Electronic Theses and Dissertations

Date of Award


Document Type


Degree Name

M.A. in Psychology

First Advisor

Aaron A. Lee

Second Advisor

Aaron A. Lee

Third Advisor

Laura J. Dixon

Relational Format



Adults with diabetes frequently experience diabetes related distress which is associated with negative health outcomes. Family members are commonly involved in patients’ diabetes self-management. However, family involvement can have harmful and/or helpful effects on patients’ diabetes outcomes. Difficulties in regulating emotions may play a role in patients’ interactions with family members and experience of diabetes distress. This study examined the role of emotion regulation and type of family involvement in diabetes distress among 370 adults with type 2 diabetes. Two separate three-step sequential linear regression models were used to test the main and interactive effects of harmful and helpful family involvement and emotion regulation on diabetes distress. There were significant main effects of emotion regulation (B = 0.02, SE = 0.00, 95% CI [0.01, 0.02], p <.001) and harmful family involvement (B = 0.42, SE = 0.08, 95% CI [0.26, 0.58], p < .001) on diabetes distress. Emotion regulation did not moderate the relationship of harmful (B = -0.01, SE = 0.00, 95% CI [-0.01, 0.00], p = .403) and helpful (B = 0.00, SE = 0.00, 95% CI [-0.01, 0.00], p = .148) family involvement on diabetes distress. Difficulties in emotion regulation may play a key role in patients’ diabetes distress – regardless of type of family involvement.



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