| Summary: | The present study focused on identifying and clarifying the relationship between coping strategies, depressive symptoms, self-care behaviors, diabetes-related distress and metabolic control in a sample of type 2 diabetes patients. Primary control engagement coping, secondary control engagement coping, and disengagement coping were measured using the Responses to Stress Questionnaire (RSQ). An additional aim of this study was to validate the RSQ in a sample of type 2 diabetes patients. Results showed that primary control engagement coping and secondary control coping predicted a significant proportion of the variance in depressive symptom scores and were positively correlated with self-care behaviors. Conversely, disengagement coping was positively correlated with metabolic control and diabetes-related distress and negatively correlated with self-care behaviors. Depressive symptoms were also associated with greater diabetes-related distress and lower levels of self-care behaviors. In regards to validating the RSQ, fit indices revealed that the five-factor model was an adequate fit to the data.
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