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Title: Social Orientation and Diabetes-Related Distress in Japanese and American Patients with Type 2 Diabetes
Authors: Ikeda, Kaori  kyouindb  KAKEN_id  orcid (unconfirmed)
Fujimoto, Shimpei
Morling, Beth
Ayano-Takahara, Shiho
Carroll, Andrew E.
Harashima, Shin-ichi
Uchida, Yukiko  kyouindb  KAKEN_id
Inagaki, Nobuya  kyouindb  KAKEN_id
Author's alias: 池田, 香織
藤本, 新平
内田, 由紀子
稲垣, 暢也
Issue Date: 15-Oct-2014
Publisher: Public Library of Science
Journal title: PLOS ONE
Volume: 9
Issue: 10
Thesis number: e109323
Abstract: [Objective]Recent evidence in cultural and social psychology suggests Eastern cultures' emphasis on harmony and connection with others and Western cultures' emphasis on self-direction and autonomy. In Eastern society, relational harmony is closely linked to people's well-being. The impact of this cultural and social orientation on diabetes-related distress was investigated. [Research Design and Methods]Japanese and American patients with type 2 diabetes were surveyed by well-established questionnaire in Japan and in the United States, respectively. The association of personal values for interdependence, perceived emotional support, and the Problem Areas in Diabetes scale (PAID) were analyzed. [Results]A positive correlation between interdependence and PAID (r = 0.18; P = 0.025) and a negative correlation between perceived emotional support and PAID (r = − 0.24; P = 0.004) were observed after adjustments for other factors in Japanese data (n = 149), but not in American data (r = 0.00; P = 0.990, r = 0.02; P = 0.917, respectively, n = 50). In Japanese data, the three-factor structure of PAID (negative feelings about total life with diabetes, about living conditions with diabetes, and about treatment of diabetes) was identified, and interdependence showed significant positive correlations with the first and second factors and perceived emotional support showed significant negative correlations with all three factors of PAID. [Conclusions]These results suggest that personal values for interdependence may be linked to the level of diabetes-related distress and that the distress may be relieved by perception of emotional support, especially in an interdependent cultural context.
Description: 糖尿病患者の心の負担に日本人特有の要因の存在 -協調性を重視する文化の影響-. 京都大学プレスリリース. 2014-10-16.
Rights: © 2014 Ikeda et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
DOI(Published Version): 10.1371/journal.pone.0109323
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