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1 型糖尿病管理中的自我和社会调节:青少年后期和成年早期。

Self- and Social-Regulation in Type 1 Diabetes Management During Late Adolescence and Emerging Adulthood.

机构信息

Psychological Sciences and the Health Sciences Research Institute, University of California, Merced, 5200 N. Lake Road, Merced, CA, 95343, USA.

Department of Psychology, University of Utah, 380 South 1530 East, Salt Lake City, UT, 84112, USA.

出版信息

Curr Diab Rep. 2018 Mar 21;18(5):23. doi: 10.1007/s11892-018-0995-3.

DOI:10.1007/s11892-018-0995-3
PMID:29564640
Abstract

PURPOSE OF REVIEW

This paper aims to examine how self-regulation (i.e., cognition, emotion) and social-regulation (i.e., parents, friends, romantic partners) are interrelated risk and protective factors for type 1 diabetes management during late adolescence and emerging adulthood.

RECENT FINDINGS

Problems in cognitive (e.g., executive function) and emotional (e.g., depressive symptoms) self-regulation are associated with poorer management, both at the between- and within-person levels. Better management occurs when parents are supportive and when individuals actively regulate the involvement of others (e.g., seek help, minimize interference). Friends both help and hinder self-regulation, while research on romantic partners is limited. Facets of self- and social-regulation are important risk and protective factors for diabetes management during emerging adulthood. At this time when relationships are changing, the social context of diabetes may need to be regulated to support diabetes management. Interventions targeting those with self-regulation problems and facilitating self- and social-regulation in daily life may be useful.

摘要

目的综述

本文旨在探讨自我调节(即认知、情绪)和社会调节(即父母、朋友、恋人)如何相互关联,成为 1 型糖尿病青少年晚期和成年早期管理的风险和保护因素。

最近的发现

认知(如执行功能)和情绪(如抑郁症状)自我调节方面的问题与管理不善有关,无论是在个体间还是个体内水平。当父母支持时,当个体积极调节他人的参与(例如寻求帮助、减少干扰)时,管理效果更好。朋友既有助于也有碍于自我调节,而关于恋人的研究则很有限。自我调节和社会调节的各个方面都是成年早期糖尿病管理的重要风险和保护因素。在这个人际关系不断变化的时期,糖尿病的社会环境可能需要加以调节,以支持糖尿病管理。针对自我调节问题的干预措施以及促进日常生活中的自我和社会调节可能会有所帮助。

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Diabetes Care. 2017 Dec;40(12):1678-1684. doi: 10.2337/dc17-0643.
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Relation of parent knowledge to glycemic control among emerging adults with type 1 diabetes: a mediational model.家长知识与 1 型糖尿病青少年血糖控制的关系:一个中介模型。
J Behav Med. 2018 Apr;41(2):186-194. doi: 10.1007/s10865-017-9886-3. Epub 2017 Sep 16.
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Child and parental executive functioning in type 1 diabetes: Their unique and interactive role toward treatment adherence and glycemic control.
自我管理与人际关系:慢性病青年及其同伴的观点
Qual Health Res. 2025 Jul;35(8):916-931. doi: 10.1177/10497323241285761. Epub 2024 Nov 1.
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Experiences and Health Outcomes of Emerging Adults With Type 1 Diabetes: A Mixed-Methods Study.1型糖尿病青少年成人的经历与健康结局:一项混合方法研究。
Nurs Res. 2025;74(2):98-107. doi: 10.1097/NNR.0000000000000781. Epub 2024 Sep 17.
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Clinical Utility of Psychoeducational Interventions for Youth with Type 1 Diabetes: A Scoping Review.针对1型糖尿病青少年的心理教育干预措施的临床效用:一项范围综述
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