Identity Development, Coping, and Adjustment in Emerging Adults With a Chronic Illness: The Sample Case of Type 1 Diabetes
Identity Development, Coping, and Adjustment in Emerging Adults With a Chronic Illness: The Sample Case of Type 1 Diabetes
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DOI：
10.1016/j.jadohealth.2008.04.005
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发表时间：
2008-11-01
影响因子：
7.6
通讯作者：
Groven, Chris
中科院分区：
文献类型：
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作者：
Luyckx, Koen;Seiffge-Krenke, Inge;Groven, Chris
目的：本研究的重点是新兴成人（18-30岁）1型糖尿病患者的油认同发展。这三项研究的目的是检验以下内容：(1)与非糖尿病患者相比，身份发展是否受到糖尿病患者的影响；(2)认同发展与抑郁症状、应对糖尿病的关系。糖尿病样本中与糖尿病相关的问题；(3)认同发展到糖尿病问题和抑郁症状的通路是否通过应对策略介导。方法：共194例1型糖尿病初发成人和344例非糖尿病初发成人参与。结果：首先，通过方差分析，发现糖尿病患者和比较样本之间存在一些平均身份差异，新成年糖尿病患者的主动身份探索得分较低。通过聚类分析，我们发现在糖尿病和非糖尿病样本中出现了相同的身份类型或状态。其次，在初发期糖尿病患者中，这些身份状态与糖尿病相关问题存在差异。抑郁症状和疾病应对，具有强烈认同感的身份状态伴随着较少的糖尿病相关问题和抑郁症状以及更适当的应对策略。第三，利用结构方程模型，通过适应和不适应的应对，介导了从强烈的认同感到糖尿病相关问题和抑郁症状的通路。结论：临床医生应该对新生成人糖尿病患者身份发展的规范性任务保持敏感，因为身份发展可以作为应对和适应糖尿病的资源。(C) 2008年青少年医学学会。版权所有。
Purpose: The present study focused oil identity development in emerging adults (aged 18-30 years) with type 1 diabetes. The three study aims were to examine the following: (1) whether identity development was affected by having diabetes, as compared with development in a nondiabetic sample; (2) how identity development was related to depressive symptoms, coping with diabetes. and diabetes-related problems in the diabetic sample; and (3) whether the pathways from identity development to problems with diabetes and depressive symptoms were mediated through coping strategies in the diabetic sample.Methods: A total of 194 emerging adults with type I diabetes and 344 nondiabetic emerging adults participated.Results: First, using analyses of variance, some mean identity differences between the diabetic and comparison samples were found, with emerging adults with diabetes scoring lower oil proactive identity exploration. Using Cluster analysis, we found that the same identity types or statuses emerged in both the diabetic and nondiabetic samples. Second, in emerging adults with diabetes, these identity statuses were differentially related to diabetes-related problems. depressive symptoms, and illness coping, with the identity statuses representing a strong sense of identity being accompanied by less diabetes-related problems and depressive symptoms and more adequate coping strategies. Third, using structural equation modeling, the pathways from It strong sense of identity to diabetes-related problems and depressive symptoms were mediated through adaptive and maladaptive coping.Conclusions: Clinicians should be sensitive to the normative task of identity development in emerging adults with diabetes because identity development can function as a resource in coping with and adjusting to diabetes. (C) 2008 Society for Adolescent Medicine. All rights reserved.