title: Selected factors determining a way of coping with stress in type 2 diabetic patients.
abstract: OBJECTIVE
  The aim of the study was to examine factors which determine stress coping styles in type 2 diabetic (T2D) patients, with regard to selected demographic variables, clinical diabetes-related variables and selected psychical variables (anxiety level and assessment of depressive disorders).
  
  
  METHODS
  50 T2D patients, aged 59.9 ± 10.2 years were assessed by Coping Inventory for Stressful Situations (CISS), Spielberger State-Trait Anxiety Inventory (STAI), and Beck Depression Inventory (BDI). In the statistical analysis simple and multivariable logistic regression models were used.
  
  
  RESULTS
  Variables significantly increasing the selection risk of stress coping style different from preferred task-oriented strategy in a simple logistic regression model are: hypoglycemia within three months prior to the research: odds ratio (OR) = 6.86 (95% confidence interval (CI) 1.25-37.61), taking antidepressants or neuroleptics: OR =15.42 (95% CI 2.42-98.33), severe depression in Beck's scale: OR = 84.00 (95% CI 6.51-1083.65), high state-anxiety level: OR = 9.60 (95% CI 1.08-85.16), and high trait-anxiety level: OR = 18.40 (95%CI 2.96-114.31), but in a multivariable model, diagnosed depression is the strongest factor: OR = 32.38 (95% CI 4.94-212.13).
  
  
  CONCLUSIONS
  In T2D patients, the strategy to cope with stress appears to be mostly influenced by psychical predisposition.
authors.affiliation: Department of Internal Medicine and Diabetology, Medical University of Lodz, N. Barlicki Memorial Teaching Hospital No. 1, Kopcinskiego 22, 90-153 Lodz, Poland.
authors.forename: Anna Beata
authors.initials: AB
authors.lastname: Sobol-Pacyniak
authors.affiliation: Department of Psychological Research Methodology and Statistics, Institute of Psychology, University of Lodz, Smugowa 10/12, 91-433 Lodz, Poland.
authors.forename: Wiesław
authors.initials: W
authors.lastname: Szymczak
authors.affiliation: Jas and Malgosia Foundation for Helping Children, Tatrzanska 105, 93-279 Lodz, Poland.
authors.forename: Paulina
authors.identifier: 0000-0002-0080-926X
authors.initials: P
authors.lastname: Kwarta
authors.affiliation: Department of Internal Medicine and Diabetology, Medical University of Lodz, N. Barlicki Memorial Teaching Hospital No. 1, Kopcinskiego 22, 90-153 Lodz, Poland.
authors.forename: Jerzy
authors.initials: J
authors.lastname: Loba
authors.affiliation: Department of Pneumonology and Allergology, Medical University of Lodz, N. Barlicki Memorial Teaching Hospital No. 1, Kopcinskiego 22, 90-153 Lodz, Poland.
authors.forename: Tadeusz
authors.initials: T
authors.lastname: Pietras
mesh_terms: D000368:Aged; D000928:Antidepressive Agents / Q000008:administration & dosage*; D014150:Antipsychotic Agents / Q000008:administration & dosage*; D001007:Anxiety / Q000178:diet therapy / Q000188:drug therapy; D003866:Depressive Disorder / Q000188:drug therapy / Q000523:psychology; D003924:Diabetes Mellitus, Type 2 / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D013315:Stress, Psychological / Q000188:drug therapy / Q000523:psychology; D015599:Trauma Severity Indices
chemical_list: D000928:Antidepressive Agents; D014150:Antipsychotic Agents
references.citation: Diabetologia. 2012 Jun;55(6):1577-96
references.pmid: 22526604
references.citation: WHO Reg Publ Eur Ser. 1992;44:11-31
references.pmid: 1514969
references.citation: Curr Med Res Opin. 2013 Dec;29(12):1609-15
references.pmid: 23899102
references.citation: Ont Health Technol Assess Ser. 2013 Sep 01;13(16):1-33
references.pmid: 24228079
references.citation: Psychol Health Med. 2012;17(1):47-58
references.pmid: 21678193
references.citation: Diabetes Care. 2001 Jun;24(6):1069-78
references.pmid: 11375373
references.citation: Clin Pract Epidemiol Ment Health. 2013 Jul 12;9:136-41
references.pmid: 23935696
references.citation: Diabetes Res Clin Pract. 2011 Dec;94(3):311-21
references.pmid: 22079683
references.citation: Eur Psychiatry. 2009 Oct;24(7):425-30
references.pmid: 19541457
references.citation: Diabetes Educ. 2013 Jan-Feb;39(1):33-52
references.pmid: 23073967
references.citation: Diabetes Metab Res Rev. 2004 May-Jun;20 Suppl 1:S90-5
references.pmid: 15150820
references.citation: Eur Heart J. 2013 Oct;34(39):3035-87
references.pmid: 23996285
references.citation: J Endocrinol Invest. 2014 Jan;37(1):79-85
references.pmid: 24464454
references.citation: Ann Fam Med. 2013 May-Jun;11(3):245-50
references.pmid: 23690324
references.citation: Annu Rev Med. 1972;23:407-12
references.pmid: 4566487
references.citation: Diabetologia. 2010 Dec;53(12):2480-6
references.pmid: 20711716
references.citation: Diabetes Care. 2003 Jun;26(6):1841-6
references.pmid: 12766120
references.citation: Diabet Med. 2013 Jul;30(7):767-77
references.pmid: 23711019
references.citation: Glob Adv Health Med. 2013 May;2(3):66-74
references.pmid: 24416674
references.citation: Diabetes Care. 2012 Jan;35 Suppl 1:S11-63
references.pmid: 22187469