Psychological Well-Being of Patients with Type 2 Diabetes: The Role of Psychological Hardiness, Sense of Cohesion, and Coping Strategies

Patients with type 2 diabetes had low levels of associated psychological well-being, which may exacerbate their symptoms. The purpose of this study was to determine the relationship between psychological hardiness, sense of cohesion, and coping strategies with psychological well-being in patients with type 2diabetes.

In this descriptive-correlational study, 120 patients with type 2 diabetic who referred to the diabetes clinic of Imam Khomeini Hospital in Ardabil in the first half of 2019 were selected as the target sample and evaluated. Data collection tools consisted of Psychological Well-being Scale (Ryff, 1989), Hardiness (Kobasa, 1979), 13-item Cohesion Sense Questionnaire (Antonovsky, 1987), and Coping Strategies (Lazarus & Folkman, 1985). Data analysis was performed using Pearson correlation coefficient and regression analysis.

There were a positive and significant relationship between the psychological well-being of patients with type 2 diabetes with psychological hardiness (β=0/36: p<0/001), sense of cohesion (β=0/53: p<0/003), and problem-based coping strategy (β=0/12: p<0/03), and negative and significant relationship with emotion-based coping strategy (β=-0/43: p<0/001). Psychological hardiness, sense of cohesion, and coping strategies predicted 76% of the variance in psychological well-Being scores of patients with type 2 diabetes (p<0/01).

According to the findings, psychological hardiness, sense of cohesion, and coping strategies are associated with the psychological well-being of patients with type 2 diabetes and can explain one's attitude toward illness. Therefore, educating patients to empower them in these areas is recommended.