Date of Conferral

2020

Degree

Ph.D.

School

Psychology

Advisor

Dr. Steven Linnville

Abstract

Although Type 2 diabetes can be reversed or controlled, many individuals choose not to adhere to treatment regimens, nor do they engage in self-management practices. The purpose of this cross-sectional study was to explore self-management among individuals with Type 2 diabetes, examining whether some psychosocial variables have a moderating effect on self-management. The psychosocial variables explored in this research were perception of body image, fear of hypoglycemia, level of family support, and depression. The biopsychosocial model was the theoretical framework. Using the Body Appreciation Scale, Diabetes Self-Management Questionnaire, The Family Relationship Scale, Hypoglycemic Fear Survey (HFS-II), and the Beck Depression Inventory-2, an independent samples t-test was used to explore levels of depression between 2 samples differing in depression levels; a linear regression model was used to examine the moderating effects of perception of body image, fear of hypoglycemia, and level of family support on depression and self-management. According to study results, there was a significant difference in level of glucose control among individuals with high levels of depression when compared to individuals with lower levels of depression. In addition, the psychosocial variables explored in this study (perception of body image, fear of hypoglycemia, and level of family support) had a moderating role with depression and self-management. These findings provide useful information to promote better health education programs and positive health behaviors among individuals diagnosed with Type 2 diabetes

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