Stenström U, Wikby A, Hörnqvist J O, Andersson P O
University College of Health Sciences, Eksjö, Sweden.
Gen Hosp Psychiatry. 1995 Nov;17(6):433-9. doi: 10.1016/0163-8343(95)00059-3.
In an earlier study of patients with insulin-dependent diabetes mellitus (IDDM), males who reported predominantly negative life events over the previous year and had a poorer social support situation showed poorer HbA1C values than those who reported fewer or no negative life events. For the females it was found that the greater the number of life events reported, especially positive ones, the greater the change for the better was HbA1C over the event year studied. The present study aimed at following up, during the next event year period, various gender-specific patterns obtained in the previous study. For the males, negative life events and HbA1C values were found to be positively related this second event year as well. In addition, more negative life events were reported by those males who, in the previous study, were defined as high-negative eventers. In contrast, for the females, no significant correlations were obtained between life events and HbA1C values for the second event year. The results are discussed in terms of possible differences in psychosocial environment and coping strategies between males and females.
在一项早期针对胰岛素依赖型糖尿病（IDDM）患者的研究中，那些报告在前一年主要经历负面生活事件且社会支持状况较差的男性，其糖化血红蛋白（HbA1C）值比那些报告较少或没有负面生活事件的男性更差。对于女性而言，研究发现报告的生活事件数量越多，尤其是积极事件，在研究的事件年度中糖化血红蛋白向好变化的幅度就越大。本研究旨在对前一项研究中获得的各种性别特异性模式在接下来的事件年度期间进行跟踪。对于男性来说，在这第二个事件年度中，负面生活事件与糖化血红蛋白值也呈正相关。此外，在之前的研究中被定义为高负面事件者的那些男性报告了更多的负面生活事件。相比之下，对于女性，在第二个事件年度中生活事件与糖化血红蛋白值之间未获得显著相关性。将根据男性和女性在心理社会环境及应对策略方面可能存在的差异对结果进行讨论。
