title: The role of overprotection by the partner in coping with diabetes: a moderated mediation model.
abstract: This study examined whether diabetes-specific self-efficacy mediates the association between overprotection and distress and whether this mediation depends on glycemic control and gender. The research sample of 215 individuals with diabetes and their partners completed a measure of partners' overprotective behaviours towards the patient. Patients also completed measures of diabetes-specific self-efficacy and diabetes-related distress. Further, HbA1c values were obtained as an indication of glycemic control. Diabetes-specific self-efficacy mediated the association between overprotection by the partner and diabetes-related distress especially when glycemic control was relatively poor. Furthermore, diabetes-specific self-efficacy mediated the association between overprotection and diabetes-related distress more strongly in female than in male patients. The findings underscore the importance of studying both moderators and mediators in the association between partner behaviour and distress in patients.
authors.affiliation: Health Psychology Section, Department of Health Sciences, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands. M.C.Schokker@med.umcg.nl
authors.forename: Marike C
authors.initials: MC
authors.lastname: Schokker
authors.forename: Thera P
authors.initials: TP
authors.lastname: Links
authors.forename: Jelte
authors.initials: J
authors.lastname: Bouma
authors.forename: Joost C
authors.initials: JC
authors.lastname: Keers
authors.forename: Robbert
authors.initials: R
authors.lastname: Sanderman
authors.forename: Bruce H R
authors.initials: BH
authors.lastname: Wolffenbuttel
authors.forename: Mariët
authors.initials: M
authors.lastname: Hagedoorn
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D000368:Aged; D001786:Blood Glucose / Q000032:analysis; D003920:Diabetes Mellitus / Q000451:nursing / Q000523:psychology*; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis; D006801:Humans; D008297:Male; D008875:Middle Aged; D008960:Models, Psychological; D017008:Negotiating; D010549:Personal Satisfaction; D020377:Self Efficacy; D018454:Spouses; D011795:Surveys and Questionnaires; D055815:Young Adult
chemical_list: D001786:Blood Glucose; D006442:Glycated Hemoglobin