摘要
目的 :探讨某些心理社会因素在糖尿病发生中的作用及其相互关系。方法 :以 13 9例糖耐量低减者与 12 1例糖耐量正常者为研究对象 ,平均年龄为 5 7± 9岁 ,体重指数为 2 3 92± 2 83 ,进行为期四年( 3次 )的追踪调查研究。每次均进行口服葡萄糖耐量试验及做生活事件、艾森克个性、A型性格、社会支持、应对方式测评。比较发生糖尿病者与未发病者心理社会因素的差异及相互关系。结果 :①糖尿病发病者与未发病者 ,在艾森克个性、A型性格、社会支持及应对方式方面均无显著性差异。②生活事件年心理紧张度与神经质个性及A型性格呈显著正相关 (r分别为 0 2 77和 0 3 11,P <0 0 1) ,与客观社会支持呈显著负相关 (r =0 14 8,P <0 0 5 )。③高生活事件组糖尿病发病率明显高于低生活事件组 ( χ2 =1,P <0 0 1) ,且在神经质与时间紧迫感个性、社会支持各维度上存在显著性差异 (P <0 0 5 )。结论 :个性、社会支持及应对方式对糖尿病发病无单独作用 ,但可与生活事件一起对糖尿病的发生起作用。
Object:To explore the role of psychosocial factors in the occurrence of type 2 diabetes mellitus Method:A total of 139 subjects with impaired glucose tolerance and 121 control with normal glucose tolerance were followed for 4 years During follow up, we used life event scale, EPQ, Type A behavior Assessment, Coping Style Questionnaire and Social Support Scale to assess the psychosocial indexes Results:Type A behavior, Eysenck personality traits, social support and coping style had no difference significantly between diabetes suffers and non-suffers Life events had positive correlation with neuroticism and type A behavior, negative correlation with objective social support The group with extreme life events had higher incidence of type 2 diabetes than others Those with extreme life events had higher score in neuroticism and type A behavior, but lower score in social support Conclusion:Personality, type A behavior and coping style have no direct effect on onset of diabetes, but they may have an indirect role when the subject under the stress of life events
出处
《中国心理卫生杂志》
CSSCI
CSCD
北大核心
2003年第9期638-640,共3页
Chinese Mental Health Journal
基金
国家自然科学基金重点项目
项目号 :39430 0 70
