The association of depression and perceptions of interpersonal relationships in patients with diabetes.
The association of depression and perceptions of interpersonal relationships in patients with diabetes.
复制标题
糖尿病患者抑郁与人际关系认知的关联。
DOI：
10.1016/j.jpsychores.2004.07.009
复制
发表时间：
2005
影响因子：
4.7
通讯作者：
Russo,JoanE
中科院分区：
文献类型：
--
作者：
Ciechanowski,PaulS;Katon,WayneJ;Russo,JoanE
目的 使用评估糖尿病患者人际关系的工具，我们假设抑郁症的变化与患者对自己和人际关系中他人的看法的改变有关。方法对 HMO 初级保健机构的 367 名糖尿病患者进行了两次评估依恋、抑郁和人口统计的工具，每次间隔 10 个月。我们根据抑郁变化类别（抑郁不变、减少和增加）评估了依赖他人（他人模型）和感觉值得关注（自我模型）的能力变化。 结果随着抑郁症状的减少，患者报告能够依赖他人的程度增加（P=.02）。患者认为自己在人际关系中不值得关注的感觉的程度随着抑郁症状的增加而增加（P=0.02）。结论抑郁症状的变化与糖尿病患者对人际关系的看法的变化相关。
OBJECTIVEUsing an instrument assessing interpersonal relationships in patients with diabetes, we hypothesized that a change in depression would be associated with a change in patients' perceptions of themselves and others in relationships.METHODSInstruments assessing attachment, depression, and demographics were administered twice to 367 patients with diabetes in an HMO primary care setting, 10 months apart. We assessed change in capacity to rely on others (model of other) and to feel worthy of attention (model of self) according to depression change categories (unchanged, decreased, and increased depression).RESULTSThe degree to which patients reported being able to rely on others increased with a reduction in depressive symptoms (P=.02). The degree to which patients endorsed a sense that they were not worthy of attention in relationships increased with an increase in depressive symptoms (P=.02).CONCLUSIONA change in depressive symptoms is associated with a change in perception of interpersonal relationships in patients with diabetes.