Physical symptom complaints, cognitive emotion regulation strategies, self-compassion and diabetes distress among adults with Type 2 diabetes.
Physical symptom complaints, cognitive emotion regulation strategies, self-compassion and diabetes distress among adults with Type 2 diabetes.
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DOI：
10.1111/dme.13830
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发表时间：
2018-12
期刊：
影响因子：
--
通讯作者：
Gonzalez JS
中科院分区：
文献类型：
--
作者：
Kane NS;Hoogendoorn CJ;Tanenbaum ML;Gonzalez JS
糖尿病相关的痛苦在成人2型糖尿病患者中很常见，并且一直与较差的自我管理和治疗结果相关。然而，人们对可能导致或预防糖尿病困扰的心理因素知之甚少。本研究在横断面和纵向上考察了疾病负担、积极和消极的思维方式以及在压力下与自己的关系，这些都是糖尿病困扰的独立相关因素。共有120名接受2型糖尿病治疗的成年人在基线时报告了他们的身体症状主诉、认知情绪调节、自我同情和糖尿病困扰；110人完成了3个月的糖尿病困扰随访评估。Pearson相关性和多变量线性回归检验了基线和纵向关系。基线糖尿病困扰与负性认知情绪调节策略的使用增加（r = 0.43, P < 0.01），自我批评、自我判断和过度认同倾向增加（r = 0.37, P < 0.01），身体症状负担增加（r = 0.50, P < 0.01）相关。基线身体症状和负性认知情绪调节与基线糖尿病窘迫独立相关。基线身体症状和自我同情的消极方面在3个月内显著预测糖尿病困扰。认知情绪调节和自我同情的积极方面在横断面或纵向上与糖尿病痛苦没有独立的关联。更大的症状负担以及消极认知情绪调节和消极自我同情的使用与糖尿病痛苦独立相关。如果这些关系可以用因果影响来解释，这些可改变的因素可能是干预研究的有效目标。
Diabetes-related distress is common among adults with Type 2 diabetes and is consistently associated with poorer self-management and treatment outcomes. However, little is known about the psychological factors that may contribute to or protect against diabetes distress. This study examined illness burden, and positive and negative ways of thinking and relating to oneself in times of stress as independent correlates of diabetes distress, cross sectionally and longitudinally. A total of 120 adults treated for Type 2 diabetes reported their physical symptom complaints, cognitive emotion regulation, self-compassion and diabetes distress at baseline; 110 completed a 3-month follow-up assessment of diabetes distress. Pearson correlations and multivariable linear regression tested baseline and longitudinal relationships. Baseline diabetes distress was associated with greater use of negative cognitive emotion regulation strategies (r = 0.43, P < 0.01), greater tendency towards self-criticism, self-judgement and over-identification (r = 0.37, P < 0.01), and greater physical symptom burden (r = 0.50, P < 0.01). Baseline physical symptoms and negative cognitive emotion regulation were independently associated with baseline diabetes distress. Baseline physical symptoms and negative aspects of self-compassion significantly predicted diabetes distress over 3 months. Positive aspects of cognitive emotion regulation and self-compassion were not independently associated with diabetes distress cross sectionally or longitudinally. Greater symptom burden along with the use of negative cognitive emotion regulation and negative aspects of self-compassion were independently associated with diabetes distress. If these relations are explained by causal influence, these modifiable factors could be fruitful targets for intervention research.
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影响因子：
3.8
作者：
Montero-Marín J;Gaete J;Demarzo M;Rodero B;Lopez LC;García-Campayo J
通讯作者：
García-Campayo J
影响因子：
3.8
作者：
Baek, Rachel N.;Tanenbaum, Molly L.;Gonzalez, Jeffrey S.
通讯作者：
Gonzalez, Jeffrey S.
影响因子：
16.2
作者：
Gonzalez, Jeffrey S.;Kane, Naomi S.;Hoogendoorn, Claire J.
通讯作者：
Hoogendoorn, Claire J.
DOI：
10.2337/diaspect.28.4.252
发表时间：
2015-11
期刊：
Diabetes spectrum : a publication of the American Diabetes Association
影响因子：
--
作者：
Friis AM;Consedine NS;Johnson MH
通讯作者：
Johnson MH
影响因子：
16.2
作者：
Fisher L;Glasgow RE;Strycker LA
通讯作者：
Strycker LA