在患有1型糖尿病的儿童中,亲密关系中的依恋和血糖结果
Simona Klemenčič1, Jasna Klara Lipovšek2, Anja Turin2,3
1Department of Pediatric Endocrinology, Diabetes and Metabolic Diseases, University Children's Hospital Ljubljana, University Medical Centre Ljubljana, Bohoričeva Ulica 20, 1000, Ljubljana, Slovenia. simona.klemencic@kclj.si.
Child and adolescent psychiatry and mental health
|October 18, 2023
概括
依恋方式影响儿童1型糖尿病 (T1D) 的结果. 安全的女孩有更高的HbA1c,而不安全的父母依恋恶化了男孩的血糖控制,影响HbA1c和时间范围 (TIR).
科学领域:
- 心理学 心理学 心理学
- 内分泌学 在内分泌学.
- 儿科 儿科 儿科
背景情况:
- 孩子对父母的依恋,父母的依恋风格和早晨的皮质醇水平可能会影响1型糖尿病 (T1D) 儿童的糖尿病管理.
- 血糖结局包括平均糖化血红蛋白 (HbA1c),HbA1c变异性和范围内的时间 (TIR).
研究的目的:
- 研究儿童与父母的依恋,父母的依恋风格和皮质醇水平与T1D儿童的血糖结果之间的关系.
- 在4年的时间内确定平均HbA1c,HbA1c变异性和TIR的预测因素.
主要方法:
- 101名患有T1D的儿童和父母完成了依恋评估 (儿童依恋面试;关系结构问卷).
- 测量了皮质醇水平,并在4年内收集了HbA1c和TIR数据.
- 多变量线性回归模型分析了血糖结果的预测因素.
主要成果:
- 与不安全地依恋的女孩相比,安全地依恋的女孩的平均HbA1c水平更高.
- 在男孩中,更不安全的父母依恋与更高的平均HbA1c相关,增加HbA1c变异性和较低的TIR.
- 观察到依恋-育儿关系中的性别差异及其对T1D管理的影响.
结论:
- 附着动态与T1D儿童的血糖控制显著相关,具有显著的性别特异性影响.
- 建议在儿童的T1D管理中采用量身定制的,基于性别和依恋的方法.
- 需要进一步研究更大的样本和更频繁的皮质醇测量,以阐明压力,依恋和T1D结果之间的联系.
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