Effects of stress management and relaxation training on the relationship between diabetes symptoms and affect among Latinos.
Effects of stress management and relaxation training on the relationship between diabetes symptoms and affect among Latinos.
复制标题
压力管理和放松训练对拉丁裔糖尿病症状和情感之间关系的影响。
DOI：
10.1080/08870446.2018.1478975
复制
发表时间：
2018
影响因子：
3.3
通讯作者：
Pérez-Escamilla,Rafael
中科院分区：
文献类型：
--
作者：
Wagner,Julie;Armeli,Stephen;Tennen,Howard;Bermudez-Millan,Angela;Pérez-Escamilla,Rafael
目的：压力管理和放松（SMR）干预可以减轻慢性疾病的症状和相关的痛苦。然而，几乎没有证据表明这种干预会破坏症状和影响之间的联系。这项研究探讨了SMR是否抑制了高血糖症状和近端情感水平之间的联系。我们预测，在高血糖增加的时期，个人接受SMR培训，相对于对照组，将表现出较小的增加，在negative affect.Design：五十五名成年拉美裔2型糖尿病患者被随机分配到一组会议的糖尿病教育（DE-只; N = 23）或糖尿病教育加8组会议的SMR（DE + SMR; N = 32）。治疗后，参与者报告五种糖尿病症状和四种情感状态，每天两次，为期七天，使用双语电话system.Results：平均年龄= 57.8岁，平均A1c = 8.4%，和3/4是女性，低于高中教育。接受DE + SMR的个体与仅接受DE的个体相比，显示出日常糖尿病症状与神经影响之间较弱的正相关性。各组在症状和热情之间的关系上也存在差异。年龄缓和这些协会在大多数模型与老年人表现出较少的影响反应symptoms.Conclusions：研究结果提供了部分支持SMR的理论机制。
Objective:Stress management and relaxation (SMR) interventions can reduce symptoms of chronic disease and associated distress. However, there is little evidence that such interventions disrupt associations between symptoms and affect. This study examined whether SMR dampened the link between symptoms of hyperglycemia and proximal levels of affect. We predicted that during periods of increased hyperglycemia, individuals receiving SMR training, relative to controls, would demonstrate smaller increases in negative affect.Design:Fifty-five adult Latinos with type 2 diabetes were randomised to either one group session of diabetes education (DE-only;N= 23) or diabetes education plus eight group sessions of SMR (DE + SMR;N= 32). After treatment, participants reported five diabetes symptoms and four affective states twice daily for seven days using a bilingual telephonic system.Results:Mean age = 57.8 years, mean A1c = 8.4%, and ¾ was female with less than a high school education. Individuals receiving DE + SMR, compared to DE-only, showed a weaker positive within-person association between daily diabetes symptoms and nervous affect. Groups also differed on the association between symptoms and enthusiasm. Age moderated these associations in most models with older individuals showing less affect reactivity to symptoms.Conclusions:Findings provide partial support for theorised mechanisms of SMR.