title: Diabetes burden and diabetes distress: the buffering effect of social support.
abstract: BACKGROUND
  Few studies have examined protective factors for diabetes distress.
  
  
  OBJECTIVE
  This study aimed to examine the moderating role of social support in the relationship between the burden of diabetes and diabetes distress.
  
  
  METHODS
  Adults with type 2 diabetes (N = 119; 29 % Latino, 61 % Black, 25 % White) completed validated measures of diabetes distress and social support. Multiple linear regression evaluated the moderating role of social support in the relationship between diabetes burden, indicated by prescription of insulin and presence of complications, and distress.
  
  
  RESULTS
  Greater support satisfaction was significantly associated with lower distress after controlling for burden. Support satisfaction and number of supports significantly moderated the relationship between diabetes burden and distress. Post hoc probing revealed a consistent pattern: Insulin was significantly associated with more diabetes distress at low levels of support but was not at high levels of support.
  
  
  CONCLUSIONS
  Findings support the stress-buffering hypothesis and suggest that social support may protect against diabetes distress.
authors.affiliation: Ferkauf Graduate School of Psychology, Yeshiva University, Rousso Building, 1300 Morris Park Avenue, Bronx, NY, 10461, USA.
authors.forename: Rachel N
authors.initials: RN
authors.lastname: Baek
authors.forename: Molly L
authors.initials: ML
authors.lastname: Tanenbaum
authors.forename: Jeffrey S
authors.initials: JS
authors.lastname: Gonzalez
mesh_terms: D017281:Cost of Illness; D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000188:drug therapy / Q000523:psychology*; D005260:Female; D006801:Humans; D007328:Insulin / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D012944:Social Support; D013315:Stress, Psychological / Q000209:etiology* / Q000523:psychology; D011795:Surveys and Questionnaires
chemical_list: D007328:Insulin