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在一项横断面研究中,自我同情与成年人糖尿病患者的最佳自我护理行为、医疗结果和心理健康有关。

Self-compassion is associated with optimum self-care behaviour, medical outcomes and psychological well-being in a cross-sectional sample of adults with diabetes.

机构信息

School of Psychology, Australian Catholic University, Strathfield, New South Wales, Australia.

School of Psychology, University of Sydney, Sydney, New South Wales, Australia.

出版信息

Diabet Med. 2017 Nov;34(11):1546-1553. doi: 10.1111/dme.13451. Epub 2017 Sep 11.

Abstract

AIM

To investigate the role of self-compassion in diabetes outcomes. Self-compassion is a construct which may be relevant to chronic conditions, given its focus on compassion toward oneself, especially in times of difficulty.

METHODS

In this cross-sectional study we collected data online from 310 adults diagnosed with diabetes. The questionnaire measured three primary outcomes: self-management behaviours; HbA levels and psychological well-being. Potential predictors were also assessed, including self-compassion, locus of control, social support and demographics.

RESULTS

Multiple regression analyses showed that self-compassion had the most consistent association with better outcomes, including all forms of self-management behaviour, HbA levels and psychological well-being. Self-compassion was independently associated with 55.1% of the variance in well-being. Internal locus of control was also significantly associated with better well-being and HbA outcomes. Chance and external locus of control and social support were generally associated with poorer outcomes.

CONCLUSIONS

Higher levels of self-compassion are typically associated with improved self-management behaviour, medical outcomes and psychological well-being in adults with diabetes mellitus. The present findings suggest that self-compassion may be a parsimonious and suitable intervention target. Future interventions and consultations with medical professionals may benefit from fostering self-compassion in adults with diabetes mellitus.

摘要

目的

探讨自我同情在糖尿病结局中的作用。自我同情是一个与慢性疾病相关的概念,因为它关注的是对自己的同情,尤其是在困难时期。

方法

在这项横断面研究中,我们在线收集了 310 名被诊断患有糖尿病的成年人的数据。该问卷测量了三个主要结果:自我管理行为;HbA 水平和心理健康。还评估了潜在的预测因素,包括自我同情、控制源、社会支持和人口统计学。

结果

多元回归分析显示,自我同情与更好的结果最一致相关,包括所有形式的自我管理行为、HbA 水平和心理健康。自我同情与幸福感的 55.1%变异独立相关。内部控制源也与更好的幸福感和 HbA 结果显著相关。机会和外部控制源以及社会支持通常与较差的结果相关。

结论

在糖尿病患者中,较高的自我同情水平通常与改善自我管理行为、医疗结果和心理健康相关。本研究结果表明,自我同情可能是一种简单而合适的干预目标。未来的干预措施和与医疗专业人员的咨询可能受益于培养糖尿病患者的自我同情。

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