Daily experiences of type 1 diabetes stress across adulthood.
Daily experiences of type 1 diabetes stress across adulthood.
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成年期间 1 型糖尿病压力的日常经历。
DOI：
10.1111/dme.14628
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发表时间：
2022
期刊：
影响因子：
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通讯作者：
Helgeson,VickiS
中科院分区：
文献类型：
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作者：
Kelly,CaitlinS;Berg,CynthiaA;LeeTracy,Eunjin;Staylor,Kaitlyn;Thomas,Amanda;Helgeson,VickiS
每天的糖尿病压力事件会对1型糖尿病患者造成伤害，这些经历在成年后可能会有所不同。当前研究的目的是了解成年期日常糖尿病压力的本质，并探索这些经历是否因年龄而异。方法在这项定性研究中，T1D患者（N= 199，年龄= 46.81岁）在14天的日记中每天晚上描述与糖尿病相关的最紧张事件。采用一种基于理论的方法，对糖尿病压力事件的发生地点、压力来源（如人际关系或非人际关系）和内容（如睡眠、血糖检查、沮丧）进行编码。结果参与者报告有58% （M= 0.58，SD=(0.25)）天发生与糖尿病相关的应激事件。日常压力事件包括糖尿病管理问题、糖尿病对其他生活领域的干扰以及对心理健康的负面影响，但很少包括社会因素。与年轻人相比，老年人较少报告发生与糖尿病相关的压力事件，但更有可能报告发生在家中的压力事件。结论糖尿病相关压力的生活经历在不同年龄的人看来是相似的，个体继续经历大致相同类型的糖尿病相关事件的频率相似。帮助改善糖尿病预后或健康的干预措施可能受益于针对最常见的压力领域，包括减少日常活动对糖尿病管理的干扰。
AimsDaily diabetes stressful events take a toll on individuals with type 1 diabetes, and these experiences may look different across adulthood. The aims of the current study were to understand the nature of daily diabetes stress across adulthood and explore whether these experiences differed by age.MethodsIn this qualitative study, adults with T1D (N= 199,Mage= 46.81 years) described the most stressful event related to their diabetes each evening as part of a 14‐day diary. Using a grounded theory approach, diabetes stressful events were coded for where they occurred, the source of stress (i.e. interpersonal or not), and content (e.g. sleep; blood glucose checking; frustration).ResultsParticipants reported having a diabetes‐related stressful event on 58% (M= 0.58,SD= (0.25)) of days. Daily stressful events included issues of diabetes management, diabetes‐related interference to or from other areas of life, and negative impact on psychological well‐being, but rarely included a social component. Older adults were less likely to report having a diabetes‐related stressful event, but were more likely to report that stressful events occurred at home, compared to younger adults.ConclusionThe lived experience of diabetes‐related stress appears similar across ages, with individuals continuing to experience generally the same types of diabetes‐related events in similar frequencies. Interventions to help improve diabetes outcomes or well‐being may benefit from targeting the most commonly experienced areas of stress, which includes reducing the interference of daily activities to and by diabetes management.