Zauszniewski Jaclene A, McDonald Patricia E, Krafcik Karen, Chung ChaeWeon
School of Nursing, Case Western Reserve University, Cleveland, Ohio, USA.
West J Nurs Res. 2002 Nov;24(7):728-43; discussion 744-50. doi: 10.1177/019394502762476951.
The coexistence of diabetes and depression occurs frequently among young and middle-age women. Unless one is resourceful, simultaneous management of the symptoms of both conditions is especially challenging. Skills constituting resourcefulness are learned throughout life and are important for the optimal performance of daily activities. Little is known about specific factors that influence resourcefulness. In this study contextual factors (diabetic and depressive symptoms) and cognitive factors (positive cognitions and acceptance of diabetes) were examined as antecedents of learned resourcefulness in 82 women with type 2 diabetes. Regression analyses showed that depressive symptoms and positive cognitions were significant antecedents of learned resourcefulness: Positive cognitions mediated the effects of depressive symptoms on learned resourcefulness. The findings suggest the need for interventions thatfocus on development of positive cognitions to better promote resourcefulness in women with type 2 diabetes who are at risk for depression.
糖尿病和抑郁症并存的情况在中青年女性中屡见不鲜。除非一个人足智多谋，否则同时应对这两种疾病的症状极具挑战性。构成足智多谋的技能是在一生中习得的，对日常活动的最佳表现很重要。关于影响足智多谋的具体因素知之甚少。在本研究中，对82名2型糖尿病女性的情境因素（糖尿病和抑郁症状）和认知因素（积极认知和对糖尿病的接受度）作为习得足智多谋的前因进行了研究。回归分析表明，抑郁症状和积极认知是习得足智多谋的重要前因：积极认知介导了抑郁症状对习得足智多谋的影响。研究结果表明，需要开展干预措施，重点培养积极认知，以更好地促进有抑郁症风险的2型糖尿病女性的足智多谋。
