Beliefs versus feelings: A comparison of personal models and depression for predicting multiple outcomes in diabetes

Citation
Se. Hampson et al., Beliefs versus feelings: A comparison of personal models and depression for predicting multiple outcomes in diabetes, BR J H PSYC, 5, 2000, pp. 27-40
Citations number
41
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Psycology
Journal title
BRITISH JOURNAL OF HEALTH PSYCHOLOGY
ISSN journal
1359-107X → ACNP
Volume
5
Year of publication
2000
Part
1
Pages
27 - 40
Database
ISI
SICI code
1359-107X(200002)5:<27:BVFACO>2.0.ZU;2-2
Abstract
Objective. To evaluate the relative contributions of personal models and de pression to the prediction of multiple outcomes in diabetes. Design and methods. Participants (N=111) in a randomized trial of an interv ention to increase dietary self-management for diabetes patients were asses sed for individual differences on three components of personal models (Seri ousness, Treatment Effectiveness and Control) and depression on two occasio ns over a 3-month period. The predictive utility of personal models versus depression was evaluated for dietary, physiologic and quality-of-life outco mes, controlling for baseline levels. Results. Personal models and depression were relatively stable over 3 month s (r=.56-.70). Personal models were predictive of outcomes in each category (eating patterns, p<.01; glycosylated haemoglobin, p<.01; physical functio ning, p<.05; mental health, p<.05), whereas depression was only predictive of the mental health component of quality of life (p<.01). Conclusions. Personal models appeared to be stronger and more consistent pr edictors of outcome than depression. The implications of these findings wer e discussed in terms of the self-regulatory model and interventions to impr ove diabetes self-management.