Correlation between negative emotions, coping strategies and psychological resilience in hospitalized youth type 2 diabetes
10.19405/j.cnki.issn1000-1492.2025.03.019
- Author:
Tian Jiang
1
;
Yanlei Wang
1
;
Yi Zhang
1
;
Long Chen
2
;
Ping Yang
3
;
Fangting Lu
1
;
Yahu Miao
1
;
Xiaohong Chu
4
;
Bangqing Wu
4
;
Qiu Zhang
1
Author Information
1. Dept of Endocrinology and Metabolism，The First Affiliated Hospital of Anhui Medical University，Hefei 230022
2. Dept of Psychiatry，Hefei Fourth People 's Hospital，Hefei 230022
3. School of Mental Health and Psychological Science，Anhui Medical University，Hefei 230022
4. Laboratory of Endocrinology，The First Affiliated Hospital of Anhui Medical University，Hefei 230022
- Publication Type:Journal Article
- Keywords:
youth type 2 diabetes;
inpatient;
depression;
anxiety;
diabetes distress;
coping style;
psychological resilience
- From:
Acta Universitatis Medicinalis Anhui
2025;60(3):524-535
- CountryChina
- Language:Chinese
-
Abstract:
Objective :To investigate the prevalence of negative emotions in hospitalized youth patients with type 2 diabetes(T2DM) and its correlation with coping strategies and psychological resilience.
Methods : 141 youth T2DM patients who met the research standards were selected. Blood glucose related indicators, blood pressure, body mass index(BMI), diabetes chronic complications screening results and other data were collected. The basic information and disease related information questionnaire, self-rating depression scale(SDS), self-rating anxiety scale(SAS), diabetes distress scale(DDS), medical coping modes questionnaire(MCMQ) and Connor-Davidson resilience scale(CD-RISC) were completed.
Results:Among 141 hospitalized youth T2DM patients, 37.6% were combined with depression, 32.6% were combined with anxiety, and 35.5% were combined with diabetic distress(DD). Univariate analysis showed that systolic blood pressure(P<0.01), educational level, and the form of hospitalization expenses(P<0.05) were significantly correlated with depression. Marital status(P<0.01), family residence, blood glucose monitoring methods, and the last fasting blood glucose(P<0.05) were significantly correlated with anxiety. BMI, whether it was first diagnosed or treated(P<0.01), gender, occupation, disease course, weekly blood glucose monitoring frequency, and the presence of chronic complications(P<0.05) were significantly correlated with DD. In multivariate analysis, systolic blood pressure(P<0.01), educational level, and the form of hospitalization expenses were significantly correlated with depression, marital status(P<0.05) was significantly correlated with anxiety; BMI and weekly blood glucose monitoring frequency(P<0.01) were significantly correlated with DD. SDS, SAS, total scores and dimensions of DDS were negatively correlated with the total score and dimensions of CD-RISC(rs=-0.182--0.467, P<0.05 or 0.01), and positively correlated with the yielding coping strategies(rs=0.177-0.271,P<0.05 or 0.01). SAS,total scores and dimensions of DDS were positively correlated with avoiding coping strategies(rs=0.237-0.419,P<0.05 or 0.01). The total and dimensions of CD-RISC were positively correlated with facing coping strategies(rs=0.215-0.349,P<0.05 or 0.01),and negatively correlated with yielding coping strategies(rs=-0.234--0.325,P<0.01).
Conclusion: More than 30% of hospitalized youth T2DM may experience negative emotions such as depression,anxiety,and DD. The occurrence of negative emotions in such patients may be related to disease management or socio-economic issues such as systolic blood pressure,educational level,hospitalization expenses,marital status,BMI,and frequency of blood glucose monitoring,as well as decreased psychological resilience and negative coping strategies.
- Full text:2026012318374237935住院青年2型糖尿病患者合并...策略及心理韧性的相关性研究_姜天.pdf
