School of Nursing, Anhui Medical University, Hefei, China.
Department of Nursing, First Affiliated Hospital of Anhui Medical University, Hefei, China.
Psychol Health Med. 2020 Jan;25(1):78-90. doi: 10.1080/13548506.2019.1622743. Epub 2019 May 28.
Extensive evidence has been obtained that supports an association between an attentional bias (AB) toward negative stimuli and vulnerability to mental and behavioral problems; however, diabetes self-management (DSM) behavior in type 2 diabetic patients has not specifically been assessed. The current study investigated whether type 2 diabetic Chinese patients who had different levels of self-management behaviors showed different patterns of AB toward either positive or negative stimuli. A sample of 195 patients completed questionnaires measuring DSM and a modified dot-probe task measuring AB. Patients with low levels of DSM had an avoidance bias for positive stimuli, the regression showed that negative orienting index significantly predicted lower DSM; patients with medium levels of DSM had difficulty in disengaging attention from negative stimuli, the regression showed that negative disengaging index significantly predicted lower DSM; while patients with high levels of DSM had an avoidance bias for negative stimuli and difficulty in disengaging from positive stimuli. An implication of this finding is that the understanding of information processing bias affects DSM and therefore suggests a novel target for prevention and treatment interventions.
大量证据表明，注意偏向（AB）对负面刺激的关注与心理和行为问题的易感性之间存在关联；然而，2 型糖尿病患者的糖尿病自我管理（DSM）行为尚未得到具体评估。本研究旨在探讨不同自我管理行为水平的 2 型糖尿病中国患者对正性或负性刺激是否表现出不同的 AB 模式。195 名患者完成了DSM 问卷和改良点探测任务来测量 AB。低 DSM 水平的患者对正性刺激存在回避偏向，回归分析显示负性定向指数显著预测 DSM 水平较低；中水平 DSM 的患者难以将注意力从负性刺激上转移开，回归分析显示负性脱钩指数显著预测 DSM 水平较低；而高水平 DSM 的患者对负性刺激存在回避偏向，难以将注意力从正性刺激上转移开。这一发现的意义在于，对信息加工偏差的理解会影响 DSM，因此为预防和治疗干预提供了一个新的目标。
