2型糖尿病与心理因素的病例对照研究

目的：探讨心理因素与2型糖尿病患病的关系。方法：采用频数匹配病例对照研究设计随机选择徐州市2型糖尿病新诊断病例185例，医院对照201例和人群对照197例，使用统一的调查表和“A型行为类型问卷”调查并进行单因素和多因素非条logistic回归分析。结果：在控制有关因素的基础上，A型行为类型（OR＝2．68，95％CI为1．59－4．49）、容易激动（OR＝1．97，95％CI为1．19－3．27），与2型糖尿病患病存在显著性关联。结论：A型为类型和容易激动等心理因素可能是2型糖尿病的危险因素，倡导健康合理的生活方式，培养良好的心理状态，是2型糖尿病防治工作的一项措施。

A Case-control Study of the Relationship between Psychological Factors and Type 2 Diabetes Mellitus

Objective: To explore the relationship between psychological factors and type 2 diabetes mellitus. Method: A frequency matched case control study based on hospital involving 185 new diagnosed type 2 diabetes mellitus cases, 201 control hospitalized cases without type 2 diabetes mellitus, and 197 healthy people was carried out in Xuzhou, using the consolidated questionnaire and the type A behavior questionnaire. Nonconditional univariate and multivariate logistic regression on SPSS 8.0 was used in data analysis. Result: Type A behavior (OR=2.68, 95% CI:1.59～4.49), easy to stir (OR=1.97, 95% CI: 1.19～3.27) were significantly associated with type 2 diabetes after adjustment of occupation, degree of education, family history of diabetes mellitus, waist-to-hip ratio (WHR), smoking, drinking, dietary factors, leisure time physical activity and hypertension. Conclusion: Psychological factors, such as type A behavior and easy to stir might be risk factors of type 2 diabetes mellitus. Healthy life style intervention and psychological training might provide an effective program for prevention of type 2 diabetes mellitus.