Seiffge-Krenke Inge, Stemmler Mark
University of Mainz, Mainz, Germany.
J Adolesc Health. 2003 Sep;33(3):180-8. doi: 10.1016/s1054-139x(02)00707-3.
To study coping with everyday stressors in a longitudinal sample of 98 adolescents with insulin-dependent mellitus (type 1) diabetes.
The adolescents with type 1 diabetes were classified into three homogeneous groups of metabolic control by latent class analysis, based on annual tests of hemoglobin A1 values. Questionnaires assessing frequent minor stressors as well as ways of coping with these stressors were given annually over the course of 4 years. Latent class analysis revealed three distinctive groups of metabolic control over time. Adolescents who exhibited continuously poor, satisfactory, and good metabolic control. Eighty percent of the adolescents stayed in the group assigned to them over the 4-year period.
Adolescents with stable good metabolic control were characterized by lower levels of minor stressors that decreased over time, but those with stable satisfactory and poor metabolic control experienced continuously higher stress levels. Adolescents with stably good metabolic control also employed less avoidant coping in dealing with minor stressors, compared with the two other groups.
Because of the danger of long-term complications, it is important to discriminate among different groups of metabolic control over time. Further, the impact of non-illness-related minor stressors on metabolic control should be considered for prevention purposes.
在一个包含98名胰岛素依赖型糖尿病（1型）青少年的纵向样本中研究应对日常压力源的情况。
根据血红蛋白A1值的年度检测结果，通过潜在类别分析将1型糖尿病青少年分为代谢控制水平均匀的三组。在4年的时间里，每年发放问卷评估常见的轻微压力源以及应对这些压力源的方式。潜在类别分析揭示了随着时间推移代谢控制的三个不同类别，即代谢控制持续较差、令人满意和良好的青少年。80%的青少年在4年期间都留在分配给他们的类别中。
代谢控制稳定良好的青少年的特点是轻微压力源水平较低，且随着时间推移有所下降，但代谢控制稳定令人满意和较差的青少年经历的压力水平持续较高。与其他两组相比，代谢控制稳定良好的青少年在应对轻微压力源时也较少采用回避应对方式。
由于存在长期并发症的风险，随着时间推移区分不同代谢控制类别的青少年很重要。此外，为了预防目的，应考虑非疾病相关的轻微压力源对代谢控制的影响。
