Relation of diabetic patients' health-related control appraisals and physician-patient interpersonal impacts to patients' metabolic control and satisfaction with treatment

Desire for healthcare control, health locus of control, perceived control over diabetes, satisfaction with diabetes treatment, and general personality traits were assessed in 54 Type 1 and Type 2 diabetic patients of the same male endocrinologist during a regularly scheduled office visit. At the end...

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Bibliographic Details
Published in:Journal of behavioral medicine 2002-02, Vol.25 (1), p.17-31
Main Authors: AUERBACH, Stephen M, CLORE, John N, KIESLER, Donald J, ORR, Tamara, PEGG, Phillip O, QUICK, Ben G, WAGNER, Christopher
Format: Article
Language:English
Subjects:
Adult
Attitude to Health
Behavior
Biological and medical sciences
Blood Glucose - analysis
Diabetes
Diabetes Mellitus - diagnosis
Diabetes Mellitus - metabolism
Diabetes Mellitus - therapy
Female
Health Status
Humans
Internal-External Control
Interpersonal Relations
Male
Medical sciences
Metabolism
Middle Aged
Patient Satisfaction
Patients
Perceptions
Personal relationships
Personality
Physician-Patient Relations
Physicians
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Therapeutical relation and framework
Treatment Outcome
Treatments
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Summary:Desire for healthcare control, health locus of control, perceived control over diabetes, satisfaction with diabetes treatment, and general personality traits were assessed in 54 Type 1 and Type 2 diabetic patients of the same male endocrinologist during a regularly scheduled office visit. At the end of the consultation, both patients and the physician completed a measure describing the interpersonal impacts produced in each by the other's control and affiliation behaviors. Patient success at diabetes control was assessed via glycosylated hemoglobin A1C (HA1C) level on the day of the visit and variability in HA1C levels across several visits. Patients' satisfaction with treatment was unrelated to diabetes control measures. Patients' desire for behavioral involvement in their own healthcare and NEO Agreeableness scores were positively associated with diabetes control. Better diabetes control also resulted when the physician perceived patients to be more controlling and less submissive, and when there was more reciprocity in patient and physician's perceptions of the other's controlling interpersonal behavior. Findings support the conclusion that both a patient's self-reported desire for involvement in his or her healthcare and the transactional fit of patient-physician interpersonal behaviors are potentially important contributors to better diabetes outcomes.
ISSN:0160-7715
1573-3521
DOI:10.1023/A:1013585617303