Subjective cognitive decline in diabetes: Associations with psychological, sleep, and diabetes-related factors.
Subjective cognitive decline in diabetes: Associations with psychological, sleep, and diabetes-related factors.
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糖尿病患者的主观认知能力下降：与心理、睡眠和糖尿病相关因素的关系
DOI：
10.1111/jan.14624
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发表时间：
2021-03
影响因子：
3.8
通讯作者：
Fritschi C
中科院分区：
文献类型：
--
作者：
Kim MJ;Park C;Zhu B;Fritschi C
确定心理、睡眠和糖尿病相关因素是否与成人2型糖尿病患者的主观认知能力下降有关。采用横断面相关设计的二次分析。来自两项家长研究的数据被结合在一起。2013年9月至2014年3月和2016年9月至2017年9月期间，共有105名成年糖尿病患者从美国中西部城市招募。主观认知功能下降采用修订后的糖尿病症状自评量表中的心理-认知症状子量表进行测量。心理因素(糖尿病苦恼、疲劳和抑郁症状)和睡眠使用糖尿病苦恼量表和患者报告结果测量信息系统进行测量。用体重指数和血糖控制来测量糖尿病相关因素。采用分位数回归分析两者之间的相关性。参与者的平均年龄为58.10岁(SD 7.92)，其中58.1%为女性。受试者的心理-认知症状平均得分为1.41(SD1.13)。在控制了年龄和性别后，在认知症状分位数较低的组(第5至第30百分位数)，睡眠障碍、睡眠相关障碍和体重指数与主观认知能力下降有关。相比之下，在分位数较高的组(第70到第95个百分位数)，疲劳和抑郁症状与主观认知能力下降的相关性更强。在患有2型糖尿病的成年人中，主观认知能力下降与心理、睡眠和糖尿病相关因素存在差异，具体取决于认知症状百分位数。患有2型糖尿病的成年人需要定期筛查主观认知能力下降。如果他们在临床就诊时抱怨认知症状，应该根据他们的症状严重程度评估不同的潜在因素。本研究结果为早期识别主观认知功能下降及其影响因素提供了证据，有助于制定护理干预措施以识别和/或延缓成人2型糖尿病患者认知功能障碍的发生。
To determine whether psychological, sleep and diabetes-related factors were associated with subjective cognitive decline in adults with type 2 diabetes. A secondary analysis with a cross-sectional, correlational design. Data from two parent studies were combined. A total of 105 adults with diabetes were recruited from a Midwestern city in the United States from September 2013 - March 2014 and September 2016 - September 2017. Subjective cognitive decline was measured with the psychological-cognitive symptom subscale of the Diabetes Symptom Checklist-Revised. Psychological factors (diabetes distress, fatigue and depressive symptoms) and sleep were measured using the Diabetes Distress Scale and Patient-Reported Outcomes Measurement Information System. Diabetes-related factors were measured with body mass index and glycemic control. Quantile regression was used to examine the associations. The mean age of the participants was 58.10 (SD 7.92) years and 58.1% were females. The participants’ mean psychological-cognitive symptom score was 1.41 (SD 1.13). After controlling for age and gender, sleep disturbance, sleep-related impairment and body mass index were associated with subjective cognitive decline in lower cognitive symptom quantile groups (5th to 30th percentiles). In contrast, fatigue and depressive symptoms were more strongly associated with subjective cognitive decline in higher quantile groups (70th to 95th percentiles). In adults with type 2 diabetes, subjective cognitive decline was differentially associated with psychological, sleep and diabetes-related factors depending on cognitive symptom percentiles. Adults with type 2 diabetes require regular screening for subjective cognitive decline. If they complain of cognitive symptoms at clinical visits, different underlying factors should be assessed according to their symptom severity. Findings from this study provided evidence for early identification of subjective cognitive decline and its influencing factors, which may help to develop nursing interventions to recognize and/or delay the onset of cognitive impairment in adults with type 2 diabetes.
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影响因子：
6.7
作者：
Mitchell, A. J.;Beaumont, H.;Stubbs, B.
通讯作者：
Stubbs, B.
DOI：
10.1016/j.apmr.2010.08.033
发表时间：
2011-10-01
影响因子：
4.3
作者：
Lai, Jin-Shei;Cella, David;Stone, Arthur
通讯作者：
Stone, Arthur
DOI：
10.1016/j.jalz.2016.11.006
发表时间：
2017-07
期刊：
Alzheimer's & dementia : the journal of the Alzheimer's Association
影响因子：
--
作者：
Lauriola M;Esposito R;Delli Pizzi S;de Zambotti M;Londrillo F;Kramer JH;Rabinovici GD;Tartaro A
通讯作者：
Tartaro A
影响因子：
4.4
作者：
Paradise MB;Glozier NS;Naismith SL;Davenport TA;Hickie IB
通讯作者：
Hickie IB
影响因子：
3.5
作者：
Balash, Y.;Mordechovich, M.;Korczyn, A. D.
通讯作者：
Korczyn, A. D.