Coping strategies and their relationship with quality of life in older adults with type 2 diabetes: a binary logistic regression analysis.

Authors

Sorour Sarvari, Parisa Taheri Tanjani, Ali Ramezankhani, Mojtaba Azadbakht, Nastaran Talavari

Published in

BMC psychology. Jul 03, 2026. Epub Jul 03, 2026.

Abstract

Older adults with type 2 diabetes encounter numerous challenges and stressors, with diabetes-related distress significantly linked to complications and diminished quality of life. Effective management of negative emotions and the adoption of adaptive coping strategies are crucial for improving well-being. Coping strategies consist of three main types: 1)Problem-focused: Direct actions to resolve or alter the stress source. 2)Emotion-focused: Managing emotional responses to stress. 3)Avoidance Strategy: Evading or disengaging from stressful situations. This study aimed to investigate the relationship between coping strategies and quality of life among older adults with type 2 diabetes using logistic regression analysis.
A cross-sectional study was conducted in Bushehr in 2023. Using multistage sampling-including both cluster and systematic random sampling-, 384 participants aged 60 years and older with type 2 diabetes were recruited. Data were collected through demographic questionnaires, clinical information, the coping with Stressful Situations Inventory (CISS-21) of Endler and Parker, and The 12-item Short Form Health Survey (SF-12). Analyses were performed using SPSS version 22, with binary logistic regression applied at a significance level of p < 0.05.
The mean age of participants was 66.76 ± 6.5 years, with near-equal sex distribution (50.5% female), 76% married, and 51.8% having a normal body mass index. The results showed that the dominant coping strategy in 43% of the participants was problem-focused, in 40.9%, it was emotion-focused, and in 16.1%, it was avoidance. Based on the Binary logistic regression analysis, the problem-focused strategy (OR = 0.671, 95% CI [0.610-0.739]) as a predictor of the desired quality of life and emotion-focused strategies (OR = 1.254, 95% CI [1.153-1.364) and avoidance (OR = 1.145, 95% CI [1.046-1.253]) were recognized as predictors of unfavorable quality of life.
Quality of life in older adults with type 2 diabetes is significantly affected by their coping strategies with progressive stresses. Promoting problem-focused coping may enhance quality of life, and this aspect should be emphasized in educational and supportive interventions.

PMID:
42400087
Bibliographic data and abstract were imported from PubMed on 04 Jul 2026.

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