Kovacs M, Iyengar S, Goldston D, Obrosky D S, Stewart J, Marsh J
University of Pittsburgh School of Medicine, Pennsylvania.
J Consult Clin Psychol. 1990 Apr;58(2):189-95. doi: 10.1037//0022-006x.58.2.189.
Mothers of children with newly diagnosed insulin-dependent diabetes mellitus (IDDM) were assessed repeatedly over a period of 6 years in order to determine the psychological correlates of managing this chronic illness. Both maternal depression and overall emotional distress after the 1st year of the IDDM increased slightly with illness duration and were also influenced by other factors. Mothers' adjustment shortly after their children were diagnosed with IDDM was a strong predictor of their long-term emotional symptomatology. However, mothers' symptoms over time were not related to medical aspects of IDDM (i.e., the extent of the children's metabolic control, number of rehospitalizations, or their compliance with the medical regimen) and were also unrelated to the levels of depression or anxiety reported by their children. Mothers generally found it easier to cope with the IDDM the longer their children had the illness. However, the degree to which mothers perceived the IDDM to be bothersome or difficult to manage at any given point in time was associated with their overall levels of emotional distress.
为了确定管理这种慢性病的心理关联因素，对新诊断为胰岛素依赖型糖尿病（IDDM）儿童的母亲进行了为期6年的反复评估。IDDM发病第一年之后，母亲的抑郁和总体情绪困扰均随病程略有增加，且还受到其他因素的影响。孩子被诊断为IDDM后不久母亲的适应情况是其长期情绪症状的有力预测指标。然而，母亲随时间推移出现的症状与IDDM的医学方面（即孩子的代谢控制程度、再次住院次数或他们对治疗方案的依从性）无关，也与孩子报告的抑郁或焦虑水平无关。孩子患病时间越长，母亲通常越容易应对IDDM。然而，在任何特定时间点，母亲认为IDDM麻烦或难以管理的程度与她们的总体情绪困扰水平相关。
