Yi-Frazier Joyce P, Smith Ronald E, Vitaliano Peter P, Yi Jean C, Mai Scarlett, Hillman Matthew, Weinger Katie
Department of Endocrinology/Diabetes, Seattle Children's Research Institute, Seattle, WA.
Stress Health. 2010 Jan 1;26(1):51-60. doi: 10.1002/smi.1258.
This study investigated the resilience resources and coping profiles of diabetes patients. A total of 145 patients with diabetes completed a questionnaire packet including two measurements of coping (COPE and Coping Styles questionnaires), and personal resources. Glycosylated hemoglobin (HbA(1c)) was also assessed. Resilience was defined by a factor score derived from measures of self-esteem, self-efficacy, self-mastery, and optimism. All of the maladaptive coping subscales were negatively associated with resilience (r's range from -.34 to -.56, all p's <.001). Of the adaptive coping subscales, only acceptance, emotional support, and pragmatism were positively associated with resilience. The upper, middle, and lower tertiles of the resilience factor were identified and the coping profiles of these groups differed significantly, with low resilience patients favoring maladaptive strategies much more than those with high or moderate resilience resources. Resilience groups did not differ in HbA(1c) levels; correlation coefficients of the coping subscales with HbA(1c) were explored. This study demonstrates a link between maladaptive coping and low resilience, suggesting that resilience impacts one's ability to manage the difficult treatment and lifestyle requirements of diabetes.
本研究调查了糖尿病患者的心理复原力资源及应对方式。共有145名糖尿病患者完成了一套问卷，其中包括两种应对方式测量工具（《应对方式问卷》和《应对风格问卷》）以及个人资源测量。还评估了糖化血红蛋白（HbA(1c)）水平。心理复原力由自尊、自我效能感、自我掌控力和乐观主义测量指标得出的因子得分来定义。所有适应不良的应对分量表均与心理复原力呈负相关（相关系数范围为-.34至-.56，所有p值均<.001）。在适应性应对分量表中，只有接受、情感支持和务实与心理复原力呈正相关。确定了心理复原力因子的上、中、下三分位数，这些组的应对方式存在显著差异，心理复原力低的患者比心理复原力高或中等的患者更倾向于采用适应不良的策略。心理复原力组的HbA(1c)水平没有差异；研究了应对分量表与HbA(1c)的相关系数。本研究证明了适应不良的应对方式与低心理复原力之间的联系，表明心理复原力会影响个体应对糖尿病艰难治疗和生活方式要求的能力。
