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糖尿病前期患者餐后2h血糖水平与心理因素的关系
  • 摘要

    目的:探讨糖尿病前期患者餐后2h血糖水平与抑郁、焦虑、述情障碍、应对方式、人格等心理因素的相关性.方法:选取符合美国糖尿病协会糖尿病诊疗指南中糖尿病前期诊断标准[7.8 mmol/L≤餐后2h血糖(P2h-PG) <11.1 mmol/L]的门诊患者440例,使用自评抑郁量表(SDS)、焦虑自评量表(SAS)、多伦多述情障碍量表(TAS)、特质应对方式问卷(TCSQ)、简式大五人格问卷(NEO-FFIR)评估其抑郁症状、焦虑症状、述情障碍、应对方式及人格特点.结果:患者P2h-PG水平与SDS得分(40.0±8.0)、SAS得分(54.7±10.9)、TAS得分(68.2±9.7)、TCSQ消极应对得分(30.4±7.1)和NEO-FFI-R神经质得分(3.0±0.6)正相关(r=0.13~0.24;均P<0.01).多元线性回归分析显示,P2h-PG水平与SDS得分呈正向关联,与NEO-FFI-R谨慎性得分负向关联(标准化β=0.21、-0.18;均P<0.01);SDS得分与SAS、TAS得分正向关联,与TCSQ积极应对得分负向关联(标准化β=0.51、0.13、-0.13;均P<0.01);SAS得分与SDS得分、TAS得分、NEO-FFI-R神经质得分和谨慎性得分正向关联,与NEO-FFI-R宜人性得分负向关联(标准化β=0.22、0.17、0.14、-0.14、0.13;均P<0.01).结论:本研究提示,糖尿病前期患者的血糖升高与抑郁、焦虑、述情障碍、消极应对方式、神经质等心理因素相关,其中与抑郁的相关程度较高.

  • 作者

    张婷  高东  蒋成刚  乐发国  张岚  余叶蓉  陆峥  高成阁  王旭梅 

  • 作者单位

    第三军医大学大坪医院野战外科研究所睡眠心理中心,重庆,400042/四川大学华西医院心理卫生中心,成都,610041/四川大学华西医院内分泌科,成都,610041/上海市同济大学附属同济医院精神科,上海,200065/西安交通大学医学院第一附属医院精神科,西安,710061/中国医科大学附属医院心理科,沈阳,110004

  • 刊期

    2014年7期 ISTIC PKU CSSCI

  • 关键词

    糖尿病前期  抑郁  焦虑  述情障碍  应对方式  人格  现况调查  impaired glucose regulation  depression  anxiety  alexithymia  personality  coping style  cross-sectional studies 

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