Psychosocial predictors of relapse among diabetes patients: a 2-year follow-up after inpatient diabetes education

Psychosomatics. Jul-Aug 2004;45(4):343-9. doi: 10.1176/appi.psy.45.4.343.


In a 2-year follow-up study of diabetes patients (N=309) who received 2 weeks of inpatient diabetes education, the authors investigate the relationship of several demographic, clinical, and psychosocial factors with relapse, defined as the worsening of glycemic control. The patients with no improvement in glycemic control after diabetes education were more likely to have higher scores on the depression subscale of the Profile of Mood States, compared to the patients with improvement. Kaplan-Meier survival analyses showed that patients who had no prior diabetes education, whose meals were prepared by their spouses, and who had less social support were more likely to relapse and relapsed within a significantly shorter period of time than those who had prior diabetes education, cooked for themselves, and had more social support.

MeSH terms

  • Adaptation, Psychological / physiology
  • Diabetes Mellitus / epidemiology
  • Diabetes Mellitus / prevention & control
  • Diabetes Mellitus / psychology*
  • Female
  • Follow-Up Studies
  • Glycated Hemoglobin A / analogs & derivatives*
  • Glycated Hemoglobin A / analysis
  • Humans
  • Inpatients / education*
  • Inpatients / psychology
  • Male
  • Middle Aged
  • Patient Compliance / psychology
  • Patient Compliance / statistics & numerical data
  • Patient Education as Topic / statistics & numerical data*
  • Predictive Value of Tests
  • Recurrence
  • Self Care / psychology*
  • Social Support
  • Survival Analysis
  • Tokyo / epidemiology


  • Glycated Hemoglobin A
  • glucosylated hemoglobin A