Research Article Selected Factors Determining a Way of Coping with Stress in Type 2 Diabetic Patients Anna Beata Sobol-Pacyniak, 1 WiesBaw Szymczak, 2 Paulina Kwarta, 3 Jerzy Loba, 1 and Tadeusz Pietras 4 1 Department of Internal Medicine and Diabetology, Medical University of Lodz, N. Barlicki Memorial Teaching Hospital No. 1, Kopcinskiego 22, 90-153 Lodz, Poland 2 Department of Psychological Research Methodology and Statistics, Institute of Psychology, University of Lodz, Smugowa 10/12, 91-433 Lodz, Poland 3 Jas and Malgosia Foundation for Helping Children, Tatrzanska 105, 93-279 Lodz, Poland 4 Department of Pneumonology and Allergology, Medical University of Lodz, N. Barlicki Memorial Teaching Hospital No. 1, Kopcinskiego 22, 90-153 Lodz, Poland Correspondence should be addressed to Anna Beata Sobol-Pacyniak; sobolka@poczta.onet.pl Received 28 February 2014; Accepted 13 May 2014; Published 3 July 2014 Academic Editor: Konstantinos Papatheodorou Copyright © 2014 Anna Beata Sobol-Pacyniak et al. his is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Objectives. he aim of the study was to examine factors which determine stress coping styles in type 2 diabetic (T2D) patients, with regard to selected demographic variables, clinical diabetes-related variables and selected psychical variables (anxiety level and assessment of depressive disorders). Methods. 50 T2D patients, aged 59.9 ± 10.2 years were assessed by Coping Inventory for Stressful Situations (CISS), Spielberger State-Trait Anxiety Inventory (STAI), and Beck Depression Inventory (BDI). In the statistical analysis simple and multivariable logistic regression models were used. Results. Variables signiicantly increasing the selection risk of stress coping style diferent from preferred task-oriented strategy in a simple logistic regression model are: hypoglycemia within three months prior to the research: odds ratio (OR) = 6.86 (95% conidence interval (CI) 1.25–37.61), taking antidepressants or neuroleptics: OR =15.42 (95% CI 2.42–98.33), severe depression in Beck’s scale: OR = 84.00 (95% CI 6.51–1083.65), high state- anxiety level: OR = 9.60 (95% CI 1.08–85.16), and high trait-anxiety level: OR = 18.40 (95%CI 2.96–114.31), but in a multivariable model, diagnosed depression is the strongest factor: OR = 32.38 (95% CI 4.94–212.13). Conclusions. In T2D patients, the strategy to cope with stress appears to be mostly inluenced by psychical predisposition. 1. Introduction Type 2 diabetes is a social disease with a high and regularly growing level of distribution worldwide, afecting more than 2.5 mln people in Poland [1]. It is a heavy strain for patients and their families and it is connected with a higher incidence of depressive and anxiety disorders [2–4]. A pathogenesis of this phenomenon is complex. Chronic stress, associated with illness and its treatment, requires appropriate preventive measures [5, 6]. he development of secondary adaptation syndromes, which can result in depression or anxiety, depends on the selected strategy to cope with stress [7]. A question arises if stress management by diabetic patients depends on selected variables of the course of dia- betes, demographical variables and psychical variables. Some prospective study in type 2 diabetic patients reported the association of depression with female gender and worsening of diabetic complications but not with diabetes duration, while this association was found for anxiety [8]. he most preferable way to manage stress, according to psychologists, is to initiate, in diicult and stressful situations, activities concentrating on task performance and problem solving. he other two possible ways to manage stress, problem avoidance and concentrating on emotions, are of a lower value when compared to the preferred, so-called Hindawi Publishing Corporation BioMed Research International Volume 2014, Article ID 587823, 7 pages http://dx.doi.org/10.1155/2014/587823