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Coping and psychosocial adaptation to Type 2 diabetes in older Blacks born in the Southern US and the Caribbean
Author(s) -
Degazon Cynthia E.,
Parker Veronica G.
Publication year - 2007
Publication title -
research in nursing and health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.836
H-Index - 85
eISSN - 1098-240X
pISSN - 0160-6891
DOI - 10.1002/nur.20192
Subject(s) - psychosocial , coping (psychology) , distress , gerontology , psychological intervention , medicine , psychology , clinical psychology , psychiatry
Older Black men and women ( n = 212) with Type 2 diabetes completed questionnaires. Spearman's rho correlation indicated that confrontive coping strategies supported effective psychosocial adaptation for persons originally from Haiti and Jamaica, while emotive coping strategies were related to ineffective psychosocial adaptation for persons originally from Barbados and to increased psychological distress for all participants. Women used more palliative coping; no gender differences were observed for psychosocial adaptation. Health care orientation, extended family relationships, and psychological distress domains distinguished Blacks born in Haiti from Blacks born in Barbados and Jamaica, the Southern US and Jamaica, and the Southern US, Barbados, and Jamaica. Findings from this study may aid in the development of interventions focused on improving diabetes self‐management for older Blacks. © 2007 Wiley Periodicals, Inc. Res Nurs Health 30: 151–163, 2007