Halford W K, Cuddihy S, Mortimer R H
Department of Psychiatry, University of Queensland, Herston, Australia.
Health Psychol. 1990;9(5):516-28. doi: 10.1037//0278-6133.9.5.516.
Fifteen Type I diabetic patients self-monitored daily mean blood glucose levels (BGL), psychological stress, diet, exercise, and insulin injections for a period of 8 weeks. Separate multiple-regression analyses were conducted for each subject to assess the predictability of BGL from stress reports, independent of the effects of diet, exercise, and insulin self-administration. Considerable individual variability in findings was evident, with stress predicting BGL in a statistically significant manner in 7 of the 15 subjects. Stress had a significant effect on BGL independent of diet, exercise, and insulin administration for each of these 7 subjects. Discussion focused on the problems of measuring the key self-management behaviors influencing BGL and on the possibility that a subgroup of diabetic patients may be BGL stress responders.
15名I型糖尿病患者连续8周每日自行监测平均血糖水平（BGL）、心理压力、饮食、运动及胰岛素注射情况。针对每位受试者进行了单独的多元回归分析，以评估在排除饮食、运动及胰岛素自我给药影响的情况下，压力报告对BGL的预测能力。研究结果显示出相当大的个体差异，15名受试者中有7名的压力对BGL具有统计学意义上的显著预测作用。对于这7名受试者中的每一位，压力对BGL的影响均独立于饮食、运动及胰岛素给药。讨论集中在测量影响BGL的关键自我管理行为所存在的问题，以及部分糖尿病患者可能是BGL压力反应者的可能性。
