Personal tools
You are here: Home Resources for Health Professionals Research Role of Motivation in the Relationship Between Depression, Self-care, and Glycemic Control in Adults With Type 2 Diabetes

Role of Motivation in the Relationship Between Depression, Self-care, and Glycemic Control in Adults With Type 2 Diabetes

Leonard E. Egede, MD1* and Chandra Y. Osborn, PhD, MPH2 The Diabetes Educator 2010;36:276.

Purpose: The researchers were testing whether depression is related to self-care behavior via social motivation and indirectly related to glycemic control via self-care behavior; the mechanism by which depression influences health outcomes in persons with diabetes is somewhat uncertain.

Methods: This article describes a study involving 126 adults with type 2 diabetes who were recruited as they came for appointments at an outpatient clinic in South Carolina.  The researchers gathered information on demographics, depression and diabetes knowledge (information); diabetes fatalism (personal motivation); social support (social motivation); and diabetes self-care (behavior). Hemoglobin A1C values were extracted from the patient medical record.

Results: Higher levels of depressive symptoms were significantly related to having less social support and decreased performance of diabetes self-care behavior. In addition, when depressive symptoms were included in the model, fatalistic attitudes were no longer associated with behavioral performance.

Conclusions: Among adults with diabetes, depression impedes the adoption of effective self-management behaviors (including physical activity, appropriate dietary behavior, foot care, and appropriate self-monitoring of blood glucose behavior) through a decrease in social motivation.

Significance: This study shows that in this sample of adults with Type 2 diabetes, depression does not have a direct effect on glycemic control; rather, the relationship is indirect via self-care behaviors. While there is a direct relationship between depression and behavior, social motivation exists in this predicted pathway and is potentially modifiable through diabetes education efforts.

Read full article

This article has been reviewed by the Washington State Diabetes Network Editorial Review Board.

If you would like to learn more or would like to contribute an article review contact Laura Pennington.


Document Actions
On this site, you'll find...
...activities, best practices, links and resources for the Washington State Diabetes Network to foster collaboration and communication. From a broad array of organizations and people working in public, private, tribal, community and academic/training sectors to prevent and control diabetes and hypertension among Washington residents.
Learn Your Risk for Prediabetes

Looking for information on Health Transformation in Washington State? Get info on upcoming webinars and the latest news at HealthierWA



 2-1-1 is an easy-to-remember phone number for people to call for health and human service information and referrals and other assistance to meet their needs, including diabetes prevention and management. Dial 2-1-1 or visit