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An evaluation of the relationship between stress, depression, and glycemic control in low-income patients with type 2 di...

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Material Information

Title:
An evaluation of the relationship between stress, depression, and glycemic control in low-income patients with type 2 diabetes
Physical Description:
Book
Language:
English
Creator:
Wells, Kristen Jennifer
Publisher:
University of South Florida
Place of Publication:
Tampa, Fla
Publication Date:

Subjects

Subjects / Keywords:
Income
Education
Ethnicity
Perceptions of control
Blood glucose
Dissertations, Academic -- Psychology -- Doctoral -- USF
Genre:
bibliography   ( marcgt )
theses   ( marcgt )
non-fiction   ( marcgt )

Notes

Abstract:
ABSTRACT: People in low socioeconomic status groups are at increased risk for diabetes mellitus, a group of diseases associated with high levels of blood glucose. High rates of depression have been found in people with diabetes. The study examined the relationship between stress, depression, and glycemic control in low-income type 2 diabetes patients. Participants were recruited at two community health centers that provide free medical care. The following hypotheses were examined: (1) experiencing stressful life events is positively correlated with blood glucose level; (2) negative stressful events have a greater association with glucose level than positive stressful events; (3) depression mediates the relationship between negative stressful events and glucose level (mediation model); (4) the effect of experiencing both negative stressful events and depression is predictive of glucose level (additive model); (5) the interaction between negative stressful events and depression is ^predictive of glucose level (interactive model); and (6) perceptions of control moderates the relationship between stress and depression.Stressful life events and depression were not related to blood glucose levels in bivariate correlations. The data did not support any of the three models of the relationship between stress, depression, and glycemic control. The strongest predictor of glycemic control was Hispanic ethnicity, however, income and education appear to confound this relationship.Depression was positively correlated with the total number of stressful events and negative stressful events and negatively correlated with perceptions of control. Participants in the study with less than a high school education had the highest amount of depression. In post-hoc analyses, four variables (education, perceptions of control, stressful life events, blood glucose) predicted 58% of the variance in depression, and education and perceptions of control were the strongest predictors. Per ceptions of control was a significant partial mediator of the relationship between education and depression and also partially mediated the relationship between stress and depression.The results of the study indicate that decreasing stressful life events and increasing perceptions of control is important in reducing low-income diabetes patients' level of depression.
Thesis:
Dissertation (Ph.D.)--University of South Florida, 2006.
Bibliography:
Includes bibliographical references.
System Details:
System requirements: World Wide Web browser and PDF reader.
System Details:
Mode of access: World Wide Web.
Statement of Responsibility:
by Kristen Jennifer Wells.
General Note:
Title from PDF of title page.
General Note:
Document formatted into pages; contains 142 pages.
General Note:
Includes vita.

Record Information

Source Institution:
University of South Florida Library
Holding Location:
University of South Florida
Rights Management:
All applicable rights reserved by the source institution and holding location.
Resource Identifier:
aleph - 001796934
oclc - 156993054
usfldc doi - E14-SFE0001629
usfldc handle - e14.1629
System ID:
SFS0025947:00001


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66 rrrrn#r nrnn$n nnn nnrnrnnnn nn rrnnrn rn$n n/"rnnnnr nnnrrn)r rnrn)rr)n rr n/ nnnrn) )nr nnrnrn$ nnD n$8nnE nDnn/#553E/ nnrnr nrrrn rnrnnr $nnnn )nnnnn 8nn rnD/#55@F I,r#55?E/"rn8 n8n)n r9nn n/ 9rn nn nrnrn$n n/ "rnrrnn)rr $ %D3BA6E/"rn$n n)nnnnn) rnnnrn nDYR/#6 R /55#E/, nrDYR/CC S /553E/+n) nr, D"$BE/"rnn nnrn$ nr nr)n

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64 (nDYR/36 S/5#E/$D3BA#Ennrr nn n)nnD1R#/35 R/5@F!rI0#55@E/ rnnnn rrn nrnrn$ nnrnr $n$r"n, n)D1I +83BA@F'11I#55#E/! nrnnr nnrnrn$ nnrn DrIrn#553Ennn rnD 1I#55?E/ )r nrr9nn) nH n8n) nr9nn n/r nrn9rn nr nrn$n/ "rnrrnn)rr $ %D3BA6E/n n)nnnn DYR/@? S/553E/,n)nn )n nrDYR/CC S/553E/+n) n,D"$35E/"r nnnn rn$n r, nr)n( nDYR/?# S/553E/"r$ D3BA#Ennrrnn n)nnD1R#/?A R/5#F !rI0#55@E/

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6A r@>nn rn "r9nrnrn$ n )nnnnnr# n$/"rr nrnrn$ n$)> nnnnn n/ nnr 9nrrnr nrn$ n/ "rn)rr9n.D3E9n n)n nnnnr)F D#E)nr )nnnr)rnn FD?En nrnrn$)n )Dnn EFD@Er9nn)$r)n nn nn)DnnEFDCE rnn$)n nnnn) DnnEFD6E nrnrn$ n/ "rnn)n)r nr nrnn)n/"r nn9nn) n)r$rn 9n/;) nnrn)r n)r-n nnH0$39)nn /r

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6B 9nn )n$nn n/"rnr rrnrn$ n)Dnn nnnnE/"r) n$)0nnrnn rnn rnnrn/ 9n$nnnn nnrr $n)n n/ rnn nr 9nn)r$rn/! nnnrr rrn)rrnrn rnnnrrn)rr nnr)nn /r rrn1nn rnrn$ nn/ rn$Dn n n0$3EnCAGrnn nnrn nn)r)n/!n nn)nn rnrn$nn/ 0n n)nnnnrnrn$ nn/ !nnnr nrn$ n/ nrrn nnrrr nnr 0$3nrnnr nrnrrr

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45 /"rnn$nn r0$3$ nnn$nnr nn$ Dnn$nn#556E/"rn8 0$3nr nn))nrrnnn nrnn/0 rn(nrr n$nnn) r&rnn0rnnrnn nn)nnnnr / nnn)n nrnnr n)rrnr r9/"rnn $nn$n nnrn)/; rrnrn9 n)nrr n/"rrnrr r0$3nrnn $$rnnn )n nn/!nnrnr0$ 3nrnn n)r$rn nrn)r n)n8 8)nr/;rrr rnnn n8n n$r0$3 D/#553F/ #55@FrnOr)I,3BBAE/ rrn$nn n0$3nnr n)n nn 9n n)r$rnn/ "rnrn$$)0nn rnnnr nnnrrr nr*nn)

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43 nr#n$rnrr,9nn nn 9n)nr rrn n)D0nn+) I$r3BBBE/nn rn#n$nrr 0nnn9n )nrn D+nr/#553E/ r $rnn rnrn$ 0nnrnn0$3r)rr nnHn )/"rnrn$0$3 0nnrnnnr nr nrnn rnrr0nnnnrnn )nr nnn$rnn) nrn nnnnDn+n) !rnn"nn8I&n#55CE/"r n/D#55CEnn )rn0nn nnnrnr /"rn nnnn/ 0nnn8n)rrnr*n $nr r$nn)(n$ rrn$nnrr r8D'nn 8O8In3BB4E/0nn nr8n)n$n9n ))$n nDnrn)n nn)rnn$nr rrn$nn)n) nnF/#55@F nnI,r#553E/0n nnr8 )nr$nnr( n$n

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4# rr/ rnn r8n)nr rrn)nnrn)rn D R#@/# R3#/CEr )nr8J R3B/C R3#/CFD3#4ER#/36 R/5??K/ +rrnrn 0nnnr nrn)nr8n) nrr nnn)nnnn nr/ nn$ rrr8$n 0nnn/ "rnn)r9n nnr0$3 nnnrr$n$r nr D n/3BBAE$n$rnn rn)rnrn $n$)n #n$n/n$ nr$Hn $rnrn)nr)n r$rnnn 8nD$I %#55CEnnr)nr rr$$r)n rr$rnrr)nn DnrI'n)#55CE/ "r$r r8$nrn $9)n nr/; 9n$rrn nrn$rn$/ nrnnnrn #n$nn )nnr n0$3 D'n/3BA6E/ n)nnn nnr#n$nr#n$ nrrnr$ nrnrnn $rnn$

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4? nn0$3nr)D!n$n8 ;8n/3BB?E/r $r3#n$n rnr(8n%$ &n)nnnn$) rr(8D n/ 3BBAE/nrnn)rn nnnrn) r/"rrn $'n/D3BA6E !n$n8;8n/D3BB?En n)r)n $r$rr(8n r n/D3BBAE/"r 9n$r(8n nDrrr n$Er$nn nn/+rr r(8rnrnn nnr)rr)n nrr)nnn)n n/"rn rnr) n)n n$$rrrn)nn rnnr)n rn)/ nnn)r $r)rn nnrnrn $n)n n)nn/)nn nnnr )n))n / rr8 nrn$ n0$3rn$ rnnrn n0$3nn rn nn)0$3/!nnrn r0$3nrnn n)r$rn n

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4@ rn)rn) n88)nr/ "rr9nnnnr 0$3rnr) 0$3nr n$ 0$3/ rrnrn$ 9 $)r$$ n$nn n0$3/n r2n)r$rn 9n nnn)nn $rrn n$nnrn/"rnn 8rrrnrn rnnn+n>nn$ n/0n$rr D/#553Er $rr$ $)n rnnn+n >nnnr nn)nn nn/ nnr)nn nrnr

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4C nn8rnnn $n)nnnr )n/+rrnnn+n >n$-n nn8 rrrr9n rrrnn )n/nr nrn$nr nnnnnr r$n n)rnrn$$ )/ 0$3$nr)rn/0 r 0$3nrn8n1n/ nn0$3 nnrnnB5 $B5r rnnn / nn0$3 $nrnrrnnr nr$nn)n) $/ rrrr$ nrn$9 n$)$r 9nn)nn) n$rrn nnr/ 1n r "rrnnr9n 6?Gnr 36rrnrn nnnnn)nn nD21/#55#F3B44E/"rn nnnrn)r rnnn $nn$n $D/#553E rn)rrrnrr rnnn$ nDn3BB6F+nr#553E/

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46 "rnnr nn n,9nnn)rnrCBG nnr36 )rD0#555E/"rr nnn nn$n$rn) rrnrnnnrn nrrrrn) nn nD/#55?E/ ;nn)nn)nrr nn$ )/r)rrn)r nD R##/B R3#/3E rD R#5/4 R3?/5Ernnnn) nn/"rn8 )nnnn $n$nrr Dn!rnnn#555F208 #55#E/$ r$r)nn nnn)$n)n nnn$n)n nnnnn nnnnnnn nrn)nn Dn!rnnnn#555 F208#55#E/; r8)nn nnr$ rrn)r9n$ nn/ nn)nnn)r nr $nnn$Dnn n 0$3EnCAGrnnn nrnn nn)r)n/" rnnr)n nnnn)rn )rnnn$Dn 3BB6F+nr/#553E/0nrn)n nnrrr)n

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44 nn 9nn)nn nnnr)rnn$D n0nnrnnE /n2%r 9$rnrD /3BACF%3BB4F ,13BBAEnn)nnn nrr$ n)nn$nn n/"rr nnr$n$+nr /D#553En n0nnn#n$n /'rn) )rnn$nn$ +nr/D#553Er nnn)nnn n$rn $r0nnnnn nD$r S/553E/0 rnnnnrn)r nn n0nnnn$n rnrn rn)n/"r nnr+nr /D#553E$nnn nn -nn/"rr nn n$nnrn n8n)# n$D/#55?E/"r /D#55?Er nnD8rrn nHn nnE nnnr n$r/"r rnrn$ nnr nrnnnr

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4A nn#n$n$ nn8#n$ D/#55?F+nr/#553E/ rr 0n)rrnn$nrnn nn$r nr)nrrrr/! nnnrr rrn)rrnr nrnnnr rn)rrnnr)n n/"rnrnrn nnrnn $nn$ n/nr$$ nnnn$n D+nr/#553En$nr nnD/#55?Fnn /#553E/nrrnr r9n nnr0$3n $nnn/ nn) n))nn rn)rnrnn) nn n/"rnn)rn nnr0$3n $nnnnn))nr nnnnn)r nnnr)n nr n1D/#555E/nr nnnrnn rnnrn)rn nnr)n D/#55CE/ $rnnn)nn) n/;n$nn rrnrn$0$3 nnrnn/

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4B 9nnrnnnnnn rnr nDn3BB6Fn)! I2r3BA6F,n8 ,n8,n%nIn3BB4F!) 3BB?F!n$n8;8n/ 3BB?F$n+I3BAAEn nn)nnnrn $n0$3n#n$ n/r nr$nnrnn nnn$0$3 nD+nr/#553E/"r8 nrn(n nrn rr8 n Dn3BB6+nr/# 553F/#555E/ nnrnnrn 0$3n3 n$n$#n$n DI88n#556E/ nnr8nn$ n$ )nnn$ n$rnn rnn0$3 nnrn nn)0$3/;) nn rn)rn/ nnnn rnr0$3nrn nrn)rn /"rr9n nnnr)n rnr) nrn$ n0$3/ rr8nrn$ n0$3 r$nnrrn$nnnn rn )n/"r n$n $nrn$nnnnnn rnrn)

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A5 rn/ rrn nr( rrrnn rn)rnnr rnrr$n nnnnr$ n/nn 0$3$nr nnHnn 1nrr $nr$rrn / rrrrn !nnn)nn rnrn$ n$n n/ rnn) rrnrn rn$n nnnrrn)rr )rn)r rnr n/nn nnrrn)rr) rrrn)rr nrrrn)rn/! nnrr )rnnnn rnn/ !n$n)nn nnr nrn$nn/"r rnn$8 nrn)rn n9n$r n$nn/nn nrn))n rnn rnrn$ nnDn$8n nEn Dnn/#553E/nrn nrn nnn/!nr nr

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A3 rrnrnrn nr$nnn n)n nnnn8 nnrnD /#55@FI,r#55?E/ "rn8n/ nnnn rnrn $nn/"r nn)rn nnrnrn$ nnn nnrr"n, n)D1I+8 3BA@F'11I#55#Enn $ rrnD#553Enrn $1 D#55?Ennnr n/rrnD#553E r$n nnr nrn$9nn)n r nnrn/"r $1 D#55?Er)n1n nnrnrn $9nn)n nnn rn/"rnnn)r nn nrnrn$n nnn rnn)nD3BB6Er nn rnrn$rnn$n nnrn)r $r3#n$n rnrnn/"r rnD3BB6Enn nn )nrrn Dnn)n

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A# nn)n Enn$ n$DnE/ 0nnr rrn$nrn) nnrn D3BB6Ennn) nnnn/ "rrnrrnn rnn nnn)n$nrnn nn) nnn/"r$n$ rnnn)/ 0rnrrr 9rMrn)rn nrrn)rn nr r)rnnND$/#55#/#6 BE/rn)r)r 8$n/!n rnn rrrnrnr nnr$nnn n)n nnn rnDI,r#55?E/! nrnnr rrnrn)nn nn rnrnrrnn /"rnnr nr/+r nrnnr 9nrn)rn nrrr nrrnrnrDI, r#55?Ernrrn n/"rn8n n8n) nr9nn n/nn8 nn$r9 nnn D/)/nn)))E/ nnnrn

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A? nnrrr n)r nn)rnnrr8 rnn/"rr9n 9nn)rn) nnnnrH rnrnn n/ &%r "rrnnnrn n$n9n rn)rn/nr$ $n8$nn nn)nnrn nD,I 23BBAF'n
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A@ nn))nnn$nD n'n8I$08r #55@Fnnr+%nI 3BBAE/"n1 nn)rr)n nn nrn$rrn nr)n 0$3nDI#55CF +nnrI #555F/3BB4E/"rn$ nrn1$ $n$nrr nn)r8 n)rnnnnn $n) nn)$)D /3BB4E/r)r nrnnnnrnn 0$3nnn1 nnr r nn)n$/ n1$$n$n rnn)r 8n)9n $n)n n)$)nnnrn r3#n$D +nnrI#555E/nn rnnnn rn1n9n9n n)nnn n/ nnr0$3 nnnr 9nn)r8$rn $r) n)nnn)nnD+n nrI#555E/ "r-nnnrr$ n) n$nnrrrnrr $rr rr/"rrn)rnnr nnrr nn$n$nn) rr)nrnn

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AC nrr/n rnnnnn rrn(r)n rrn Dnr#55CE/nn$n( n(n$ D/#553F /#55@E/!r)n$n rrnnn #n$nr8 $nnn)nr rnnH nnn rrn 9nrn)rn/ )nn$rnrr r)n)nr)rn n) nrrnrnnn nHn nnD3BA 6E/ 2r "rnn$rn$ n)rrn )nnnn n$n/ "rn$r)nrnr8n )nn rr/;rn)r rnrnr >n#n$n/"rn nnn$ rnnn)nn rrn ))$nrrn)r) nnnrr n/r)rrr nrn .nrnn n/ nnr 9nn$rn rnrn$ n$nnn #n$nrnrr

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A6 $nn/"r rnnn)r nnnr nrn$9 $nn nnrn n)nnn$n nnn$r nrn$n nnn n#n$n/ "r$nnnrn/" rnr nn$nnn)r rnrr n"+n/"rnn rnnn rn/!r )r3Ar 458))rr)nrnr rr6r) n9/"rrrn )n1r nn)/"r nn)rnr nnn)n / nnr r)nrn rrnrr$ (nnn)Dn E rr rn/;r D9n/ nn nnnnrnrnnr $nnr nnn/"rn #n$$n nnn/"#n$ nn3#5DA?GEnn

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A4 n)n/"rnnn$r n)n#n$ nrr#Cnnrn n$/ nn)n n$43nn nnrnn))n rrn)rn )n8 8)nr/r $nnnn$nn nnn))n D43nrACn( Ennr nnrnn r)nnn)/ "rnnnrnr8) nrnr )nn$/+rr nn$n)n rn8nn 8nr 6)n nn1/ rr "rr$nr nnn )n1rn/+ rnrnn) rn$n))nn nnrnr n)0$3n$/ nnrr n$n)nn 8n/0n)r n1$n)nn r$nn)nn $rrn)n8n)nr $rnn9n rn/+r)nn rnnn nrrr9nrn nnnn)n /$rn rnrn$

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AA nnr$ nnnr n$nrrrr nrr$rnn) nn/+rr n)nr $rn9nnn r/nn n)nnr $nn nn/+rrrn n)rn$rn$ nnnn)nnn nnr))$n/ rnr "r9n$rnrn$ n )nnnnnr# n$/r 9nn )nn $nnn/0nnrnn $r)n )nrnn rnnrn/ n8n 8nn nnn nrnrn$ nn$ nn/"r nn)rnnnnnn rrr nn$nnrn/ nn nnnn rrn9nn)rn) rn rn$rn)rn8n/ n nn$nrnn) nn) /+rrr )n nnn#n$n/

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AB "$3rrnn2$!) DR3@CE +BA64/6, @4?#/@ ,nDR3@@En4@C3/@n?3#3/Cn)n3433/A3?B/5'nAC/6))35/4rnnDR3@?E0nnnn46C?/3n'rn?###/@nn8#B#5/?,nnC?/C2nn35/4DR3@?E2ACCB/@CA@5/6

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B5 "$3DnEr rnn2$!) "rn)DR3@@E 04?C5/4@4?#/6,$nr#53?/Bnn@#/A0rnDR3?AErC??A/@;rC3?4/5nnrnn#B#3/5;r C?/6 nDR3@?Er4@/B,nr3C35/C0n)rrD)Br)r33E3B3?/?0n)rr)Q@3#A/4"rnnr3633/#;r)#B#5/?))354/5nrC?/C;r 35/4

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B3 "$3DnErrnn2$!) ))8rDR3@CE )nr64@6/#nr6#@#/Arnr)nr3C35/?;r 35/4 n$DR33CE 2n$nnB4/A !n$)4@6@/?!n$nn3@3#/#!n$$rnn) 3A3C/4

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B# "$#3%r%n
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B? "$? %rnr"/n 2 /3C/??[[[/3C/?#[[[/C5[[[ ,/CC[[[/#3[/5#/#?[[/5#/540$3/3C/5#/5@/5@/5C/56/5@ 4 S/5C [[ S/53 [[[ S/553 Rnn)nnn "R2$nnn+ n>n !nnR!nnnnn+ n>n 2)nR2)nnnn+ n>n 92n)r$rn ,R!n,

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B@ "$@ nn rn" nn% r !nn$ r)n # ( /@3 /?#@/AAS/553 ,/@B4/@5S/553* 5 ,nn/533 /?A/AB #)n.2R3@@,n#R5/@3+D?3@5ER?#/@3 S/553

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BC "$C"nn rn"r nn%'#( r!nn$ rrn)rrn/?A@/6@S/553 /?C@/?#S/5530$3/3B#/??/5#?,/?A@/C6S/553 2R43,n#R5/CA+D@66ER##/B6 S/553

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B6 "$6 'n r r" r rnr n %n!nn$ r)n # ( /5AB rrn)rrn/#@#/AC/55C rnn/3?3/C4/3#5 /?BB rrn)rrn/3B#/AC/55C rnn/3C#/?6/5#5n/?6C/CBS/553,/@C6/B?S/553 3.2R3?6,n#R5/5B+D#3??ER6/@4 R/55# #.2R3?6,n#R5/@B+D@3?3ER?3/#? S/553

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B4 "$4 'n r r" r rnr n %n!nn$ r)n # ( /553 rrn)rrn/###/C4/533 0nnrnn/363/AC/566 /?AC rrn)rrn/36#/@5/53A 0nnrnn/34#/CA/533n/?CC/CCS/553,/@C6/B6S/553 3.2R3@@,n#R5/5B+D#3@3ER6/BC R/553 #.2R3@@,n#R5/@A+D@3?BER?3/@3 S/553

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BA "$A nn rn"r r" r r!nn$ r) n# ( /?? rrn)rrn/36#/?C/5#5 ,/C?4/C?/555* /5# ,nnn/45/3/A4/5 6@ #.2R3@C,n#R5/?C+D?3@3ER#C/#C S/553

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BB "$B nn rn"r r !nn$ rrn)rrn/36#/?C/5# ,/C?4/C?S/553 2R3@C,n#R5/??+D#3@#ER?C/C3 S/553

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355 "$35 nn rn"nn% r !nn$ n/?#@/AAS/553 ,/@B4/@5S/553 2R3@@,n#R5/@3+D#3@3ER@A/BC S/553

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353 +n)3/!n)n nrnrn $)n0$3 2)n n 0$3

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35# +n)#/!n)rnn )nn nn)0$3/ 2)n 0$3 n

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35? +n)?/!rnn$ nnn) 0$3 \n n 0$3

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35@ $/=///08n//0 /&/,//In$$/ /D#55#E/)nn$nnn ) r$n)n9/ /0/n$I// 0D/E 'rr5r r D/#6A#B@E/2=8."rn!/ 2//'/"/r,//+8 /I//D3BB?E/ nnn(nnnrr.2 n/ 6##*.7 ?3@5?3@C/ n8//I'//D3BB3E/ nn r8 r) "r;8.)!$nn/ nn$nn/D#55?E/ nn r*n%n) nn$/ *. #A?#/ nn$nn/D#556E/ nnn$>#556/ *7 @@#/ n!rnnnn/D#555E/ rnnrn r)rr1%r) 'rn).n!rnn nn/ /&/+%////I !/&/D#553E/"r $nnnnrn$. n/ *, 356B354A/

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35C 8/n!//I&r2/&/D3BBBE/ nrnrn nnnrn.rn )nnn/ rn9,7 3?4?3?A@/ n/&/D3BB6E/,nnn nrn$/ nn: #A@#/ nn//)/,r,/&/rnn &//I/,/D#553E/ !nnnnn $rn rr/ rn9-* 36633646/ /D3BA6E/ rnrrrr r8rn r % r) )n2&.!n0/ /,/I%//D3BA6E/"rn n$nnnn nr)nr.) nnn nn/ 6rnrrnrnrnr -( 334?33A#/ //r+/%/'nn
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356 -P!/0/I/D3BBBE/0 rnnn n#n$n/ (. ?4??A?/ 8//D3BBBE/ rr$ nnr$nnn n$n,9nn/ ** C66@/ n;//D3B4@$E/"r Hn/ n rA#nrn!r)n nn2;nn/ /+///!n&/'n$) ,/))/rn,/+// D#55@E/nnnnrr) nrn$ n.8nr n/ rnr %"*. 6?44/ /'/I0n"/;/D3BABE/ 2%nn) 2=8.n !/ n/)%/,n"//"/ n) /'/0n)0// D#55?E/ nn., n$rnn rC0"")/ +<( ?A6?AB/ n!n/D#55?E / :rn8 nrrrnr 3 *<<<) n,#@#55? 8==""")) r%===)

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354 n!n/D#55@E/ :rn8 nrrrnr 3*<<+) %r) .*//0r0 n n!n/ n!n/D#556E/ &$r&18#r &r#n) n#556 r.QQ//)QrQQ$nQ], Q$ ]], /r^ rn2/&&/rn,/&/I+ &/0/D3BBAE/nn )nn$nnnnnr n$.rnn) r'rnrr'0;nn nn n$/ 6+(. 35535C/ rn,/0/Or)&/\/I,%/D3BBAE/ n$nrnn ,nn.,$nn(n nn1n/ *( 35B535BC/ r%/Irn /D#553E/n n.n n U &rn6rnr # '%nr-* 3CC343/ nr8n!//%'/&/I&//D#55 5E/nn$. nrn / #%r&n (.< ?#4A?#AC/ r&/D3BB#E/n/ rnr nnn((* 3CC3CB/

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35A @#B@??/ '/'/D#55#E/nn)nnr $nnn n$/ 6rnrrr-+ B5?B56/ '/'/n0/&/!/I +//D3BB6E/n n8 n$.n n$/ (7 35B4335#/

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35B )//Or)/In%/D#55#E/ $nnnnnr nrr9nnnn nnrn$/ *@6@@45/ /%/Ir/D#55#E/nn)r $n rr.nnn)r$r n9/ 'n rnr *( #C@#6#/ +nr/r//,&/"/8,/, /I%//D#553E/ n$nnn nnnr# n$/ *, 34C334C4/ +8/D3BA@E/! n).rn n/ 6rnrrnrnrnr ,. A?BAC#/ +nn/I2-/D3BA6E/n$ n/ rn9*+ @43@4C/ //I,r%//D#55?E/* n)rnn$ nnrnrr.) nnU rnr nnn(*7 35C3/ &//!/&/I//D3BB?E/ !nn nrn$/ (. 3364334A/ n)//!//"/I2r /,/D3BA6E/n n$r.9nrn/ 6rnr :rnr ( 333C/

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3#B n9DnE.)nrn =nnn+n7 6-./(nnr'r' r)r(n((/4r*+ 0 1 0 7-./&(&r &r(**(n#)r(n((/4r&)n+ 0 1 0 8-rn(&$'rn (/**+ 0 1 0 9-./('%&(*(()r(n (//&r#&r*+ 0 1 0 0-./('%&(rrn )r(n(//&r#&r*&+ 0 1 0 -./(n(&(n'+ 0 1 0 -./(nnrr &r#&r'(rn)r(n(&r/rnr'&+ 0 1 0 2-./(&r#'r)n+ 0 1 0 3-./r(*r' rn/+ 0 1 0 5-./r(*r':r+ 0 1 0 6-./(&/'()+ rn%!,*rr&rn&/ 0 1 0 7-./(&r#()r/' (/nr/'n&'&r%rnr(+ 0 1 0 8-./((n&+*!,& rn%;(n9n!, 0 1 0 9-./(&r#()%&( r&n+ 0 1 0 0-./('(r&/r rr'n&r'r%r+rn%!,*rr&rn&/ 0 1 0 -./('r/+ 0 1 0

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3?5 n9DnE.)nrn =nnn+n7 -./('r/#)r<( %&rr+ 0 1 0 2-./(')r<'&%&r r+ 0 1 0 3-./r*r)/+ 0 1 0 5-./r*//+ 0 1 0 6-./r&'&r( '&)&/&rr/(*(nr*+ 0 1 0 7-./(*r &nrr)(n/+ 0 1 0 8-./(&/*r &nrr)(n/+rn%!,*rr&rn&/ 0 1 0 9-(r#*r%& (%(%&+ 0 1 0 20-(r#*r%& (%(n/r%r*(&+ 0 1 0 2-./(&r#(n/( &+-'-'(* 0 1 0 2 -./(n#+ 0 1 0 22-./(&/n#+ rn%!,*rr&rn&/ 0 1 0 23-rn(&/r#*r+ rn%!,*rr&rn&/ 0 1 0 25-rnrn(&(n&/ r#*r+ 0 1 0 26-./(n/('/r'( )(/''&)&/+ 0 1 0 27-./(r''r+* rn%n!,$rn%;(nn28$29$r/30!, 0 1 0 28-./(r&r#r)r)+ 0 1 0 29-./(r&r#r nrr'+ 0 1 0

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3?3 n9DnE.)nrn =nnn+n7 30-./(r&r#rr)+ 0 1 0 3-./(#(nr&/('n '&('&r/r+ 0 1 0 3 -./()//(&r#r *r(*r&nn+ 0 1 0 32-./(&/)// (&/&r#r*r(*r&nn+rn%!,*rr&rn&/ 0 1 0 33-./('r//&&nr+ 0 1 0 35-./(&/'r// &&nr+rn%!,*rr&rn&/ 0 1 0 36-./r&*r)) + 0 1 0 37-./r*/)+ 0 1 0 38-./rr#*/# (&+ 0 1 0 39-./rr#*/#(* (&+ 0 1 0 50-./(#+ 0 1 0 5-./rn$nn)&( (&+ 0 1 0 5 -./(&r#()%&( r//+ 0 1 0 52-./(&r#()%&( '&)n+ 0 1 0 53-./(&r#()%&nr n#r'n+ 0 1 0 55-./(&r#()%&/r &r&*nnrn+ 0 1 0 56-./nr((*r )r(n*(r'+ 0 1 0 57-./nr((*r )r(n*(n=+ 0 1 0 58-./nr((*r )r(n*(r+ 0 1 0

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3?# n9DnE.)nrn =nnn+n7 59-./nr((*r )r(n(//4&r#r*+ 0 1 0 60-./(%<&rn*( &n+ nrn nnrnr#$nrn#$%&%'%( 0 6-./()'r%:)' /+ 0 1 0 6 -./('r/**+ 0 1 0 62-./(&r#()%&n(n r%<+ 0 1 0 63-./(<*r:)+ 0 1 0

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3?@ n9DnE.nrn+ nn)nnn n)nnnnn n/!nn(n( rn/ n$. 3RD_E#R)D3#_E?RnnD?@_ E @RnDC4_Enrn'n 3#:2##:####@@ 33/,nan(n/);n 3#/$Q/);n 3?/0$`/);n 3@/,_Q/);n 3C/)n/);n 36/n`n/);n 34/!`/);n 3A/,_n/);n 3B/_(_$n)/);n #5/2_)r/);n

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3?C n9DnE.nrn+ n n nn)nnnn (r9nn $nn/ :$nr9n` nb" ,;*"; ,/ `n ;< 2n nnn(( / `nn r/ !nn(n( nnrn$n/n _*2;/ cccccccccccccccccccccccccccccccccccccccccccccccccc ccccccccccccccccccccccc &*&( &:2?A2&?3#?@)3/$nn/2* 1)
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3?6 n9DnE.nrn+ n n nn)nnnn (r9nn $nn/ :$nr9n` nb" ,;*"; ,/ `n ;< 2n nnn(( / `nn r/ !nn(n( nnrn$n/n _*2;/ ccccccccccccccccccccccccccccccccccccccccccccccccccc cccccccccccccccccccccc &*&( & :2?A2&?3#?@)33/
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3?A n9DnE.nrn+ nnnrrr #rB nrn C BDrrr rr nnrEnrr) FGrH)I rCn nC )r%rrDrrC) nr)rnrnrnrn*r +,nnnnnrrrnr >."(?(rnn(nr nr/(r/rn -nn+nnrrnnn nrn >."(?(rn(nr r/(r/r +,n n nnr r. -nn +nnrr nnnn rn ,/ "r n /* -@>(rn/r)n(n'nn+ 0 1 0 -@/(/A(&+ 0 1 0 2-@.n(n/r) n(n'nn+ 0 1 0 3-@(#;(rnrn;( ?r/rrrrn+ 0 1 0 5-@(#;(#rnrnrn rr;(?r/rrr'rr+ 0 1 0 6-@&B(r'/r;(/ &r*rr//+ 0 1 0

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3?B n9DnE.nrn+ nnn+nn7 7-@CrrBArrD?r/ n#nE)n/F*nn(n/n#;((n//?rr'rrn(rn+ 0 1 0 8-@Crn(n#/F*$ /r/'rn+ 0 1 0 9-@(/r()n;( rrBr)r/+ 0 1 0 0-@(/r /Fnn;(rrBr)r/+ 0 1 0 -@G/An(##/r+ 0 1 0 -@rAr(rr(#;(r)r /rn;(?r/n/rn+ 0 1 0 2-@(#)rn'rn+ 0 1 0 3-@>nrrr'(rnr/n( *rr+ 0 1 0 5+ n(#rHr'(r nr/n(*rr+ 0 1 0 6-@n(n&:n )rn+rn%!,*rr&rn&/ 0 1 0 7-@(#)rnrr /r';(rrrr(n/+ 0 1 0 8+ #Arn(/r+*!,& rn%;(n9n!, 0 1 0 9-@(#)rnn(n rnn*nn+ 0 1 0 0-@r)r/r'(rrrn r'n;(&r)?r&&rr(/r//n(n&:n+rn%!,*rr&rn&/ 0 1 0 -@rnA+ 0 1 0 -@/#AAn( r:r+ 0 1 0 2-@An(r:r+ 0 1 0 3-@rAr'E)/r *rr+ 0 1 0

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3@5 n9DnE.nrn+ nnn+nn7 5-@rAr'(/n(nr'n+ 0 1 0 6-@(/Ar'n(#/r;( /n'(/r/n//n''+ 0 1 0 7-@nArrr/Ir*r r*?nr+ 0 1 0 8-@nn(n&:nrrr/n *rr*?nr++rn%!,*rr&rn&/ 0 1 0 9-@((n/#?r/r'E/ r/#r//n(&'r+ 0 1 0 20-@((n/#?r/r'E/ r/#rr*(r:n/n(rnr+ 0 1 0 2-@n(&Arn/#rr*(r /n(&'r+:$/nrn 0 1 0 2 -@r'Er/#r+ 0 1 0 22-@n(n&:nr'Er/ #r++rn%!,*rr&rn&/ 0 1 0 23-@(r'(/n(n&:n#?r /(/r/#r+rn%!,*rr&rn&/ 0 1 0 25-@(r'(rrnrn( &'r#?r/(/r/#r+ 0 1 0 26-@H*//'rnn(/* #/r+ 0 1 0 27-@J(/A)rrBr/r(n/n( r:r+*rn%n!,$rn%;(nn28$29$r/30!, 0 1 0 28-@(#(n/n(r:r())F+ 0 1 0 29-@(#(n/(r) n(r:r+ 0 1 0 30-@(#(n/(r) n(r:r+ 0 1 0 3-@>'(r#B(nA/'rn))/rn r&Arnrr/rnr(/?r+ 0 1 0

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3@3 n9DnE.nrn+ nnn+nn7 3 -@*A##Ar n?rn/(r*/r/Ar+ 0 1 0 32-@*rn(n&:n ##rn?rn/(r*/r/Ar+rn%!,*rr&rn&/ 0 1 0 33-@n(#&nrBr/+ 0 1 0 35-@n(#&nrBr/r'(/ n(n&:n+rn%!,*rr&rn&/ 0 1 0 36-@*Ar'E)/ r*rr+ 0 1 0 37-@*Ar'(/n(n r'n+ 0 1 0 38-@(/A(n/r'(/n(n *rrnr'n+ 0 1 0 39-@(/A/n(rnrr'E*rr r';(##?r(n/+ 0 1 0 50-@(/A(n/+ 0 1 0 5-@(#)rnrrn$rn nnn(rnr+ 0 1 0 5 -@(#r'E)r/(D /n(rnr+ 0 1 0 52-@(#)rnn(n#n+ 0 1 0 53-@(#)rnr'rn/ n#nr+ 0 1 0 55-@(#)rnF/n( n*nrn/rnr(/+ 0 1 0 56-@CrAr'(:(nr r'(r#B/)/rn(/r/+ 0 1 0 57-@CrAr'(:(nr r'(r#B/)/rn(n=+ 0 1 0 58-@CrAr'(:(nr r'(r#B/)/rn(rBr+ 0 1 0 59-@CrAr'(:(nr r'(r#B;(?r(&/+ 0 1 0

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3@# n9DnE.nrn+ nnn+nn7 60-@r)r:A(n/nEnnn nn+ nrn nnrnr#$nrn#$%&%'%( 0 6-@BArr)r:r((# rn/+ 0 1 0 6 -@C/n/*rr/ r)r:+ 0 1 0 62-@(#)rnn(n n(nr)r:+ 0 1 0 63-@n(#)(nr/r)r:+ 0 1 0

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Wells, Kristen Jennifer.
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An evaluation of the relationship between stress, depression, and glycemic control in low-income patients with type 2 diabetes
h [electronic resource] /
by Kristen Jennifer Wells.
260
[Tampa, Fla] :
b University of South Florida,
2006.
520
ABSTRACT: People in low socioeconomic status groups are at increased risk for diabetes mellitus, a group of diseases associated with high levels of blood glucose. High rates of depression have been found in people with diabetes. The study examined the relationship between stress, depression, and glycemic control in low-income type 2 diabetes patients. Participants were recruited at two community health centers that provide free medical care. The following hypotheses were examined: (1) experiencing stressful life events is positively correlated with blood glucose level; (2) negative stressful events have a greater association with glucose level than positive stressful events; (3) depression mediates the relationship between negative stressful events and glucose level (mediation model); (4) the effect of experiencing both negative stressful events and depression is predictive of glucose level (additive model); (5) the interaction between negative stressful events and depression is ^predictive of glucose level (interactive model); and (6) perceptions of control moderates the relationship between stress and depression.Stressful life events and depression were not related to blood glucose levels in bivariate correlations. The data did not support any of the three models of the relationship between stress, depression, and glycemic control. The strongest predictor of glycemic control was Hispanic ethnicity, however, income and education appear to confound this relationship.Depression was positively correlated with the total number of stressful events and negative stressful events and negatively correlated with perceptions of control. Participants in the study with less than a high school education had the highest amount of depression. In post-hoc analyses, four variables (education, perceptions of control, stressful life events, blood glucose) predicted 58% of the variance in depression, and education and perceptions of control were the strongest predictors. Per ceptions of control was a significant partial mediator of the relationship between education and depression and also partially mediated the relationship between stress and depression.The results of the study indicate that decreasing stressful life events and increasing perceptions of control is important in reducing low-income diabetes patients' level of depression.
502
Dissertation (Ph.D.)--University of South Florida, 2006.
504
Includes bibliographical references.
516
Text (Electronic dissertation) in PDF format.
538
System requirements: World Wide Web browser and PDF reader.
Mode of access: World Wide Web.
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Title from PDF of title page.
Document formatted into pages; contains 142 pages.
Includes vita.
590
Adviser: William P. Sacco, Ph.D.
653
Income.
Education.
Ethnicity.
Perceptions of control.
Blood glucose.
690
Dissertations, Academic
z USF
x Psychology
Doctoral.
773
t USF Electronic Theses and Dissertations.
4 0 856
u http://digital.lib.usf.edu/?e14.1629