个性、社会支持、应对方式及生活事件在糖尿病发生中的作用

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。

The Role of Psychosocial Factors in Onset of Type 2 Diabetes Mellitus

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