Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, TX 75390-9044, USA.
Health Psychol. 2011 Mar;30(2):212-9. doi: 10.1037/a0022378.
To examine whether benefit finding was associated with better adjustment among adolescents with diabetes by buffering negative affective reactions to diabetes stress and by promoting positive affective reactions.
Early adolescents aged 10-14 with Type 1 diabetes (n = 252) described recent diabetes stressors, affective reactions, and perceived coping effectiveness. They also completed measures of benefit finding, depressive symptoms, and adherence. Metabolic control (i.e., HbA1c) was obtained from medical records.
The main outcome measures were perceived coping effectiveness, depressive symptoms, adherence, and HbA1c.
Benefit finding was associated with lower depressive symptoms, higher perceived coping effectiveness and better adherence, and with higher positive as well as negative affective reactions to diabetes stress. Benefit finding interacted with negative affective reactions to predict depressive symptoms and HbA1c. Negative affective reactions to stress were associated with poorer adjustment among those with low benefit finding, but were unrelated or more weakly related to poor adjustment among those with high benefit finding. Positive affective reactions did not mediate associations between benefit finding and any outcome.
Consistent with a stress-buffering process, benefit finding may be a resource that buffers the disruptive aspects of negative affective reactions to stress for adolescents' diabetes management.
通过缓冲糖尿病应激的负性情绪反应和促进正性情绪反应，探讨获益发现是否与糖尿病青少年的更好适应有关。
对 252 名年龄在 10-14 岁的 1 型糖尿病青少年进行了近期糖尿病应激源、情绪反应和感知应对有效性的描述。他们还完成了获益发现、抑郁症状和依从性的测量。代谢控制（即 HbA1c）从病历中获得。
主要观察指标为感知应对有效性、抑郁症状、依从性和 HbA1c。
获益发现与较低的抑郁症状、较高的感知应对有效性和更好的依从性以及对糖尿病应激的正性和负性情绪反应相关。获益发现与负性情绪反应相互作用，预测抑郁症状和 HbA1c。在获益发现低的个体中，应激的负性情绪反应与较差的适应相关，而在获益发现高的个体中，应激的负性情绪反应与较差的适应无关或相关性较弱。正性情绪反应并不能介导获益发现与任何结果之间的关联。
与应激缓冲过程一致，获益发现可能是一种资源，缓冲了糖尿病应激负性情绪反应对青少年糖尿病管理的破坏性影响。
