青少年胰岛素依赖型糖尿病对未来的态度和对疾病的态度

Anna A. Kislykh, Irina A. Ralnikova
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摘要

背景。研究的相关性一方面是由于儿童和青少年中糖尿病的高患病率,另一方面是由于对疾病和未来生活的态度在他们的依从性行为和对疾病的有效补偿中起着重要作用。目标。目的探讨胰岛素依赖型糖尿病(1型)青少年对未来的态度、对疾病的态度及其相互关系。卡尔斯特的《对未来态度的多维尺度》和利奇科和伊万诺娃的《对疾病态度的类型》。统计数据处理采用Pearson参数相关分析和单因素方差分析(ANOVA)。样本。该研究涉及80名12至15岁的糖尿病患者(55%为女性)。结果。该研究确定了青少年糖尿病患者对疾病最明显的态度类型:病感、神经衰弱、疑病症、冷漠。被调查青少年的未来图景具有情感吸引力弱的特点,对他们来说似乎遥远而困难。与14-15岁的青少年相比,12-13岁的青少年代表着他们的未来更加艰难。对未来的计划越多,对疾病的焦虑就越明显。未来在时间上的遥远与脆弱性的增加有关。外界强加的对未来的感知与寻求与疾病相关的益处有关。人们认为有趣和有用的未来与接受疾病的事实有关。青少年糖尿病患者的宿命感和强加的未来与他们的痛苦和经历的表现有关。结论。揭示对疾病的主流态度类型和对未来的情绪态度对青少年糖尿病的有效代偿具有重要作用。研究结果已应用于青少年糖尿病患者及其家长的心理援助实践中。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Attitude to future and attitude to disease in adolescents with insulin-dependent diabetes
Background. Te study relevance is due to the high prevalence of diabetes mellitus among children and adolescents, on the one hand, and on the other hand — to the important role of the attitudes towards the disease and the future life in their compliance behavior and efective compensation for the disease. Objective. To study the features of attitudes towards the future, attitudes towards the disease and their relationship in adolescents with insulin-dependent diabetes mellitusь(type 1). Methods. “Multidimensional scale of attitude to the future” by V. Kalster and “Type of attitude to the disease” by A. Lichko and N. Ivanova. For statistical data processing, Pearson’s parametric correlation analysis and one-way analysis of variance (ANOVA) were used. Sample. Te study involved 80 respondents with diabetes aged 12 to 15 years (55% — female). Results. Te study identifed the most pronounced types of attitudes towards the disease in adolescents with diabetes mellitus: anosognosic, neurasthenic, hypochondriacal, apathetic. Te picture of the future of the surveyed adolescents is characterized by weak emotional attractiveness, it seems to them remote and difcult. Adolescents aged 12–13 represent their future to be more difcult compared to adolescents aged 14–15. Te more planned the future seems, the more pronounced the anxiety toward the disease. Te remoteness of the future in time is associated with increased vulnerability. Te perception of the future as imposed from the outside is associated with the search for benefts related to the disease. Te future seen as interesting and useful is associated with the acceptance of the fact of disease. A sense of predestination and the imposed future in adolescents with diabetes is associated with a demonstration of their sufering and experiences. Conclusion. Revealing the prevailing type of attitude towards the disease and the emotional attitude to the future plays a signifcant role in the efective compensation of diabetes in adolescents. Te results of the study have been introduced into the practice of psychological assistance to adolescents with diabetes mellitus and their parents.
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