Hanson S L, Pichert J W
Health Psychol. 1986;5(5):439-52. doi: 10.1037//0278-6133.5.5.439.
Studies of diabetes control have traditionally focused on patients' regulation of insulin, diet, and exercise. Although psychosocial stress may also influence blood glucose, researchers have infrequently accounted for the three primary physiological factors when estimating the effects of stress. In addition, few investigators have considered the influence of everyday minor stressors on health outcome. The Tennessee Camp for Diabetic Children provided an opportunity to monitor insulin administration, dietary intake, and exercise levels and to obtain measures of blood glucose and perceived minor stressors. The best index of stress was one in which number and magnitude of negative stressors were combined into a cumulative stress measure. Negative cumulative stress significantly correlated with blood glucose levels after controlling for the effects of insulin, diet, and exercise. In addition, diabetes control tended to be better when adolescents, particularly boys, adjusted well to negative stress. These findings suggest that minor stressors can influence health outcome, but positive and negative stress need to be assessed independently.
传统上，糖尿病控制研究主要关注患者对胰岛素、饮食和运动的调节。虽然心理社会压力也可能影响血糖，但研究人员在评估压力影响时很少考虑这三个主要生理因素。此外，很少有研究人员考虑日常轻微压力源对健康结果的影响。田纳西州糖尿病儿童夏令营提供了一个机会，来监测胰岛素给药、饮食摄入和运动水平，并获取血糖和感知到的轻微压力源的测量数据。压力的最佳指标是将负面压力源的数量和强度结合成一个累积压力测量值。在控制了胰岛素、饮食和运动的影响后，负面累积压力与血糖水平显著相关。此外，当青少年，尤其是男孩，能很好地应对负面压力时，糖尿病控制往往更好。这些发现表明，轻微压力源可以影响健康结果，但正面和负面压力需要独立评估。
