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Title: Self-compassion, metabolic control and health status in individuals with type 2 diabetes: a UK observational study.
Authors: Morrison, A
Zaccardi, F
Chatterjee, S
Brady, E
Doherty, Y
Robertson, N
Hadjiconstantinou, M
Daniels, L
Hall, A
Khunti, K
Davies, M
First Published: 2019
Publisher: Thieme Publishing for Deutsche Diabetesgesellschaft, Deutsche Gesellschaft für Endokrinologie
Citation: Experimental and Clinical Endocrinology and Diabetes, 2019, In Press
Abstract: Aims: Self-compassion is a modifiable characteristic, linked with psychological well being and intrinsic motivation to engage in positive health behaviours. We aimed to explore levels of self-compassion in individuals with type 2 diabetes (T2DM) and their association with levels of depression, diabetes-related distress and glycaemic control. Methods: A cross-sectional study in 176 patients with T2DM in Leicester, UK, using three self-report questionnaires: the Self Compassion Scale (SCS); Patient Health Questionnaire (PHQ-9), and Diabetes Distress Scale (DDS-17). Demographic data, medical history and blood samples were collected. Results: Majority of participants were male (n=120, 68.2%), with median [IQR] age and HbA1 c of 66 [60, 71] years and 7.3 [6.7, 8.0] %, respectively. Multivariable analysis adjusting for age, gender, ethnicity and diabetes duration revealed significant association of all three scores with HbA1 c : per one standard deviation increase of each score, a -0.16% reduction in HbA1 c for SCS (p=0.027), 0.21% increase for PHQ-9 (p=0.012) and 0.33% increase for DDS-17 (p<0.001). Conclusions: Higher levels of self-compassion and lower levels of depressive symptoms were associated with significantly better long-term diabetes control. These results reinforce the importance of emphasis on psychological parameters, including self-compassion, in the multi-disciplinary management of T2DM. We identify this as a potential area for intervention in UK practice.
ISSN: 1439-3646
Links: TBA
Embargo on file until: 1-Jan-10000
Version: Post-print
Status: Peer-reviewed
Type: Journal Article
Rights: Copyright © 2019, Thieme Publishing for Deutsche Diabetesgesellschaft, Deutsche Gesellschaft für Endokrinologie. Deposited with reference to the publisher’s open access archiving policy. (
Description: The file associated with this record is under embargo until 12 months after publication, in accordance with the publisher's self-archiving policy. The full text may be available through the publisher links provided above.
Appears in Collections:Published Articles, Dept. of Neuroscience, Psychology and Behaviour

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