Coccaro Emil F, Drossos Tina, Phillipson Louis
Clinical Neuroscience Research Unit, Department of Psychiatry and Behavioral Neuroscience, Pritzker School of Medicine, University of Chicago, Chicago, IL, United States.
Clinical Neuroscience Research Unit, Department of Psychiatry and Behavioral Neuroscience, Pritzker School of Medicine, University of Chicago, Chicago, IL, United States.
Prim Care Diabetes. 2016 Oct;10(5):334-41. doi: 10.1016/j.pcd.2016.05.006. Epub 2016 Jun 23.
Understanding the role of emotion in glycemic control may be critical for the long-term treatment of patients with type 2 diabetes (T2D). In this study we investigated the relationship between measures of emotional regulation and emotional intelligence and HbA1c levels in adult patients with T2 diabetes.
100 adult patients with T2 diabetes completed assessments of emotional regulation (i.e., affect intensity/lability) and emotional intelligence and were then correlated with HbA1c levels with several relevant covariates.
HbA1c levels were significantly associated with affect intensity (AI: r=.24, p=.018) and with emotional intelligence (EI: r=-.29, p=.004), but not affect lability. These results were the same even after adding income, state depression scores, insulin-dependent status, serum cholesterol, diabetes literacy and self-care as covariates (AI: β=.33, p=.001; EI: β=-.31, p=.002). Diabetes self-care, but not diabetes literacy, was also associated with HbA1c levels (β=-.29, p=.003).
These data suggest that aspects of emotional regulation and emotional intelligence play a role in glycemic control in adult patients with T2 diabetes and do so even in the context of several variables relevant to diabetes. If so, interventions that can reduce affect intensity and/or increase emotional intelligence may represent a new strategy in the glycemic control of adult patients with T2 diabetes.
了解情绪在血糖控制中的作用对于2型糖尿病（T2D）患者的长期治疗可能至关重要。在本研究中，我们调查了成年T2糖尿病患者的情绪调节措施、情商与糖化血红蛋白（HbA1c）水平之间的关系。
100名成年T2糖尿病患者完成了情绪调节（即情感强度/易变性）和情商评估，然后将其与HbA1c水平以及几个相关协变量进行相关性分析。
HbA1c水平与情感强度（AI：r = 0.24，p = 0.018）和情商（EI：r = -0.29，p = 0.004）显著相关，但与情感易变性无关。即使将收入、状态抑郁评分、胰岛素依赖状态、血清胆固醇、糖尿病知识水平和自我护理作为协变量纳入分析，结果依然相同（AI：β = 0.33，p = 0.001；EI：β = -0.31，p = 0.002）。糖尿病自我护理而非糖尿病知识水平也与HbA1c水平相关（β = -0.29，p = 0.003）。
这些数据表明，情绪调节和情商的某些方面在成年T2糖尿病患者的血糖控制中发挥作用，即使在存在多个与糖尿病相关变量的情况下也是如此。如果是这样，能够降低情感强度和/或提高情商的干预措施可能代表了成年T2糖尿病患者血糖控制的一种新策略。
