Perceived stress and diabetes control in adolescents.
Perceived stress and diabetes control in adolescents.
复制标题
青少年的压力感知和糖尿病控制。
DOI：
10.1037//0278-6133.5.5.439
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发表时间：
1986
期刊：
影响因子：
--
通讯作者：
Pichert,JW
中科院分区：
文献类型：
--
作者：
Hanson,SL;Pichert,JW
糖尿病控制的研究传统上集中于患者对胰岛素、饮食和运动的调节。尽管社会心理压力也可能影响血糖，但研究人员在估计压力的影响时很少考虑这三个主要生理因素。此外，很少有研究人员考虑日常轻微压力源对健康结果的影响。田纳西州糖尿病儿童营提供了一个监测胰岛素给药、饮食摄入和运动水平以及获取血糖和感知的轻微压力源测量值的机会。最好的压力指数是将负面压力源的数量和强度组合成累积压力指标。在控制胰岛素、饮食和运动的影响后，负累积压力与血糖水平显着相关。此外，当青少年（尤其是男孩）能够很好地适应负面压力时，糖尿病的控制往往会更好。这些发现表明，轻微的压力源可以影响健康结果，但积极和消极的压力需要独立评估。
Studies of diabetes control have traditionally focused on patients’ regulation of insulin, diet, and exercise. Although psychosocial stress may also influence blood glucose, researchers have infrequently accounted for the three primary physiological factors when estimating the effects of stress. In addition, few investigators have considered the influence of everyday minor stressors on health outcome. The Tennessee Camp for Diabetic Children provided an opportunity to monitor insulin administration, dietary intake, and exercise levels and to obtain measures of blood glucose and perceived minor stressors. The best index of stress was one in which number and magnitude of negative stressors were combined into a cumulative stress measure. Negative cumulative stress significantly correlated with blood glucose levels after controlling for the effects of insulin, diet, and exercise. In addition, diabetes control tended to be better when adolescents, particularly boys, adjusted well to negative stress. These findings suggest that minor stressors can influence health outcome, but positive and negative stress need to be assessed independently.