed among the emotional outcomes (β range, − 0.47 to − 0.55; all p < 0.01). The findings indicate self-compassion is meaningfully associated with more optimal behavioural, clinical and, especially, emotional outcomes in adults with diabetes.

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American Diabetes Association. (2018). Glycemic targets: standards of medical care in diabetes. Diabetes Care, 41(1), S55–S64.CrossRef

Australian Diabetes Society (2018). ADS Position Statement on A New Blood Glucose Management Algorithm for Type 2 Diabetes. Retrieved 1 August 2018, from https://diabetessociety.com.au/position-statements.asp.

Australian Institute of Health and Welfare (2012). Insulin pump use in Australia. Diabetes series no. 18. Canberra: AIHW.

Broom, D., & Whittaker, A. (2004). Controlling diabetes, controlling diabetics: moral language in the management of diabetes type 2. Social Science & Medicine, 58(11), 2371–2382.CrossRef

Browne, J. B., Ventura, A., Mosely, K., & Speight, J. (2013). I call it the blame and shame disease': a qualitative study about perceptions of social stigma surrounding type 2 diabetes. BMJ Open, 3, e003384. https://doi.org/10.1136/bmjopen-2013-003384.CrossRefPubMedPubMedCentral

Browne, J. B., Nefs, G., Pouwer, F., & Speight, J. (2015). Suicidal ideation or non-suicidal self-harm? A mismatch between the DSM-IV criterion and the PHQ-9 item nine. Diabetes Research and Clinical Practice, 108(1), e5–e6.CrossRefPubMed

Browne, J. B., Ventura, A. D., Mosely, K., & Speight, J. (2016). Meauring the stigma surrounding type 2 diabetes: development and validation of the Type 2 Diabetes Stigma Assessment Scale (DSAS-2). Diabetes Care. https://doi.org/10.2337/dc16-0117.

Browne, J. B., Holmes-Truscott, E., Ventura, A., Hendrieckx, C., Pouwer, F., & Speight, J. (2017a). Cohort profiles of the cross-sectional and prospective participant groups in the second Diabetes MILES — Australia (MILES-2) study. BMJ Open, 7(2). https://doi.org/10.1136/bmjopen-2016-012926.

Browne, J. B., Ventura, A., Mosely, K., & Speight, J. (2017b). Measuring type 1 diabetes stigma: development and validation of the Type 1 Diabetes Stigma Assessment Scale (DSAS-1). Diabetic Medicine, 34(12), 1773–1782.CrossRefPubMed

Cohen, J. L. (1988). Statistical power analysis for behavioural sciences (2nd ed.). United States of America: Lawrence Erlbaum Associates.

Ferrari, M., Dal Cin, M., & Steele, M. (2017). Educational and psychological aspects of self-compassion is associated with optimum self-care behaviour, medical outcomes and psychological well-being in a cross-sectional sample of adults with diabetes. Diabetic Medicine. https://doi.org/10.1111/dme.13451.

Fisher, L., Skaff, M. M., Mullan, J. T., Arean, P., Glasgow, R., & Masharani, U. (2008). A longitudinal study of affective and anxiety disorders, depressive affect and diabetes distress in adults with type 2 diabetes. Diabetic Medicine, 25, 1096–1101.CrossRefPubMedPubMedCentral

Friis, A. M., Consedine, N. S., & Johnson, M. H. (2015a). Does kindness matter? Diabetes, depression, and self-compassion: a selective review and research agenda. Spectrum, 28(4), 252–257.

Friis, A. M., Johnson, M. H., Cutfield, R. G., & Consedine, N. S. (2015b). Does kindness matter? Self-compassion buffers the negative impact of diabetes-distress on HbA1c. Diabetic Medicine. https://doi.org/10.1111/dme.12774.

Friis, A. M., Johnson, M. H., Cutfield, R. G., & Consedine, N. S. (2016). Kindness matters: a randomized controlled trial of a mindful self-compassion intervention improves depression, distress and HbA1c among patients with diabetes. Diabetes Care. https://doi.org/10.2337/dc16-0416.

Germer, C. K., & Neff, K. D. (2013). Self-compassion in clinical practice. Journal of Clinical Psychology, 69(8), 856–867.CrossRefPubMed

Gillanders, D. T., Sinclair, A. K., MacLean, M., & Jardine, K. (2015). Illness cognitions, cognitive fusion, avoidance and self-compassion as predictors of distress and quality of life in a heterogeneous sample of adults, after cancer. Journal of Contextual Behavioral Science, 4, 300–311.CrossRef

Gonzalez, J. S., Fisher, L., & Polonsky, W. H. (2011). Depression in diabetes: have we been missing something important? Diabetes Care, 34(1), 236–239.CrossRefPubMedPubMedCentral

Homan, K. J., & Sirois, F. M. (2017). Self-compassion and physical health: exploring the roles of perceived stress and health-promoting behaviors. Health Psychology Open, 4(2). https://doi.org/10.1177/2055102917729542.

International Diabetes Federation (2017). IDF Diabetes Atlas 8th Edition. Retrieved November, 2017, from https://www.idf.org/e-library/epidemiology-research/diabetes-atlas.html

Kelly, A. C., Miller, K. E., & Stephen, E. (2016). The benefits of being self-compassionate on days when interactions with body-focused others are frequent. Body Image, 19, 195–203.CrossRefPubMed

Koekkoek, P. S., Biessels, G. J., Kooistra, M., Janssen, J., Kappelle, L. J., Rutten, G. E., & Cog-ID study group. (2015). Undiagnosed cognitive impairment, health status and depressive symptoms in type 2 diabetes. Journal of Diabetes and its Complications, 29(8), 1217–1222.CrossRefPubMed

Kroenke, K., Spitzer, R. L., & Williams, J. B. (2001). The PHQ-9: validity of a brief depression severity measure. Journal of General Internal Medicine, 16, 606–613.CrossRefPubMedPubMedCentral

Kroenke, K., Strine, T. W., Spitzer, R. L., Williams, J. B. W., Berry, J. T., & Mokdad, A. H. (2009). The PHQ-8 as a measure of current depression in the general population. Journal of Affective Disorders, 114, 163–173.CrossRefPubMed

Leary, M. R., Tate, E. B., Adams, C. E., Allen, A. B., & Hancock, J. (2007). Self-compassion and reactions to unpleasant self-relevant events: the implications of treating one-self kindly. Journal of Personality and Social Psychology, 92, 887–904.CrossRefPubMed

Lowe, B., Decker, O., Muller, S., Brahler, E., Schellberg, D., Herzog, W., & Herzberg, P. Y. (2008). Validation and standardization of the Generalized Anxiety Disorder screener (GAD-7) in the general population. Medical Care, 46(3), 266–274.CrossRefPubMed

MacBeth, A., & Gumley, A. (2012). Exploring compassion: a meta-analysis of the association between self-compassion and psychopathology. Clinical Psychology Review, 32(6), 545–552.CrossRefPubMed

McCarthy, M. M., Whittemore, R., Gholson, G., & Grey, M. (2017). Self-management of physical activity in adults with type 1 diabetes. Applied Nursing Research, 35, 18–23.CrossRefPubMed

National Diabetes Services Scheme (2017). Diabetes map. Retrieved November 2017, from http://www.diabetesmap.com.au.

National Diabetes Services Scheme (2018). Insulin therapy: Statistical snapshot at 30 June 2018. Retrieved June 2018, from https://static.diabetesaustralia.com.au/s/fileassets/diabetes-australia/231f00b5-f73f-4a38-9171-87565b4434dc.pdf.

Natonal Diabetes Register (2018). Registry. Retrieved 18 June 2018, from https://www.addn.org.au/research/.

Neff, K. D. (2003). Self-compassion: an alternative conceptualization of a healthy attitude toward oneself. Self and Identity, 2(2), 85–101.CrossRef

Neff, K. D., & Dahm, K. A. (Eds.). (2015). Self-compassion: what it is, what it does, and how it relates to mindfulness. New York: Springer.

Neff, K. D., & Germer, C. K. (2013). A pilot study and randomized controlled trial of the mindful self-compassion program. Journal of Clinical Psychology, 69(1), 28–44. https://doi.org/10.1002/jclp.21923.CrossRefPubMed

Neff, K. D., & Vonk, R. (2009). Self-compassion versus global self-esteem: two different ways of relating to oneself. Journal of Personality, 77(1), 23–50. https://doi.org/10.1111/j.1467-6494.2008.00537.x.CrossRefPubMed

Polonsky, W. H., Anderson, B. J., Lohrer, P. A., Welch, G., Jacobson, A. M., Aponte, J. E., & Schwartz, C. E. (1995). Assessment of diabetes-related distress. Diabetes Care, 18(6), 754–760.CrossRefPubMed

Porges, S. W. (2007). The plyvagal perspective. Biological Psychology, 74, 116–143.CrossRefPubMed

Raes, F., Pommier, E., Neff, K. D., & Van Gucht, D. (2011). Construction and factorial validation of a short form of the Self-Compassion Scale. Clinical Psychology & Psychotherapy, 18(3), 250–255. https://doi.org/10.1002/cpp.702.CrossRef

Rockliff, H., Gilbert, P., McEwan, K., Lightman, S., & Glover, D. (2008). A pilot exploration of heart rate variability and salivary cortisol responses to compassion-focused imagery. Clinical Neuropsychiatry, 5(3), 132–139.

Schmitt, A., Reimer, A., Hermanns, N., Huber, J., Ehrmann, D., Schall, S., & Kulzer, B. (2016). Assessing diabetes self-management with the Diabetes Self-Management Questionnaire (DSMQ) can help analyse behavioural problems related to reduced glycaemic control. PLoS One. https://doi.org/10.1371/journal.pone.0150774.

Sirois, F. M., Kitner, R., & Hirsch, J. K. (2014). Self-compassion, affect, and health-promoting behaviors. Health Psychology. https://doi.org/10.1037/hea0000158.

Snoek, F. J., Pouwer, F., Welch, G., & Polonsky, W. H. (2000). Diabetes-related emotional distress in Dutch and U.S diabetic patients. Diabetes Care, 23, 1305–1309.CrossRefPubMed

Speight, J., Browne, J. L., Holmes-Truscott, E., Hendrieckx, C., Pouwer, F., & on behalf of the Diabetes MILES - Australia reference group. (2011). Diabetes MILES - Australia 2011 survey report. Melbourne: Diabetes Australia.

Spitzer, R. L., Kroenke, K., Williams, J. B., & Lowe, B. (2006). A brief measure for assessing generalized anxiety disorder: the GAD-7. Archives of Internal Medicine, 166(10), 1092–1097.CrossRefPubMed

Tak, S. R., Hendrieckx, C., Nefs, G., Nyklicek, I., Speight, J., & Pouwer, F. (2015). The association between types of eating behaviour and dispositional mindfulness in adults with diabetes. Results from Diabetes MILES: The Netherlands. Appetite, 87, 288–295.CrossRefPubMed

Tanenbaum, M. L., Adams, R. N., Gonzalez, J. S., Hanes, S. J., & Hood, K. K. (2017). Adapting and validating a measure of diabetes-specific self-compassion. Journal of Diabetes and its Complications. https://doi.org/10.1016/j.jdiacomp.2017.10.009.

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, 943–950.CrossRefPubMed

van Son, J., Nyklicek, I., Nefs, G., Speight, J., Pop, V. J., & Pouwer, F. (2015). The association between mindfulness and emotional distress in adults with diabetes: could mindfulness serve as a buffer? Results from Diabetes MILES: The Netherlands. Journal of Behavioral Medicine, 38(2), 251–260.CrossRefPubMed

World Health Organization. (2011). Diabetes Fact Sheet No. 312. Retrieved November 2017, from www.who.int/mediacentre/factsheets/fs312/en/.

Yi-Frazier, J. P., Yaptangco, M., Semana, S., Busciaino, E., Thompson, V., Cochrane, K., . . . Rosenberg, A. R. (2015). The association of personal resilience with stress, coping, and diabetes outcomes in adolescents with type 1 diabetes: Variable-and person-focused approaches. Journal of Health Psychology, 20(9), 1196–1206.

Young-Hyman, D., de Groot, M., Hill-Briggs, F., Gonzalez, J. S., Hood, K., & Peyrot, M. (2016). Psychosocial care for people with diabetes: a position statement of the American Diabetes Association. Diabetes Care, 39, 2126–2140.CrossRefPubMedPubMedCentral

Titel: Is Self-Compassion Related to Behavioural, Clinical and Emotional Outcomes in Adults with Diabetes? Results from the Second Diabetes MILES—Australia (MILES-2) Study
Auteurs: Adriana D. Ventura
Giesje Nefs
Jessica L. Browne
Anna M. Friis
Frans Pouwer
Jane Speight
Publicatiedatum: 04-12-2018
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 7/2019
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-018-1067-0

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