Role of motivation in the relationship between depression, self-care, and glycemic control in adults with type 2 diabetes.
Role of motivation in the relationship between depression, self-care, and glycemic control in adults with type 2 diabetes.
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DOI：
10.1177/0145721710361389
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发表时间：
2010-03
期刊：
影响因子：
--
通讯作者：
Osborn CY
中科院分区：
文献类型：
--
作者：
Egede LE;Osborn CY
抑郁症影响糖尿病患者健康结果的机制尚不确定。本研究旨在探讨抑郁症是否经由社会动机与自我照顾行为相关，以及是否经由自我照顾行为与血糖控制间接相关。从门诊招募糖尿病患者。收集的信息涉及人口统计学，抑郁症，糖尿病知识（信息）;糖尿病宿命论（个人动机）;社会支持（社会动机）;糖尿病自我护理（行为）。从患者病历中提取血红蛋白A1 C值。结构方程模型测试了预测的途径。较高的抑郁症状水平与社会支持的减少和糖尿病自我护理行为的表现下降显著相关。此外，当抑郁症状被纳入模型时，宿命论态度不再与行为表现相关。在成年糖尿病患者中，抑郁症通过减少社会动机阻碍了有效的自我管理行为（包括身体活动，适当的饮食行为和适当的自我血糖监测行为）的采用。
The mechanism by which depression influences health outcomes in persons with diabetes is uncertain. The purpose of this study was to test whether depression is related to self-care behavior via social motivation; and indirectly related to glycemic control via self-care behavior. Patients with diabetes were recruited from an outpatient clinic. Information gathered pertained to demographics, depression, diabetes knowledge (information); diabetes fatalism (personal motivation); social support (social motivation); diabetes self-care (behavior). Hemoglobin A1C values were extracted from the patient medical record. Structural equation models tested the predicted pathways. Higher levels of depressive symptoms were significantly related to having less social support, and decreased performance of diabetes self-care behavior. In addition, when depressive symptoms were included in the model, fatalistic attitudes were no longer associated with behavioral performance. Among adults with diabetes, depression impedes the adoption of effective self-management behaviors (including physical activity, appropriate dietary behavior, and appropriate self-monitoring of blood glucose behavior) through a decrease in social motivation.
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影响因子：
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