Volume 23, Issue 1 (Pajouhan Scientific Journal, Winter 2025)
Pajouhan Sci J 2025, 23(1): 42-50 |
Back to browse issues page
Research code: 1402.426
Ethics code: IR.IAU.KHUISF.REC.1402.426
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Ramineh N, Mousavi M S, Asiabi M M. The Relationship between Emotional Maturity and Self-Management in Adolescents with Type 2 Diabetes. Pajouhan Sci J 2025; 23 (1) :42-50
URL: http://psj.umsha.ac.ir/article-1-1128-en.html
URL: http://psj.umsha.ac.ir/article-1-1128-en.html
1- Department of Nursing, Islamic Azad University, Astara Branch, Astara, Gilan, Iran
2- Department of Midwifery and Reproductive Health, Community Health Research Center, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran ,mousavi1315@gmail.com
3- Department of Nursing, Community Health Research Center, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran
2- Department of Midwifery and Reproductive Health, Community Health Research Center, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran ,
3- Department of Nursing, Community Health Research Center, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran
Abstract: (750 Views)
Background and Objectives: Understanding the role of emotional maturity in the self-management ability of adolescents with type 2 diabetes leads to optimal health management and improved quality of life. The present study aimed to determine the relationship between emotional maturity and self-management among adolescents with type 2 diabetes.
Materials and Methods: In this descriptive-correlational study, 130 adolescents with type 2 diabetes were recruited from Tehran Diabetes Clinic through simple random sampling. The required data were collected using a demographic characteristic form, the Emotional Maturity Scale (Yashvir Singh and Bhargava), and the Diabetes Self-Management Questionnaire (Schmitt). Data analysis was performed using Pearson’s correlation, independent t-tests, Kruskal-Wallis tests, and multiple regression analysis via SPSS software (version 26).
Results: There was a direct and significant correlation between emotional maturity and diabetes self-management among adolescents with type 2 diabetes (P<0.001, r=0.361). The dimensions of emotional maturity, including emotional instability, emotional regression, and personality disintegration, were significantly associated with self-management (P<0.001). Male adolescents gained higher scores in diabetes self-management, compared to females (P=0.015), and there was an inverse and significant relationship between age and diabetes self-management (P=0.005). The multiple regression model showed that emotional maturity, gender, and age explained 24% of the variance in diabetes self-management (P<0.001).
Conclusion: Emotional maturity, gender, and age are important in improving the self-management of adolescents with type 2 diabetes. Intervention and educational programs aimed at promoting the emotional maturity of adolescents, especially females, should be designed and implemented to improve their diabetes self-management and quality of life.
Materials and Methods: In this descriptive-correlational study, 130 adolescents with type 2 diabetes were recruited from Tehran Diabetes Clinic through simple random sampling. The required data were collected using a demographic characteristic form, the Emotional Maturity Scale (Yashvir Singh and Bhargava), and the Diabetes Self-Management Questionnaire (Schmitt). Data analysis was performed using Pearson’s correlation, independent t-tests, Kruskal-Wallis tests, and multiple regression analysis via SPSS software (version 26).
Results: There was a direct and significant correlation between emotional maturity and diabetes self-management among adolescents with type 2 diabetes (P<0.001, r=0.361). The dimensions of emotional maturity, including emotional instability, emotional regression, and personality disintegration, were significantly associated with self-management (P<0.001). Male adolescents gained higher scores in diabetes self-management, compared to females (P=0.015), and there was an inverse and significant relationship between age and diabetes self-management (P=0.005). The multiple regression model showed that emotional maturity, gender, and age explained 24% of the variance in diabetes self-management (P<0.001).
Conclusion: Emotional maturity, gender, and age are important in improving the self-management of adolescents with type 2 diabetes. Intervention and educational programs aimed at promoting the emotional maturity of adolescents, especially females, should be designed and implemented to improve their diabetes self-management and quality of life.
Type of Study: Research Article |
Subject:
Medicine & Clinical Sciences
Received: 2024/10/29 | Accepted: 2025/01/13 | Published: 2025/07/20
Received: 2024/10/29 | Accepted: 2025/01/13 | Published: 2025/07/20
References
1. IDF. IDF Diabetes Atlas, 9th ed. Int Diabetes Federation. 2019.
2. Stirban AO, Andjelkovic M, Heise T, Nosek L, Fischer A, Gastaldelli A, et al. Aleglitazar, a dual peroxisome proliferator-activated receptor-α/γ agonist, improves insulin sensitivity, glucose control and lipid levels in people with type 2 diabetes: findings from a randomized, double-blind trial. Diabetes Obes Metab. 2016;18(7):711-715. [DOI:10.1111/dom.12620] [PMID]
3. Kropff J, Del Favero S, Place J, Toffanin C, Visentin R, Monaro M, et al. 2 month evening and night closed-loop glucose control in patients with type 1 diabetes under free-living conditions: a randomised crossover trial. Lancet Diabetes Endocrinol. 2015;3(12):939-47. [DOI:10.1016/S2213-8587(15)00335-6] [PMID]
4. Moeini F, Mohammadi Shirmahaleh F, Tajeri B, Shirafkan A, Jianbagheri M. Effectiveness of trans theoretical model on diabetes self-management and HbA1C level in men and women with type 2 diabetes. J Appl Fam Ther. 2022;3(3):102-15. [DOI:10.61838/kman.aftj.3.3.7]
5. Foretz M, Guigas B, Viollet B. Understanding the glucoregulatory mechanisms of metformin in type 2 diabetes mellitus. Nat Rev Endocrinol. 2019;15(10):569-589. [DOI:10.1038/s41574-019-0242-2] [PMID]
6. Carpenter R, DiChiacchio T, Barker K. Interventions for self-management of type 2 diabetes: an integrative review. Int J Nurs Sci. 2019;6(1):70-91. [DOI:10.1016/j.ijnss.2018.12.002] [PMID]
7. Rafeedali E. Influence of self-concept and emotional maturity on leadership behavior of secondary schools heads in Kerala, India. Europ J Educ Studies. 2017: 3(1), 295-311. [DOI:10.5958/2348-7534.2018.00007.7]
8. Sharifmusavi f. The relationship between executive functions with family cohesion, positive youth development and emotional maturity among adolescence: the mediating role of emotional regulation. CPJ. 2022;10(2):101-118.
9. Odgers-Jewell K, Ball LE, Kelly JT, Isenring EA, Reidlinger DP, Thomas R. Effectiveness of group‐based self‐management education for individuals with type 2 diabetes: a systematic review with meta‐analyses and meta‐regression. Diabet Med. 2017: 34(8), 1027-1039. [DOI:10.1111/dme.13340] [PMID]
10. Lin K, Park C, Li M, Wang X, Li X, Li W, et al. Effects of depression, diabetes distress, diabetes self-efficacy, and diabetes self-management on glycemic control among Chinese population with type 2 diabetes mellitus. Diabetes Res Clin Pract. 2017;131:179-186. [DOI:10.1016/j.diabres.2017.03.013] [PMID]
11. Alaee Karahroudy F, Mahammadi Shahbalaghi F, Hoseiny MA, Rassouli M. Experiences of self-management of type I diabetes inadolescents: a phenomenological study. Iran J Endocrinol Metabolism. 2016;17(6):425-434.
12. Berk LE. Development through the lifespan (7th ed). Sage Publications; 2022.
13. Mashhadi R, Arab A, Jenaabadi H. Comparing the impact of positive intervention and mindfulness-based cognitive therapy intervention on the emotional maturity. Res Cognitive Behav Sci. 2022;12(1):17-38.
14. Joshi K, Patil S, Gupta S, Khanna R. Role of pranayma in emotional maturity for improving health J Med Pharmaceutical Allied Sci. 2023;11(2):4569 -4573. [DOI:10.55522/jmpas.V11I2.2033]
15. Kollin SR, Gratz KL, Lee AA. The role of emotion dysregulation in self-management behaviors among adults with type 2 diabetes. J Behav Med. 2024;47(4):672-681. [DOI:10.1007/s10865-024-00483-5] [PMID]
16. Singh PY, Bhargava M. Emotional maturity scale. Agra: National Psychological Corporation. Sinha; 1990.
17. Schmitt A, Gahr A, Hermanns N, Kulzer B, Huber J, Haak T. The diabetes self-management questionnaire (DSMQ): development and evaluation of an instrument to assess diabetes self-care activities associated with glycaemic control. Health Qual Life Outcomes. 2013;11:138. [DOI:10.1186/1477-7525-11-138] [PMID]
18. Gharedaghi E, Mombeinikesheh F. Comparison of self concept clarity, role gender and emotional maturity in children with and without experience of divorce in parents. Culture Counseling. 2020;11(42):231-260.
19. Hosseinzadegan F, Azimzadeh R, Parizad N, Esmaeili R, Alinejad V, Hemmati Maslakpak M. Psychometric evaluation of the diabetes self-management questionnaire-revised (DSMQ-R) in patients with diabetes. Nurs Midwifery J. 2021;19(2):109-118.
20. Gonzalez JS, Krause-Steinrauf H, Bebu I, Crespo-Ramos G, Hoogendoorn CJ, Naik AD, et al. Emotional distress, self-management, and glycemic control among participants enrolled in the glycemia reduction approaches in diabetes: a comparative effectiveness (GRADE) study. Diabetes Res Clin Pract. 2023;196:110229. [DOI:10.1016/j.diabres.2022.110229] [PMID]
21. Adu MD, Malabu UH, Malau-Aduli AE, Malau-Aduli BS. Enablers and barriers to effective diabetes self-management: A multi-national investigation. PloS One. 2019;14(6):e0217771. [DOI:10.1371/journal.pone.0217771] [PMID]
22. Captieux M, Pearce G, Parke HL, Epiphaniou E, Wild S, Taylor SJC, et al. Supported self-management for people with type 2 diabetes: a meta-review of quantitative systematic reviews. BMJ Open. 2018;8(12):e024262. [DOI:10.1136/bmjopen-2018-024262] [PMID]
23. Parviniannasab AM, Faramarzian Z, Hosseini SA, Hamidizadeh S, Bijani M. The effect of social support, diabetes management self-efficacy, and diabetes distress on resilience among patients with type 2 diabetes: a moderated mediation analysis. BMC Public Health. 2024;24(1):477. [DOI:10.1186/s12889-024-18022-x] [PMID]
24. van Smoorenburg AN, Hertroijs DFL, Dekkers T, Elissen AMJ, Melles M. Patients' perspective on self-management: type 2 diabetes in daily life. BMC Health Serv Res. 2019;19(1):605. [DOI:10.1186/s12913-019-4384-7] [PMID]
25. Rothman RL, Mulvaney S, Elasy TA, VanderWoude A, Gebretsadik T, Shintani A, et al. Self-management behaviors, racial disparities, and glycemic control among adolescents with type 2 diabetes. Pediatrics. 2008;121(4):e912-e919. [DOI:10.1542/peds.2007-1484] [PMID]
26. Jaser SS, Faulkner MS, Whittemore R, Jeon S, Murphy K, Delamater A, et al. Coping, Self-Management, and Adaptation in Adolescents with Type 1 Diabetes. Ann Behav Med. 2012;43(3):311-319. [DOI:10.1007/s12160-012-9343-z] [PMID]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
Articles Copyright © The Author(s).
Owned by Hamadan University of Medical Sciences.
Published by UMSHA Press
Journal Tel: +98 81 38380090
Publisher Tel: +98 81 38382022
Website: https://psj.umsha.ac.ir/
Email: psj@umsha.ac.ir
