title: Psychosocial predictors of relapse among diabetes patients: a 2-year follow-up after inpatient diabetes education.
abstract: In a 2-year follow-up study of diabetes patients (N=309) who received 2 weeks of inpatient diabetes education, the authors investigate the relationship of several demographic, clinical, and psychosocial factors with relapse, defined as the worsening of glycemic control. The patients with no improvement in glycemic control after diabetes education were more likely to have higher scores on the depression subscale of the Profile of Mood States, compared to the patients with improvement. Kaplan-Meier survival analyses showed that patients who had no prior diabetes education, whose meals were prepared by their spouses, and who had less social support were more likely to relapse and relapsed within a significantly shorter period of time than those who had prior diabetes education, cooked for themselves, and had more social support.
authors.affiliation: Tokyo Institute of Psychiatry, Nerima-ku, Tokyo, Japan. Mrakmt@aol.com
authors.forename: Michiko
authors.initials: M
authors.lastname: Akimoto
authors.forename: Isao
authors.initials: I
authors.lastname: Fukunishi
authors.forename: Kazuo
authors.initials: K
authors.lastname: Kanno
authors.forename: Yasukazu
authors.initials: Y
authors.lastname: Oogai
authors.forename: Naoshi
authors.initials: N
authors.lastname: Horikawa
authors.forename: Tomoko
authors.initials: T
authors.lastname: Yamazaki
authors.forename: Yuri
authors.initials: Y
authors.lastname: Morokuma
mesh_terms: D000223:Adaptation, Psychological / Q000502:physiology; D003920:Diabetes Mellitus / Q000453:epidemiology / Q000517:prevention & control / Q000523:psychology*; D005260:Female; D005500:Follow-Up Studies; D006442:Glycated Hemoglobin / Q000031:analogs & derivatives* / Q000032:analysis; D006801:Humans; D007297:Inpatients / Q000193:education* / Q000523:psychology; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance / Q000523:psychology / Q000706:statistics & numerical data; D010353:Patient Education as Topic / Q000706:statistics & numerical data*; D011237:Predictive Value of Tests; D012008:Recurrence; D012648:Self Care / Q000523:psychology*; D012944:Social Support; D016019:Survival Analysis; D014041:Tokyo / Q000453:epidemiology
chemical_list: D006442:Glycated Hemoglobin; C025617:glucosylated hemoglobin A