Facing the bittersweet symphony of diabetes : contribution des théories d’autorégulation sur l’ajustement au diabète de type 1

Abstract : Patients with type 1 diabetes need to adjust to the disease in order to maintain an adequate glycemic control. Based on the assumptions of self-regulation theory, the present thesis explores the role of psychosocial factors in adjustment to type 1 diabetes. For this purpose the online study MONDIAB has been developed and implemented. Patients who met the criteria for participation and who agreed to the study completed a questionnaire related to their personal experiences at two time intervals. Altogether, 321 patients aged between 16 and 65 years filled in the first questionnaire, thereof 120 patients participated in the second survey six months later. Results are presented by a means of three empirical studies that identify correlates of patients’ behavioral, physiological and emotional adjustment. The first study shows that perceived control, autonomous motivation, as well as the interaction of these factors serve as predictors for gylcemic control and diabetes diet. A second study points out the indirect effect of autonomy supportiveness of health care providers on patients’ glycosylated hemoglobin six months later. This indirect effect is mediated by a reinforcement of both patients’ autonomous motivation and perceived competence. The third study underlines the impact of goal disturbance, coping styles and self-efficacy, as well as perceived social support on patients’ well-being. In conclusion, the results of the present thesis elucidate the importance of considering psychosocial factors for understanding and improvingadjustment to type 1 diabetes
Document type :
Theses
File URL :
http://docnum.univ-lorraine.fr/prive/UPVM_T_2010_RECCHIA_Sophie.pdf
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https://hal.univ-lorraine.fr/tel-01751339
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Submitted on : Thursday, March 29, 2018 - 1:17:07 PM
Last modification on : Thursday, April 11, 2019 - 4:02:23 PM

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  • HAL Id : tel-01751339, version 1

Citation

Sophie Recchia. Facing the bittersweet symphony of diabetes : contribution des théories d’autorégulation sur l’ajustement au diabète de type 1. Psychologie. Université Paul Verlaine - Metz, 2010. Français. ⟨NNT : 2010METZ027L⟩. ⟨tel-01751339⟩

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