Chisholm V, Bloomfield S, Atkinson L
Queen Margaret College, Edinburgh, Scotland.
Br J Med Psychol. 1994 Mar;67(1):77-87. doi: 10.1111/j.2044-8341.1994.tb01772.x.
We argue that there are two groups of diabetic children who cope differently with the treatment regimen, (a) those who maximize their metabolic control and whose difficulties are associated with better control, and (b) those who maintain control less tightly and whose difficulties are associated with poorer control. This hypothesis was investigated with a sample of 47 diabetic children and their mothers. Analyses confirmed the hypothesis, indicating two distinct groups based on the type of symptom (emotional versus conduct) the child exhibited. Symptom type was associated with mother's knowledge of diabetes, diabetic control, scores received on a standardized measure of psychological disturbance and diabetes-specific concerns. The comparison of these two diabetic groups proved more sensitive to differences in diabetic adjustment than did comparisons made on the basis of psychiatric disturbance.
我们认为，有两组糖尿病儿童对治疗方案的应对方式不同，（a）那些将代谢控制最大化且其困难与更好的控制相关的儿童，以及（b）那些控制较不严格且其困难与较差的控制相关的儿童。我们用47名糖尿病儿童及其母亲组成的样本对这一假设进行了研究。分析证实了这一假设，表明根据儿童表现出的症状类型（情绪症状与行为症状）可分为两个不同的组。症状类型与母亲对糖尿病的了解、糖尿病控制情况、在心理障碍标准化测量中获得的分数以及糖尿病特定担忧有关。与基于精神障碍进行的比较相比，这两组糖尿病儿童的比较对糖尿病适应差异更为敏感。
