EVALUATION OF DIABETES AWARENESS, EMOTIONAL STATE, SELF- EFFICACY LEVELS, AND ANTHROPOMETRIC MEASUREMENTS IN INDIVIDUALS WITH TYPE 2 DIABETES
TİP 2 DİYABETLİ BİREYLERDE DİYABET FARKINDALIĞI, DUYGUSAL DURUM, ÖZ YETERLİLİK DÜZEYLERİ VE ANTROPOMETRİK ÖLÇÜMLERİN DEĞERLENDİRİLMESİ
DOI:
https://doi.org/10.51271/jashso.79Keywords:
Type 2 diabetes, Diabetes Awareness, Emotional State, Self-Efficacy LevelsAbstract
Aim: Diabetes is a serious, complex, and chronic disease that leads to impaired metabolism of carbohydrates, fats, and proteins, resulting from the pancreas's failure to produce sufficient insulin or the body's inability to effectively utilize the insulin produced. This study was designed to assess diabetes awareness, emotional state, and self-efficacy levels in individuals with type 2 diabetes. Materials and Method: This cross-sectional study was conducted between January 2024 and September 2024 at the Hacettepe University Faculty of Medicine Adult Hospital, General Internal Medicine Outpatient Clinic. The study sample consisted of 218 volunteers (87 males, 131 females) aged 20–65 years, all of whom were diagnosed with Type 2 diabetes and provided informed consent. Data were collected using a comprehensive questionnaire covering general characteristics, nutritional habits, and specific scales including the Diabetes Awareness and Acceptance Scale (DAAS), the Difficulties in Emotion Regulation Scale-Short Form (DERS-16), and the Self-Efficacy Scale for Type 2 Diabetics (DMSES). Body composition and anthropometric measurements were recorded, and biochemical data were retrieved from patient records. Statistical analyses were performed to examine the relationships between these variables. Results: The findings indicated a high prevalence of overweight and obesity among the participants, with a significant distribution difference observed between genders. Regarding the scales, women’s awareness sub-dimension scores and total emotion regulation difficulty scores were notably higher than those of men. Individuals with higher Hemoglobin A1c (HbA1c) levels demonstrated greater awareness and acceptance scores compared to those with lower levels, and a strong correlation was identified between diabetes awareness/acceptance status and glycemic control. Conclusion: The study concludes that individuals with higher levels of awareness and acceptance tend to achieve better glycemic control, likely due to a greater probability of exhibiting positive health behaviors such as healthy eating and treatment adherence. Consequently, educational programs and psychosocial support aimed at increasing awareness may be vital strategies for maintaining target blood glucose levels.
References
REFERENCES
1. Yalçın M, Yetkin İ. Guideline for diagnosis, treatment, and follow-up of diabetes mellitus and its complications. 2022.
2. Magliano DJ, Boyko EJ, Atlas ID. What is diabetes? In: IDF Diabetes Atlas. 10th ed. International Diabetes Federation; 2021.
3. Roglic G. WHO Global report on diabetes: A summary. Int J Noncommun Dis. 2016;1(1):3-8.
4. World Health Organization. IDF diabetes atlas 2025. Accessed December 30, 2025. https://diabetesatlas.org/resources/idf-diabetes-atlas-2025/
5. Satman I, Omer B, Tutuncu Y, et al. Twelve-year trends in the prevalence and risk factors of diabetes and prediabetes in Turkish adults. Eur J Epidemiol. 2013;28(2):169-180.
6. Dağdelen S, Balcı M, Deyneli O, et al. Diabetes diagnosis and treatment guideline. 2023.
7. DeFronzo RA, Eldor R, Abdul-Ghani M. Pathophysiologic approach to therapy in patients with newly diagnosed type 2 diabetes. Diabetes Care. 2013;36(suppl 2):S127-S139.
8. İlaslan E, Dalkıran Ş, Özer ZC, Balcı MK. The level of disease acceptance in individuals with type 2 diabetes and the caregiving burden of caregivers. J Cont Med Educ (STED). 2021;30(2):84-95.
9. Schmitt A, Reimer A, Kulzer B, et al. Assessment of diabetes acceptance can help identify patients with ineffective diabetes self‐care and poor diabetes control. Diabet Med. 2014;31(11):1446-1451.
10. Bintaş-Zörer P, Yorulmaz O. A current look at emotion regulation: Contextual factors. Curr Approaches Psychiatry. 2022;14(2):195-206.
11. Sturt J, Dennick K, Hessler D, et al. Effective interventions for reducing diabetes distress: Systematic review and meta-analysis. Int Diabetes Nurs. 2015;12(2):40-55.
12. Van Der Ven NC, Weinger K, Yi J, et al. The confidence in diabetes self-care scale: Psychometric properties of a new measure of diabetes-specific self-efficacy in Dutch and US patients with type 1 diabetes. Diabetes Care. 2003;26(3):713-718.
13. Akturk U, Aydinalp E. Examining the correlation between the acceptance of the disease and the diabetes self-efficacy of the diabetic patients in a family health center. 2018.
14. Aseela S, Santhi S, Anish T. Diabetes self-efficacy on glycemic control and well-being of patients with type 2 diabetes mellitus: An analytical cross-sectional study. Cureus. 2024;16(7):e64512.
15. Kyle UG, Bosaeus I, De Lorenzo AD, et al. Bioelectrical impedance analysis—part I: Review of principles and methods. Clin Nutr. 2004;23(5):1226-1243.
16. World Health Organization. Body mass index. Accessed December 2, 2025. https://www.who.int/europe/news-room/fact-sheets/item/a-healthy-lifestyle---body-mass-index-bmi
17. World Health Organization. Waist circumference and waist-hip ratio: Report of a WHO expert consultation, Geneva, 8–11 December 2008. 2011.
18. Atik D, Manav A, Keser E. A scale development study: Diabetes Awareness and Acceptance Scale. Diabetes Stoffw Herz. 2022;31(3):152-158.
19. Gratz KL, Roemer L. Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. J Psychopathol Behav Assess. 2004;26(1):41-54.
20. Bjureberg J, Ljótsson B, Tull MT, et al. Development and validation of a brief version of the difficulties in emotion regulation scale: the DERS-16. J Psychopathol Behav Assess. 2016;38(2):284-296.
21. Yiğit İ, Guzey Yiğit M. Psychometric properties of Turkish version of difficulties in emotion regulation scale-brief form (DERS-16). Curr Psychol. 2019;38(6):1503-1511.
22. Bijl JV, Poelgeest‐Eeltink AV, Shortridge‐Baggett L. The psychometric properties of the diabetes management self‐efficacy scale for patients with type 2 diabetes mellitus. J Adv Nurs. 1999;30(2):352-359.
23. Yeşilbakan ÖU. Investigation of self-efficacy and factors affecting self-efficacy in self-care of type 2 diabetic patients [Master’s thesis]. Ege University; 2001.
24. Kara M, Van Der Bijl JJ, Shortridge-Baggett LM, Astı T, Erguney S. Cross-cultural adaptation of the diabetes management self-efficacy scale for patients with type 2 diabetes mellitus: Scale development. Int J Nurs Stud. 2006;43(5):611-621.
25. Besen DB, Esen A. Adaptation of the Acceptance of Illness Scale to diabetic individuals in Turkish society. TAF Prev Med Bull. 2011;10(2):135-142.
26. Döner E, Çırpan R, Çürük GN. Determination of the relationship between attitudes towards disease and health and acceptance of disease in patients with diabetic foot. Ege Univ Fac Nurs J. 2023;39(1):81-91.
27. Şireci E, Karabulutlu EY. Determination of the levels of acceptance of illness and self-efficacy in self-care of patients with type 2 diabetes mellitus. J Anatolia Nurs Health Sci. 2017;20(1):48-55.
28. Coccaro EF, Drossos T, Kline D, et al. Diabetes distress, emotional regulation, HbA1c in people with diabetes and a controlled pilot study of an emotion-focused behavioral therapy intervention in adults with type 2 diabetes. Prim Care Diabetes. 2022;16(3):381-386.
29. Durak E, Yılmaz M. The relationship between nutritional literacy, self-efficacy and diabetes self-care activities in individuals diagnosed with Type 2 Diabetes Mellitus. Hacettepe Univ Fac Nurs J. 2022;9(3):311-318.
30. Karataş G, Özdemir Ç. Evaluation of happiness levels according to disease awareness and acceptance in patients with Type 2 Diabetes Mellitus. Turk J Diab Obesity. 2024;8(2):180-190.
31. Al-Khawaldeh OA, Al-Jaradeen N. Diabetes awareness and diabetes risk reduction behaviors among attendance of primary healthcare centers. Diabetes Metab Syndr. 2013;7(3):172-178.
32. Vintró-Alcaraz C, Munguía L, Granero R, et al. Emotion regulation as a transdiagnostic factor in eating disorders and gambling disorder: Treatment outcome implications. J Behav Addict. 2022;11(1):140-146.
33. Sancho M, De Gracia M, Granero R, et al. Differences in emotion regulation considering gender, age, and gambling preferences in a sample of gambling disorder patients. Front Psychiatry. 2019;10:625.
34. Yılmaz Y, Cenkseven F. Self-compassion as a predictor of emotion regulation difficulty in university students. Cukurova Univ J Soc Sci Inst. 2020;29(4):168-182.
35. Yılmaz FT, Şahin AD, Türesin AK. The relationship between the level of disease acceptance and glycemic control in individuals with type 2 diabetes. Cukurova Med J. 2019;44(4):1284-1291.
36. Yavuz B. The effect of diabetes awareness and acceptance on the metabolic control status of patients [Master’s thesis]. Acıbadem Mehmet Ali Aydınlar University; 2024.
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