1型糖尿病青少年疾病认知的纵向轨迹
Longitudinal trajectories of illness perceptions among adolescents with type 1 diabetes.
作者信息
Fortenberry Katherine T, Berg Cynthia A, King Pamela S, Stump Tammy, Butler Jorie M, Pham Phung K, Wiebe Deborah J
机构信息
Department of Psychology, University of Utah and Division of Psychology, Department of Psychiatry, University of Texas Southwestern Medical Center at Dallas
Department of Psychology, University of Utah and Division of Psychology, Department of Psychiatry, University of Texas Southwestern Medical Center at Dallas.
出版信息
J Pediatr Psychol. 2014 Aug;39(7):687-96. doi: 10.1093/jpepsy/jsu043. Epub 2014 Jun 16.
OBJECTIVES
To examine development in illness perceptions of type 1 diabetes across adolescence and relationships with intelligence, diabetes responsibility, and diabetes outcomes.
METHODS
Illness perceptions were measured via the Illness Perceptions Questionnaire at 3 times, every 6 months in 213 adolescents (M age = 13.00; SD = 1.54) with type 1 diabetes. Intelligence and adolescents' perceived responsibility for diabetes were examined, and adolescents' report of adherence and quality of life (QOL), and glycosylated hemoglobin (HbA1c) from medical records addressed diabetes-related outcomes.
RESULTS
Linear growth models showed significant increases in perceptions of diabetes coherence, chronicity, consequences, personal and treatment control, and decreases in diabetes cyclicality and parental control across time. More favorable illness perceptions were generally associated with adolescent intelligence at baseline, more adolescent responsibility for management, better adherence and QOL, and lower HbA1c at each time point.
CONCLUSIONS
Results suggest that adolescents develop complex illness perceptions, which are associated with better diabetes management.
目的
研究1型糖尿病青少年患者疾病认知的发展情况，以及这些认知与智力、糖尿病责任和糖尿病相关结果之间的关系。
方法
通过疾病认知问卷对213名1型糖尿病青少年（平均年龄=13.00岁；标准差=1.54）进行了3次测量，每6个月测量一次。研究了智力和青少年对糖尿病的感知责任，并通过青少年对依从性和生活质量（QOL）的报告以及病历中的糖化血红蛋白（HbA1c）来评估糖尿病相关结果。
结果
线性增长模型显示，随着时间的推移，对糖尿病连贯性、慢性、后果、个人和治疗控制的认知显著增加，而对糖尿病周期性和父母控制的认知则有所下降。在每个时间点，更积极的疾病认知通常与基线时的青少年智力、青少年对管理的更多责任、更好的依从性和生活质量以及更低的糖化血红蛋白水平相关。
结论
结果表明，青少年会形成复杂的疾病认知，这与更好的糖尿病管理相关。
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