School of Kinesiology and Health Studies, Faculty of Arts and Science, Queen's University, Kingston, Ontario, Canada.
Faculty of Kinesiology & Recreation Management, University of Manitoba, Winnipeg, Manitoba, Canada.
Can J Diabetes. 2020 Aug;44(6):555-565.e2. doi: 10.1016/j.jcjd.2020.05.009. Epub 2020 May 31.
Engaging in health-promoting behaviours has health benefits for people with prediabetes or diabetes. People experience negative affect after diagnoses, which can impede self-regulation of health behaviours. Self-compassion, extending care to oneself in difficult times, can mitigate negative affect and promote self-regulation. This scoping review explored the relationship between self-compassion and adaptive affect, self-regulation and engagement in health-promoting/management behaviours among people with prediabetes or diabetes. We conducted a scoping literature search from 6 databases for studies and conference abstracts. Randomized controlled trials and cross-sectional, longitudinal, observational and qualitative designs focused on self-compassion were included. Eligible studies included adults with diabetes (prediabetes, type 1, type 2 and gestational), measured self-compassion using a validated Self-Compassion Scale (quantitative) or included the 3 components (qualitative) and investigated: negative affect, health promoting/management behaviours and/or self-regulation. After deduplication, 5,338 quantitative and 953 qualitative abstracts, and 18 conference proceedings were screened leaving 35 articles. Full-text screening retained 11 eligible studies (6 cross-sectional studies, 2 randomized controlled trials, 2 longitudinal studies and 1 qualitative study). Higher self-compassion was associated with decreased negative affect in 9 studies and was positively associated with well-being in 1 cross-sectional study. Self-compassion led to decreased negative affect and improved blood glucose in 2 interventions. Five studies found positive associations between self-compassion and health-promoting/management behaviours. One qualitative study found self-compassion to benefit affective reactions, health-promoting behaviours and self-regulation. This review shows that self-compassion is linked to adaptive behavioural and affective responding among people with prediabetes and diabetes, and the need for more research on self-compassion and self-regulation in these populations.
参与促进健康的行为对患有前驱糖尿病或糖尿病的人有益。人们在被诊断后会体验到消极情绪，这可能会阻碍他们对健康行为的自我调节。自我同情，即在困难时期关爱自己，可以减轻消极情绪并促进自我调节。本范围综述探讨了自我同情与适应性情绪、自我调节以及前驱糖尿病或糖尿病患者参与促进健康/管理行为之间的关系。我们从 6 个数据库中进行了范围文献检索，以获取研究和会议摘要。纳入了关注自我同情的随机对照试验以及横断面、纵向、观察性和定性设计的研究。合格的研究包括成年人患有糖尿病（前驱糖尿病、1 型、2 型和妊娠），使用经过验证的自我同情量表（定量）测量自我同情，或包含 3 个组成部分（定性），并调查了：消极情绪、促进健康/管理行为和/或自我调节。经过去重处理，5338 篇定量和 953 篇定性摘要，以及 18 篇会议记录被筛选，留下 35 篇文章。全文筛选保留了 11 项合格研究（6 项横断面研究、2 项随机对照试验、2 项纵向研究和 1 项定性研究）。9 项研究表明，自我同情程度越高，消极情绪越低，1 项横断面研究表明，自我同情程度越高，幸福感越高。2 项干预措施发现，自我同情可降低消极情绪并改善血糖。5 项研究发现自我同情与促进健康/管理行为之间存在正相关关系。1 项定性研究发现自我同情有益于情感反应、促进健康的行为和自我调节。本综述表明，自我同情与前驱糖尿病和糖尿病患者的适应性行为和情感反应有关，需要更多研究关注这些人群中的自我同情和自我调节。
