This study used an MFT perspective to examine a model of three bio-psychosocial constructs, seeking to depict key dimensions of what makes couples successful in managing the demanding self-care regimen of diabetes. The model includes a meaning and emotion-oriented construct called relationship with diabetes, a psychosocial relational construct of diabetes-specific partnering support, and their direct and indirect effects on an endogenous construct of success in diabetes management. Surveys from 118 adult couples with diabetes provided data to test the hypothesized path and measurement model. Correlational and multiple regression analysis examined variable relationships, factor analysis examined construct dimensionality, and structural equation modeling determined the model's goodness of fit. It was found that relationship with diabetes and partnering support are positively associated and have direct and indirect effects promoting successful diabetes management. The emotion component of relationship with diabetes was especially important to management success. The current quantitative study extends and tests grounded theory from a previous qualitative study. Outcomes from this study expand our current understanding of how couples manage chronic illness and highlight the importance of developing a multidisciplinary approach to diabetes research, education, and intervention.
Marital and Family Therapy
Counseling and Family Sciences
School of Behavioral Health
Fox, Curtis A.
Doctor of Philosophy (PhD)
Year Degree Awarded
Date (Title Page)
Library of Congress/MESH Subject Headings
Diabetes-Milletus; Interpersonal Relationships; Couples Therapy; Marriage Counseling;
Subject - Local
Bio-psychosocial Constructs; Couples; Diabetes Management; Partnering Support; Relationship with Diabetes
Loma Linda University Libraries
This title appears here courtesy of the author, who has granted Loma Linda University a limited, non-exclusive right to make this publication available to the public. The author retains all other copyrights.
Barrett, Ruth Houston, "Couple's Relationship with Diabetes: Transformation, Partnership, and Management" (2012). Loma Linda University Electronic Theses, Dissertations & Projects. 73.
Loma Linda University Electronic Theses & Dissertations
Loma Linda University. Del E. Webb Memorial Library. University Archives