The role of resilience on psychological adjustment and physical health in patients with diabetes
The role of resilience on psychological adjustment and physical health in patients with diabetes
复制标题
DOI：
10.1348/135910707x186994
复制
发表时间：
2008-05-01
影响因子：
7.9
通讯作者：
Weinger, Katie
中科院分区：
文献类型：
--
作者：
Yi, Joyce P.;Vitaliano, Peter P.;Weinger, Katie
Objective.本研究采用纵向设计，调查面对糖尿病相关的痛苦增加时，复原力对HbA（1c）恶化和自我护理行为的缓冲作用。共有111名糖尿病患者完成了调查，并在基线和1年随访时评估了糖化血红蛋白（HbA（1c））。复原力是由自尊、自我效能、自我掌握和乐观的因子得分定义的。糖尿病相关的痛苦和自我护理行为也进行了评估。基线弹性，糖尿病相关的痛苦及其相互作用预测1年时的身体健康（HbA（1c））。确定了低、中和高弹性的患者。那些低或中等弹性水平的人显示出随着时间的推移，不断上升的痛苦和恶化的HbA（1c）之间有很强的关联（r = 0.57，0.56，分别）。然而，那些弹性得分高的人没有表现出相同的关联（r = 0.08）。当面临越来越多的痛苦时，低弹性也与较少的自我护理行为有关（r =-0.55）。在控制了起始点后，这些相关系数仍然显著。在糖尿病患者中，弹性资源预测了未来的HbA（1c），并缓冲了HbA（1c）恶化和面对不断上升的痛苦水平的自我护理行为。
Objective. This study used a longitudinal design to investigate the buffering role of resilience on worsening HbA(1c) and self-care behaviours in the face of rising diabetes-related distress.Method. A total of 111 patients with diabetes completed surveys and had their glycosylated haemoglobin (HbA(1c)) assessed at baseline and at 1-year follow-up. Resilience was defined by a factor score of self-esteem, self-efficacy, self-mastery and optimism. Diabetes-related distress and self-care behaviours were also assessed.Results. Baseline resilience, diabetes-related distress and their interaction predicted physical health (HbA(1c)) at 1 year. Patients with low, moderate and high resilience were identified. Those with low or moderate resilience levels showed a strong association between rising distress and worsening HbA(1c) across time (r = .57, .56, respectively). However, those with high resilience scores did not show the same associations (r = .08). Low resilience was also associated with fewer self-care behaviours when faced with increasing distress (r = -.55). These correlation coefficients remained significant after controlling for starting-points.Conclusion. In patients with diabetes, resilience resources predicted future HbA(1c) and buffered worsening HbA(1c) and self-care behaviours in the face of rising distress levels.