Healthy coping module

Relationships between self management, coping, quality of life and metabolic control are complex and often multi-directional. Better metabolic control and fewer diabetes complications are related to better quality of life. Conversely, poor quality of life or depression may interfere with self management and compromise metabolic control. Adherence to treatment regimens may be related to both improved and poorer quality of life.¹

Depression is common amongst people with diabetes and may interfere with self management. Estimates for self reported minimal-mild depression range from 28% to 44% and high rates of recurrence for depression have been reported amongst people with diabetes.¹

While coping styles and personality factors may be better predictors of quality of life than clinical aspects of diabetes, factors that have been found to be associated with better metabolic control include: coping that is task oriented, problem focused or rational; support from friends; positive orientation; internal locus of control; and use of past experience to guide self management. Teaching coping and problem solving skills may improve quality of life and diabetes management.¹

The need for healthy coping assessment and support is ongoing. Changes to diabetes management and the development of complications over the course of diabetes may impact on an individual’s quality of life and the need for additional or different coping skills. In addition, the initial benefits of ‘coping’ interventions appear to fade with time and require ongoing reinforcement.¹