Sense of Coherence, Locus of Control and Depression Symptoms in Adolescents with Type 1 Diabetes

Sylwia Jankowicz; Małgorzata Puchalska-Wasyl; Małgorzata Łysiak

doi:10.18290/rpsych21242-1

Sylwia Jankowicz The John Paul II Catholic University of Lublin https://orcid.org/0000-0002-2440-745X
Małgorzata Puchalska-Wasyl The John Paul II Catholic University of Lublin https://orcid.org/0000-0003-4295-8308
Małgorzata Łysiak The John Paul II Catholic University of Lublin https://orcid.org/0000-0002-8269-4653

DOI: https://doi.org/10.18290/rpsych21242-1

Abstrakt

For patients with type 1 diabetes, sense of coherence (SOC), locus of control (LOC) and depression symptoms seem to be important variables in the context of compliance with a treatment regimen. The aim of this article is to describe the functioning of adolescents with type 1 diabetes—to define the common features and differentiating characteristics of the clinical group in comparison with the control group in terms of SOC, LOC and symptoms of depression. The other aim is to check whether LOC mediates the relationship between SOC and depression symptoms in the diabetics group. The study involved 100 adolescents aged 13–17. The clinical group contained adolescents with type 1 diabetes while the control group featured adolescents without diabetes. Antonovsky’s Sense of Coherence Scale (SOC-29), the Locus of Control Questionnaire (LOCQ) by Krasowicz and Kurzyp-Wojnarska and the Children’s Depression Inventory (CDI) by Kovacs were used. The groups did not differ in their SOC level but varied in the level of depression symptoms and LOC. The clinical and control groups had undetermined and external LOC, respectively. Diabetics also had a lower level of depression symptoms. SOC correlated positively with LOC and negatively with depression symptoms. Additionally, within the clinical group, LOC mediated the relationship between SOC and symptoms of depression. Determining the level of key health variables in type 1 diabetics is important in educating them how to manage their disease. With regard to adolescents without diabetes, the results confirm the need to intensify activities aimed at monitoring their mental state.

Biogramy autorów

Sylwia Jankowicz, The John Paul II Catholic University of Lublin

Sylwia Jankowicz, MS

The John Paul II Catholic University of Lublin
Institute of Psychology
Al. Racławickie 14
20-950 Lublin, Poland

Małgorzata Puchalska-Wasyl, The John Paul II Catholic University of Lublin

Małgorzata M. Puchalska-Wasyl, PhD
The John Paul II Catholic University of Lublin
Institute of Psychology
Al. Racławickie 14
20-950 Lublin, Poland

Małgorzata Łysiak, The John Paul II Catholic University of Lublin

Małgorzata Łysiak, PhD
The John Paul II Catholic University of Lublin
Institute of Psychology
Al. Racławickie 14
20-950 Lublin, Poland

Bibliografia

Antonovsky, A. (1987). Unraveling the mystery of health: How people manage stress and stay well. Jossey-Bass.

Antonovsky, A. (1995). Rozwikłanie tajemnicy zdrowia. Jak radzić sobie ze stresem i nie zachorować [Unraveling the mystery of health. How to deal with stress and not become ill]. Zakład Wydawniczy Letter Quality.

American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders DSM-5, fifth edition. American Psychiatric Association Publishing.

Basińska, M., Maćkowska, P., & Listwan, A. (2011). Przekonania o umiejscowieniu kontroli zdrowia chorych na cukrzycę typu 1 a zachowania zdrowotne [Beliefs about the location of control health of patients with type 1 diabetes and health behavior]. Diabetologia Praktyczna, 12(4), 151–159.

Bażyńska, K., Bronowska, Z., Namysłowska, I., & Żechowski, C. (2002). Poczucie koherencji (SOC) u pacjentów psychiatrycznego oddziału młodzieżowego [Sense of coherence (SOC) in patients of a psychiatric adolescent unit]. Psychiatria Polska, 36(1), 121–131.

Cilliers, F. (2003). Burnout and salutogenic functioning of nurses. Curationis, 26, 62–74. https://doi.org/10.4102/curationis.v26i1.1296

Delamater, A., de Wit, M., McDarby, V., Malik, J., & Acerini, C. (2014). Psychological care of children and adolescents with type 1 diabetes. Pediatric Diabetes, 15(20), 232–244. https://doi.org/10.1111/pedi.12736

de Wit, M., & Snoek, F. (2011). Depressive symptoms and unmet psychological needs of Dutch youth with type 1 diabetes: Results of a web-survey. Pediatric Diabetes, 12(3), 172–176. https://doi.org/10.1111/j.1399-5448.2010.00673.x

Duda-Sobczak, A., & Wierusz-Wysocka, B. (2011). Cukrzyca a choroby psychiczne [Diabetes and mental diseases]. Psychiatria Polska, 65(4), 589–598.

Fusz, K., Tóth, Á., Varga, B., Rozmann, N., Oláh, A., & Tudományegyetem, P. (2017). Different work schedules of nurses in Hungary and their effects on health. Ideggyogyaszati Szemle-Clinical Neuroscience, 70, 136–139. https://doi.org/10.18071/isz.70.0136

Galvin, B. M., Randel, A. E., Collins, B. J., & Johnson, R. E. (2018). Changing the focus of locus (of control): A targeted review of the locus of control literature and agenda for future research. Journal of Organizational Behavior, 39(7), 820–833. https://doi.org/10.1002/job.2275

Gendelman, N., Snell-Bergeon, J., McFann, K., Kinney, G., Wadwa, R., Bishop, F., Rewers, M., & Maahs, D. (2009). Prevalence and correlates of depression in individuals with and without type 1 diabetes. Diabetes Care, 32(4), 575–579. https://doi.org/10.2337/dc08-1835

George, D., & Mallery, M. (2010). SPSS for Windows step by step: A simple guide and reference, 17.0 update. Pearson.

Gierowski, J., & Rajtar, T. (2003). Chosen factors influencing the locus of control in perpetrators of criminal acts. Problems of Forensic Sciences, 53, 129–138.

Goossens, L. (2016). Theories of adolescence. In S. Jackson & L. Goossens (Eds.), Handbook of Adolescent Development (pp. 11–29). Routledge.

Hayes, A. F. (2018). Introduction to mediation, moderation, and conditional process analysis: A regression–based approach (2 ed.). Guilford Press.

Jeon, Y. H., Kraus, S. G., Jowsey, T., & Glasgow, N. J. (2010). The experience of living with chronic heart failure: A narrative review of qualitative studies. BMC Health Services Research, 10(77). https://doi.org/10.1186/1472-6963-10-77

Kirenko, J., & Byra, S. (2008). Zasoby osobiste w chorobach psychosomatycznych [Personal resources in psychosomatic diseases]. Wydawnictwo UMCS.

Kokkonen, K., & Kokkonen. E. R. (1995). Mental health and social adaptation in young adults with juvenile–onset diabetes. Nordic Journal of Psychiatry, 49(3), 175–182. https://doi.org/10.3109/08039489509011903

Kommuri, S., Dolar, D., Suhas, K., Bandari, S., & Madupu, P. (2016). Correlation of sense of coherence with oral health behaviors, socioeconomic status, and periodontal status. Journal of Indian Society of Periodontology, 20(4), 453–459. https://doi.org/10.4103/0972-124X.193166

Kovacs, M. (1992). Children’s Depression Inventory Manual. Multi–Health Systems.

Kovacs, M. (2003). Children’s Depression Inventory: Technical manual update. Multi-Health Systems.

Kovacs, M., Goldston, D., Obrosky, D., & Bonar, L. (1997). Psychiatric disorders in youths with IDDM: Rates and risk factors. Diabetes Care, 20, 36–44. https://doi.org/10.2337/diacare.20.1.36

Kozaka, J. (2010). Radzenie sobie ze stresem choroby – współczesne koncepcje teoretyczne [Dealing with the stress of disease: Modern theoretical concepts]. Psychoonkologia, 2, 60–69.

Krasowicz, G., & Kurzyp-Wojnarska, A. (1990). Kwestionariusz do badania poczucia kontroli (KBPK). Podręcznik [Questionnaire for testing the sense of control (KBPK). Manual]. ZP.

Kristofferzon, M. L., Engström, M., & Nilsson, A. (2018). Coping mediates the relationship between sense of coherence and mental quality of life in patients with chronic illness: A cross-sectional study. Quality of Life Research, 27, 1855–1863. https://doi.org/10.1007/s11136-018-1845-0

Kurowska, K., Brzyska-Wilusz, B., Felsmann, M., & Głowacka, M. (2007). Depresyjność a poczucie koherencji u osób chorych z 1 typem cukrzycy [Depressiveness and the sense of coherence in patients with type 1 diabetes]. Nowiny Lekarskie, 76(5), 406–413.

Kurowska, K., & Ciesielska, L. (2013). Depression and a sense of coherence in case of people with anxiety disorders. Psychiatria i Psychologia Kliniczna, 13(1), 40–49.

Kurowska, K., & Figiel, O. (2009). Poczucie koherencji a zachowania zdrowotne u osób z rozpoznaną cukrzycą typu 2 [Sense of coherence and health behavior in people diagnosed with type 2 diabetes]. Nowiny Lekarskie, 78(3–4), 197–205.

Kurowska, K., & Sulkowska, J. (2011). Poczucie koherencji a zachowania zdrowotne wśród pensjonariuszy Domu Pomocy Społecznej (DPS) – badania wstępne [Sense of coherence and health behavior in residents of a nursing home (DPS): Preliminary research]. Psychogeriatria Polska, 8(2), 73–80.

Kurowska, K., & Świątkowska, T. (2009). Poczucie koherencji (SOC) a preferowane style radzenia sobie z chorobą u osób z rozpoznaniem cukrzycy typu 1 [Sense of coherence (SOC) and preferred styles of coping with the disease in people diagnosed with type 1 diabetes]. Nowiny Lekarskie, 78(3–4), 191–196.

Kurpas, D., Kusz, J., Jedynak, T., & Mroczek, B. (2012). Umiejscowienie kontroli zdrowia u osób ze schorzeniami przewlekłymi [Location of health control in people with chronic diseases]. Family Medicine & Primary Care Review, 14(2), 186–188.

Lewicka, M., Makara–Studzińska, M., Sulima, M., & Wiktor, H. (2014). Intensification of anxiety and depression, and personal resources among women during the peri–operative period. Annals of Agricultural and Environmental Medicine, 21(1), 91–97.

Mućko, P., Kokoszka, A., & Skłodowska, Z. (2005). Porównanie stylów radzenia sobie z chorobą, występowania objawów depresyjnych i lękowych oraz lokalizacji poczucia kontroli u chorych na cukrzycę typu 1 i 2 [Comparison of illness coping styles, the occurrence of depressive and anxiety symptoms and the locus of control in patients with type 1 and 2 diabetes]. Diabetologia Praktyczna, 6(5), 240–249.

Nowogrodzka, A., & Piasecki, B. (2010). Funkcjonowanie psychologiczne osób z cukrzycą [Psychological functioning of people with diabetes]. In M. Cybulski & W. Strzelecki (Eds.), Psychologia w naukach medycznych [Psychology in medical science] (pp. 140–150). Wydawnictwo Naukowe Uniwersytetu Medycznego im. Karola Marcinkowskiego.

Oleś, M. (2010). Jakość życia młodzieży w zdrowiu i w chorobie [The quality of life of young people in health and disease]. Wydawnictwo KUL.

Oleś, M. (1995). Pomiar depresji u dzieci: przegląd metod [Measuring depression in children: A review of methods]. Roczniki Filozoficzne, 63(4), 147–170.

Pilecka, W. (2002). Przewlekła choroba somatyczna w życiu i rozwoju dziecka. Problemy psychologiczne [Chronic somatic disease in the life and development of a child. Psychological problems]. Wydawnictwo Uniwersytetu Jagiellońskiego.

Pless, I. B., & Perrin, J. M. (1985). Issues common to a variety of illnesses. In N. Hobbs & J. M. Perrin (Eds.), Issues in the care of children with chronic illness: A sourcebook on problems, services, and policies (pp. 41–60). Jossey-Bass.

Principi, N., Berioli, M. G., Bianchini, S., & Esposito, S. (2017). Type 1 diabetes and viral infections: What is the relationship? Journal of Clinical Virology, 96, 26–31. https://doi.org/ 10.1016/j.jcv.2017.09.003

Pużyński, S. (2005). Depresje i zaburzenia afektywne [Depressions and affective disorders]. Wydawnictwo Lekarskie PZWL.

Rotter, J. (1966). Generalized expectancies for internal versus external control of reinforcement. Psychological Monographs, 80, 1–28.

Rynkiewicz-Andryśkiewicz, M., Andryśkiewicz, P., Curyło, M., & Czernicki J. (2014). Analiza przydatności oceny poziomu poczucia koherencji w chorobach somatycznych i psychicznych [Analyzing the utility value of testing the sense of coherence in somatic and mental diseases]. Przegląd Medyczny Uniwersytetu Rzeszowskiego i Narodowego Instytutu Leków w Warszawie, 4, 365–374.

Schäfer, S. K., Lass-Hennemann, J., Groesdonk, H., Volk, T., & Michael, T. (2018). Mental Health in Anesthesiology and ICU Staff: Sense of Coherence Matters. Frontiers in Psychiatry, 9, 440. https://doi.org/10.3389/fpsyt.2018.00440

Shaffer, D. R., & Kipp, K. (2010). Developmental Psychology. Childhood and Adolescence. Wadsworth Publishing.

Skłodowski, H., & Janiszewska, L. (1998). Psychospołeczne problemy chorych na cukrzycę insulinozależna [Psychosocial problems of patients with insulin-dependent diabetes]. In G. Dolińska-Zygmunt & J. Łazowski (Eds.), Ku lepszemu funkcjonowaniu w zdrowiu i chorobie [Towards better functioning in health and disease] (pp. 241–245). Wydawnictwo Akademii Wychowania Fizycznego.

Suris, J. C., Michaud, P. A., & Viner, R. (2004). The adolescent with a chronic condition. Part I: Developmental issues. Archives of Disease Childhood, 89, 938–942. https://doi.org/10.1136/adc.2003.045369

Stenström, U., Wikby, A., Andersson, P-O., & Rydén, O. (2011). Relationship between locus of control beliefs and metabolic control in insulin‐dependent diabetes mellitus. British Journal of Health Psychology, 3(1), 15–25. https://doi.org/10.1111/j.20448287.1998.tb00552.x

Suwalska, A., & Łojko, D. (2004). Zaburzenia psychiczne w chorobach endokrynnych i ich leczenie [Mental disorders in endocrine diseases and their treatment]. Terapia, 12, 25–29.

Tatoń, J. (1995). Cukrzyca. Nauczanie samoopieki [Diabetes. Teaching self-care]. PWN.

Thomas, K., Nilsson, E., Festin, K., Henriksson, P., Lowén, M., Löf, M., & Kristenson, M. (2020). Associations of psychosocial factors with multiple health behaviors: A population-based study of middle-aged men and women. International Journal of Environmental Research and Public Health, 17(4), 1239. https://doi.org/10.3390/ijerph17041239

Turecka, M. (2005). Czynniki zwiększające ryzyko i zapobiegające przemocy seksualnej [Factors increasing the risk and factors preventing sexual violence]. Seksuologia Polska, 3(2), 43–51.

Weiss, B., & Garber, J. (2003). Developmental differences in the phenomenology of depression. Development and Psychopathology, 15(2), 403–430. http://doi.org/10.1017/S0954579403000221

van Duinkerken, E., Moreno A. B., Eto, F. N., Lotufo, P., Barreto, S. M., Giatti, L., Viana, M. C., Nunes, M. A., Chor, D., & Griep, R. H. (2020). Biopsychosocial factors associated with a current depressive episode in diabetes: The ELSA‐Brasil study. Diabetic Medicine, 37(10), 1742–1751. https://doi.org/10.1111/dme.14349

Vermeire, E., Hearnshaw, H., Van Royen, P., & Denekens, J. (2001). Patient adherence to treatment: three decades of research. A comprehensive review. Journal of Clinical Pharmacy and Therapeutics, 26, 331–342. https://doi.org/10.1046/j.1365-2710.2001.00363.x

Zheng, Y., Wang, Z., & Zhou, Z. (2017). miRNAs: Novel regulators of autoimmunity mediated pancreatic β-cell destruction in type 1 diabetes. Cellular & Molecular Immunology, 14, 488–496. https://doi.org/10.1038/cmi.2017.7