Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
LRF Institute for the Public Understanding of Risk, National University of Singapore, Singapore, Singapore.
Sci Rep. 2023 Nov 21;13(1):20383. doi: 10.1038/s41598-023-47617-4.
Growth mindsets and self-efficacy beliefs have been known to predict and promote resilience, challenge seeking, and improved outcomes in areas such as education and intelligence. However, little is known about the role of these two potentially influential beliefs in the context of type 2 diabetes (T2D), specifically in terms of whether and in which domains (i.e., beliefs toward general life, general health, or condition-specific domains) these beliefs-or lack thereof-is prevalent among individuals with T2D. Given the lifelong challenges that individuals with diabetes often encounter with managing their disease, many may slip into a conceding negative belief that their diabetes is "too difficult to control" or simply "out of their hands," inhibiting proactive self-management efforts. Results from our study (n = 893) revealed that individuals with T2D had a significantly lower growth mindset towards their blood glucose level and lower self-efficacy towards their general health, blood glucose, and cholesterol levels compared to those without T2D. Among participants with T2D, further analyses showed a pattern of higher HbA1c among those with lower growth mindsets and self-efficacy toward their general health or blood glucose level. These findings identify the belief-domains that may pose barriers to necessary self-care behaviors, informing future interventions to promote improved diabetes care and management.
成长型思维和自我效能信念已被证明可以预测和促进韧性、挑战寻求以及在教育和智力等领域的改善结果。然而，人们对这两种潜在的有影响力的信念在 2 型糖尿病（T2D）背景下的作用知之甚少，特别是在这些信念（即对一般生活、一般健康或特定于疾病的领域的信念）是否以及在哪些领域在 T2D 患者中普遍存在。鉴于糖尿病患者在管理疾病方面经常面临终身挑战，许多人可能会陷入一种认输的消极信念，即他们的糖尿病“太难控制”或“无法控制”，从而抑制主动的自我管理努力。我们的研究（n=893）结果表明，与没有 T2D 的人相比，T2D 患者对其血糖水平的成长型思维明显较低，对其一般健康、血糖和胆固醇水平的自我效能感也较低。在 T2D 参与者中，进一步的分析表明，那些对一般健康或血糖水平的成长型思维和自我效能感较低的患者，其 HbA1c 水平较高。这些发现确定了可能对必要的自我护理行为构成障碍的信念领域，为未来促进改善糖尿病护理和管理的干预措施提供信息。
