Davis W K, Hess G E, Harrison R V, Hiss R G
Health Psychol. 1987;6(1):1-14. doi: 10.1037//0278-6133.6.1.1.
The relationship of diabetic patients' psychosocial adjustment to disease type, treatment mode, and indexes of control was examined in a representative community population. The psychometric properties of the Diabetes Educational Profile (DEP) and its application to psychosocial research in diabetes were also investigated. Findings support the reliability and validity of the DEP. Various measures of psychosocial adjustment were related to diabetes control but the specific relationships depended on the particular aspect of adjustment, the specific measure of diabetes control, and the type of disease and treatment. The findings suggest that analyses that aggregate dissimilar patient groups are subject to misinterpretation due to ecological masking and supressor effects. The results indicate that clinicians and researchers must recognize that patients with different disease types and treatment modes have different norms for psychological adjustment and diabetes control. Further, the particular aspects of psychosocial adjustment associated with diabetes control differ across patient groups.
在一个具有代表性的社区人群中，研究了糖尿病患者的心理社会适应与疾病类型、治疗方式及控制指标之间的关系。还调查了糖尿病教育概况（DEP）的心理测量特性及其在糖尿病心理社会研究中的应用。研究结果支持了DEP的可靠性和有效性。心理社会适应的各种测量指标与糖尿病控制有关，但具体关系取决于适应的特定方面、糖尿病控制的具体测量指标以及疾病类型和治疗方式。研究结果表明，由于生态掩盖和抑制效应，对不同患者群体进行汇总分析容易产生误解。结果表明，临床医生和研究人员必须认识到，不同疾病类型和治疗方式的患者在心理适应和糖尿病控制方面有不同的标准。此外，与糖尿病控制相关的心理社会适应的特定方面在不同患者群体中也有所不同。
