Department of Psychology, Catholic University Leuven (K.U. Leuven), Tiensestraat 102, 3000, Louvain, Belgium.
J Behav Med. 2010 Jun;33(3):228-38. doi: 10.1007/s10865-010-9249-9. Epub 2010 Jan 28.
The present study set out to develop a typology of illness coping (as assessed through tackling spirit, illness integration, passive resignation, and avoidance coping) in a sample of 194 emerging adults (18-30 years) with Type 1 diabetes. Four groups, each with their own unique profile scores on illness coping, were identified through cluster analysis: active integrated, passive avoidant, high generic low integrated, and low generic high integrated coping. These clusters were differentiated on the basis of demographic, psychological (problem areas in diabetes, illness perceptions, depressive symptoms, and self-esteem), and clinical parameters (HbA(1c)-values indexing glycemic control). The active integrated cluster (and, to a lesser extent, the low generic high integrated cluster) evidenced the most optimal profile (i.e., better glycemic control, low depressive symptoms, etc.), the passive avoidant cluster (and, to a lesser extent, the high generic low integrated cluster) the least optimal profile. Implications for the study and practice of coping with a chronic illness are discussed.
本研究旨在通过应对精神、疾病整合、消极顺从和回避应对（通过应对精神、疾病整合、消极顺从和回避应对来评估）在 194 名 18-30 岁的 1 型糖尿病青年成年人样本中开发一种疾病应对的类型学。通过聚类分析确定了四个具有独特应对方式特征评分的群体：积极整合、消极回避、高一般低整合和低一般高整合应对。这些聚类基于人口统计学、心理学（糖尿病中的问题领域、疾病认知、抑郁症状和自尊）和临床参数（HbA1c 值指示血糖控制）进行区分。积极整合聚类（在较小程度上，低一般高整合聚类）表现出最佳的特征（即更好的血糖控制、低抑郁症状等），消极回避聚类（在较小程度上，高一般低整合聚类）表现出最不理想的特征。讨论了应对慢性疾病的研究和实践的意义。
