患有糖尿病和肥胖症的患者在饮食、应对行为及性格特征方面表现出一些特点。
Patients with diabetes and obesity exhibit characteristics in eating and coping behaviors and personality traits.
作者信息
Saito Masahiro, Usui Isao, Sugawara Norio, Jojima Teruo, Sakurai Shintaro, Kishi Haruka, Sagara Masaaki, Tomaru Takuya, Iijima Toshie, Shimoda Kazutaka, Yasui-Furukori Norio, Aso Yoshimasa
机构信息
Department of Endocrinology and Metabolism, Dokkyo Medical University, 880 Kitakobayashi, Mibu Tochigi, Shimotsuga 321-0293 Japan.
Department of Psychiatry, Dokkyo Medical University, 880 Kitakobayashi, Mibu Tochigi, Shimotsuga 321-0293 Japan.
出版信息
Diabetol Int. 2024 Apr 16;15(3):528-534. doi: 10.1007/s13340-024-00721-w. eCollection 2024 Jul.
AIMS/INTRODUCTION: In patients with diabetes, obesity is an aggravating factor for glycemic control and its vascular complications. However, the psychological and behavioral characteristics of those patients with obesity have not been fully clarified. This study investigated eating and coping behavior, personality traits, quality of life (QOL), and depression status in patients with diabetes with or without obesity.
MATERIALS AND METHODS
Questionnaires obtained from 567 patients with diabetes at Dokkyo Medical University were analyzed. Eating behavior, coping behavior, personality traits, QOL, and depression status were evaluated by the Eating Behavior Questionnaire, Brief COPE, Japanese Ten-Item Personality Inventory, EuroQol 5 Dimensions-5 Level, and Patient Health Questionnaire-9, respectively. Participants were divided according to body mass index (BMI) into a non-obese group (BMI < 25), obese group (BMI 25-35), and high-degree obese group (BMI ≥ 35), and results were compared between groups.
RESULTS
On all items of the Eating Behavior Questionnaire, scores were higher in the obese and high-degree obese groups than non-obese group, indicating worse eating behavior. In coping behavior, significant intergroup differences were found in self-distraction, substance use, using emotional support, using instrumental support, and venting. As for personality traits, the obese group had significantly lower conscientiousness and higher emotional instability than the non-obese group. There was no significant difference in QOL or depression status.
CONCLUSIONS
These results suggest that there are some characteristics in eating and coping behaviors and some personality traits between obese and non-obese patients with diabetes. Treatment based on such characteristics may be useful for patients with diabetes and obesity.
SUPPLEMENTARY INFORMATION
The online version contains supplementary material available at 10.1007/s13340-024-00721-w.
目的/引言：在糖尿病患者中，肥胖是血糖控制及其血管并发症的一个加重因素。然而，这些肥胖患者的心理和行为特征尚未完全阐明。本研究调查了有或无肥胖的糖尿病患者的饮食和应对行为、人格特质、生活质量（QOL）和抑郁状态。
材料与方法
对从独协医科大学567例糖尿病患者处获得的问卷进行分析。分别通过饮食行为问卷、简易应对方式问卷、日本十项人格量表、欧洲五维健康量表-5水平版和患者健康问卷-9评估饮食行为、应对行为、人格特质、生活质量和抑郁状态。参与者根据体重指数（BMI）分为非肥胖组（BMI < 25）、肥胖组（BMI 25 - 35）和高度肥胖组（BMI≥35），并比较组间结果。
结果
在饮食行为问卷的所有项目上，肥胖组和高度肥胖组的得分均高于非肥胖组，表明饮食行为更差。在应对行为方面，在自我分心、物质使用、利用情感支持、利用工具性支持和发泄方面发现了显著的组间差异。至于人格特质，肥胖组的尽责性显著低于非肥胖组，情绪不稳定性高于非肥胖组。生活质量或抑郁状态没有显著差异。
结论
这些结果表明，肥胖和非肥胖糖尿病患者在饮食和应对行为以及一些人格特质方面存在一些特征。基于这些特征的治疗可能对糖尿病和肥胖患者有用。
补充信息
在线版本包含可在10.1007/s13340 - 024 - 00721 - w获取的补充材料。
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