Faculty of Psychology and Educational Sciences, KU Leuven, Leuven, Belgium.
Faculty of Medicine and Health Sciences (CAPRI), University of Antwerp, Antwerp, Belgium.
Psychol Health Med. 2020 Jun;25(5):519-529. doi: 10.1080/13548506.2019.1653482. Epub 2019 Aug 30.
The present study investigated identity formation in adolescents and emerging adults with type 1 diabetes and its relation to psychological and diabetes-specific functioning. As diabetes management is especially challenging in these life periods, identity problems may not only hamper psychological adjustment, but could also impact diabetes management. A total of 431 patients were 1:1 matched with control participants, based on age, gender, and context (student, employed, other). To investigate identity types or statuses, cluster analysis on different identity processes was conducted, resulting in six statuses. Patients in foreclosure and achievement (both characterized by strong identity commitments) presented with the most adaptive functioning. Patients in troubled diffusion and moratorium (both characterized by a maladaptive type of exploration) showed the least adaptive scores on well-being, diabetes-specific problems, treatment adherence, and illness-perceptions. The present study underscores the importance of assessing identity issues in youth with type 1 diabetes.
本研究调查了 1 型糖尿病青少年和新兴成年人的身份认同形成及其与心理和糖尿病特异性功能的关系。由于这些生命阶段的糖尿病管理极具挑战性，因此身份认同问题不仅可能阻碍心理适应，还可能影响糖尿病管理。共有 431 名患者根据年龄、性别和背景（学生、就业、其他）与对照组进行了 1:1 匹配。为了调查身份认同类型或状态，对不同身份认同过程进行了聚类分析，得出了六种状态。处于预先确定和成就状态（均具有强烈的身份认同承诺）的患者表现出最适应的功能。处于困扰扩散和延缓状态（均具有适应不良的探索类型）的患者在幸福感、糖尿病特异性问题、治疗依从性和疾病感知方面的得分最低。本研究强调了在 1 型糖尿病青少年中评估身份认同问题的重要性。
