Religious coping and spirituality as mediators between perceived stress and resilience in adults with type 2 diabetes mellitus
Background: Resilience is a psychological resource related to significant improvements in the health of people with type 2 diabetes mellitus T2DM and is linked to religious coping and spirituality and lower levels of stress. Objectives: To analyze the relationship between perceived stress and resilience as well as the direct and indirect and total effects of spirituality and religious coping through a hypothesized mediation model in people with T2DM. Method: A cross-sectional study conducted with a total of 216 participants, out of whom 41.2% were men and 58.8% were women in the age range of 30 to 78 years (M = 56.63, SD = 11.27). The Perceived Stress Scale (PSS-14), the Spirituality Scale (SS), the Religious Coping Strategies Inventory (IEAR) and the Resilience Questionnaire were used. Results: Religious coping mediates the relationship between stress and resilience by showing a significant indirect effect (β = -.05, SE = .02, 95% CI [-.09, -.01]), whereas spirituality is not a significant predictor in such relationship (β = .03, SE = .03, 95% CI [-.09, .03]). Conclusions: Evidence was found regarding the mediation effect of religious coping between perceived stress and resilience, as well as the relationship between spirituality and resilience in people with T2DM.
MGRJ: study design, data analysis and processing, writing of introduction, results and discussion.
NIGL: study design, data analysis and processing, introduction, results and discussion.
AORM: analysis and processing of data, setting up tables and figures.
HOB: analysis and processing of data, configuration of tables and figures, general revision of the document in APA 7th edition format.
BEBE: data analysis and processing, general revision of the document in APA 7th edition.
Asociación Médica Mundial. (2017, 21 de marzo). Declaración de Helsinki de la AMM. Principios éticos para las investigaciones médicas en seres humanos. https://www.wma.net/es/policies-post/declaracion-de-helsinki-de-la-amm-principios-eticospara-las-investigaciones-medicas-en-seres-humanos/
Baldacchino, D., Borg, J., Muscat, C., & Sturgeon, C. (2012). Psychology and Theology Meet: Illness Appraisal and Spiritual Coping. Western Journal of Nursing Research, 34(6), 818-847. https://doi.org/10.1177/0193945912441265
Baron, R. M., & Kenny, D. A. (1986). The Moderator-Mediator Variable Distinction in Social Psychological Research: Conceptual, Strategic, and Statistical Considerations. Journal of Personality and Social Psychology, 51(6), 1173-1182. https://doi.org/10.1037/0022-35220.127.116.113
Basto-Abreu, A., López-Olmedo, N., Rojas-Martínez, R., Aguilar-Salinas, C., De la Cruz-Góngora, V., Rivera-Dommarco, J., Shamah-Levy, T., Romero-Martínez, M., Barquera, S., Villalpando, S., & Barrientos-Gutiérrez, T. (2021). Prevalence of Diabetes and Glycemic Control in Mexico: National Results from 2018 and 2020. Salud Pública De México, 63(6), 725-733. https://doi.org/10.21149/12842
Becker, G., & Newsom, E. (2005). Resilience in the Face of Serious Illness Among Chronically ill African Americans in Later Life. The Journals of Gerontology, Psychological Sciences and Social Sciences, 60(4), 214-223. https://doi.org/10.1093/geronb/60.4.s214
Böell, J., Da Silva, D., & Hegadoren, K. (2016). Sociodemographic Factors and Health Conditions Associated with the Resilience of People with Chronic
Diseases: A Cross Sectional Study. Revista Latino-Americana de Enfermagem, 24, e2786. https://doi.org/10.1590/1518-8345.1205.2786
Bravin, A., Trettene, A., De Andrade, L., & Popim, R. (2019). Benefits of Spirituality and/or Religiosity in Patients with Chronic Kidney Disease: An Integrative Review.Revista Brasileira de Enfermagem, 72(2), 541-551.https://doi.org/10.1590/0034-7167-2018-0051
Chen, Z., Jiang, Y., Chen, M., Baiyila, N., & Nan, J. (2021). Resilience as a Mediator of the Association between Spirituality and Self-Management among Older People with Chronic Obstructive Pulmonary Disease.Healthcare, 9(12), 1631. https://doi.org/10.3390/healthcare9121631
Cohen, S., Kamarak, T., & Mermelstein, R. (1983). A Global Measure of Perceived Stress. Journal of Health and
Social Behavior, 24(4), 385-396. https://doi.org/10.2307/2136404
Conway-Phillips, R., Dagadu, H., Motley, D., Shawahin, L., Janusek, L., Klonowski, S., & Saban, K. L. (2020). Qualitative Evidence for Resilience, Stress, and Ethnicity (RiSE): A Program to Address Race-Based Stress among Black Women at Risk for Cardiovascular Disease. Complementary Therapies in Medicine, 48(1), 102277. https://doi.org/10.1016/j.ctim.2019.102277
Crump, C., Sundquist, J., Winkleby, M. A., & Sundquist, K. (2016). Stress Resilience and Subsequent Risk of Type 2 Diabetes in 1.5 million Young Men. Diabetologia, 59, 728-733. https://doi.org/10.1007/s00125-015-3846-7
Da Silva, G., Nascimento, F., Macêdo, T., Morano, M., Mesquita, R., & Pereira, E. (2018). Religious Coping and
This work is licensed under a Creative Commons Attribution 4.0 International License.
In the event that the manuscript is approved for future publication, the authors retain the copyright and assign to the journal the rights to publish, edit, reproduce, distribute, exhibit, and communicate nationally and internationally in the various databases, repositories and portals.
The author can share, disseminate, and publicize his research published by the media (e.g., academic social networks, repositories, and portals) available on the web.
During the editorial review process, the journal will provide the author with the previous versions (post-print) which should NOT be disclosed by any media, only for personal use and for final approval.
Liberabit will send the author the final version of the article (published version) in PDF and HTML to be shared, disseminated and disclosed by the media available on the web.
After the publication of the articles, the authors can make other independent or additional agreements for the non-exclusive dissemination of the version of the article published in this journal (publication in books or institutional repositories), provided that it is indicated with the respective reference that the work has been published for the first time in this journal.