SHADE - STRESS, HEALTH AND DIABETES EXPERIENCE

这个子项目是许多研究子项目中的一个 由NIH/NCRR资助的中心赠款提供的资源。子项目及 研究者（PI）可能从另一个NIH来源获得了主要资金， 因此可以在其他CRISP条目中表示。所列机构为 研究中心，而研究中心不一定是研究者所在的机构。 一种表达性写作（EW）干预，其中个人写下创伤性，压力性事件，已被证明可以改善健康和慢性病成年人的医疗和情感结果。考虑到糖尿病患者抑郁的高发病率，以及压力和血糖控制之间的关系，糖尿病可能对EW有反应。初步研究表明，EW对于2型糖尿病成人患者是可接受和可行的。这项由NIH资助的研究是几项试点研究的延伸，使用了额外的措施并修改了干预措施。 这项研究将在三个地点（锡拉丘兹、宾夕法尼亚州立大学和范德比尔特大学）进行，总共300名糖尿病患者将被随机分配到三组中的一组。 一组（对照组）将每4个月参加一次中性写作练习和中性“助推器”写作课程，为期2年。 两组将参加EW练习（写3个关于他们生活中的创伤或压力事件的会话）;这两组中的一组将接受5个额外EW的增强会话，而另一组将接受中性写作的增强会话，间隔4个月。 所有参与者将每4个月完成一次疾病状态、生活质量和心理状态的测量，为期2年。总的目的是看看EW的经验是否会导致医疗和心理社会结果的改善，这些改善持续多久，以及增加助推器会议是否会导致更大或更持久的改善。

This subproject is one of many research subprojects utilizing the resources provided by a Center grant funded by NIH/NCRR. The subproject and investigator (PI) may have received primary funding from another NIH source, and thus could be represented in other CRISP entries. The institution listed is for the Center, which is not necessarily the institution for the investigator. An expressive writing (EW) intervention in which individuals write about traumatic, stressful events, has been shown to produce improvements in medical and emotional outcomes for healthy and chronically ill adults. Given the high rate of depression in individuals with diabetes, and the relationship between stress and blood glucose control, diabetes may be responsive to EW. Pilot studies demonstrated that EW is acceptable and feasible for adults with type 2 diabetes. This NIH-funded study is an extension of several pilot studies using additional measures and modifying the intervention. It will be carried out at three sites (Syracuse, Penn State and Vanderbilt Universities) at which a total of 300 patients with diabetes will be randomly assigned to one of three groups. One group (control) will participate in a neutral writing exercise and neutral "booster" writing sessions every 4 months for a period of 2 years. Two groups will participate in an EW exercise (writing for 3 sessions about traumatic or stressful events in their lives); one of these two groups will receive 5 booster sessions of additional EW, while the other will receive booster sessions of neutral writing, at 4 month intervals. All participants will complete measures of disease status, quality of life, and psychological status every 4 months for a period of 2 years. The overall aim is to see if the experience of EW results in improvements in medical and psychosocial outcomes, how long these improvements last, and whether adding booster sessions leads to greater or more lasting improvement.