RECENT LIFE EVENTS, GENDER, AND THE CONTROL OF DIABETES-MELLITUS
RECENT LIFE EVENTS, GENDER, AND THE CONTROL OF DIABETES-MELLITUS
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DOI：
10.1016/0163-8343(93)90101-s
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发表时间：
1993-03-01
影响因子：
7
通讯作者：
ANDERSSON, PO
中科院分区：
文献类型：
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作者：
STENSTROM, U;WIKBY, A;ANDERSSON, PO
66例胰岛素依赖型糖尿病（IDDM）门诊患者填写生活事件调查表，反映了过去一年中发生的积极和消极生活事件。1年研究期前后获得的糖化血红蛋白（HbA1C）测量值差异（Δ HbA1C）作为代谢控制变化的替代指标。在男性中，那些主要报告负性生活事件的人比那些报告很少负性生活事件或没有负性生活事件的人表现出更差的代谢控制。在女性中，报告的事件数量越多，尤其是阳性事件，在研究的事件年内HbA1C的改善变化越大。这些结果表明，生活事件可能是重要的胰岛素依赖型糖尿病的代谢控制。然而，这只有在对两性分别进行分析时才变得明显，因为在一种性别中发现的各种关系可能缺乏，甚至与另一种性别相反。研究结果还表明，糖尿病患者学习生活事件的重要性，积极和消极事件的相对缺乏和优势。
Sixty-six outpatients with insulin-dependent diabetes mellitus (IDDM) filled in a life event questionnaire reflecting positive and negative life events perceived to have occurred over the past year. The difference in glycosylated hemoglobin (HbA1C) measures obtained before and after the 1-year period in question (Delta-HbA1C) served as a proxy measure of change in metabolic control. Among males, those reporting predominantly negative life events showed poorer metabolic control than those reporting few negative life events or none. Among females, the greater the number of events reported, especially positive ones, the greater the change for the better in HbA1C over the event year studied. These results suggest that life events may be significant to metabolic control in insulin-dependent diabetes. This only becomes apparent, however, when the two genders are analyzed separately, as various relationships found in one sex may be lacking or even opposite to the other sex. The findings also suggest the importance to the diabetic of learning of life events both the relative lack and preponderance of positive as well as negative events.