Barriers to Self-Management in Depressed Women With Type 2 Diabetes. Issue 4 (December 2017)

• Record Type: Journal Article
• Authors: Ridosh, Monique M.; Roux, Gayle; Meehan, Meghan; Penckofer, Sue
• Is Part Of: Canadian journal of nursing research =. Volume 49:Issue 4(2017)
• Page Start: 160
• Page End: 169
• Publication Date: 2017-12
• Subjects: women -- diabetes -- depression -- family quality of life -- self-management; Nursing -- Periodicals; Nursing -- Canada -- Periodicals; Nursing -- Research -- Periodicals; Nursing Research; Canada; Nursing; Nursing -- Research; Canada; Periodicals; 610.73097105
• DOI: 10.1177/0844562117736699
• Languages: English
• ISSNs: 0844-5621

Abstract

Purpose: To describe the impact of family functioning on the self-management of type 2 diabetes (T2DM) and depression in a subsample of women who completed a randomized clinical trial using vitamin D3 (5000 or 50, 000 IUs weekly) for depression treatment. Background: Women are at higher risk for increased severity of T2DM when experiencing depression. Methods: Narrative inquiry was used. A semi-structured interview was conducted to understand helpful strategies and barriers in managing T2DM and depression. In addition, women were asked their meaning of family quality of life (FQOL). Results: Twenty-one women participated after completion of the six-month final visit in the randomized clinical trial. The mean age was 55.2 years. Participants were 24% Hispanic, 48% African-American, and 52% Caucasian. The major themes generated related to family issues that impacted their self-management, yet participants did not want to "bring fault" to their families. Three themes emerged: (a) experience of family hardships—"it's been hard for me, " (b) lack of disclosure to family about being depressed—"no point in talking to them, " and (c) the need for connectedness with family and others—"the way it used to be… close as a family." Conclusion: Family-centered approaches could address barriers to self-management. A "family lens" for practice and research may improve health outcomes.