title: Association of social problem solving with glycemic control in a sample of urban African Americans with type 2 diabetes.
abstract: The Social Problem-Solving Inventory--Revised, Short Form, was administered to 65 urban African Americans with type 2 diabetes to examine association of generic problem-solving styles and orientation with hemoglobin A1C (A1C). Eighty-five percent of participants had total social problem-solving scores in the Average range or higher. In linear regression models adjusted for education, each interquartile increase in impulsive/careless score was associated with a 0.82 increase in A1C (%) (p = 0.01), and each interquartile increase in avoidant score was associated with a 1.62 increase in A1C (%) (p = 0.004). After adjusting for depressive symptoms, the association of impulsive/careless style with A1C was attenuated, while the association of avoidant problem solving with A1C remained significant (p = 0.01). Associations of rational problem-solving style, positive orientation, and negative orientation with A1C and health behaviors were not statistically significant. Ineffective problem-solving styles may prove to be important targets for intervention to improve glycemic control.
authors.affiliation: Department of Medicine, Johns Hopkins School of Medicine, Baltimore, Maryland, USA. fbriggsh@jhmi.edu
authors.forename: Felicia
authors.initials: F
authors.lastname: Hill-Briggs
authors.forename: Tiffany L
authors.initials: TL
authors.lastname: Gary
authors.forename: Hsin-Chieh
authors.initials: HC
authors.lastname: Yeh
authors.forename: Marian
authors.initials: M
authors.lastname: Batts-Turner
authors.forename: Neil R
authors.initials: NR
authors.lastname: Powe
authors.forename: Christopher D
authors.initials: CD
authors.lastname: Saudek
authors.forename: Frederick L
authors.initials: FL
authors.lastname: Brancati
mesh_terms: D000328:Adult; D000368:Aged; D015142:Baltimore; D044383:Black People / Q000523:psychology*; D015190:Blood Glucose Self-Monitoring / Q000523:psychology*; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000188:drug therapy / Q000208:ethnology / Q000523:psychology*; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007328:Insulin / Q000008:administration & dosage; D007398:Interpersonal Relations; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance / Q000208:ethnology / Q000523:psychology; D010555:Personality Inventory; D011340:Problem Solving; D012648:Self Care / Q000523:psychology; D012803:Sick Role; D014505:Urban Population; D001741:Black or African American
chemical_list: D006442:Glycated Hemoglobin; D007328:Insulin