Holmes-Truscott E, Pouwer F, Speight J
School of Psychology, Deakin University, Geelong, VIC, Australia.
The Australian Centre for Behavioural Research in Diabetes, Diabetes Victoria, Melbourne, VIC, Australia.
Curr Diab Rep. 2017 Jul;17(7):46. doi: 10.1007/s11892-017-0873-4.
This study aims to examine the operationalisation of 'psychological insulin resistance' (PIR) among people with type 2 diabetes and to identify and critique relevant measures.
PIR has been operationalised as (1) the assessment of attitudes or beliefs about insulin therapy and (2) hypothetical or actual resistance, or unwillingness, to use to insulin. Five validated PIR questionnaires were identified. None was fully comprehensive of all aspects of PIR, and the rigour and reporting of questionnaire development and psychometric validation varied considerably between measures. Assessment of PIR should focus on the identification of negative and positive attitudes towards insulin use. Actual or hypothetical insulin refusal may be better conceptualised as a potential consequence of PIR, as its assessment overlooks the attitudes that may prevent insulin use. This paper provides guidance on the selection of questionnaires for clinical or research purpose and the development of new, or improvement of existing, questionnaires.
本研究旨在探讨2型糖尿病患者中“心理性胰岛素抵抗”（PIR）的操作化，并识别和评论相关测量方法。
PIR已被操作化为：（1）对胰岛素治疗的态度或信念评估；（2）对使用胰岛素的假设性或实际性抵抗或不情愿。识别出了五份经过验证的PIR问卷。没有一份问卷能全面涵盖PIR的所有方面，并且问卷开发和心理测量学验证的严谨性及报告在不同测量方法之间差异很大。对PIR的评估应侧重于识别对胰岛素使用的消极和积极态度。实际或假设性的胰岛素拒绝可能更好地被概念化为PIR的潜在后果，因为对其评估忽略了可能阻碍胰岛素使用的态度。本文为临床或研究目的问卷的选择以及新问卷的开发或现有问卷的改进提供了指导。
