Context of Differences Between Asthmatic and Diabetic Patients in Adaptation to Disease

 

Asthma group

Control group

Diabetes group

p-value

(n = 30)

(n = 30)

(n = 30)

Present-fatalistic

5.3 ± 2.0

5.6 ± 2.7

5.8 ± 1.9

Asthma vs. diabetes p = 0.02a

Future orientation

12.1 ± 2.4

11.5 ± 3.0

10.8 ± 3.0

Asthma vs. diabetes p = 0.07

Sense of belonging

56.9 ± 11.7

53.6 ± 12.8

53.7 ± 17.9

Asthma vs. control p = 0.32

Need for belonging

40.1 ± 5.4

39.5 ± 5.1

40.3 ± 4.9

Asthma vs. diabetes p = 0.92

Hope

66.5 ± 11.8

66.2 ± 9.4

64.1 ± 14.3

Asthma vs. diabetes p = 0.56


Data are means ± SD of raw scores; t-test was used for the comparison of scores for sense of belonging and Mann-Whitney U test was used for the remaining comparisons

astatistically significant difference



The results of this study demonstrate differences in the perception of the time perspective between asthmatic and diabetic patients. The asthmatic patients perceive the present situation in a definitely less fatalistic way than patients suffering from diabetes. The asthmatic patients also concentrate more on, and reach out toward, the future than diabetic patients. That can happen for several reasons. Firstly, asthma seems to be a disease with a better prognosis of at least temporary recovery and daily functioning improvement, which creates favorable conditions for making plans and expectations to appear (Zimbardo and Boyd 2009). It seems that the results are also related to the effectiveness of asthma treatment. Beside, asthmatic symptoms may hamper the patients’ daily functioning less than diabetic symptoms do. It can also be assumed that asthmatic attacks, being spectacularly violent, make other people immediately offer help and care for the patient, which minimizes fatalistic perception of the present, and makes the patient feel better and be ready to make plans for the future. The diabetic patients, on the other hand, presented a decidedly fatalistic attitude toward the present. That could be explained by the patients’ concentration on everyday impediments related to the necessity of monitoring the disease course. Diabetic symptoms are more difficult to observe and less spectacular, but at the same time they are severe and life-threatening. Because of that, the patients, even in a deteriorating health condition, do not get outright support and care comparable to those the asthma patients do, which could constitute the reason for the expression of a more fatalistic orientation by diabetics patients. By the same token, the future seems to them less important, as their main problem is the present health condition. The patients’ ability to perceive the present world in a relatively positive way shows that they believe in other people’s kindness and in positive aspects of life. In diabetes, a high score in the present-fatalistic scale may be associated with a tendency to perceive the world as unfavorable and unpredictably threatening.
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Jul 2, 2016 | Posted by in RESPIRATORY | Comments Off on Context of Differences Between Asthmatic and Diabetic Patients in Adaptation to Disease

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