Adult attachment insecurity and associations with diabetes distress, daily stressful events and self-management in type 1 diabetes.
Adult attachment insecurity and associations with diabetes distress, daily stressful events and self-management in type 1 diabetes.
复制标题
成人依恋不安全感以及与糖尿病困扰、日常压力事件和 1 型糖尿病自我管理的关系。
DOI：
10.1007/s10865-019-00111-7
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发表时间：
2020
影响因子：
3.1
通讯作者：
Helgeson,VS
中科院分区：
文献类型：
--
作者：
Kelly,CS;Berg,CA;Helgeson,VS
焦虑和回避性依恋可能不利于糖尿病的痛苦和管理。此外，个人对伴侣参与的看法可能会影响这些联系。本研究从横断面和日常水平探讨了焦虑和回避性依恋是否与糖尿病痛苦或压力源和糖尿病管理相关，以及较高的协作和支持知觉(C&S)是否会调节依恋和糖尿病管理之间的关联。1型糖尿病患者(N = 199；MAGE = 46.82；52.3%女性)完成了糖尿病苦恼、糖尿病相关的C&S、自我照顾、平均血糖(血红蛋白A1c)和依恋不安全感的测量，以及糖尿病相关的C&S、糖尿病应激源、平均血糖和自我照顾的日常日记测量。较高的焦虑和回避性依恋与较高的糖尿病痛苦相关。更高的焦虑依恋与更多的日常压力相关。焦虑的依恋与较低的自理能力有关。C&S没有主持任何协会。研究结果强调，在设计减少糖尿病相关痛苦的干预措施时，需要考虑依恋。
Anxious and avoidant attachment may be detrimental for diabetes distress and management. Additionally, individuals’ perceptions of their partner’s involvement may affect these associations. The study explored cross-sectionally and at the daily level whether anxious and avoidant attachment associated with diabetes distress or stressors and diabetes management, and whether higher perceived collaboration and support (C&S) moderated associations between attachment and diabetes management. Individuals with type 1 diabetes (N = 199;Mage = 46.82; 52.3% women) completed measures of diabetes distress, diabetes-related C&S, self-care, average blood glucose (hemoglobin A1c), and attachment insecurity, and daily diary measures of diabetes-related C&S, diabetes stressors, mean blood glucose, and self-care. Higher anxious and avoidant attachment associated with higher diabetes distress. Higher anxious attachment associated with more daily stressors. Anxious attachment associated with lower self-care. C&S did not moderate any associations. Findings highlight the need to consider attachment when designing interventions to reduce diabetes-related distress.