Ralph H. Johnson VA Medical Center|Medical University of South Carolina|Vanderbilt University
purpose mechanism depression influences health outcomes persons diabetes uncertain purpose study test whether depression related selfcare behavior via social motivation indirectly related glycemic control via selfcare behavior methods patients diabetes recruited outpatient clinic information gathered pertained demographics depression diabetes knowledge information diabetes fatalism personal motivation social support social motivation diabetes selfcare behavior hemoglobin a1c values extracted patient medical record structural equation models tested predicted pathways results higher levels depressive symptoms significantly related less social support decreased performance diabetes selfcare behavior addition depressive symptoms included model fatalistic attitudes longer associated behavioral performance conclusions among adults diabetes depression impedes adoption effective selfmanagement behaviors including physical activity appropriate dietary behavior foot care appropriate selfmonitoring blood glucose behavior decrease social motivation