Date of Graduation

1998

Document Type

Dissertation/Thesis

Abstract

Although persons with Diabetes Mellitus (DM) report more physical symptoms than do relatively healthy persons, the relation between blood glucose (BG) and symptom reporting in persons with DM has been shown to be idiosyncratic. Even in subjects that demonstrate and significant BG/symptom relation, the effect is not stable over time (i.e., greater than eight months). Daily minor stressors and solicitous spousal responding have been shown to be related to symptom reporting in other chronic illness populations and might account for variance in symptom reporting by persons with DM. Thirty-three participants with Type II DM monitored BG, physical activity, and stress via the Daily Stress Inventory for one week. A modified version of the West Haven-Yale Multidimensional Pain Inventory served as a measure of solicitous spousal responding. Results revealed that both daily minor stressors and solicitous spousal responding accounted for significant variance in symptom reporting. Neither BG nor the expected demographic variables were significantly related to symptom reporting. Daily minor stressors and solicitous spousal responding were not significantly related to physical activity. Preliminary analyses indicate that the West Haven-Yale Multidimensional Pain Inventory has promising psychometric properties when used with a non-pain chronic illness sample. Support was provided for the relation of daily minor stressors and solicitous spousal responding to symptom reporting in persons with Type II DM. Clinical and research implications as well as directions for future research are discussed.

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