Konečná Judita, Lacko David, Horová Eva, Riegel Karel D
3rd Department of Internal Medicine - Department of Endocrinology and Metabolism, 1st Faculty of Medicine, Charles University and General University Hospital, 128 08 Prague, Czech Republic.
Department of Psychiatry, 1st Faculty of Medicine, Charles University and General University Hospital in Prague, 128 08 Prague, Czech Republic.
Alpha Psychiatry. 2025 Feb 28;26(1):38760. doi: 10.31083/AP38760. eCollection 2025 Feb.
Little is known about the association between subjectively experienced levels of diabetes distress (DD) and personality traits (PTs), even when levels of DD appear stable over time. This study aimed to use the Alternative Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) Model for Personality Disorders (AMPD) to associate specific maladaptive PTs with experienced DD and to describe differences in the constellation of PTs between people with type 1 diabetes (PWT1D) and type 2 diabetes (PWT2D).
A total of 358 participants with diabetes mellitus (DM) (56.2% female, mean age 42.33 years, standard deviation (SD) = 14.33) were evaluated using the Diabetes Distress Scale (DDS) and the shortened 160-item version of the Personality Inventory for DSM-5 (PID-5). Psychometric properties of the DDS were evaluated first, then the association between DDS and PID-5 scores, and the differences between groups based on diabetes type and DD level, were analyzed.
Strong associations were found between the PID-5 Negative Affectivity (NEF) domain and the emotional burden (β = 0.852, < 0.001) and regimen distress (β = 0.435, = 0.006) DDS subscale scores. PWT1D had a higher level of personality pathology than PWT2D, as did participants with elevated levels of DD across most domains and facets of PID-5.
Our findings suggest that attention should be paid to the level of NEF among people with diabetes in relation to their emotional burden and perception of regimen distress. We recommend a distinction between people based on their diabetes type. Implications for clinical practice and interventions for DD perceived through the lens of the dimensional DSM-5 PT model are discussed.
关于主观体验到的糖尿病困扰（DD）水平与人格特质（PTs）之间的关联，即便DD水平随时间似乎保持稳定，人们所知甚少。本研究旨在使用《精神疾病诊断与统计手册（第五版）》人格障碍替代模型（AMPD），将特定的适应不良PTs与体验到的DD相关联，并描述1型糖尿病患者（PWT1D）和2型糖尿病患者（PWT2D）之间PTs组合的差异。
使用糖尿病困扰量表（DDS）和《精神疾病诊断与统计手册（第五版）》人格量表（PID - 5）的缩短版160项版本，对总共358名糖尿病（DM）患者（56.2%为女性，平均年龄42.33岁，标准差（SD）= 14.33）进行评估。首先评估DDS的心理测量特性，然后分析DDS与PID - 5分数之间的关联，以及基于糖尿病类型和DD水平的组间差异。
在PID - 5消极情感（NEF）领域与情感负担（β = 0.852，< 0.001）和治疗困扰（β = 0.435，= 0.006）DDS子量表分数之间发现了强关联。PWT1D比PWT2D具有更高水平的人格病理学，在PID - 5的大多数领域和方面，DD水平升高的参与者也是如此。
我们的研究结果表明，应关注糖尿病患者的NEF水平与其情感负担和治疗困扰感知之间的关系。我们建议根据糖尿病类型对人群进行区分。讨论了通过维度化的DSM - 5 PT模型视角对DD的临床实践和干预的影响。
