生活事件与心理健康的关系及在2型糖尿病发生中的作用  

The role in the onset of type 2 diabetes mellitus and relationship between stressful life event and mental health

作　　者：吴希林[1] 蔡太生[2] 龚耀先[2] 

机构地区：[1]中南大学校本部 [2]中南大学湘雅二医院医学心理中心,湖南长沙410011

出　　处：《中国行为医学科学》2003年第5期504-505,共2页Chinese Journal of Behavioral Medical Science

基　　金：国家自然科学基金资助项目 (项目号 :39430 0 70 )

摘　　要：目的　探讨生活事件与心理健康状况的关系及在 2型糖尿病发生中的作用。方法　以 2 60例血糖正常者为研究对象 ,平均年龄为 (5 7.3 4± 9.18)岁 ,体重指数为 2 3 .92± 2 .83 ,进行为期 4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作生活事件、症状自评量表 (SCL 90 )测评。结果　①各次追踪糖尿病发病者与均未发病者 ,在心理健康状况方面无显著性差异。②生活事件年心理紧张度与SCL 90中大多数症状因子呈显著正相关。③高生活事件组糖尿病发病率明显高于低生活事件组 ,且在SCL 90大多数症状因子上存在有显著性差异。结论 :生活事件可能通过对个体心理健康的影响 ,进而影响糖尿病的发生。Objective To explore the role in the onset of type 2 diabetes mellitus and relationship between stressful life event and mental health. Methods A tatal of 260 subjects with normal glucose tolerance were followed up during 4 years. Among 260 subjects,mean age was 57.34(SD9.18) years; mean body weight index(BMI) 23.92(SD2.83) kg/m2. The life events and SCL-90 were evaluated during follow-up survey. Results ① The symptoms score of SCL-90 had no significant differences between sufferers and non-sufferers from type 2 diabetes. ②There were significant associations between severity of life events and mental health. ③The higher extreme group of life events had higher incidence of type 2 diabetes than the lower extreme group, but had significant differences among the symptoms score of SCL-90. Conclusion The stressful life event might influence the occurrence of type 2 diabetes through influence of mental health.

关 键 词：生活事件 心理健康 2型糖尿病发病 追踪调查 

分 类 号：R395.1[哲学宗教—心理学]