Mocan Andreia Ş, Iancu Silvia Ş, Băban Adriana S
Center for Diabetes, Nutrition and Metabolic Disease; Emergency Clinical County Hospital Cluj, Romania.
Department of Psychology, "Babeş-Bolyai" University Cluj, Romania.
Rom J Intern Med. 2018 Mar 1;56(1):34-40. doi: 10.1515/rjim-2017-0037.
The present cross-sectional observational study aimed to investigate the relation between cognitive-emotional regulation strategies and depressive symptoms in type 2 diabetes patients in the context of sociodemographic and clinical factors, of diabetes distress, perception of illness consequences and previous depression.
Multiple logistic regression was performed on the responses of 354 adults with type 2 diabetes (58.5% women; mean ± SD age: 61.14 ± 8.5 years; diabetes duration: 9.7 ± 6.4 years; BMI: 30.9 ± 5.3 kg/m2). Depressive symptoms were present in 16.9% and diabetes distress in 45.5%. Participants completed questionnaires on depression (BDI-II), cognitive-emotional regulation strategies (CERQ), diabetes distress (DDS), illness perceived consequences (IPQ-R).
Of the cognitive-emotional strategies, lower positive reappraisal of diabetes (OR:0.49;CI:0.34-0.70) and increased catastrophizing (OR:2.08; CI:1.47-2.91) were found to increase the likelihood of experiencing depressive symptoms in the presence of higher diabetes distress (OR: 1.53; CI:1.07-2.19), increased negative perception of diabetes consequences (OR:2.02; CI:1.34-3.06) and the presence of previous depression (OR:4.18; CI:2.03-8.63).
To our knowledge, this is the first study to report on cognitive-emotional regulation strategies in type 2 diabetes and provides evidence for the beneficial influence of positive reappraisal and adverse effect of catastrophizing on depressive symptoms in the context of diabetes distress, perceived consequences of diabetes and previous history of depression.
本横断面观察性研究旨在探讨2型糖尿病患者的认知情绪调节策略与抑郁症状之间的关系，同时考虑社会人口学和临床因素、糖尿病困扰、疾病后果感知及既往抑郁情况。
对354名2型糖尿病成年人的回答进行多因素逻辑回归分析（女性占58.5%；平均±标准差年龄：61.14±8.5岁；糖尿病病程：9.7±6.4年；体重指数：30.9±5.3kg/m²）。16.9%的患者有抑郁症状，45.5%的患者有糖尿病困扰。参与者完成了关于抑郁（BDI-II）、认知情绪调节策略（CERQ）、糖尿病困扰（DDS）、疾病感知后果（IPQ-R）的问卷调查。
在认知情绪策略方面，发现对糖尿病的积极重新评价较低（比值比：0.49；可信区间：0.34 - 0.70）和灾难化思维增加（比值比：2.08；可信区间：1.47 - 2.91）会增加在糖尿病困扰较高（比值比：1.53；可信区间：1.07 - 2.19）、对糖尿病后果的负面认知增加（比值比：2.02；可信区间：1.34 - 3.06）以及存在既往抑郁（比值比：4.18；可信区间：2.03 - 8.63）的情况下出现抑郁症状的可能性。
据我们所知，这是第一项报道2型糖尿病认知情绪调节策略的研究，并为积极重新评价对抑郁症状的有益影响以及灾难化思维在糖尿病困扰、糖尿病感知后果和既往抑郁史背景下对抑郁症状的不利影响提供了证据。
