个人项目与心理健康：有和无糖尿病的青年成年人。
Personal Projects and Psychological Well-Being: Emerging Adults With and Without Diabetes.
机构信息
Carnegie Mellon University.
出版信息
J Pediatr Psychol. 2019 Mar 1;44(2):176-185. doi: 10.1093/jpepsy/jsy065.
OBJECTIVE
The goal of this study was to examine the nature of the personal projects that emerging adults with and without diabetes were pursuing and the implications of those projects for psychological well-being.
METHODS
We asked emerging adults with and without type 1 diabetes to identify five personal projects, rate four dimensions of those projects (importance, typicality, stress, and progress), and complete several well-being measures (depressive symptoms, life purpose, life satisfaction, perceived stress, and resilience) when they were age 19. Those with diabetes also indicated the extent to which diabetes interfered with each of the projects. We followed participants for 1 year to determine the status of projects and reassess project dimensions and psychological well-being.
RESULTS
The kinds of projects identified by the two groups were similar. However, those with diabetes reported lower levels of progress on projects and completed fewer projects 1 year later compared with controls. Project progress, importance, and completion were linked to higher psychological well-being, whereas project stress was linked to lower psychological well-being. However, the most robust cross-sectional and longitudinal predictor of psychological well-being was project typicality (i.e., the extent to which projects were typical of participants). The pursuit of more typical projects was linked to higher psychological well-being. These findings were largely similar for emerging adults with and without diabetes. Diabetes interference with projects revealed some links to psychological well-being.
CONCLUSIONS
These results suggest that personal project engagement and completion is linked to the overall mental health of emerging adults with and without diabetes.
目的
本研究旨在考察患有和未患有糖尿病的成年早期个体所追求的个人项目的性质，以及这些项目对心理健康的影响。
方法
我们要求患有 1 型糖尿病和未患糖尿病的成年早期个体确定五个个人项目，对这些项目的四个维度（重要性、典型性、压力和进展）进行评估，并在 19 岁时完成多项幸福感衡量标准（抑郁症状、生活目标、生活满意度、感知压力和适应力）。患有糖尿病的个体还需要指出糖尿病对每个项目的干扰程度。我们对参与者进行了为期一年的随访，以确定项目的状态，并重新评估项目维度和心理健康状况。
结果
两组参与者确定的项目类型相似。然而，与对照组相比，患有糖尿病的个体报告在项目进展方面的水平较低，并且一年后完成的项目较少。项目进展、重要性和完成情况与较高的心理健康水平相关，而项目压力则与较低的心理健康水平相关。然而，预测心理健康的最有力的横断和纵向指标是项目典型性（即项目与参与者的典型程度）。追求更典型的项目与较高的心理健康水平相关。这些发现对于患有和未患有糖尿病的成年早期个体基本相似。项目受到糖尿病干扰与心理健康的某些方面有关。
结论
这些结果表明，个人项目的参与和完成与患有和未患有糖尿病的成年早期个体的整体心理健康有关。
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