How does anger coping style affect glycemic control in diabetes patients?
BACKGROUND
Although various forms of anger have been found to influence the psychological and physical health in many chronic illness populations, little is known about the effects of anger in diabetes patients.


OBJECTIVE
Associations between anger coping style, diabetes-related psychological distress, and glycosylated hemoglobin (HbA1c) were examined in 100 diabetes patients.


METHODS
Participants completed the Problem Areas in Diabetes and Coping Styles questionnaires, and had HbA1c assessments at study entry (Time 1 = T1), six months (T2), and 12 months after T1 (T3).


RESULTS
Linear regression analyses revealed T1 anger coping associated with T3 HbA1c (beta = .22, p < .05), but T1 HbA1c did not associate with T3 anger coping (beta = .13, p = NS). After controlling for significant covariates (of gender, age, education, type and duration of diabetes), regression analyses revealed that T2 diabetes-related psychological distress partially mediated this association.


CONCLUSIONS
These results suggested that higher levels of anger coping may promote poorer glycemic control in diabetes patients by provoking greater diabetes-related distress. Areas of future research on this topic are discussed.
Yi
Joyce P
JP
Department of Endocrinology/Diabetes, Children's Hospital and Regional Medical Center, Seattle, WA, USA.
Yi
Jean C
JC
Vitaliano
Peter P
PP
Weinger
Katie
K
D000223:Adaptation, Psychological / Q000502:physiology*; D000293:Adolescent; D000328:Adult; D000368:Aged; D000786:Anger / Q000502:physiology*; D003922:Diabetes Mellitus, Type 1 / Q000097:blood / Q000523:psychology*; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000523:psychology*; D005260:Female; D005500:Follow-Up Studies; D006442:Glycated Hemoglobin / Q000032:analysis*; D038321:Glycemic Index; D006801:Humans; D016014:Linear Models; D008297:Male; D008875:Middle Aged; D013315:Stress, Psychological / Q000097:blood / Q000523:psychology; D011795:Surveys and Questionnaires
D006442:Glycated Hemoglobin