通过克服心理障碍和拥抱健康来战胜糖尿病
Fanni Őry1, Botond László Kiss2,3, András Norbert Zsidó2,3,4
1Faculty of Humanities and Social Sciences,Institute of Psychology, University of Pécs, 6 Ifjúság Street, Pécs, 7624, Hungary. ory.fanni@pte.hu.
Scientific reports
|December 31, 2024
概括
与1型糖尿病 (T1DM) 或胰岛素抵抗 (IR) 患者相比,患有2型糖尿病 (T2DM) 的个人经历了独特的心理挑战和多样化的疾病管理. T2DM患者的动机和意义较低,而T1DM患者的情绪困扰较高.
科学领域:
- 心理学 心理学 心理学
- 内分泌学 在内分泌学.
- 健康科学 卫生科学 卫生科学
背景情况:
- 慢性疾病,如糖尿病 (DM) 和抗胰岛素 (IR) 需要显著的自我管理,有助于心理压力被称为糖尿病困扰.
- 诸如健康赋权,生活方式和健康饮食的动机等因素对DM和IR患者的生活质量和疾病结果产生深远的影响.
- 不同的患者子组,包括1型糖尿病 (T1DM),2型糖尿病 (T2DM) 和胰岛素抵抗 (IR) 个体,会以不同的方式遇到这些挑战.
研究的目的:
- 为了比较IR和DM个体与没有IR和DM个体之间的心理因素.
- 为了比较IR,T1DM和T2DM小组的心理经验和疾病管理态度.
- 在各种糖尿病和胰岛素抗性人群中识别糖尿病困扰,健康赋权和动机的差异.
主要方法:
- 在线调查问卷分发给746名参与者 (平均年龄为37.5岁).
- 参与组包括对照组 (N=341),IR患者 (N=177),T1DM患者 (N=116) 和T2DM患者 (N=112).
- 统计分析,包括渐变增强分类,用于比较心理变量和群体之间的疾病经验.
主要成果:
- 与对照组相比,T2DM个体报告了较低的识别调节,互感觉意识和寻找意义.
- 在IR群体中,身体与心灵的脱节程度更高.
- 与T2DM和IR组相比,T1DM个体经历了与其疾病相关的最高情绪痛苦,但与T2DM和IR组相比,定期检查的痛苦最小.
结论:
- 在IR,T1DM和T2DM个体之间存在显著的心理和经验差异,尽管他们有共同的自我管理挑战.
- 鉴于T2DM是一种异质性疾病,该群体内的疾病经验和管理策略存在相当大的差异.
- 在IR和T1DM群体中,心理因素均,与T2DM中观察到的异质形成鲜明对比,突出了对量身定制方法的需求.
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