Yılmaz Karaman İmran Gökçen, Altınöz Ali Ercan, Aydın Buyruk Betül, Yorulmaz Göknur, Köşger Ferdi, Kirel Birgül
Department of Psychiatry, Faculty of Medicine, Eskişehir Osmangazi University, Eskişehir, Turkey.
Clinic of Endocrinology and Metabolic Diseases, İzmir Çiğli Regional Training and Research Hospital, İzmir, Turkey.
J Diabetes Metab Disord. 2022 Nov 5;22(1):333-340. doi: 10.1007/s40200-022-01144-7. eCollection 2023 Jun.
Patients with type 1 diabetes mellitus (T1DM) are insulin-dependent from diagnosis. Both the individual and their immediate circle are at risk for psychiatric morbidity. We aimed to compare the anxiety, stress, and social support levels of adult women with a diagnosis of T1DM and adult women with a child diagnosed with T1DM. Besides, the study intended to examine two groups' stress and anxiety factors.
The data were collected using the Sociodemographic Data Form, State-Trait Anxiety Inventory, Perceived Stress Scale, Multidimensional Scale of Perceived Social Support. Sixty-three women participated in the study.
There was no difference between the groups regarding anxiety, stress, and perceived social support score averages (p > 0.05 each). However, clinically significant state anxiety was higher in the group of mothers (χ²=4.234 df = 1 p = 0.040). In women with T1DM, higher education was associated with lower stress, lower state, and lower trait anxiety (r=-0.455 p = 0.004, r=-0.428 p = 0.007, r=-0.317 p = 0.049); higher numbers of insulin injections were associated with higher state anxiety (r = 0.368 p = 0.021), social support was associated with lower stress and lower trait anxiety (r=-0.478 p = 0.002, r = 0.449 p = 0.004). In mothers of diabetic children, the increase in the child's HbA1c level was associated with an increase in the mother's state anxiety (r = 0.433 p = 0.035); social support was associated with lower trait anxiety (r=-0.421 p = 0.040).
Caring for a child with T1DM was stressful and anxiety-provoking as having T1DM. Interventions including social support, may benefit mental health in mothers of diabetic children and women with T1DM.
1型糖尿病(T1DM)患者自确诊起就依赖胰岛素治疗。患者本人及其直系亲属都有患精神疾病的风险。我们旨在比较确诊为T1DM的成年女性与子女确诊为T1DM的成年女性的焦虑、压力和社会支持水平。此外,该研究还打算考察两组的压力和焦虑因素。
使用社会人口学数据表、状态-特质焦虑量表、感知压力量表、多维感知社会支持量表收集数据。63名女性参与了该研究。
两组在焦虑、压力和感知社会支持得分平均值方面没有差异(每项p>0.05)。然而,母亲组的临床显著状态焦虑更高(χ²=4.234,自由度=1,p=0.040)。在患有T1DM的女性中,高等教育与较低的压力、较低的状态焦虑和较低的特质焦虑相关(r=-0.455,p=0.004;r=-0.428,p=0.007;r=-0.317,p=0.049);胰岛素注射次数较多与较高的状态焦虑相关(r=0.368,p=0.021),社会支持与较低的压力和较低的特质焦虑相关(r=-0.478,p=0.002;r=0.449,p=0.004)。在患有糖尿病子女的母亲中,孩子糖化血红蛋白(HbA1c)水平的升高与母亲状态焦虑的增加相关(r=0.433,p=0.035);社会支持与较低的特质焦虑相关(r=-0.421,p=0.040)。
照顾患有T1DM的孩子与患T1DM一样,会带来压力并引发焦虑。包括社会支持在内的干预措施可能有益于患有糖尿病子女的母亲和患有T1DM的女性的心理健康。