Friis A M, Johnson M H, Cutfield R G, Consedine N S
Department of Psychological Medicine, University of Auckland, Auckland, New Zealand.
Diabet Med. 2015 Dec;32(12):1634-40. doi: 10.1111/dme.12774. Epub 2015 Apr 21.
Higher self-compassion is associated with mental and physical health benefits in both healthy and chronically ill populations. The current study investigated the role of self-compassion in predicting depression, diabetes-specific distress and HbA1c in patients with diabetes.
To assess the specific operationalization of negative emotionality that best predicted HbA1c and to test whether self-compassion would buffer HbA1c in patients with diabetes against the negative effects of distress.
Patients with diabetes (n = 110) completed measures assessing trait self-compassion, depression and diabetes-distress. HbA1c results were obtained through medical records.
As expected, diabetes-specific distress was a better predictor of HbA1c than depression; self-compassion moderated the relationship between distress and HbA1c such that higher distress predicted higher HbA1c at lower levels of self-compassion, but not at higher levels of self-compassion.
In addition to further demonstrating the link between distress and metabolic outcomes, these findings suggest that self-compassion might buffer patients from the negative metabolic consequences of diabetes-distress.
在健康人群和慢性病患者群体中，更高的自我同情与身心健康益处相关。本研究调查了自我同情在预测糖尿病患者的抑郁、糖尿病特异性困扰和糖化血红蛋白（HbA1c）方面的作用。
评估最能预测糖化血红蛋白的负面情绪的具体操作化，并测试自我同情是否会缓冲糖尿病患者的糖化血红蛋白免受困扰的负面影响。
糖尿病患者（n = 110）完成了评估特质自我同情、抑郁和糖尿病困扰的测量。糖化血红蛋白结果通过病历获得。
正如预期的那样，糖尿病特异性困扰比抑郁更能预测糖化血红蛋白；自我同情调节了困扰与糖化血红蛋白之间的关系，即更高的困扰在较低自我同情水平下预测更高的糖化血红蛋白，但在较高自我同情水平下则不然。
除了进一步证明困扰与代谢结果之间的联系外，这些发现表明自我同情可能会缓冲患者免受糖尿病困扰的负面代谢后果。
