自我同情对1型糖尿病青少年和青年的影响：一项初步随机对照试验。
The effects of self-compassion in adolescents and young adults with type 1 diabetes: a pilot randomized controlled trial.
作者信息
Jerawatana Ratanaporn, Weinstein Benjamin, Phattanasri Chorthip N, Saetung Sunee, Sahakitrungruang Taninee, Tachanivate Porntip, Saibuathong Nampeth, Hathaidechadusadee Amornrat, Deeampai Chollada, Sakmanarit Jandanee, Korpaisarn Sira, Numsriskulrat Nattakarn, Anothaisintawee Thunyarat, Reutrakul Sirimon
机构信息
Department of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Department of Psychology, Chiang Mai University, Chiangmai, Thailand.
出版信息
Ann Pediatr Endocrinol Metab. 2025 Aug;30(4):190-200. doi: 10.6065/apem.2448224.112. Epub 2025 May 7.
PURPOSE
Diabetes distress is common in individuals with type 1 diabetes (T1D). Kindness to oneself may have positive effects on diabetes distress and glycemic control, but existing data supporting this theory are limited. This study examined the effects of a self-compassion intervention, remotely delivered, in adolescents and young adults with T1D.
METHODS
Thirty-four participants, aged 18-30 years, were randomized to receive and complete a self-compassion intervention (n=16) or placed in a waitlist control group (n=17). The self-compassion group participated in 6 (12 hours over 12 weeks) virtual group meetings. After 12 weeks, the control group was offered the same intervention program. Then, diabetes distress (primary outcome), hemoglobin A1c (HbA1c), diabetes self-efficacy, self-compassion, depressive symptoms, stress, and self-reported sleep quality (secondary outcomes) were collected at baseline and 12 and 24 weeks.
RESULTS
The mean±standard deviation age was 23.6±3.6 years, and 22 participants (64.7%) were female. At 12 weeks, there was no significant difference in diabetes distress between the 2 groups (P=0.876). However, the intervention group experienced a significant reduction in HbA1c compared to the control group (mean difference [MD], -0.51%; 95% confidence interval [CI], [-0.97 to -0.04]; P=0.035). Other secondary outcomes did not differ between the groups. At 24 weeks, compared to 12 weeks, the intervention group maintained their HbA1c reduction (7.33% [1.00] vs. 7.49% [0.95]; MD, 0.16; 95% CI, [-0.04 to 0.36]; P=0.118), while the waitlist control group showed an HbA1c reduction after receiving the intervention (8.34% [1.96] vs. 7.76% [1.46]; MD, -0.58%; 95% CI, [-0.95 to -0.20]; P=0.005).
CONCLUSION
A brief, online self-compassion intervention resulted in significantly improved glycemic control, although it did not reduce diabetes distress, in adolescents and young adults with T1D.
目的
糖尿病困扰在1型糖尿病（T1D）患者中很常见。善待自己可能对糖尿病困扰和血糖控制产生积极影响，但支持这一理论的现有数据有限。本研究探讨了远程提供的自我同情干预对青少年和青年T1D患者的影响。
方法
34名年龄在18 - 30岁之间的参与者被随机分为接受并完成自我同情干预组（n = 16）或列入候补对照组（n = 17）。自我同情组参加了6次（12周内共12小时）虚拟小组会议。12周后，对照组也接受相同的干预方案。然后，在基线、12周和24周时收集糖尿病困扰（主要结局）、糖化血红蛋白（HbA1c）、糖尿病自我效能感、自我同情、抑郁症状、压力和自我报告的睡眠质量（次要结局）。
结果
平均年龄±标准差为23.6±3.6岁，22名参与者（64.7%）为女性。在12周时，两组之间的糖尿病困扰没有显著差异（P = 0.876）。然而，与对照组相比，干预组的HbA1c显著降低（平均差值[MD]，-0.51%；95%置信区间[CI]，[-0.97至-0.04]；P = 0.035）。其他次要结局在两组之间没有差异。在24周时，与12周相比，干预组维持了HbA1c的降低（7.33% [1.00]对7.49% [0.95]；MD，0.16；95% CI，[-0.04至0.36]；P = 0.118），而候补对照组在接受干预后HbA1c也有所降低（8.34% [1.96]对7.76% [1.46]；MD，-0.58%；95% CI，[-0.95至-0.20]；P = 0.005）。
结论
对于青少年和青年T1D患者，简短的在线自我同情干预虽未减轻糖尿病困扰，但能显著改善血糖控制。
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