摘要
目的探讨大五人格特征对2型糖尿病(T2DM)患者血糖控制、焦虑、抑郁症状的影响。方法选取2015年12月至2016年4月安徽医科大学第一附属医院内分泌科T2DM患者90例,根据患者糖化血红蛋白高低分为血糖控制组(Hb A1c<7.5%)38例、血糖未控制组(Hb A1c≥7.5%)52例;根据焦虑自评量表(SAS)标准分数分为焦虑组(标准分≥50分)12例、无焦虑组(标准分<50分)78例;根据抑郁指数分为抑郁组(抑郁指数≥0.50)19例、无抑郁组(抑郁指数<0.50)71例,应用大五人格量表、Zung氏焦虑自评量表和抑郁自评量表分别评估患者的人格特征、焦虑及抑郁状况,比较不同组别患者的人格特质差异,并对患者焦虑、抑郁分数与人格特征指标作Pearson相关性分析。结果 T2DM患者血糖控制组的严谨性人格得分(34.03±8.92)分高于血糖未控制组(29.96±7.25)分,差异有统计学意义(P<0.05);焦虑组的神经质分数(42.58±7.17)分高于非焦虑组(33.77±8.30)分,差异有统计学意义(P<0.01);抑郁组的神经质分数(39.32±7.47)分高于非抑郁组(33.77±8.62)分,差异有统计学意义(P<0.05)。Pearson相关性分析显示神经质人格得分与焦虑、抑郁均呈正相关(r=0.483、0.333,P<0.05)。结论严谨性人格的T2DM患者血糖控制较好,神经质人格的T2DM患者更易产生焦虑、抑郁情绪。
ObjectiveTo investigatethe effectofBig-Five major personality traits on glycemic control(GC),anxiety and depression in those patients with type2diabetesmellitus(T2DM).MethodsFrom Dec2015to Apr2016,90cases of T2DMinpatients treated in our hospital were collected,and basing on their glycosylated hemoglobinA1c(HbA1c)levels,all patients were divided into the controlled glucosegroup(HbA1c<7.5%,n=38)and the uncontrolled glucose group(HbA1c≥7.5%,n=52).The NEO Five-Factor Inventory(NEO-FFI),ZungSelf-rating depression scale(SDS)andSelf-rating anxiety scale(SAS)were adopted to evaluate their personality characteristics,state of anxiety and depression,respectively.Following the SAS criteria,all patients were divided into the anxiety group(SAS values≥50,n=12)and the non-anxiety group(SAS values<50,n=78),andfurthermore they were divided into the depression group(depression index≥0.50,n=19)and the non-depression group(depression index<0.50,n=71).Differences of personality characteristicsbetween the patients of different groups were compared,and the indexes ofanxiety and depression and personality characteristics were evaluated by Pearson correlation analysis.ResultsThe NEO-FFI conscientiousnessvaluein the controlledglucose group(34.03±8.92)was significantly higher than that in the uncontrolled glucosegroup(29.96±7.25)(P<0.05).The neuroticism value in the anxiety group(42.58±7.17)was significantlyhigher than that in the non-anxiety group(33.77±8.30)(P<0.01),andthe neuroticism value in the depression group(39.32±7.47)was alsosignificantly higher than that in the non-depression group(33.77±8.62)(P<0.05).Pearson correlation analysis showed that the NEO-FFIneuroticism valueswere positively correlated with anxiety and depression(r=0.483,P<0.05;r=0.333,P<0.05).ConclusionThe T2DM patients with conscientious personalityare likely to reach controlledblood glucose,and the T2DM patients with neurotic personality arelikely to have the anxiety or depression mood.
作者
惠灿灿
孙建然
邓大同
HUI Cancan;SUN Jianran;DENG Datong(Department of Endocrinology, First Affiliated Hospital of Anhui Medical University, Hefei 230022, China)
出处
《安徽医学》
2017年第11期1402-1405,共4页
Anhui Medical Journal
基金
安徽省科技攻关项目(项目编号:1206c0805034)
关键词
2型糖尿病
大五人格
焦虑
抑郁
Type 2 diabetes mellitus
NEO Five-Factor Inventory
Anxiety
Depression
