Examining the Association between Emotional Dysregulation and Treatment Burden. (November 2022)

• Record Type: Journal Article
• Authors: Schreiner, Nathanial; Scherer, Brooklynn; Al Battashi, Hamed; Harwell, Carla; Topalsky, Vojislav; Burant, Christopher; Daly, Barbara; Douglas, Sara; Woods, Steven
• Is Part Of: Western journal of nursing research. Volume 44:Number 11(2022)
• Page Start: 992
• Page End: 1005
• Publication Date: 2022-11
• Subjects: emotional regulation -- treatment burden -- primary care -- chronic conditions; Nursing -- Research -- Periodicals; Nursing -- Periodicals; Nursing -- Research -- West (U.S.) -- Periodicals; Nursing -- West (U.S.) -- Periodicals; Nursing -- Periodicals; Nursing Research -- Periodicals; Soins infirmiers -- Recherche -- Périodiques; Soins infirmiers -- Périodiques; Soins infirmiers -- Recherche -- États-Unis (Ouest) -- Périodiques; Soins infirmiers -- États-Unis (Ouest) -- Périodiques; Soins infirmiers; Recherche; États-Unis (Ouest); Périodique électronique (Descripteur de forme); Ressource Internet (Descripteur de forme); 610.730702
• DOI: 10.1177/01939459211027655
• Languages: English
• ISSNs: 0193-9459

Abstract

Treatment burden contributes to suboptimal adherence and lower health-related quality of life among people diagnosed with chronic conditions, but little is known about how the psychological process of emotional dysregulation influences treatment burden. To explore this relationship, we conducted a descriptive, cross-sectional study comprised of 149 men and women diagnosed with one or more Centers for Medicare and Medicaid Systems defined chronic conditions recruited from a single primary care setting. Multivariate analyses demonstrated emotional dysregulation as an independent factor contributing to total ( p < .001), medication ( p = .007), and dietary ( p < .001) treatment burden, with model effect sizes ranging from large (.43) to moderate (.21), controlling for other known antecedent factors of treatment burden. Emotional dysregulation was not a factor contributing to exercise related treatment burden. Our findings indicated emotional dysregulation as an important factor contributing to higher levels of total, medication, and dietary treatment burden associated with daily self-management regimens.