身体自尊与主观幸福感、抑郁症状严重程度、BMI、糖化血红蛋白水平以及 2 型糖尿病患者的糖尿病相关困扰有关。
Body self-esteem is related to subjective well-being, severity of depressive symptoms, BMI, glycated hemoglobin levels, and diabetes-related distress in type 2 diabetes.
机构信息
II Department of Psychiatry, Medical University of Warsaw, Warsaw, Poland.
SWPS University of Social Sciences and Humanities, Warsaw, Poland.
出版信息
PLoS One. 2022 Feb 15;17(2):e0263766. doi: 10.1371/journal.pone.0263766. eCollection 2022.
BACKGROUND
There are limited data on the role of body image in patients with type 2 diabetes. The purpose of this study was to compare body self-esteem in this group with norms for the general Polish population and to investigate the relationship between body self-esteem and the psychological and clinical characteristics of the course of diabetes.
METHODS
A group of 100 consecutive adult patients with type 2 diabetes (49 women and 51 men) aged 35 to 66 years were assessed using the Body Esteem Scale (BES), World Health Organization-Five Well-Being Index (WHO-5), Problem Areas in Diabetes Scale (PAID), and Hamilton Rating Scale for Depression (HAM-D).
RESULTS
In comparison to norms for the general population, women with type 2 diabetes had lower body self-esteem only in the dimension of Physical Condition (M = 30.71; SD = 7.11 versus M = 32.96; SD = 5.69; P = 0.003), whereas men in the dimensions of Physical Condition (M = 42.43; SD = 9.43 versus M = 48.30; SD = 8.42; P <0.001) and Upper Body Strength (M = 32.16; SD = 6.60 versus M = 33.97; SD = 5.86; P = 0.015). There were moderate or weak positive correlations between the overall BES score and/or its dimensions and subjective well-being, and negative correlations between the overall BES score and/or its dimension and the severity of depression symptoms, level of glycated hemoglobin (HbA1c), body mass index (BMI), and diabetes-related distress among women. Among men, BES scores were positively correlated with well-being, and negatively, with BMI and diabetes-related distress. A correlation of r = 0.39 between BES scores and HbA1c levels was relatively high compared with values for other psychosocial factors. Both in women and men, a high Physical Condition score was a significant predictor of better well-being, less severe depression, and milder diabetes-related distress. Among men, it was also a significant predictor of lower BMI, whereas among women, BMI was predicted by Weight Concern.
CONCLUSIONS
Persons with diabetes seem to have lower body self-esteem than the general population, which is significantly associated with clinical and psychological characteristics of the diabetes course. The observed differences and relationships are gender-specific.
背景
关于 2 型糖尿病患者体像的作用，目前数据有限。本研究的目的是将该组患者的体自尊与波兰普通人群的正常值进行比较，并探讨体自尊与糖尿病病程的心理和临床特征之间的关系。
方法
对 100 例连续就诊的 2 型糖尿病成年患者（49 名女性和 51 名男性）进行评估，年龄 35 至 66 岁，使用体自尊量表（BES）、世界卫生组织五维健康量表（WHO-5）、糖尿病问题区域量表（PAID）和汉密尔顿抑郁量表（HAM-D）。
结果
与普通人群的正常值相比，2 型糖尿病女性仅在身体状况维度上的体自尊较低（M=30.71；SD=7.11 与 M=32.96；SD=5.69；P=0.003），而男性在身体状况（M=42.43；SD=9.43 与 M=48.30；SD=8.42；P<0.001）和上肢力量（M=32.16；SD=6.60 与 M=33.97；SD=5.86；P=0.015）维度上的体自尊较低。BES 总分及其各维度与主观幸福感呈中度或弱正相关，与抑郁症状严重程度、糖化血红蛋白（HbA1c）水平、体质量指数（BMI）和女性糖尿病相关困扰呈负相关。在男性中，BES 评分与幸福感呈正相关，与 BMI 和糖尿病相关困扰呈负相关。与其他社会心理因素相比，BES 评分与 HbA1c 水平的相关系数 r=0.39 相对较高。在女性和男性中，身体状况得分高是更好的幸福感、更轻的抑郁症状和更轻的糖尿病相关困扰的显著预测因素。在男性中，它也是 BMI 的一个显著预测因素，而在女性中，BMI 则由体重担忧来预测。
结论
糖尿病患者的体自尊似乎低于普通人群，且与糖尿病病程的临床和心理特征显著相关。观察到的差异和关系是性别特异性的。
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