Families, Systems, & Health Vol. 36, Iss. 1,  (Mar 2018): 87-96. Introduction: Spousal support is one of the strongest and most consistent predictors of Type 2 diabetes treatment adherence. However, the effects of both spouses’ evaluations of dyadic coping on emotional distress and patients’ physical health remain largely unknown.. To read the full article, log in using your NHS OpenAthens details.