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The Diabetes Educator
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Coping and Psychosocial Adjustment of Women With Diabetes

Deborah F. Willoughby, PhD, RN, CS

School of Nursing; 512 Edwards Hall, Clemson University, Clemson, SC 29634WILLOUD{at}Clemson.EDU

Carolyn C. Kee, PhD, RN

Alice Demi, DNS, RN

School of Nursing, Georgia State University, Atlanta

Veronica Parker, PhD

School of Nursing, Clemson University, Clemson, South Carolina

PURPOSE

The purpose of this study was to investigate relationships between coping styles and psychosocial adjustment for women with diabetes.

METHODS

The sample consisted of 115 community-residing women with diabetes. Coping was measured by the Revised Jalowiec Coping Scale and psychosocial adjustment by the Psychosocial Adjustment to Illness Scale. Pearson's product moment correlation was used to assess relationships between coping and adjustment.

RESULTS

The most frequently and effectively used coping styles were optimistic, confrontive, self-reliant, and supportant. The psychological, social, and health care domains showed the most problems; the fewest were in the extended family, sexual, and vocational domains. Relationships were found between women's coping styles and psychosocial adjustment, with better adjustment associated with effective use of confrontive, supportant, optimistic, self-reliant, and palliative coping styles.

CONCLUSIONS

Important relationships exist between the ways women cope with diabetes and their level of psychosocial adjustment to the illness. Knowledge of these relationships can help diabetes educators assist clients in making lifestyle changes.

The Diabetes Educator, Vol. 26, No. 1, 105-112 (2000)
DOI: 10.1177/014572170002600111
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