Ecological Model of Adaptation with Diabetes type 2: Development and Study of Empiric Fitness
International Journal of Applied Behavioral Sciences,
Vol. 6 No. 2 (2019),
19 June 2019
,
Page 35-51
https://doi.org/10.22037/ijabs.v6i2.26689
Abstract
Introduction: The present study aimed at presenting and testing a model to describe the adaptation
phenomenon among the patients engaged with type 2 diabetes (T2D).
Methods: This is a correlational research design wherein a total of 350 individuals referring to four
special medical centers for diabetes at Tehran (Iran). The research instruments included the
Jackson’s five-factor questionnaire, demographic and social support subscales of diabetes care
profile, cognitive appraisal of diabetes scale, problem areas in diabetes survey, Billings and Moos
coping strategies scale, appraisal of adaptation to diabetes scale, and HbA1C level.
Results: The outputs of the tests on the final model of the research showed that the behavior
activating system, fight, flight and freeze system, global social support, and “Get” social support
impose significant effects on the cognitive appraisal. Moreover, the “Get-Want” and Global Social
support, Fight, Flight and freeze System and the cognitive appraisal affected the adaptive tasks
significantly. The Fight, Flight and freeze System and the adaptive tasks imposed significant effects
on the problem-focused emotional-physical coping. The Problem focused socio-cognitive coping
and the emotional-physical coping affected the initial adaptation significantly. Behavior inhibition
system, all the three components of social support, and Problem focused Socio-cognitive coping
imposed significant effects on the secondary adaptation. And finally, Global social support and
initial adaptation affected the HbA1C significantly. In addition, a number of intermediate effects
were verified.
Conclusion: Upon accessing the model of adaptation to disease for a particular individual, one can
access his/her adaptation profile and evaluate the strengths and weaknesses of his/her adaptation
structure and formulate the required interventions accordingly.
- adaptation
- structural equation modeling
- Ecological model
- type 2 diabetes
How to Cite
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