A Person-Focused Analysis of Resilience Resources and Coping in Diabetes Patients.
A Person-Focused Analysis of Resilience Resources and Coping in Diabetes Patients.
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DOI：
10.1002/smi.1258
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发表时间：
2010-01-01
影响因子：
4.1
通讯作者：
Weinger, Katie
中科院分区：
文献类型：
--
作者：
Yi-Frazier, Joyce P.;Smith, Ronald E.;Vitaliano, Peter P.;Yi, Jean C.;Mai, Scarlett;Hillman, Matthew;Weinger, Katie
本研究旨在探讨糖尿病患者的复原力资源和应对方式。共有145例糖尿病患者完成了问卷包，包括两个应对措施（科普和应对方式问卷），和个人资源。还评估了糖化血红蛋白（HbA 1c）。复原力是由自尊、自我效能、自我掌握和乐观的测量结果得出的因子分数定义的。所有的适应不良应对分量表都与韧性呈负相关（r范围从-0.34到-0.56，所有p <0.001）。在适应性应对分量表中，只有接受、情感支持和实用主义与弹性呈正相关。上，中，下三分位数的弹性因素进行了鉴定，这些群体的应对方式显着不同，低弹性患者更有利于适应不良的策略比那些具有高或中等弹性资源。弹性组没有不同的HbA 1c水平，应对分量表与HbA 1c的相关系数进行了探讨。这项研究表明，适应不良的应对和低弹性之间的联系，这表明弹性影响一个人的能力，以管理糖尿病的困难治疗和生活方式的要求。
This study investigated the resilience resources and coping profiles of diabetes patients. A total of 145 patients with diabetes completed a questionnaire packet including two measurements of coping (COPE and Coping Styles questionnaires), and personal resources. Glycosylated hemoglobin (HbA1c) was also assessed. Resilience was defined by a factor score derived from measures of self-esteem, self-efficacy, self-mastery, and optimism. All of the maladaptive coping subscales were negatively associated with resilience (r's range from −.34 to −.56, all p's <.001). Of the adaptive coping subscales, only acceptance, emotional support, and pragmatism were positively associated with resilience. The upper, middle, and lower tertiles of the resilience factor were identified and the coping profiles of these groups differed significantly, with low resilience patients favoring maladaptive strategies much more than those with high or moderate resilience resources. Resilience groups did not differ in HbA1c levels; correlation coefficients of the coping subscales with HbA1c were explored. This study demonstrates a link between maladaptive coping and low resilience, suggesting that resilience impacts one's ability to manage the difficult treatment and lifestyle requirements of diabetes.
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影响因子：
5
作者：
FOLKMAN, S;LAZARUS, RS
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