Relation of Stressful Life Events to Metabolic Control Among Adolescents With Diabetes: 5-Year Longitudinal Study
Relation of Stressful Life Events to Metabolic Control Among Adolescents With Diabetes: 5-Year Longitudinal Study
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DOI：
10.1037/a0018163
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发表时间：
2010-03-01
影响因子：
4.2
通讯作者：
Becker, Dorothy
中科院分区：
文献类型：
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作者：
Helgeson, Vicki S.;Escobar, Oscar;Becker, Dorothy
目的：探讨应激性生活事件与代谢控制的关系。设计：我们每年采访1型糖尿病青少年（n = 132，入组时平均年龄= 12岁），为期5年。测量方法：每年我们都会对压力生活事件、心理困扰和自我护理行为进行测量。我们下载了血糖仪的数据，并从医疗记录中获得了代谢控制（血红蛋白Ale）的测量值。结果：采用纵向生长曲线模型，在横断面和纵向（滞后）分析中，压力生活事件预示着更大的心理困扰、更差的自我护理行为和更差的代谢控制。从横截面上看，这些关系在年龄较大的青少年中比在年龄较小的青少年中更为明显。自我照顾行为在一定程度上介导了这种关联。结论：应激性生活事件与代谢控制不良有关，尤其是对年龄较大的青少年。一个主要的机制似乎是缺乏良好的自我照顾。
Objective: To determine the relation of stressful life events to metabolic control. Design: We interviewed adolescents with Type I diabetes (n = 132; average age at enrollment = 12 years) annually for 5 years. Measures: Each year we administered measures of stressful life events, psychological distress, and self-care behavior. We downloaded data from blood glucose meters, and obtained measures of metabolic control (hemoglobin Ale) from medical records. Results: Using longitudinal growth curve modeling, stressful life events predicted greater psychological distress, poorer self-care behavior, and worse metabolic control in both cross-sectional and longitudinal (lagged) analyses. Cross-sectionally, many of these relations were stronger among older than younger adolescents. Self-care behavior partly mediated this association. Conclusion: Stressful life events are related to poor metabolic control especially for older adolescents. A primary mechanism appears to be a lack of good self care.