The coping styles of adolescents with type 1 diabetes are associated with degree of metabolic control
The coping styles of adolescents with type 1 diabetes are associated with degree of metabolic control
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DOI：
10.2337/diacare.27.6.1313
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发表时间：
2004-06-01
期刊：
影响因子：
16.2
通讯作者：
Sovik, O
中科院分区：
文献类型：
--
作者：
Graue, M;Wentzel-Larsen, T;Sovik, O
目的：系统研究以人群为基础的青少年1型糖尿病患者的各种应对方式，探讨不同应对方式与代谢控制和青少年自我报告的糖尿病相关生活质量的关系。研究设计和方法：在116名1型糖尿病青少年（13-18岁）中，103人（89%）参与了这项研究，他们完成了一份调查问卷，以获取应对方式和对糖尿病特定生活质量的看法。平均年龄（+/- sd）为14.9 +/- 1.6岁，糖尿病病程7.1 +/- 3.8年，HbA(1c) 9.4 +/- 1.6%，男女比例52:51。结果-较高的HbA（1c）值与较高的心理（r = 0.25, P < 0.05）、行为（r = 0.33, P < 0.01）脱离程度和攻击性应对（r = 0.33, P < 0.01）有显著相关。逐步多元回归分析显示，积极应对（P < 0.05）和行为脱离（P < 0.05）与HbA（1c）升高有显著关系。积极应对的增加与HbA（1c）降低显著相关（P < 0.05）。偏相关分析显示，糖尿病特异性生活质量得分较低与更多地使用情绪集中应对显著相关（r = -0.22至-0.49）。逐步多元回归分析显示，更多地使用精神脱离与较低程度的感知糖尿病相关影响显著相关。结论：1型糖尿病青少年代谢控制不良和较低的糖尿病相关生活质量与更多地使用情绪集中应对相关。
OBJECTIVE - To systematically study the various coping styles in a population-based sample of adolescents with type 1 diabetes, exploring the association of different coping styles with metabolic control and adolescent self-reported diabetes-related quality of life.RESEARCH DESIGN AND METHODS - Of a total population of 116 adolescents with type 1 diabetes (age 13-18 years), 103 (89%) participated in the study, completing a questionnaire to obtain information on coping styles and perception of diabetes-specific quality of life. The mean age (+/-SD) was 14.9 +/- 1.6 years, diabetes duration 7.1 +/- 3.8 years, HbA(1c) 9.4 +/- 1.6%, and male-to-female ratio 52:51.RESULTS - There was a significant correlation between higher HbA(1c) values and higher degree of mental (r = 0.25, P < 0.05) and behavioral (r = 0.33, P < 0.01) disengagement and aggressive coping (r = 0.33, P < 0.01). Stepwise multiple regression analyses indicated that greater use of aggressive coping (P < 0.05) and behavioral disengagement (P < 0.05) were significantly related to increase in HbA(1c). Greater use of active coping (P < 0.05) was significantly related to a decrease in HbA(1c). Partial correlation analysis showed that lower scores on diabetes-specific quality of life were significantly related to greater use of emotion-focused coping (r = -0.22 to -0.49). Stepwise multiple regression analyses showed that greater use of mental disengagement was significantly related to lower degree of perceived diabetes-related impact.CONCLUSIONS - Poor metabolic control and lower degree of diabetes-related quality of life are associated with greater use of emotion-focused coping in adolescents with type 1 diabetes.