Patient and partner illness appraisals and health among adults with type 1 diabetes
In a study of 199 couples in which one person had type 1 diabetes, we examined how patient appraisal of the diabetes as shared versus individual was associated with collaborative, supportive and unsupportive behavior and whether patient shared illness appraisal was most beneficial for health when it...
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| Veröffentlicht in: | Journal of behavioral medicine 2019-06, Vol.42 (3), p.480-492 |
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| container_end_page | 492 |
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| container_issue | 3 |
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| container_title | Journal of behavioral medicine |
| container_volume | 42 |
| creator | Helgeson, Vicki S. Berg, Cynthia A. Kelly, Caitlin S. Van Vleet, Meredith Zajdel, Melissa Tracy, Enjin Lee Litchman, Michelle L. |
| description | In a study of 199 couples in which one person had type 1 diabetes, we examined how patient appraisal of the diabetes as shared versus individual was associated with collaborative, supportive and unsupportive behavior and whether patient shared illness appraisal was most beneficial for health when it occurred in the context of supportive behavior. We assessed illness appraisal among patients with type 1 diabetes and their partners and had patients complete relationship and health measures. Results showed partners were more likely than patients to hold shared illness appraisals. Patients’ shared appraisals were associated with more collaborative and instrumental support, more emotional support, less protective buffering, and more overprotective behavior. When patients and partners were consistent in their shared appraisals, support was highest. Regression analysis showed collaborative and instrumental support, as well as emotional support, was related to better psychological and physical health when patients held shared compared to individual illness appraisals. |
| doi_str_mv | 10.1007/s10865-018-0001-1 |
| format | Article |
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We assessed illness appraisal among patients with type 1 diabetes and their partners and had patients complete relationship and health measures. Results showed partners were more likely than patients to hold shared illness appraisals. Patients’ shared appraisals were associated with more collaborative and instrumental support, more emotional support, less protective buffering, and more overprotective behavior. When patients and partners were consistent in their shared appraisals, support was highest. Regression analysis showed collaborative and instrumental support, as well as emotional support, was related to better psychological and physical health when patients held shared compared to individual illness appraisals.</description><identifier>ISSN: 0160-7715</identifier><identifier>EISSN: 1573-3521</identifier><identifier>DOI: 10.1007/s10865-018-0001-1</identifier><identifier>PMID: 30542808</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adaptation, Psychological ; Adult ; Appraisal ; Appraisals ; Behavior ; Collaboration ; Diabetes ; Diabetes mellitus ; Diabetes mellitus (insulin dependent) ; Diabetes Mellitus, Type 1 - psychology ; Diabetics ; Emotional support ; Emotions ; Family Medicine ; Female ; General Practice ; Health aspects ; Health Psychology ; Health Status ; Humans ; Illnesses ; Male ; Medicine ; Medicine & Public Health ; Mental health ; Middle Aged ; Patient outcomes ; Patients ; Psychological aspects ; Public opinion ; Quality of Life - psychology ; Social aspects ; Social Behavior ; Social networks ; Social Perception ; Social Support ; Spouses - psychology ; Type 1 diabetes ; Type 1 diabetes mellitus</subject><ispartof>Journal of behavioral medicine, 2019-06, Vol.42 (3), p.480-492</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2018</rights><rights>COPYRIGHT 2019 Springer</rights><rights>Journal of Behavioral Medicine is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c575t-247dec4f5742ccd6c87dfb3532b507ecf844a6e76e79ac97ee03ee2c482fbced3</citedby><cites>FETCH-LOGICAL-c575t-247dec4f5742ccd6c87dfb3532b507ecf844a6e76e79ac97ee03ee2c482fbced3</cites><orcidid>0000-0002-2099-4714</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10865-018-0001-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10865-018-0001-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,780,784,885,12846,27924,27925,30999,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30542808$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Helgeson, Vicki S.</creatorcontrib><creatorcontrib>Berg, Cynthia A.</creatorcontrib><creatorcontrib>Kelly, Caitlin S.</creatorcontrib><creatorcontrib>Van Vleet, Meredith</creatorcontrib><creatorcontrib>Zajdel, Melissa</creatorcontrib><creatorcontrib>Tracy, Enjin Lee</creatorcontrib><creatorcontrib>Litchman, Michelle L.</creatorcontrib><title>Patient and partner illness appraisals and health among adults with type 1 diabetes</title><title>Journal of behavioral medicine</title><addtitle>J Behav Med</addtitle><addtitle>J Behav Med</addtitle><description>In a study of 199 couples in which one person had type 1 diabetes, we examined how patient appraisal of the diabetes as shared versus individual was associated with collaborative, supportive and unsupportive behavior and whether patient shared illness appraisal was most beneficial for health when it occurred in the context of supportive behavior. We assessed illness appraisal among patients with type 1 diabetes and their partners and had patients complete relationship and health measures. Results showed partners were more likely than patients to hold shared illness appraisals. Patients’ shared appraisals were associated with more collaborative and instrumental support, more emotional support, less protective buffering, and more overprotective behavior. When patients and partners were consistent in their shared appraisals, support was highest. Regression analysis showed collaborative and instrumental support, as well as emotional support, was related to better psychological and physical health when patients held shared compared to individual illness appraisals.</description><subject>Adaptation, Psychological</subject><subject>Adult</subject><subject>Appraisal</subject><subject>Appraisals</subject><subject>Behavior</subject><subject>Collaboration</subject><subject>Diabetes</subject><subject>Diabetes mellitus</subject><subject>Diabetes mellitus (insulin dependent)</subject><subject>Diabetes Mellitus, Type 1 - psychology</subject><subject>Diabetics</subject><subject>Emotional support</subject><subject>Emotions</subject><subject>Family Medicine</subject><subject>Female</subject><subject>General Practice</subject><subject>Health aspects</subject><subject>Health Psychology</subject><subject>Health Status</subject><subject>Humans</subject><subject>Illnesses</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mental health</subject><subject>Middle Aged</subject><subject>Patient outcomes</subject><subject>Patients</subject><subject>Psychological aspects</subject><subject>Public opinion</subject><subject>Quality of Life - psychology</subject><subject>Social aspects</subject><subject>Social Behavior</subject><subject>Social networks</subject><subject>Social Perception</subject><subject>Social Support</subject><subject>Spouses - psychology</subject><subject>Type 1 diabetes</subject><subject>Type 1 diabetes mellitus</subject><issn>0160-7715</issn><issn>1573-3521</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kt9r1TAUx4Mo7jr9A3yRgi976XaSJk36Iowxf8Bggvoc0vS0NyNNa9Iq--_N9c7NyZUEAud8vt9wDl9CXlM4pQDyLFFQtSiBqhIAaEmfkA0VsiorwehTsgFaQyklFUfkRUo3makb3jwnRxUIzhSoDfny2SwOw1KY0BWziUvAWDjvA6ZUmHmOxiXj0-_2Fo1ftoUZpzAUplv9koqfLleW2xkLWnTOtLhgekme9VmDr-7eY_Lt_eXXi4_l1fWHTxfnV6UVUiwl47JDy3shObO2q62SXd9WomKtAIm2V5ybGmW-jbGNRIQKkVmuWN9a7Kpj8m7vO6_tiJ3NY0Tj9RzdaOKtnozTjzvBbfUw_dC1YDXUPBuc3BnE6fuKadGjSxa9NwGnNWlGhWhAQgMZffsPejOtMeTxdhRXTcNp9UANxqN2oZ_yv3Znqs-FEk3mQGaqPEANmFdv_BSwd7n8iD89wOfT4ejsQQHdC2ycUorY3--Egt4lR--To3Ny9C45mmbNm7-Xea_4E5UMsD2QcisMGB828H_XX8yRzc4</recordid><startdate>20190601</startdate><enddate>20190601</enddate><creator>Helgeson, Vicki S.</creator><creator>Berg, Cynthia A.</creator><creator>Kelly, Caitlin S.</creator><creator>Van Vleet, Meredith</creator><creator>Zajdel, Melissa</creator><creator>Tracy, Enjin Lee</creator><creator>Litchman, Michelle L.</creator><general>Springer US</general><general>Springer</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HEHIP</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-2099-4714</orcidid></search><sort><creationdate>20190601</creationdate><title>Patient and partner illness appraisals and health among adults with type 1 diabetes</title><author>Helgeson, Vicki S. ; Berg, Cynthia A. ; Kelly, Caitlin S. ; Van Vleet, Meredith ; Zajdel, Melissa ; Tracy, Enjin Lee ; Litchman, Michelle L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c575t-247dec4f5742ccd6c87dfb3532b507ecf844a6e76e79ac97ee03ee2c482fbced3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adaptation, Psychological</topic><topic>Adult</topic><topic>Appraisal</topic><topic>Appraisals</topic><topic>Behavior</topic><topic>Collaboration</topic><topic>Diabetes</topic><topic>Diabetes mellitus</topic><topic>Diabetes mellitus (insulin dependent)</topic><topic>Diabetes Mellitus, Type 1 - psychology</topic><topic>Diabetics</topic><topic>Emotional support</topic><topic>Emotions</topic><topic>Family Medicine</topic><topic>Female</topic><topic>General Practice</topic><topic>Health aspects</topic><topic>Health Psychology</topic><topic>Health Status</topic><topic>Humans</topic><topic>Illnesses</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mental health</topic><topic>Middle Aged</topic><topic>Patient outcomes</topic><topic>Patients</topic><topic>Psychological aspects</topic><topic>Public opinion</topic><topic>Quality of Life - psychology</topic><topic>Social aspects</topic><topic>Social Behavior</topic><topic>Social networks</topic><topic>Social Perception</topic><topic>Social Support</topic><topic>Spouses - psychology</topic><topic>Type 1 diabetes</topic><topic>Type 1 diabetes mellitus</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Helgeson, Vicki S.</creatorcontrib><creatorcontrib>Berg, Cynthia A.</creatorcontrib><creatorcontrib>Kelly, Caitlin S.</creatorcontrib><creatorcontrib>Van Vleet, Meredith</creatorcontrib><creatorcontrib>Zajdel, Melissa</creatorcontrib><creatorcontrib>Tracy, Enjin Lee</creatorcontrib><creatorcontrib>Litchman, Michelle L.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Sociology Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Sociology Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of behavioral medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Helgeson, Vicki S.</au><au>Berg, Cynthia A.</au><au>Kelly, Caitlin S.</au><au>Van Vleet, Meredith</au><au>Zajdel, Melissa</au><au>Tracy, Enjin Lee</au><au>Litchman, Michelle L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patient and partner illness appraisals and health among adults with type 1 diabetes</atitle><jtitle>Journal of behavioral medicine</jtitle><stitle>J Behav Med</stitle><addtitle>J Behav Med</addtitle><date>2019-06-01</date><risdate>2019</risdate><volume>42</volume><issue>3</issue><spage>480</spage><epage>492</epage><pages>480-492</pages><issn>0160-7715</issn><eissn>1573-3521</eissn><abstract>In a study of 199 couples in which one person had type 1 diabetes, we examined how patient appraisal of the diabetes as shared versus individual was associated with collaborative, supportive and unsupportive behavior and whether patient shared illness appraisal was most beneficial for health when it occurred in the context of supportive behavior. 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| ispartof | Journal of behavioral medicine, 2019-06, Vol.42 (3), p.480-492 |
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| subjects | Adaptation, Psychological Adult Appraisal Appraisals Behavior Collaboration Diabetes Diabetes mellitus Diabetes mellitus (insulin dependent) Diabetes Mellitus, Type 1 - psychology Diabetics Emotional support Emotions Family Medicine Female General Practice Health aspects Health Psychology Health Status Humans Illnesses Male Medicine Medicine & Public Health Mental health Middle Aged Patient outcomes Patients Psychological aspects Public opinion Quality of Life - psychology Social aspects Social Behavior Social networks Social Perception Social Support Spouses - psychology Type 1 diabetes Type 1 diabetes mellitus |
| title | Patient and partner illness appraisals and health among adults with type 1 diabetes |
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