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- Title
Association of Social Problem Solving With Glycemic Control in a Sample of Urban African Americans With Type 2 Diabetes.
- Authors
Hill-Briggs, Felicia; Gary, Tiffany; Yeh, Hsin-Chieh; Batts-Turner, Marian; Powe, Neil; Saudek, Christopher; Brancati, Frederick
- Abstract
The Social Problem-Solving Inventory—Revised, Short Form, was administered to 65 urban African Americans with type 2 diabetes to examine association of generic problem-solving styles and orientation with hemoglobin A1C (A1C). Eighty-five percent of participants had total social problem-solving scores in the Average range or higher. In linear regression models adjusted for education, each interquartile increase in impulsive/careless score was associated with a 0.82 increase in A1C (%) ( p = 0.01), and each interquartile increase in avoidant score was associated with a 1.62 increase in A1C (%) ( p = 0.004). After adjusting for depressive symptoms, the association of impulsive/careless style with A1C was attenuated, while the association of avoidant problem solving with A1C remained significant ( p = 0.01). Associations of rational problem-solving style, positive orientation, and negative orientation with A1C and health behaviors were not statistically significant. Ineffective problem-solving styles may prove to be important targets for intervention to improve glycemic control.
- Subjects
TYPE 2 diabetes; AFRICAN Americans; SOCIAL problems; HEMOGLOBINS; SELF-management (Psychology); MINORITIES; HEALTH behavior
- Publication
Journal of Behavioral Medicine, 2006, Vol 29, Issue 1, p69
- ISSN
0160-7715
- Publication type
Article
- DOI
10.1007/s10865-005-9037-0