Emotion regulation contributes to the development of diabetes distress among adults with type 1 diabetes
Emotion regulation contributes to the development of diabetes distress among adults with type 1 diabetes
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DOI：
10.1016/j.pec.2017.06.036
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发表时间：
2018-01-01
影响因子：
3.5
通讯作者：
Masharani, Umesh
中科院分区：
文献类型：
--
作者：
Fisher, Lawrence;Hessler, Danielle;Masharani, Umesh
目的：为了证明如何适应不良的情绪调节（ER）可以导致糖尿病的困扰（DD），随后的影响管理和代谢的结果在成人1型diabetes.Methods：数据是基于干预前评估的随机对照试验，以减少DD。在加州、俄勒冈州、亚利桑那州和加拿大安大略招募患者。在筛选和同意后，患者完成在线评估并发布其最新的实验室HbA1C。结构方程模型被用来定义一个ER测量模型和显着pathways.Results测试：三个ER机制结合成一个单一的结构：情绪处理，非判断的情绪，非反应性情绪。模型表明一个重要的途径，从ER和认知DD疾病管理代谢control.Conclusions：作为假设，三个ER机制形成了一个单一的，连贯的ER结构。ER差的患者报告高DD和高DD与糖尿病管理不善和代谢控制不良Practice implications：确定DD和ER的机制，导致高DD的水平，应在临床环境中进行探讨。帮助T1Ds变得更有意识，更少的判断和更少的反应行为，他们对糖尿病及其管理的感受可能会减少DD。皇冠版权所有（c）2017由爱思唯尔爱尔兰有限公司发布。保留所有权利。
Objective: To demonstrate how maladaptive emotion regulation (ER) can lead to diabetes distress (DD), with subsequent effects on management and metabolic outcomes among adults with type 1 diabetes.Methods: Data are based on pre-intervention assessment for a random controlled trial to reduce DD. Patients were recruited in California, Oregon, Arizona and Ontario, Canada. After screening and consent, patients completed an online assessment and released their most recent laboratory HbA1C. Structural equation modeling was used to define an ER measurement model and test for significant pathways.Results: Three ER mechanisms combined into a single construct: emotion processing, non-judgment of emotions, non-reactivity to emotions. Models indicated a significant pathway from ER and cognitions to DD to disease management to metabolic control.Conclusions: As hypothesized, the three ER mechanisms formed a single, coherent ER construct. Patients with poor ER reported high DD; and high DD was linked to poor diabetes management and poor metabolic control.Practice implications: Identifying both the level of DD and the ER mechanisms that lead to high DD should be explored in clinical settings. Helping T1Ds to become more aware, less judgmental and less reactive behaviorally to what they feel about diabetes and its management may reduce DD. Crown Copyright (c) 2017 Published by Elsevier Ireland Ltd. All rights reserved.