Department of Medicine, Division of General Internal Medicine, University of Alabama School of Medicine, 725 Faculty Office Tower, 1530 3rd Avenue South, Birmingham, AL 35294-3407, USA.
J Behav Med. 2010 Feb;33(1):81-9. doi: 10.1007/s10865-009-9233-4.
Depression and low self-efficacy are both associated with worse glycemic control in adults with diabetes, but the relationship between these variables is poorly understood. We conducted a cross-sectional study examining associations between depressive symptoms, self-efficacy, and glycemic control among men (n = 64) and women (n = 98) with type 2 diabetes to see if self-efficacy mediates the relationship between depression and glycemic control. Correlational and mediational analyses examined the relationship between these three variables for the sample as a whole and separately by sex. A significant association between depressive symptoms and glycemic control was found for men (0.34, P < 0.01) but not for women (0.05, P = 0.59). Path analysis suggested that, among men, self-efficacy mediates the relationship between depressive symptoms and glycemic control. We conclude that men with depressive symptoms and type 2 diabetes may need tailored interventions that improve their self-efficacy in order to achieve glycemic control.
抑郁和自我效能感均与糖尿病患者的血糖控制较差相关，但这些变量之间的关系尚未得到充分理解。我们进行了一项横断面研究，以调查 2 型糖尿病男性（n=64）和女性（n=98）的抑郁症状、自我效能感和血糖控制之间的关系，以了解自我效能感是否在抑郁和血糖控制之间起中介作用。相关分析和中介分析检验了这三个变量在整个样本以及按性别分别的关系。男性中抑郁症状与血糖控制之间存在显著关联（0.34，P<0.01），而女性中则不存在关联（0.05，P=0.59）。路径分析表明，在男性中，自我效能感在抑郁症状和血糖控制之间起中介作用。我们得出结论，患有抑郁症状和 2 型糖尿病的男性可能需要量身定制的干预措施，以提高自我效能感，从而实现血糖控制。
