Indirect health-related social control and psychological functioning in Singaporeans with diabetes

• Fang Yang

  Shanghai University

• Joyce S. Pang

  Nanyang Technological University

We examined indirect health-related social control and the underlying mechanisms of its association with psychological functioning in patients with type 2 diabetes. Singaporean late middle-aged and older adults (N = 199) completed questionnaires measuring indirect social control, self-efficacy, internal diabetes locus of control, and psychological functioning. We used a bootstrapping approach and structural equation modeling to analyze the data. Results showed that indirect social control was associated with diabetes-related emotional distress and depressive symptoms via the mediator of internal diabetes locus of control, but self-efficacy did not mediate this relationship. More specifically, indirect social control was positively associated with higher internal diabetes locus of control, which, in turn, had a negative impact on diabetes-related emotional distress and depressive symptoms.

1. Fang Yang, Shanghai University
   Department of Social Work, School of Sociology and Political Science
2. Joyce S. Pang, Nanyang Technological University
   Division of Psychology, School of Humanities and Social Sciences

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