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Illness Perceptions Mediate the Impact of Depressive Symptoms on Quality of Life Among Latinos with Type 2 Diabetes

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Abstract

Latinos’ type 2 diabetes (T2DM) and concurrent depression significantly lower quality of life (QoL). Patients’ beliefs about their diabetes, called illness perceptions (IP), may account for the impact of depression on QoL. Using secondary data, we explored predictive and mediation relationships among IP, depression, and QoL among Mexican American adults with T2DM using hierarchical multiple regression and mediation analyses. Participants (n = 75) were predominately middle-aged, female, most scoring low on depressive-symptoms, who believed that diabetes was a chronic disease with serious consequences, controllable by treatment and personal self-management. Participants with higher acculturation and weak perceptions about negative consequences of diabetes reported better QoL. Depressive symptoms’ impact on QoL were mediated by overall IP and perceptions about diabetes consequences, in particular. By eliciting patients’ perceptions about disease consequences and teaching realistic ways to avoid them, clinicians may alleviate the impact of depression on QoL.

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Abbreviations

ADDQoL:

Audit of diabetes dependent quality of life

CES-D:

Center for Epidemiological Studies Depression Scale

CI:

Confidence interval

IPQ-R:

Illness Perception Questionnaire—Revised

QoL:

Quality of life

SE:

Standard error

T2DM:

Type 2 diabetes

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Acknowledgements

This study was supported by the St. David’s Center for Health Promotion & Disease Prevention Research (CHPR) in Underserved Populations from the National Institute of Nursing Research (NINR), National Institutes of Health (NIH), #P30 NR005051 and the Ed and Molly Smith Endowment at The University of Texas at Austin School of Nursing. The authors are grateful to the participants who completed in this study and the community organizations that facilitated recruitment.

Funding

Funding was provided by National Institute of Nursing Research (P30 NR005051) and University of Texas at Austin School of Nursing (US).

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Authors and Affiliations

  1. School of Nursing, The University of Texas at Austin, 1710 Red River Street, Austin, TX, 78712, USA

    Alexandra A. García & Julie A. Zuñiga

  2. St. David’s School of Nursing, Texas State University, 1555 University Drive, Round Rock, TX, 78665, USA

    Ya-Ching Huang

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  1. Alexandra A. García
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Correspondence to Alexandra A. García.

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García, A.A., Huang, YC. & Zuñiga, J.A. Illness Perceptions Mediate the Impact of Depressive Symptoms on Quality of Life Among Latinos with Type 2 Diabetes. J Immigrant Minority Health 24, 1517–1525 (2022). https://doi.org/10.1007/s10903-022-01338-4

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