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Western Journal of Nursing Research, Vol. 24, No. 7, 728-750 (2002)
DOI: 10.1177/019394502762476951

Acceptance, Cognitions, and Resourcefulness in Women with Diabetes

Jaclene A. Zauszniewski

School of Nursing, Case Western Reserve University, Cleveland, Ohio

Patricia E. McDonald

School of Nursing, Case Western Reserve University

Karen Krafcik

School of Nursing, Case Western Reserve University

ChaeWeon Chung

Department of Nursing, Chungnam National University, TaeJun, Korea

Marjorie C. Dobratz, R.N., DNSc

Nursing University of Washington Tacoma, Washington

Barbara Downe-Wamboldt, Ph.D., R.N.

School of Nursing, Dalhousie University, Halifax, Nova Scotia

The coexistence of diabetes and depression occurs frequently among young and middle-age women. Unless one is resourceful, simultaneous management of the symptoms of both conditions is especially challenging. Skills constituting resourcefulness are learned throughout life and are important for the optimal performance of daily activities. Little is known about specific factors that influence resourcefulness. In this study, contextual factors (diabetic and depressive symptoms) and cognitive factors (positive cognitions and acceptance of diabetes) were examined as antecedents of learned resourcefulness in 82 women with type 2 diabetes. Regression analyses showed that depressive symptoms and positive cognitions were significant antecedents of learned resourcefulness: Positive cognitions mediated the effects of depressive symptoms on learned resourcefulness. The findings suggest the need for interventions that focus on development of positive cognitions to better promote resourcefulness in women with type 2 diabetes who are at risk for depression.


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