The role of resilience in diabetes stigma among young and middle-aged patients with type 2 diabetes.
Yi-Bo Zhang, Zhen Yang, Hui-Jun Zhang and 2 others
PMID 36289558WHAT IT FOUND
Young and middle-aged patients with type 2 diabetes who reported higher resilience also reported lower diabetes stigma.
Stigma was also higher with complications, insulin treatment, low income and dependence on others for self-care.
Key findings
01Higher resilience was associated with lower diabetes stigma.
02Stigma scores were higher among patients with complications, lower income, insulin treatment, and dependence on others for self-care.
03Resilience was still associated with lower stigma after other demographic and disease factors were considered.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Participants were recruited by convenience sampling from one hospital in Liaoning Province, China, so the results may not apply to other places or patient groups. Stigma and resilience were measured by self-report at one time, so scores may reflect how patients felt during the survey rather than stable traits. The study was cross-sectional, so it cannot show whether resilience reduces stigma, stigma reduces resilience, or both are influenced by another factor. The paper reports associations, not tested interventions, so it does not show that teaching resilience will improve diabetes outcomes.
Declared interests
The authors declared no conflict of interest. The study was funded by the Ministry of Education of the People's Republic of China.
The easy way to misread this
Do not conclude that building resilience will reduce diabetes stigma. This was a cross-sectional self-report survey, so it only shows that resilience and stigma were lower together at the same time, not that resilience training caused improvement.