Setbacks in diet adherence and emotional distress: a study of older patients with type 2 diabetes and their spouses.
Setbacks in diet adherence and emotional distress: a study of older patients with type 2 diabetes and their spouses.
复制标题
饮食依从性和情绪困扰中的挫折：对2型糖尿病及其配偶的老年患者的研究。
DOI：
10.1080/13607863.2012.674486
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发表时间：
2012
影响因子：
3.4
通讯作者：
Salem JK
中科院分区：
文献类型：
--
作者：
Franks MM;Hemphill RC;Seidel AJ;Stephens MA;Rook KS;Salem JK
我们调查了2型糖尿病患者及其配偶在管理饮食方面的困难（即饮食挫折）以及与疾病特异性和一般情绪困扰（糖尿病困扰和抑郁症状）变化的关系。本研究的数据在三个时间点（基线（T1）、基线后6个月（T2）和基线后12个月（T3））通过结构化访谈和自填问卷在夫妇家中收集（N = 115对夫妇）。在短期内（超过6个月），患者的饮食挫折与糖尿病痛苦的增加有关。在任何一个时间点（6个月或1年），患者的饮食倒退与糖尿病窘迫的长期变化或抑郁症状的变化无关。相比之下，配偶对患者饮食挫折的看法与他们自己在两个时间点（超过六个月和一年）的糖尿病痛苦的增加有关，也与他们长期（超过一年）的抑郁症状的增加有关。研究结果揭示了患者饮食不遵医嘱对情绪健康的不利影响，并延伸到其配偶的健康。
We investigated patients’ difficulties in managing their diet (i.e., diet setbacks) and associations with change in disease-specific and general emotional distress (diabetes distress and depressive symptoms) among patients with type 2 diabetes and their spouses. Data for this study were collected in couples’ homes (N = 115 couples) using structured interviews and self-administered questionnaires at three time points: baseline (T1), six months after baseline (T2), and twelve months after baseline (T3). Patients’ diet setbacks were associated with an increase in their diabetes distress in the shorter-term (over six months). Patients’ diet setbacks were not associated with longer-term change in diabetes distress or with change in depressive symptoms at either time point (six months or one year). In contrast, spouses’ perceptions of patients’ diet setbacks were associated with increases in their own diabetes distress at both time points (over six months and one year), and also with an increase in their depressive symptoms in the longer-term (over one year). Findings reveal detrimental consequences of patients’ diet nonadherence for emotional well-being that extend to the well-being of their spouses.
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影响因子：
8.2
作者：
Nouwen, A.;Winkley, K.;Twisk, J.;Lloyd, C. E.;Peyrot, M.;Ismail, K.;Pouwer, F.
通讯作者：
Pouwer, F.
影响因子：
3.2
作者：
Murata, GH;Duckworth, WC;Hoffman, RM
通讯作者：
Hoffman, RM
影响因子：
16.2
作者：
Engum, A;Mykletun, A;Dahl, AA
通讯作者：
Dahl, AA
影响因子：
3.9
作者：
Penckofer, Sue;Ferrans, Carol Estwing;Savoy, Suzanne
通讯作者：
Savoy, Suzanne
影响因子：
1.2
作者：
RADLOFF L S
通讯作者：
RADLOFF L S