Journals / Türkiye Diyabet ve Obezite Dergisi / 2026 / Cilt: 10 Sayı: 1

Health Fatalism and Distress Tolerance in Caregivers of Patients with Type 1 Diabetes: A Cross-Sectional Study

Tip 1 Diyabetli Hastalara Bakım Verenlerde Sağlık Kaderciliği ve Sıkıntı Toleransı: Kesitsel Bir Çalışma

Gülden Atan(Van Yüzüncü Yıl Üniversitesi Sağlık Bilimleri Fakültesi)0000-0001-8816-9537
Yavuz Üren(VAN YÜZÜNCÜ YIL ÜNİVERSİTESİ, SAĞLIK BİLİMLERİ FAKÜLTESİ)0000-0002-1382-9200
Veysel Can(VAN YÜZÜNCÜ YIL ÜNİVERSİTESİ, SAĞLIK BİLİMLERİ FAKÜLTESİ)0000-0001-5982-183X
Mehmet Bulduk(VAN YÜZÜNCÜ YIL ÜNİVERSİTESİ, SAĞLIK BİLİMLERİ FAKÜLTESİ)0000-0001-9341-3346
Pages
46–59
Publication Date
2026-04-30
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Furthermore, as the caregivers’ level of health fatalism increased, their level of distress tolerance also increased.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: The purpose of this research was to determine the relationship between health fatalism and distress tolerance among caregivers of patients with type 1 diabetes mellitus.
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Key Findings & Data:Material and Methods: This cross-sectional study was carried out with 203 caregivers at a state hospital located in the eastern region of Turkey, between August and November 2024.
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Conclusion & Impact:Furthermore, as the caregivers’ level of health fatalism increased, their level of distress tolerance also increased.
🔬Design:Araştırma Makalesi
📍Scope:2024 Verileri
⚙️Variables:Tip 1 diyabet · Sağlık kaderciliği · Sıkıntı toleransı

Abstract

Aim: The purpose of this research was to determine the relationship between health fatalism and distress tolerance among caregivers of patients with type 1 diabetes mellitus. Material and Methods: This cross-sectional study was carried out with 203 caregivers at a state hospital located in the eastern region of Turkey, between August and November 2024. Personal information form, Health Fatalism Scale and the Distress Tolerance Scale were used in the study. Number, percentage, mean, standard deviation, minimum-maximum values, t-test, pearson correlation and regression analyses were used to analyze the data. The statistical significance level was assumed to be p < 0.05. Results: The participants’ mean total score for health fatalism was found to be 53.91±19.12. The mean total score for distress tolerance was determined as 43.92±14.84. A statistically significant and positive correlation was identified between participants’ total scores on health fatalism and distress tolerance (r=0.626, η²=0.718, p<0.05). It was determined that the level of health fatalism increased the level of distress tolerance (β₁=0.50, t(195)=7.78, p<0.001). Conclusion: It has been shown that caregivers of patients with type 1 diabetes mellitus exhibited high levels of both health fatalism and distress tolerance. Furthermore, as the caregivers’ level of health fatalism increased, their level of distress tolerance also increased.

Özet

Amaç: Bu araştırmanın amacı, tip 1 diyabetli hastaların bakım verenleri arasında sağlık kaderciliği ile sıkıntı toleransı arasındaki ilişkiyi belirlemektir. Gereç ve Yöntemler: Bu kesitsel çalışma, Ağustos-Kasım 2024 tarihleri arasında Türkiye'nin doğu bölgesinde bulunan bir devlet hastanesinde 203 bakım veren ile yürütülmüştür. Çalışmada kişisel bilgi formu, Sağlık Kaderciliği Ölçeği ve Sıkıntı Tolerans Ölçeği kullanılmıştır. Verilerin analizinde sayı, yüzde, ortalama, standart sapma, minimum-maksimum değerler, t-testi, Pearson korelasyon ve regresyon analizleri kullanılmıştır. İstatistiksel anlamlılık düzeyi p < 0,05 olarak varsayılmıştır. Bulgular: Sağlık kaderciliği toplam puanı 53,91±19,12 olarak bulunmuştur. Sıkıntı toleransı toplam puanının ortalaması 43,92±14,84 olarak bulunmuştur. Katılımcıların sağlık kaderciliği ve stres toleransına ilişkin toplam puanları arasında istatistiksel olarak anlamlı ve pozitif bir korelasyon tespit edilmiştir (r=0,626, η²=0,718, p<0,05). Sağlık kaderciliği düzeyinin stres toleransı düzeyini artırdığı belirlenmiştir (β₁=0,50, t(195)=7,78, p<0,001). Sonuç: Tip 1 diyabetli hastaların bakım verenlerinin hem sağlık kaderciliği hem de sıkıntı toleransı düzeylerinin yüksek olduğu gösterilmiştir. Ayrıca, bakım verenlerin sağlık kaderciliği düzeyi arttıkça, sıkıntı toleransı düzeyleri de artmaktadır.

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Cite This Article

Atan, G., Üren, Y., Can, V., Bulduk, M. (2026). Health Fatalism and Distress Tolerance in Caregivers of Patients with Type 1 Diabetes: A Cross-Sectional Study. Türkiye Diyabet ve Obezite Dergisi, Cilt: 10 Sayı: 1, 46–59. https://ajindex.com/articles/1436197

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References (45)

  1. Moghadam YH, Zeinaly Z, Alhani F. How mothers of a child with type 1 diabetes cope with the burden of care: a qualita tive study. BMC Endocrine Disorders. 2022 Dec 13;22(1):129. Available from: https://bmcendocrdisord.biomedcentral.com/ articles/10.1186/s12902-022-01045-z
  2. Delikanlı Çorakçı B, Bilici M, Öztürk Y, Bayraktaroğlu T. The Role of Social Networks in the Monitoring and Treat ment of Adolescent Diabetes. Turkish Journal of Diabetes and Obesity. 2017 Sep 29;1(2):49–53. Available from: http:// turkjod.beun.edu.tr/?journal=TURKJOD&page=arti cle&op=view&path%5B%5D=37
  3. Shoghi M, Shahbazi B, Seyedfatemi N. The Effect of the Fam ily-Centered Empowerment Model (FCEM) on the Care Bur den of the Parents of Children Diagnosed with Cancer. Asian Pacific Journal of Cancer Prevention. 2019 Jun 1;20(6):1757 64. Available from: http://journal.waocp.org/article_87423. html
  4. Solmaz E, Durmaz H. Comparison of health fatalism and in fluencing factors in individuals who had and did not experi ence the disease during the Covid-19 pandemic,. EKEV Acad emy Journal. 2023 Sep 15;(95):70–82. Available from: http:// dergipark.org.tr/tr/doi/10.17753/sosekev.1324819
  5. Ngien A, Jiang S. The Effect of Social Media on Stress among Young Adults during COVID-19 Pandemic: Taking into Ac count Fatalism and Social Media Exhaustion. Health Commu nication. 2022 Aug 24;37(10):1337–44. Available from: https:// www.tandfonline.com/doi/full/10.1080/10410236.2021.18884 38
  6. Çövener Özçelik Ç, Aktaş E. Tip 1 Diyabette Gece Hipoglise misi “Ebeveynler Önlemeyi Biliyor mu?”: Tanımlayıcı Bir Çalışma. Turkish Journal of Diabetes and Obesity. 2023 Apr 28;7(1):72–80. doi/10.25048/tudod.1258860
  7. Cimbek EA, Bekfilavioğlu S, Karagüzel G. The Relationship Between Long-Term Glycemic Control and Partial Remission in Type 1 Diabetes: A Retrospective Study. Turkish Journal of Diabetes and Obesity. 2022 Dec 29;6(3):252–9. 8.Simons JS, Gaher RM. The Distress Tolerance Scale: Devel opment and Validation of a Self-Report Measure. Motivation and Emotion. 2005 Jun;29(2):83–102. Available from: http:// link.springer.com/10.1007/s11031-005-7955-3
  8. Coşgun R, Tokur B. R. Coşgun, B. Tokur, Religious Coping in Critically Ill Patients. Journal of Analytic Divinity. 2022 Dec 15;6(2):122–44. tr/doi/10.46595/jad.1127744
  9. Shahid F, Beshai S, Del Rosario N. Fatalism and Depressive Symptoms: Active and Passive Forms of Fatalism Differential ly Predict Depression. Journal of Religion and Health. 2020 Dec 21;59(6):3211–26. Available from: https://link.springer. com/10.1007/s10943-020-01024-5
  10. Bilgehan T, Vardar İnkaya B, Altunsoy A, Aytemur M. Per ceptions of Diabet in Type 1 Diabetes and Type 2 Diabetes: A Mixed-Methods Comparative Insight. Turkish Journal of Di abetes and Obesity. 2025 Aug 31;9(2):107–15. 12. Kara R, Gümüs M, Başbakkal Z. Care Burden and Difficul ties Experienced by Parents Caring for a Child with Cancer. Dokuz Eylül University Faculty of Nursing Electronic Journal. 2023 Apr 15;16(2):234–46. Available from: http://dergipark. org.tr/tr/doi/10.46483/deuhfed.1057807
  11. Durmaz H, Çapik C. Are Health Fatalism and Styles of Coping with Stress Affected by Poverty? A Field Study. Iranian Journal of Public Health. 2023 Mar 11; Available from: https://publish. kne-publishing.com/index.php/ijph/article/view/12140
  12. Franklin MD, Schlundt DG, Wallston KA. Development and Validation of a Religious Health Fatalism Measure for the Af rican-American Faith Community. Journal of Health Psychol ogy. 2008 Apr 1;13(3):323–35. Available from: https://journals. sagepub.com/doi/10.1177/1359105307088137
  13. Bobov G, Capik C. The Reliability and Validity of the Reli gious Health Fatalism Scale in Turkish Language. Journal of Religion and Health. 2020 Apr 14;59(2):1080–95. Available from: http://link.springer.com/10.1007/s10943-018-0731-y
  14. Sargın AE, Özdel K, Utku Ç, Kuru E, Alkar ÖY, Türkçapar MH. Distress tolerance scale: A validity and reliability study. Journal of Cognitive Behavioral Psychotherapy and Research. 2012;1(3):152–61.
  15. Başol G. Araştırmacılar için istatistik. Ankara: Pegem akademi; 2019. Available from: https://depo.pegem.net/9786052419670. pdf
  16. Fein, E. C., Gilmour, J., Machin, T., & Hendry L. Statistics for research students. Darling He. Australia: University of South ern Queensland.; 2022. 12 p. Available from: https://files.znu. edu.ua/files/Bibliobooks/Inshi75/0056347.pdf
  17. Pallant J. SPSS Survival Manual. Routledge; 2020. Available from: https://www.taylorfrancis.com/books/9781000248777
  18. Sharma AK. Text book of correlations and regression. In Dis covery Publishing House; 2005.
  19. Büyüköztürk Ş, Çokluk Ö, Köklü N. Sosyal bilimler için istatis tik. Pegem akademi; 2018. 001–248 p.
  20. Tabachnick, B. G., Fidell LS. Using Multivariate Statistics. Pearson Education. 2013.
  21. George D, P.Mallery. IBM SPSS statistics 29 step by step: A simple guide and reference (18th ed.).Routledge. 2024.
  22. Qiu Y, Fan S, Fu Q, Yang M, Zhu L. Fatalism as a Mediator of the Association Between Family Resilience and Self-Manage ment Among Patients with Chronic Wounds in China. Patient Preference and Adherence. 2024 Jan;Volume 18:53–67. Avail able from: https://www.dovepress.com/fatalism-as-a-media tor-of-the-association-between-family-resilience-an-peer-re viewed-fulltext-article-PPA
  23. Demir OB, Yilmaz FT. Religious Coping and Fatalism on Per ception of Care Burden in Caregivers of Patients with Cerebral Palsy in Turkey: A Cross-Sectional and Correlational Study. Journal of Religion and Health. 2024 Aug 15;63(4):2745–59. Available from: https://link.springer.com/10.1007/s10943 023-01814-7
  24. Gutierrez AP, McCurley JL, Roesch SC, Gonzalez P, Castañe da SF, Penedo FJ, et al. Fatalism and hypertension prevalence, awareness, treatment and control in US Hispanics/Latinos: re sults from HCHS/SOL Sociocultural Ancillary Study. Journal of Behavioral Medicine. 2017 Apr 8;40(2):271–80. Available from: http://link.springer.com/10.1007/s10865-016-9779-x
  25. Abraído-Lanza AF, Martins MC, Shelton RC, Flórez KR. Breast Cancer Screening Among Dominican Latinas. Health Educa tion & Behavior. 2015 Oct 13;42(5):633–41. Available from: https://journals.sagepub.com/doi/10.1177/1090198115580975
  26. Leyva B, Nguyen AB, Cuevas A, Taplin SH, Moser RP, Allen JD. Sociodemographic correlates of cancer fatalism and the moderating role of religiosity: Results from a nationally-rep resentative survey. Journal of Prevention & Intervention in the Community. 2020 Jan 2;48(1):29–46. Available from: https:// www.tandfonline.com/doi/full/10.1080/10852352.2019.16175 21
  27. Tanrıkulu F, Demir R, Demir M. The Relationship Between Religious Health Fatalism and Healthy Lifestyle Behaviors of Earthquake Victims: The Example of Türkiye. Journal of Religion and Health. 2025 Jan 8; Available from: https://link. springer.com/10.1007/s10943-024-02243-w
  28. Du J, Wu X, Zhang Q, Wang Y, Chen Y, Nie C. Latent pro file analysis of fatalism and its influencing factors among community-dwelling disabled elderly individuals. Frontiers in Psychology. 2025 Jan 28;16. Available from: https://www. frontiersin.org/articles/10.3389/fpsyg.2025.1507591/full
  29. El-Sayed MM, Mohsen HA, El-Ashry AM, Khaled AMS, Shoukr EMM. Association of health anxiety, fatalism and medication adherence among geriatric clients: An explor atory study. Geriatric Nursing. 2023 Nov;54:8–15. Avail able from: https://linkinghub.elsevier.com/retrieve/pii/ S0197457223002100
  30. Sridhar A, Kuriakose H. Role of psychological well-being, quality of life and distress tolerance in caregivers of geriatric population: an Indian exploratory study. Working with Older People. 2025 Jan 21;29(1):57–65. Available from: https://www. emerald.com/insight/content/doi/10.1108/WWOP-03-2024 0015/full/html
  31. Schwartzman JM, Antezana L, Conner CM. The relationship between distress tolerance and behavioral activation on anxi ety and depression symptomatology in autistic youth: Lever aging self and caregiver perspectives. Autism Research. 2024 Nov 6;17(11):2278–91. Available from: https://onlinelibrary. wiley.com/doi/10.1002/aur.3208
  32. Yelpaze İ. The Relationship Between Depression and Non-Sui cidal Self-Injury: The Mediating Roles of Distress Intolerance and Perceived Social Support, the Moderating Role of Gender. Deviant Behavior. 2024 Jun 2;45(6):882–95. Available from: https://www.tandfonline.com/doi/full/10.1080/01639625.202 3.2268252
  33. Dieujuste N, Ejadi G, Narayan AJ, Doom JR. Associations of Adverse and Positive Childhood Experiences with Trans diagnostic Risk Factors for Mental Health Problems in Black American Adults. Adversity and Resilience Science. 2025 May 21; Available from: https://link.springer.com/10.1007/s42844 025-00171-6
  34. Büşra T, Angın NY. Spirituality and Distress Tolerance in Young Adults (Erzurum Sample). Akif. 2024 Dec 30; sue/89368/1448759
  35. Taghian NR, Parsons EM, Fitzgerald HE, Zvolensky MJ, Gor lin EI, Doan S, et al. Stressful Life Events and Depression in Ad olescents from Low-Income Neighborhoods: An Investigation of the Role of Working Memory Capacity and Distress Intol erance. Cognitive Therapy and Research. 2025 Feb;49(1):169 76. Available from: https://link.springer.com/10.1007/s10608 024-10510-z
  36. Bonanno G. Loss, trauma, and human resilience: Have we underestimated the human capacity to thrive after extremely aversive events? American Psychologist. 2004;59:20–8.
  37. Levante A, Martis C, Del Prete CM, Martino P, Pascali F, Primiceri P, et al. Parentification, distress, and relationship with parents as factors shaping the relationship between adult siblings and their brother/sister with disabilities. Frontiers in Psychiatry. 2023 Jan 18;13. Available from: https://www.fron tiersin.org/articles/10.3389/fpsyt.2022.1079608/full
  38. Schulz R, Martire LM. Family Caregiving of Persons With Dementia: Prevalence, Health Effects, and Support Strat egies. The American Journal of Geriatric Psychiatry. 2004 May;12(3):240–9. Available from: https://linkinghub.elsevier. com/retrieve/pii/S1064748112617746
  39. Yeşil T, Uslusoy E, Korkmaz M. Examining the Care Bur den and Quality of Life of Caregivers of Those with Chronic Diseases. Gümüşhane University Journal of Health Sciences. 2016;5(4):54–66.
  40. Karsavuran N, Özen M, Nur Eke R, Vural R, Bulca Acar A, Aşık Z, et al. Prevalence of Psychological Distress among Care givers of Patients with Follow-up in a Home Health Services Unit of a Training and Research Hospital. Journal of Continu ing Medical Education. 2022 Jul 28; Available from: https:// dergipark.org.tr/tr/doi/10.17942/sted.1059211
  41. Çövener Özçelik Ç, Aktaş E. Tip 1 Diyabette Gece Hipoglise misi “Ebeveynler Önlemeyi Biliyor mu?”: Tanımlayıcı Bir Çalışma. Turkish Journal of Diabetes and Obesity. 2023 Apr 28;7(1):72–80. doi/10.25048/tudod.1258860
  42. Cimbek EA, Bekfilavioğlu S, Karagüzel G. The Relationship Between Long-Term Glycemic Control and Partial Remission in Type 1 Diabetes: A Retrospective Study. Turkish Journal of Diabetes and Obesity. 2022 Dec 29;6(3):252–9.
  43. Coşgun R, Tokur B. R. Coşgun, B. Tokur, Religious Coping in Critically Ill Patients. Journal of Analytic Divinity. 2022 Dec 15;6(2):122–44. tr/doi/10.46595/jad.1127744
  44. Bilgehan T, Vardar İnkaya B, Altunsoy A, Aytemur M. Per ceptions of Diabet in Type 1 Diabetes and Type 2 Diabetes: A Mixed-Methods Comparative Insight. Turkish Journal of Di abetes and Obesity. 2025 Aug 31;9(2):107–15.
  45. Büşra T, Angın NY. Spirituality and Distress Tolerance in Young Adults (Erzurum Sample). Akif. 2024 Dec 30; sue/89368/1448759