Coping Mechanisms in Diabetes, and Their Relationship to Age, Gender and Glycemic Control
Abstract Number: 1845-P
Authors: SANJAY KALRA, AG UNNIKRISHNAN, ASHRAF GANIE, SUMATEE SALUJA
Institutions: Karnal, Haryana, India, Kochi, Kerala, India, Srinagar, Jammu & Kashmir, India
Results: Coping strategies used by patients to adjust to diabetes may influence glycemic control. This multicentric, noninterventional trial was performed to quantify coping mechanisms in persons with diabetes, and their correlation with age, gender and glycemic control.
142 patients with diabetes were administered the Cognitive Emotion Regulation Questionnaire (2006), which assesses nine coping mechanisms. The relative importance of a particular mechanism in an individual can be checked by comparing his score with age- and gender-specific normative data.
Significant differences were noted in coping mechanisms of different subsets of patients. Adult males (age 18-65), adult females, young males (age 13-18), young females and elderly females (age >65) exhibited high degrees of catastrophizing, a negative strategy ( 64.10%, 62.22%, 90.90%, 77.77% and 66.66%). Rumination was noted in 55.55% elderly males, 44.44% elderly females, 66.66% young females and 48.88% adult females.
Positive coping was less prevalent, with reappraisal being more common in elderly males, elderly females, and adult males (55.55%, 55.55%, and 58.97%). Acceptance was more frequent in young males and adult females (81.81% and 55.55%).
Subjects with HbA1c <7.0% were more likely to use reappraisal ( 64.10%) and refocusing (62.20%) as compared to those with HbA1c >7.0% (48.88% and 40.47% respectively).
Refocus on planning, reappraisal and putting into prospective were more common in men than women in age group <18 years as well as 18-65 years. Blaming others was more common in elderly men than elderly women (22.22% vs 11.11%).
Self blame and other blame were commonest in adults aged 18-65 years (40.47% and 22.61%). Acceptance, rumination, refocusing, refocus on planning, reappraisal and catastrophizing were more frequently used by adolescents. The differences were statistically significant for acceptance, rumination and refocusing.
This study highlights the differences in coping mechanisms utilized by different age groups, and the relationship with glycemic control. This can help plan individualized programmes for training in coping skills for people with diabetes.