糖尿病中的家庭压力与代谢控制
Family stress and metabolic control in diabetes.
作者信息
Viner R, McGrath M, Trudinger P
机构信息
Child and Family Therapy Unit, Royal Children's Hospital, Brisbane, Australia.
出版信息
Arch Dis Child. 1996 May;74(5):418-21. doi: 10.1136/adc.74.5.418.
Abstract
The common clinical assumption that stress has a deleterious effect on metabolic control in insulin dependent diabetes mellitus (IDDM) has not been confirmed in children and adolescents. This cross sectional study of 43 children and adolescents with IDDM and their families examined the relations between family life stress, family social support, and metabolic control. High family life stress was found to be strongly correlated with HbA1c in the whole group (n = 43) and in children under 12 years (n = 27) when considered separately. Family social support was not found to be directly related to HbA1c, but was found to buffer the effects of family life stress. These findings support the hypotheses that family stress affects metabolic control in IDDM and that good social support buffers these deleterious effects.
摘要
应激对胰岛素依赖型糖尿病（IDDM）患儿的代谢控制有有害影响这一常见的临床假设，在儿童和青少年中尚未得到证实。这项对43名IDDM患儿及其家庭的横断面研究，考察了家庭生活应激、家庭社会支持与代谢控制之间的关系。单独考虑时，发现高家庭生活应激与整个研究组（n = 43）以及12岁以下儿童（n = 27）的糖化血红蛋白（HbA1c）密切相关。未发现家庭社会支持与HbA1c直接相关，但发现它可缓冲家庭生活应激的影响。这些发现支持了以下假设：家庭应激会影响IDDM患儿的代谢控制，而良好的社会支持可缓冲这些有害影响。
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