Relationship Between Family Functioning and Mental Health Considering the Mediating Role of Resiliency in Type 2 Diabetes Mellitus Patients

Mostafa Bahremand,Mostafa Alikhani,Samira Mohammadi,Karoon Shahebrahimi,Alireza Rai,Parisa Janjani

doi:10.5539/gjhs.v7n3p254

Abstract

This study was aimed at describing the mediating role of resiliency in the relationship between family functioning and mental health in patients with type 2 diabetes mellitus. This descriptive research was a correlational study. A total of 225 individuals were chosen by simple random sampling technique from type 2 diabetic patients presented to diabetes care centers in Kermanshah in 2014 in Iran. The 12-item General Health Questionnaire (GHQ-12), the Family Assessment Device (FAD) and the Resilience Scale (CD-RISC) were used to collect the required data. The collected data were analyzed using the Pearson’s correlation test and to study the mediating role of resiliency in family functioning and mental health interaction, the path analysis method was applied. The results showed that there is a relationship between family functioning, resilience and mental health. Resilience plays a mediating role between family functioning and mental health. Therefore, paying attention to resilience in patients may lead to improving mental health in diabetic patients.

Highlights

The worldwide epidemiology of type 2 diabetes has raised this disease as a major public health problem
T2D cause many limitations for the sufferer such as requiring repeated insulin injections, bearing the costs of insulin injections, need to follow a diet plan, recurrent infections and possibility of repeated hospitalizations (Livneh & Wilson, 2003). These cause depression,and have negative impact on interpersonal and family relationships, social associations, and on the whole, the general health and psychological well-being of the patients (Skandarian et al, 2009) .The previous studies show that the prevalence rate of mental illness in diabetic patients is higher than in non-diabetic subjects (Jimenez-Garcia et al, 2012; Serious psychological, 2004), and this prevalence rate was reported as up to 41.5% in patients newly diagnosed with T2D (Rane et al, 2011)
Considering the type of questionnaire used in this study, this result implies that high levels of resilience result in improvement of mental health and reducing the high risk of psychological disorder

Summary

Introduction

The worldwide epidemiology of type 2 diabetes has raised this disease as a major public health problem. T2D cause many limitations for the sufferer such as requiring repeated insulin injections, bearing the costs of insulin injections, need to follow a diet plan, recurrent infections and possibility of repeated hospitalizations (Livneh & Wilson, 2003) These cause depression ,and have negative impact on interpersonal and family relationships, social associations, and on the whole, the general health and psychological well-being of the patients (Skandarian et al, 2009) .The previous studies show that the prevalence rate of mental illness in diabetic patients is higher than in non-diabetic subjects (Jimenez-Garcia et al, 2012; Serious psychological, 2004), and this prevalence rate was reported as up to 41.5% in patients newly diagnosed with T2D (Rane et al, 2011). From amongst contributing factors to mental health status, it is possible to point out family and resilience

Objectives

Methods

Conclusion