揭示母亲抑郁症状与糖尿病之间的关联关系与青少年的HbA1c关系
Fayo Abadula1, Sydney Garretson1, Nkemjika Okonkwo1
1Department of Pediatrics, Vanderbilt University Medical Center, USA.
Journal of pediatric psychology
|October 5, 2023
概括
母亲糖尿病关系困扰,而不仅仅是抑郁症状,与1型糖尿病青少年的血糖控制较差有关. 早期对这种特定的痛苦进行查可以帮助家庭改善健康结果.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 心理社会健康 心理健康
- 家庭医学 家庭医学 家庭医学
背景情况:
- 母亲抑郁症状是儿童糖尿病不良结果的已知危险因素.
- 母亲糖尿病关系困扰对青少年血糖控制的具体影响需要进一步调查.
研究的目的:
- 为了比较母亲糖尿病关系困扰和母亲抑郁症状与青少年血糖结果的关联.
- 确定哪个母亲的心理社会因素与青少年1型糖尿病管理有更强烈的联系.
主要方法:
- 分析了390名患有1型糖尿病的青少年 (11-17岁) 的母亲的数据.
- 使用经过验证的查,评估了母亲的抑郁症状和糖尿病关系困扰.
- 青少年的血糖控制是通过医疗记录中的血红蛋白A1c (HbA1c) 水平来衡量的.
主要成果:
- 35%的母亲报告了临床上显著的糖尿病关系困扰;14%报告了临床上显著的抑郁症状.
- 患有关系困扰的母亲的青少年比没有 (8.2%) 的青少年平均HbA1c (9.7%) 高.
- 患有抑郁症状的母亲的青少年也比没有抑郁症状的青少年平均HbA1c (9.6%) 高 (8.6%).
- 孕产妇糖尿病关系困扰与青少年HbA1c的关联比抑郁症状更强,即使对共变量进行调整.
结论:
- 孕产妇糖尿病关系困扰是与1型糖尿病青少年血糖控制较差相关的重要因素.
- 查母亲关系困境可以帮助识别需要心理社会支持的家庭.
- 针对护理人员与青少年关系困扰的干预措施可能会改善心理社会和血糖结果.
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