糖尿病患者的耻辱和心理痛苦之间的关系:一个元分析
Xiajun Guo1, Sijia Wu1, Haishan Tang1
1Institute of Nursing and Health, School of Nursing and Health, Henan University, Kaifeng, 475004, Henan, China.
BMC psychology
|August 24, 2023
概括
耻辱显著影响糖尿病患者的心理痛苦. 这一元分析量化了这种强烈的关联,突出了对因果途径进一步研究的需要.
科学领域:
- 精神病学和行为科学 精神病学和行为科学
- 内分泌学和新陈代谢学
- 公共卫生 公共卫生
背景情况:
- 糖尿病与严重的心理痛苦和耻辱有关.
- 以前的研究表明,与糖尿病相关的耻辱和心理痛苦之间存在联系,但缺乏定量合成.
- 了解这种关联的规模和调节者对于有效的干预至关重要.
研究的目的:
- 量化综合现有关于糖尿病相关耻辱和心理痛苦之间的联系的研究.
- 通过元分析来确定这种关系的整体强度.
- 为了确定潜在的调节者,影响糖尿病中耻辱和痛苦的关联.
主要方法:
- 在主要的英语和中国学术数据库 (PubMed,Embase,Web of Science,PsycINFO,CNKI,WANFANG,VIP) 进行了系统的文献搜索,截至2023年3月.
- 使用随机效应模型进行的元分析计算了聚合的相关系数 (r).
- 分析包括19项研究,共12777名参与者,检查了测量工具,糖尿病类型,人口统计和耻辱类型等调节者.
主要成果:
- 在糖尿病相关的耻辱和心理困扰之间发现了强烈的积极关联 (r = 0.50,95% CI: [0.43-0.57]).
- 该协会的强度被用于糖尿病耻辱和痛苦的特定测量工具所调节.
- 对于糖尿病类型,年龄,性别,地理位置或污名的类型,没有观察到显著的适度.
结论:
- 与糖尿病相关的耻辱与糖尿病患者的心理痛苦密切相关.
- 测量工具在观察到的耻辱和痛苦之间的关联中发挥着作用.
- 未来的研究应该专注于纵向和实验设计,以阐明因果关系.
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