摘要
目的：探讨社会支持、应对方式及个性对人类Ⅱ型糖尿病发生的影响。方法：以１３１例糖耐量低减和９１例糖耐量正常的两组人群为追踪研究对象。样本入组时和平均追踪１８个月后两次评估心理社会因素及糖耐量试验。比较两组人群在追踪期间发生糖尿病者与未发生者的心理社会因素的差异。结果：在追踪期间，由低减转为糖尿病和维持低减的两组人群的社会支持利用度比追踪前显著降低（Ｐ＜０．０５），且由低减转为正常组在追踪期间的积极应对方式显著高于低减转糖尿病者（Ｐ＜０．０５），但在糖耐量正常所转化的组别中没有发现这些心理社会因素的差异，且两次艾森克个性评定的组间比较和自身对照均无显著差异。结论：社会支持和应对方式对低减状态下的血糖转化具有一定作用；
Objective:To explore the relation between the onset of diabetes type Ⅱ (NIDDM) andpsychosocial factors. Methods: A total of 131 subjects impaired glucose tolerance(IGT) and 91 controls with normal glucose tolerance were followed up for an average of 18 months with oral glucose tolerance test(OGTT) and evaluation of coping style questionnaire, social support scale and Eysenck personality questionnaire.Results: The subjects changing from IGT to NIDDM and keeping IGT during follow-up had a significantly lower use of social support than themselves before follow-up(P<0.05). The subjects changing from IGT to normal had a significantly higher score of active coping style than those changing form IGT into NIDDM (P<0.05). There was no difference of psychosocial factors among groups who changed from normal glucose tolerance. There was no difference of personality dimensions in EPQ among groups. Conclusion:Social support and coping style had some effects on the blood glucose change of IGT subjects.Patients with NIDDM did not have premorbid personality feature in EPQ.
出处
《中国临床心理学杂志》
CSCD
1998年第3期143-147,共5页
Chinese Journal of Clinical Psychology
基金
国家自然科学基金
