How coping styles moderate the relationship between diabetes distress and self-care in adults with diabetes in Appalachian Ohio: A cross-sectional survey study

Our findings suggest that higher levels of problem-based coping buffered the negative effect of diabetes distress on self-care behaviors in both type 1 and type 2 diabetes. In contrast, emotion-based coping amplified the negative effect of diabetes distress on self-care behaviors, but only in participants with type 1 diabetes. These findings align with previous research and intervention studies focused on coping strategies and diabetes distress.