Sinzato R, Fukino O, Tamai H, Isizu H, Nakagawa T, Ikemi Y
Psychother Psychosom. 1985;43(4):219-26. doi: 10.1159/000287882.
In order to study the relationship between personality and the development of diabetic retinopathy in patients with diabetes mellitus, diabetics with retinopathy (severe group) and sex-, age-, and duration-matched diabetics without complications were tested by psychological tests, and interviewed. The result of the Yatabe-Guilford personality test (Y-G) and Spielberger's State and Trait Anxiety Inventory revealed that subjects were emotionally and socially stable and well-adjusted types and less anxious in the severe group than in the mild group. The interview findings reveal that the severe group had neglected the medical treatment and the diet therapy for significantly longer periods of time and the incidence of a childhood parental separation was significantly higher in the severe group than in the mild group. Discussion focuses on the severe diabetics' coping behavior which is characterized by the neglect of medical treatment and diet therapy for extended periods of time, which in turn resulted in diabetic retinopathy and other complications. Such coping behavior is shown to be equivalent to that found in the alexithymic behavioral syndrome.
为研究糖尿病患者人格与糖尿病视网膜病变发展之间的关系，对患有视网膜病变的糖尿病患者（重症组）以及性别、年龄和病程匹配的无并发症糖尿病患者进行心理测试和访谈。矢田部-吉尔福德人格测验（Y-G）和斯皮尔伯格状态-特质焦虑量表的结果显示，重症组受试者在情绪和社交方面更稳定、适应性更好，且焦虑程度低于轻症组。访谈结果表明，重症组忽视药物治疗和饮食治疗的时间明显更长，童年时期父母离异的发生率也显著高于轻症组。讨论聚焦于重症糖尿病患者的应对行为，其特点是长时间忽视药物治疗和饮食治疗，进而导致糖尿病视网膜病变和其他并发症。这种应对行为与述情障碍行为综合征中的表现相当。
