Schwartz L S, Coulson L R, Toovy D, Lyons J S, Flaherty J A
Northwestern University Medical School, Chicago, Illinois.
Gen Hosp Psychiatry. 1991 Jan;13(1):19-26. doi: 10.1016/0163-8343(91)90005-h.
The relationship among recent life stress, social support, a patient's locus of control, and the control of blood glucose is evaluated in persons with diabetes mellitus, using objective measures of these psychosocial variables. Short-term [fasting blood sugar (FBS)] and long-term [glycosylated hemoglobin (Hgb A-1C)] control measures are taken at two points in time in order to evaluate the effects of the psychosocial variables on change in diabetes control. For life events, a significant positive association was found between the number of recent life events and blood glucose control. Decrease in social support predicted a worsening of longer-term (Hgb A-1C) control over time. An external locus of control within the patient was associated both with poor short-term control at time one and prediction of poorer long-term control over time. The implications of these findings are discussed in support of a biopsychosocial approach to the management of diabetes mellitus.
利用这些社会心理变量的客观测量方法，对糖尿病患者近期生活压力、社会支持、患者的控制点与血糖控制之间的关系进行了评估。在两个时间点采用短期[空腹血糖（FBS）]和长期[糖化血红蛋白（Hgb A-1C）]控制指标，以评估社会心理变量对糖尿病控制变化的影响。对于生活事件，发现近期生活事件的数量与血糖控制之间存在显著的正相关。社会支持的减少预示着随着时间推移长期（Hgb A-1C）控制会恶化。患者的外部控制点既与第一时间的短期控制不佳有关，也与随着时间推移长期控制较差的预测有关。讨论了这些发现的意义，以支持采用生物心理社会方法来管理糖尿病。
