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CC BY-NC-ND 4.0 · Journal of Social Health and Diabetes 2020; 8(01): 018-024
DOI: 10.1055/s-0040-1722421
Original Article

The Multigenerational Legacy of Diabetes, Emotional Reactions, and Insulin Adherence

Melissa Scollan-Koliopoulos
1   Division of Primary Care Mental Health, Transformative Health and Behavior Solutions, Ringwood, New Jersey, United States
› Author Affiliations FundingThis project was funded by the Foundation of the University of Medicine and Dentistry of New Jersey.
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Abstract

Purpose The purpose of this study was to estimate the effect of having a multigenerational legacy of diabetes on insulin adherence by measuring memories of family members’ experiences with insulin self-injection.

Methods A cross-sectional correlational design was implemented by surveying hospitalized adults with type 2 diabetes who recently transitioned to using insulin. Surveys included items about the vividness, frequency, and controllability of memories of a family member self-injecting insulin and concordant emotional reaction, and one’s own emotional reaction to a diagnosis of diabetes and insulin regimen adherence.

Results A diverse sample responded to the surveys. Significant associations were revealed between having a recollection of a family member fearing insulin injections and a negative emotional reaction toward one’s own diabetes diagnosis with suboptimal insulin adherence. Suboptimal insulin adherence may be an indication of avoidance-based coping. Inquiry into how a multigenerational legacy of diabetes influences individual coping styles for diabetes self-management will help clinicians identify patients at risk for suboptimal insulin adherence.

Keywords

diabetes - insulin - self-care - coping - illness perceptions - multigenerational legacy of diabetes


Publication History

Article published online:
21 December 2020

© 2020. 2020 Nordisk Education Foundation. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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