Student Research Committee, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran.
Clinical Research Development Unit, Afzalipour Hospital, Kerman University of Medical Sciences, Kerman, Iran.
Endocrinol Diabetes Metab. 2023 Sep;6(5):e437. doi: 10.1002/edm2.437. Epub 2023 Jul 4.
Diabetes is a disease with high prevalence and causes heavy economic burden. Mental and physical health are tied together and their interaction determines one's health or sickness. Early maladaptive schemas (EMSs) are suitable indicators of mental health. We investigated the association between EMSs and glycaemic control in type 2 diabetes mellitus (T2DM) patients.
We conducted a cross-sectional study in 2021 on 150 patients with T2DM. We used two questionnaires a demographic data questionnaire, and a Young Schema Questionnaire 2 - Short Form for gathering the data. We also performed laboratory tests on our participants and used the results of fasting blood sugar and haemoglobin A c to evaluate glycaemic control.
Most of our participants were females (66%). Most of our patients were 41-60 years old (54%). There were only three single participants, and 86.6% of our individuals did not have a university degree. Total mean ± SD for EMSs score was 192.45 ± 55.66; self-sacrifice (19.09 ± 4.64) and defectiveness/shame (8.72 ± 4.45) had the highest and lowest EMSs scores, respectively. None of the demographic data had any significant impact on EMSs scores or glycaemic control, but generally, younger patients with higher levels of education had better glycaemic control. Participants with higher scores for defectiveness/shame and insufficient self-control had significantly worse glycaemic control.
Mental and physical health are tied together, and paying attention to psychological aspects in prevention and management of physical disorders is crucial. EMSs, especially defectiveness/shame and insufficient self-control are associated with glycaemic control of T2DM patients.
糖尿病是一种患病率较高的疾病，会造成沉重的经济负担。身心健康紧密相连，它们的相互作用决定了一个人的健康或疾病状态。早期适应不良模式（EMS）是心理健康的合适指标。我们研究了 EMS 与 2 型糖尿病（T2DM）患者血糖控制之间的关系。
我们于 2021 年进行了一项横断面研究，共纳入 150 例 T2DM 患者。我们使用两个问卷收集数据，一个是人口统计学数据问卷，另一个是 Young 模式问卷 2-短式问卷。我们还对参与者进行了实验室检查，使用空腹血糖和糖化血红蛋白 A c 的结果来评估血糖控制情况。
我们的大多数参与者为女性（66%）。大多数患者年龄在 41-60 岁（54%）。仅有 3 名参与者为单身，86.6%的参与者没有大学学历。EMS 评分的总平均值±标准差为 192.45±55.66；自我牺牲（19.09±4.64）和缺陷/羞耻（8.72±4.45）的 EMS 评分最高和最低。人口统计学数据均未对 EMS 评分或血糖控制产生任何显著影响，但总体而言，教育程度较高的年轻患者血糖控制更好。缺陷/羞耻和自我控制不足得分较高的患者血糖控制明显较差。
身心健康紧密相连，在预防和管理身体疾病时关注心理方面至关重要。EMS，尤其是缺陷/羞耻和自我控制不足，与 T2DM 患者的血糖控制有关。
