Date of Conferral
2023
Degree
Ph.D.
School
Psychology
Advisor
Anthony Perry
Abstract
AbstractPoorly controlled diabetes is the result of lack of self-care, which contributes to complications, ill quality in life, the rise in health care costs, and early death. The purpose of this quantitative, nonexperimental study was to examine the extent to which diabetes type (Type 1 and Type 2), childhood trauma, and adverse childhood experiences predict diabetes self-management (glucose management, dietary control, physical activity, health care use, total self-management). Contemporary trauma theory suggests that early childhood trauma results in negative health-related consequences in adulthood. Standard multiple regression analyses showed that (a) higher levels of physical neglect and emotional abuse predicted poorer overall self-management, (b) higher levels of physical neglect predicted poorer glucose management, (c) diabetes type predicted health care use with Type 2 diabetics using healthcare more frequently than Type 1, (d) higher levels of physical neglect predicted lower levels of healthcare use, and (e) higher levels of emotional abuse predicted lower levels of physical activity. These results may be used for positive social change by informing health care providers on factors that impact diabetes self-management. Health care practitioners and organizations may use the results to design educational programs or counseling interventions with diabetes patients to improve diabetes self-management behavior.
Recommended Citation
OToole, Deserie J., "Relationship Between Childhood Trauma, ,Adverse Childhood Experiences, and Self-Management of Type 1 and Type 2 Diabetes" (2023). Walden Dissertations and Doctoral Studies. 13077.
https://scholarworks.waldenu.edu/dissertations/13077
