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创伤后应激障碍症状与 2 型糖尿病患者功能之间的独特关系。

Unique relations between post-traumatic stress disorder symptoms and patient functioning in type 2 diabetes.

机构信息

The University of Scranton, USA.

University of California, Irvine, USA.

出版信息

J Health Psychol. 2020 Apr;25(5):652-664. doi: 10.1177/1359105317727839. Epub 2017 Aug 31.

Abstract

This study examined reported post-traumatic stress disorder symptoms in adults with poorly controlled type 2 diabetes who had no history of psychiatric diagnosis or treatment ( = 184,  = 9.13%, standard deviation = 1.68). Participants reported moderate to severe intensity of post-traumatic stress disorder symptoms ( = 19.17, SD = 17.58). Together, depressive and post-traumatic stress disorder symptoms accounted for 10-40 percent of the variance in type 2 diabetes outcomes; post-traumatic stress disorder symptoms were associated with elevated diabetes distress and more frequent exercise and self-blood glucose testing (unique  ~ 3%). Post-traumatic stress disorder symptoms may be overlooked in type 2 diabetes among patients without formal psychiatric diagnoses, and warrant increased attention.

摘要

本研究调查了无精神科诊断或治疗史( = 184, = 9.13%,标准差 = 1.68)、血糖控制不佳的 2 型糖尿病成年患者报告的创伤后应激障碍症状。参与者报告了中等到重度强度的创伤后应激障碍症状( = 19.17,SD = 17.58)。抑郁和创伤后应激障碍症状共占 2 型糖尿病结局的 10-40%;创伤后应激障碍症状与较高的糖尿病困扰、更频繁的运动和自我血糖检测有关(独特性 ~ 3%)。在没有正式精神科诊断的 2 型糖尿病患者中,可能会忽略创伤后应激障碍症状,需要给予更多关注。

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本文引用的文献

1
Constructs of depression and distress in diabetes: time for an appraisal.糖尿病中抑郁和痛苦的构建:评估的时机。
Lancet Diabetes Endocrinol. 2015 Jun;3(6):450-460. doi: 10.1016/S2213-8587(15)00135-7. Epub 2015 May 17.
4
The mental health comorbidities of diabetes.糖尿病的心理健康共病
JAMA. 2014 Aug 20;312(7):691-2. doi: 10.1001/jama.2014.8040.
8
Role of self-care in management of diabetes mellitus.自我护理在糖尿病管理中的作用。
J Diabetes Metab Disord. 2013 Mar 5;12(1):14. doi: 10.1186/2251-6581-12-14.

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