Joyce P. Yi-Frazier, Marisa Hilliard, Katherine Cochrane, Korey K. Hood
Johns Hopkins Adherence Research Center, Johns Hopkins University School of Medicine, Baltimore, USA.
Madison Clinic for Pediatric Diabetes, University of California, San Francisco, USA.
Seattle Children’s Research Institute, Seattle, USA.
Seattle Children’s Research Institute, University of Washington School of Medicine, Seattle, USA.
DOI: 10.4236/psych.2012.312A165   PDF    HTML     9,902 Downloads   16,801 Views   Citations

Abstract

Background: Due to the intensive treatment requirements needed to maintain diabetes control, optimal diabetes outcomes can be difficult to achieve for individuals with type 1 or type 2 diabetes from child- hood through adulthood. While risk factors related to individual differences in outcomes have been studied in depth, there is a growing body of research that has revealed the effects of positive personal and environmental characteristics on diabetes management and glycemic control. The goal of this review is to summarize the existent literature on the role of positive characteristics in diabetes outcomes. Method: Extensive literature searches were conducted using Medline, PsychInfo, and CINAHL to identify studies assessing positive personal and environmental characteristics and diabetes outcomes. Included articles were published between 1989 and 2012. Results: Across the lifespan, positive personal characteristics such as self-efficacy, self-esteem, and adaptive coping were associated with diabetes management and glycemic control. Positive environmental factors such as parental monitoring and support were also important predictors of good outcomes, particularly for adolescents. Conclusions: Positive personal and environmental factors have been shown to be associated with diabetes outcomes and should be addressed in efforts to improve outcomes at all life stages. Clinical research and practice may be enhanced through efforts to evaluate and promote positive personal and environmental factors with the ultimate goal of reducing barriers to optimal diabetes management and control.

Keywords

Positive Psychology; Diabetes

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Conflicts of Interest

The authors declare no conflicts of interest.

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