Denche-Zamorano Angel, Pisà-Canyelles Jofre, Barrios-Fernandez Sabina, Pastor-Cisneros Raquel, Adsuar José C, Garcia-Gordillo Miguel Angel, Pereira-Payo Damián, Mendoza-Muñoz María
Promoting a Healthy Society Research Group (PHeSO), Faculty of Sport Sciences, University of Extremadura, 10003 Cáceres, Spain.
Health, Economy, Motricity and Education Research Group (HEME), Faculty of Sport Sciences, University of Extremadura, 10003 Cáceres, Spain.
J Pers Med. 2023 Apr 27;13(5):739. doi: 10.3390/jpm13050739.
Depressive and anxiety symptoms are common in people with type 1 and type 2 diabetes mellitus. Physical activity and social support may prevent or reduce psychological distress in this population. This study aimed to analyse the associations between psychological distress, self-perceived health (SPH), perceived social support (PSS) and physical activity level (PAL) in adults with a diabetes mellitus diagnosis from Spain. A cross-sectional study based on data from the Spanish National Health Survey (ENSE2017) with a final sample of 1006 individuals with diabetes mellitus aged between 15 and 70 years, who completed the Adult Questionnaire. Some of the items from this survey were taken from existing questionnaires: the Goldberg General Health Questionnaire (GHQ-12) for Mental Health status and psychological distress, the Duke-UNC-11 Functional Social Support Questionnaire for PSS and the International Physical Activity Questionnaire (IPAQ) for PAL. A descriptive analysis and non-parametric statistical tests were carried out, including correlation analysis, multiple binary logistic regression and linear regression model calculations. It was found that SPH was related to PAL ( < 0.001): positive SPH prevalence was higher in the Active and Very Active groups ( < 0.05). Weak inverse correlations were found between the GHQ-12 and the PAL (rho: -0.230; < 0.001) and PSS (rho: -0.234; < 0.001). Physical inactivity and lower PSS were risk factors for negative SPH and worst physiological outcomes. Thus, higher PAL and PSS were positively correlated with SPH and lower psychological stress in Spanish adults with diabetes mellitus.
抑郁和焦虑症状在1型和2型糖尿病患者中很常见。体育活动和社会支持可能预防或减轻该人群的心理困扰。本研究旨在分析西班牙成年糖尿病患者的心理困扰、自我感知健康（SPH）、感知社会支持（PSS）和身体活动水平（PAL）之间的关联。一项基于西班牙国家健康调查（ENSE2017）数据的横断面研究，最终样本为1006名年龄在15至70岁之间的糖尿病患者，他们完成了成人问卷。该调查中的一些项目取自现有问卷：用于心理健康状况和心理困扰的戈德堡一般健康问卷（GHQ - 12）、用于PSS的杜克大学 - 北卡罗来纳大学11项功能性社会支持问卷以及用于PAL的国际身体活动问卷（IPAQ）。进行了描述性分析和非参数统计检验，包括相关分析、多重二元逻辑回归和线性回归模型计算。研究发现SPH与PAL相关（<0.001）：活跃组和非常活跃组的积极SPH患病率更高（<0.05）。在GHQ - 12与PAL（rho： - 0.230；<0.001）和PSS（rho： - 0.234；<0.001）之间发现了微弱的负相关。身体不活动和较低的PSS是消极SPH和较差生理结果的危险因素。因此，在西班牙成年糖尿病患者中，较高的PAL和PSS与SPH呈正相关且心理压力较低。
