title: Determinants of quality of life in primary care patients with diabetes: implications for social workers.
abstract: Using a cross-sectional design of 400 primary care patients with diabetes, the authors evaluated demographics, health status, subjective health and mental health, health behaviors, health beliefs, knowledge of diabetes treatment, satisfaction with medical care, and quality of medical care as potential predictors of QoL and QoL in the hypothetical absence of diabetes. Those who reported difficulties meeting basic needs, diabetes-related complications, worse subjective health, and dissatisfaction with medical care were more likely to report worse QoL. Those who reported difficulties meeting basic needs, higher cholesterol level, and worse subjective health also were more likely to report better QoL in the hypothetical absence of diabetes. In addition, diabetes management played a major role in one's QoL in the hypothetical absence of diabetes: Engaging in stricter diabetes self-care and taking pharmaceutical treatment for managing diabetes were associated with better QoL in the hypothetical absence of diabetes. Providing psychosocial support geared toward diabetes self-management may improve patients' QoL. When doing so, social workers need to be aware of the potential trade-off between following medical recommendations that advocate for a strict lifestyle and patients' QoL.
authors.affiliation: School of Social Work, Bar Ilan University, Israel. ayalonl@mail.biu.ac.il
authors.forename: Liat
authors.initials: L
authors.lastname: Ayalon
authors.forename: Revital
authors.initials: R
authors.lastname: Gross
authors.forename: Hava
authors.initials: H
authors.lastname: Tabenkin
authors.forename: Avi
authors.initials: A
authors.lastname: Porath
authors.forename: Anthony
authors.initials: A
authors.lastname: Heymann
authors.forename: Boaz
authors.initials: B
authors.lastname: Porter
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D003920:Diabetes Mellitus / Q000523:psychology*; D019468:Disease Management; D005260:Female; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D006973:Hypertension / Q000523:psychology; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance; D018579:Patient Selection; D010817:Physician-Patient Relations; D011320:Primary Health Care; D011594:Psychometrics; D011788:Quality of Life / Q000523:psychology*; D012111:Residence Characteristics; D055815:Young Adult