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      The relationship between spiritual intelligence with self-efficacy in adolescents suffering type 1 diabetes

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          Abstract

          INTRODUCTION:

          An important construct to consider within diabetes management and the changing landscape of diabetes therapies is self-efficacy. Self-efficacy research holds the potential to inform and assist the diabetes team as well as patients with type 1 diabetes.

          METHODS:

          In this descriptive-correlation study, 200 adolescents with type 1 diabetes were enrolled. To measure spiritual intelligence, the 24-question Spiritual Intelligence Self-Report Inventory questionnaire and to measure self-efficacy of diabetes, the Self-efficacy Questionnaire (8 questions) were used. Data collection was conducted by simple sampling. Data were analyzed using Pearson analysis, mean, and standard deviation analysis tests.

          RESULTS:

          Nearly 66% of the participants were female, the mean age of the samples was 17.10 ± 1.85 years, the mean duration of diabetes was 5.98 ± 3.79 years, and 62.5% had a history of diabetes in first-degree relatives. Almost 42% of the participants were the first children of the family and 29.5% were studying at the university. The mean score of spiritual intelligence was 60.42 ± 12.9. The mean self-efficacy score was 5.41 ± 1.87. The mean scores in the critical thinking, personal meaning production, transcendental awareness, conscious state expansion were 18.31 ± 4.33, 13.17 ± 3.36, 11.26 ± 3.36, 46.14 ± 1.04, 11.33 ± 1.04, and 11.89 ± 3.9, respectively. Cronbach's alpha level on the level of spiritual intelligence and self-efficacy was 0.903 and 0.082, respectively, at 95% confidence level. There was a significant relationship between spiritual intelligence and self-efficacy ( P = 0.026). There was no significant relationship between self-efficacy with spiritual intelligence subscales.

          CONCLUSION:

          This study showed that spiritual intelligence correlates with self-efficacy and has a decisive role in improving the health of adolescents with diabetes.

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          Most cited references12

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          Epidemiology of type 1 diabetes.

          This article describes the epidemiology of type 1 diabetes mellitus (T1D) around the world and across the lifespan. Epidemiologic patterns of T1D by demographic, geographic, biologic, cultural, and other factors in populations are presented to gain insight about the causes, natural history, risks, and complications of T1D. Data from large epidemiologic studies worldwide indicate that the incidence of T1D has been increasing by 2% to 5% worldwide and that the prevalence of T1D is approximately 1 in 300 in the United States by 18 years of age. Research on risk factors for T1D is an active area of research to identify genetic and environmental triggers that could potentially be targeted for intervention. Although significant advances have been made in the clinical care of T1D with resultant improvements in quality of life and clinical outcomes, much more needs to be done to improve care of, and ultimately find a cure for, T1D. Epidemiologic studies have an important ongoing role to investigate the complex causes, clinical care, prevention, and cure of T1D. Copyright 2010 Elsevier Inc. All rights reserved.
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            Self-efficacy, outcome expectations, and diabetes self-management in adolescents with type 1 diabetes.

            The goal of this research was to develop and evaluate measures of adolescent diabetes management self-efficacy and outcome expectations that reflect developmentally relevant, situation-specific challenges to current diabetes regimens. Self-efficacy for diabetes management, expected outcomes of adherence, adherence to the diabetes regimen, and glycemic control were assessed in 168 adolescents (ages 10-16 years) with type 1 diabetes. Factor analyses indicated a single scale for self-efficacy and two distinct factors representing positive and negative outcome expectations. Reliability and predictive validity of the new scales were supported. In regression analyses, self-efficacy and the interaction of self-efficacy with expectations of positive outcomes were significantly associated with diabetes self-management adherence and glycemic control in older adolescents. The effect of self-efficacy was greatest when adolescents had stronger beliefs in the beneficial outcomes of adherence. These brief measures can be used to identify youths at risk of poor diabetes self-management. Interventions targeting self-efficacy may lead to improved diabetes self-management.
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              The relationship between religion/spirituality and physical health, mental health, and pain in a chronic pain population.

              This study sought to better understand the relationship between religion/spirituality and physical health and mental health in 122 patients with chronic musculoskeletal pain. The current study conceptualized religion/spirituality as a multidimensional factor, and measured it with a new measure of religion/spirituality for research on health outcomes (Brief Multidimensional Measure of Religion/Spirituality). Pain patients' religious and spiritual beliefs appear different than the general population (e.g. pain patients feel less desire to reduce pain in the world and feel more abandoned by God). Hierarchical multiple regression analyses revealed significant associations between components of religion/spirituality and physical and mental health. Private religious practice (e.g. prayer, meditation, consumption of religious media) was inversely related to physical health outcomes, indicating that those who were experiencing worse physical health were more likely to engage in private religious activities, perhaps as a way to cope with their poor health. Forgiveness, negative religious coping, daily spiritual experiences, religious support, and self-rankings of religious/spiritual intensity significantly predicted mental health status. Religion/spirituality was unrelated to pain intensity and life interference due to pain. This study establishes relationships between religion/spirituality and health in a chronic pain population, and emphasizes that religion/spirituality may have both costs and benefits for the health of those with chronic pain.
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                Author and article information

                Journal
                J Educ Health Promot
                J Educ Health Promot
                JEHP
                Journal of Education and Health Promotion
                Medknow Publications & Media Pvt Ltd (India )
                2277-9531
                2319-6440
                2018
                02 August 2018
                : 7
                : 100
                Affiliations
                [1] Department of Nursing, Research Center for Non Communicable Diseases, Jahrom University of Medical Sciences, Jahrom, Iran
                Author notes
                Address for correspondence: Miss. Mojdeh Rahmanian, Jahrom University of Medical Sciences, Jahrom, Iran. E-mail: mojdeh93rahmanian@ 123456gmail.com
                Article
                JEHP-7-100
                10.4103/jehp.jehp_21_18
                6088821
                30159346
                8e06300f-a7f2-4228-85a7-81f33ca217d5
                Copyright: © 2018 Journal of Education and Health Promotion

                This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

                History
                : 27 January 2018
                : 15 March 2018
                Categories
                Original Article

                diabetes mellitus,self-efficacy and adolescent,spiritual intelligence

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