Department of Basic Psychology, Faculty of Psychology, University of Málaga, Málaga, Spain.
Department of Developmental and Educational Psychology, Faculty of Psychology, University of Málaga, Málaga, Spain.
J Diabetes. 2023 Feb;15(2):152-164. doi: 10.1111/1753-0407.13357.
Diabetes has been associated with psychological problems, which in turn have been related to poorer glycemic control (glycosylated hemoglobin [HbA1c]). On the contrary, psychological well-being constructs have been associated with superior medical outcomes, including better HbA1c.
The main objective of this study was to systematically review the existing literature about the relationships between subjective well-being (SWB) and HbA1c in adults with type 1 diabetes (T1D).
Comprehensive searches were conducted in PubMed, Scopus, and Medline, time restricted to 2021, for studies examining the link between HbA1c and the cognitive (CWB) and affective (AWB) components of SWB. A total of 16 eligible studies were selected according to the inclusion criteria, of which 15 measured CWB and 1 AWB.
Of the 15 studies included, 11 showed a relationship between CWB and HbA1c, with a higher level of HbA1c being related to poorer CWB. The other four studies did not find any significant association. Finally, the only study examining the relationship between AWB and HbA1c found a marginally association between these variables in the expected direction.
The overall data suggest that CWB is negatively related to HbA1c in this population, but these results are inconclusive. This systematic review offers clinical implications, such as the possible evaluation, prevention, and treatment of the problems associated with diabetes through the study and training of the psychosocial variables that may directly influence SWB. Limitations and future lines of investigation are discussed.
糖尿病与心理问题有关，而这些问题又与血糖控制较差（糖化血红蛋白[HbA1c]）有关。相反，心理健康结构与更好的医疗结果相关，包括更好的 HbA1c。
本研究的主要目的是系统地回顾现有文献，探讨 1 型糖尿病（T1D）成人的主观幸福感（SWB）与 HbA1c 之间的关系。
在 PubMed、Scopus 和 Medline 中进行了全面检索，时间限制在 2021 年，以检查 HbA1c 与 SWB 的认知（CWB）和情感（AWB）成分之间的联系的研究。根据纳入标准，共选择了 16 项符合条件的研究，其中 15 项测量了 CWB，1 项测量了 AWB。
在纳入的 15 项研究中，有 11 项研究表明 CWB 与 HbA1c 之间存在关联，HbA1c 水平较高与 CWB 较差有关。另外四项研究没有发现任何显著关联。最后，唯一一项研究考察了 AWB 与 HbA1c 之间的关系，发现这两个变量之间存在预期方向上的边缘关联。
总体数据表明，在该人群中，CWB 与 HbA1c 呈负相关，但这些结果尚无定论。这项系统综述提供了临床意义，例如通过研究和培训可能直接影响 SWB 的心理社会变量，评估、预防和治疗与糖尿病相关的问题。讨论了局限性和未来的研究方向。
