The mediating effect of coping styles and self-efficacy between perceived stress and satisfaction with quality of life in Chinese adolescents with type 1 diabetes
The mediating effect of coping styles and self-efficacy between perceived stress and satisfaction with quality of life in Chinese adolescents with type 1 diabetes
复制标题
中国青少年1型糖尿病患者应对方式和自我效能感压力与生活质量满意度之间的中介作用
DOI：
10.1111/jan.13933
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发表时间：
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影响因子：
3.8
通讯作者：
Robin Whittemore
中科院分区：
文献类型：
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作者：
Jundi Yang;Jia Guo;Yujia Tang;Lingling Huang;James Wiley;Zhiguang Zhou;Robin Whittemore
目的（a）探讨压力感知对1型糖尿病（T1 D）青少年生活质量满意度的影响;和（B）以确定应对方式和自我效能感是否是感知压力和QOL满意度之间关联的中介。BackgroundAdolescents with T1 D experience continuing stress related to a complex treatment regimen and live with a condition that distinguished them from their同龄人重要的是要知道如何与T1 D青少年科普的压力和什么样的心理社会属性有助于与QOL. DesignCross-sectional study.MethodsData的满意度从青少年与T1 D的样本收集（N= 90）谁参加了随机对照试验（基线数据）和补充样本N =从2016年1月至2016年12月从糖尿病诊所招募了59名T1 D青少年。结果参与者的平均年龄为13.91岁年龄8-20岁，平均病程4.02年。大约四分之一的样本超过了感知压力的标准得分26，表明压力足以对身心健康产生负面影响。与压力较小的青少年相比，压力增加的青少年对生活质量的满意度较低。两个外化应对和自我效能感的介质之间的关系感知压力和满意度与QOL.ConclusionsMany中国青少年T1 D报告的压力水平升高，这与生活质量的满意度下降。有必要采取文化相关的干预措施，通过限制使用外部化应对方式和加强自我效能来改善应对。
Aims(a) To explore the effect of perceived stress on satisfaction with quality of life (QOL) among Chinese adolescents with type 1 diabetes (T1D); and (b) to determine if coping styles and self‐efficacy are mediators of the association between perceived stress and satisfaction with QOL.BackgroundAdolescents with T1D experience ongoing stress related to a complex treatment regimen and live with a condition that differentiates them from their peers. It is important to know how adolescents with T1D cope with the stress and what psychosocial attributes contribute to satisfaction with QOL.DesignCross‐sectional study.MethodsData were collected from a sample of adolescents with T1D (N= 90) who had enrolled in a randomized control trial (baseline data) and a supplemental sample ofN= 59 adolescents with T1D was recruited from a diabetes clinic from January 2016 ‐ December 2016.ResultsThe mean age of the participants was 13.91 years (range 8–20 years), the mean diabetes duration was 4.02 years. Approximately one‐quarter of the sample exceeded the criterion score for perceived stress of 26, indicating stress sufficient to have a negative impact on physical and mental health. Adolescents with increased stress reported lower satisfaction with QOL compared with adolescents with less stress. Both externalization coping and self‐efficacy were the mediators of the relationship between perceived stress and satisfaction with QOL.ConclusionsMany Chinese adolescents with T1D reported elevated stress levels which was associated with decreased satisfaction with QOL. There is a need for culturally relevant interventions to improve coping by limiting the use of externalized coping styles and strengthening self‐efficacy.