Mindfulness, Interoception, and Stress in Type 1 Diabetes Mellitus Self-Management Among College Students

项目总结/摘要 1型糖尿病（T1 DM）自我管理在青春期后期和成年早期最差 （~18-25岁），增加微血管和大血管并发症的风险。许多人 这些年来，大学生。尽管T1 DM自我管理存在几个已知的障碍， 在大学生中，体现和T1 DM自我管理之间的关系尚不清楚。 身体化意味着心理状态和行为是由身体塑造的。正念和 互认是大学教育的两个方面，与大学的一个共同特点密切相关 经验：压力。根据已知的情况，正念练习可能是一种很有前途的改善方式。 2型糖尿病自我管理行为与调节内感受、减轻压力的血糖控制 然而，这些关系需要在大学生T1 DM患者中进行调查。因此， 本研究的目的是确定一种混合方法处理这些关系的可行性和可接受性 正念、内感受、压力、T1 DM自我管理行为和血糖控制之间的关系 在T1 DM的大学生中。探索性分析将用于调查这些趋势 关系。60名受试者（30名T1 DM患者和30名非T1 DM患者）将暴露于 特里尔社会压力测试（TSST）和压力，内感受和压力反应的变化将被 测定了为了进一步了解T1 DM受试者的研究结果趋势，将进行子样本分析。 接受访谈，以探索低血糖、高血糖和高血糖状态的主观体验， 这些经历与T1 DM自我管理行为的关系。这项研究的结果将是 用于通知正念和内感受与其他障碍的关系的更大研究， T1 DM自我管理的促进者。最终目标是开发和实施一个基于正念的 T1 DM自我管理干预改善青少年晚期和成人早期的健康结局

PROJECT SUMMARY/ABSTRACT Type 1 diabetes mellitus (T1DM) self-management is poorest during late adolescence and early adulthood (~18-25 years of age), increasing the risk of micro- and macrovascular complications. Many individuals are college students during these years. Although there are several known barriers to T1DM self-management in college students, the relationship between embodiment and T1DM self-management remains unclear. Embodiment means that psychological states and behavior are shaped by the body. Mindfulness and interoception—two facets of embodiment—are closely related to a common characteristic of the college experience: stress. Based on what is known, mindfulness practice may be a promising modality to improve T1DM self-management behaviors and glycemic control by modulating interoception and reducing stress; however, these relationships need to be investigated in college students with T1DM. Thus, the objective of this study is to determine the feasibility and acceptability of a mixed-methods approach to the relationships between mindfulness, interoception, stress, T1DM self-management behaviors, and glycemic control among college students with T1DM. Exploratory analyses will be used to investigate trends in these relationships. Sixty participants (30 individuals with T1DM and 30 without T1DM) will be exposed to the Trier Social Stress Test (TSST) and changes in glycemia, interoception, and stress response will be measured. To further understand trends in the findings among the participants with T1DM, a subsample will be interviewed to explore the subjective experience of hypo-, eu-, and hyperglycemic states and the relationship of those experiences to T1DM self-management behaviors. The findings of this study will be used to inform a larger study of the relationships of mindfulness and interoception to other barriers and facilitators of T1DM self-management. The ultimate goal is to develop and implement a mindfulness-based T1DM self-management intervention to improve health outcomes in late adolescents and early adults.