Health Psychology Section, Department of Health Sciences, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Psychol Health. 2011 Jan;26(1):95-111. doi: 10.1080/08870440903342325.
This study examined whether diabetes-specific self-efficacy mediates the association between overprotection and distress and whether this mediation depends on glycemic control and gender. The research sample of 215 individuals with diabetes and their partners completed a measure of partners' overprotective behaviours towards the patient. Patients also completed measures of diabetes-specific self-efficacy and diabetes-related distress. Further, HbA1c values were obtained as an indication of glycemic control. Diabetes-specific self-efficacy mediated the association between overprotection by the partner and diabetes-related distress especially when glycemic control was relatively poor. Furthermore, diabetes-specific self-efficacy mediated the association between overprotection and diabetes-related distress more strongly in female than in male patients. The findings underscore the importance of studying both moderators and mediators in the association between partner behaviour and distress in patients.
本研究旨在探讨糖尿病特定自我效能是否在保护过度与困扰之间起中介作用，以及这种中介作用是否依赖于血糖控制和性别。研究样本由 215 名糖尿病患者及其伴侣组成，他们完成了一份关于伴侣对患者过度保护行为的量表。患者还完成了糖尿病特定自我效能和糖尿病相关困扰的量表。此外，HbA1c 值用于表示血糖控制情况。当血糖控制较差时，伴侣的过度保护与糖尿病相关困扰之间的关联主要通过糖尿病特定自我效能来介导。此外，糖尿病特定自我效能在女性患者中比男性患者中更能介导保护过度与糖尿病相关困扰之间的关联。这些发现强调了在伴侣行为与患者困扰之间的关联中，研究调节变量和中介变量的重要性。
