{"title":"自我同情在青少年和青年1型糖尿病患者中的作用：一项随机对照试验。","authors":"Ratanaporn Jerawatana, Benjamin Weinstein, Chorthip N Phattanasri, Sunee Saetung, Taninee Sahakitrungruang, Porntip Tachanivate, Nampeth Saibuathong, Amornrat Hathaidechadusadee, Chollada Deeampai, Jandanee Sakmanarit, Sira Korpaisarn, Nattakarn Numsriskulrat, Thunyarat Anothaisintawee, Sirimon Reutrakul","doi":"10.6065/apem.2448224.112","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>Diabetes distress is common in persons with type 1 diabetes (T1D). Kindness to oneself may have positive effects on diabetes distress and glycemic control but the data were limited. This study the effects of a self-compassion intervention, remotely delivered, in adolescents and young adults with T1D.</p><p><strong>Methods: </strong>Thirty-four participants, age 18-30 years, were randomized to receive and completed a self-compassion intervention (n=16) or to a wait-list control group (n=17). The self-compassion group received a six-session (12 hours over 12 weeks) virtual group meetings. After 12-week, the control group was offered the intervention program. Diabetes distress (primary outcome), A1C, diabetes self-efficacy, self-compassion, depressive symptoms, stress, and self-reported sleep quality (secondary outcomes) were collected at baseline, 12- and 24-week.</p><p><strong>Results: </strong>Mean (SD) age was 23.6 (3.6) years, and 22 (64.7%) were female. At 12-week, there was no significant difference in diabetes distress between the two groups, (p=0.876). However, the intervention group had a significant reduction in A1C compared to control group, mean difference (MD) -0.51%, 95% CI (-0.97, -0.04), p=0.035. Other secondary outcomes did not differ between groups. At 24-week, compared to 12-week, the intervention group maintained A1C reduction (7.33 (1.00) vs 7.49 (0.95)%, MD 0.16 95%CI (-0.04, 0.36), p=0.118 , while the wait-list control group had an A1C reduction after receiving the intervention, (8.34 (1.96) vs. 7.76 (1.46)%, MD -0.58%, 95%CI (-0.95, -0.20), p=0.005.</p><p><strong>Conclusion: </strong>A brief, online self-compassion intervention resulted in significantly improved glycemic control, although did it not reduce diabetes distress, in adolescents and young adults with T1D.</p>","PeriodicalId":44915,"journal":{"name":"Annals of Pediatric Endocrinology & Metabolism","volume":" ","pages":""},"PeriodicalIF":2.8000,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The effects of self-compassion in adolescents and young adults with type 1 diabetes: a pilot randomized controlled trial.\",\"authors\":\"Ratanaporn Jerawatana, Benjamin Weinstein, Chorthip N Phattanasri, Sunee Saetung, Taninee Sahakitrungruang, Porntip Tachanivate, Nampeth Saibuathong, Amornrat Hathaidechadusadee, Chollada Deeampai, Jandanee Sakmanarit, Sira Korpaisarn, Nattakarn Numsriskulrat, Thunyarat Anothaisintawee, Sirimon Reutrakul\",\"doi\":\"10.6065/apem.2448224.112\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>Diabetes distress is common in persons with type 1 diabetes (T1D). Kindness to oneself may have positive effects on diabetes distress and glycemic control but the data were limited. This study the effects of a self-compassion intervention, remotely delivered, in adolescents and young adults with T1D.</p><p><strong>Methods: </strong>Thirty-four participants, age 18-30 years, were randomized to receive and completed a self-compassion intervention (n=16) or to a wait-list control group (n=17). The self-compassion group received a six-session (12 hours over 12 weeks) virtual group meetings. After 12-week, the control group was offered the intervention program. Diabetes distress (primary outcome), A1C, diabetes self-efficacy, self-compassion, depressive symptoms, stress, and self-reported sleep quality (secondary outcomes) were collected at baseline, 12- and 24-week.</p><p><strong>Results: </strong>Mean (SD) age was 23.6 (3.6) years, and 22 (64.7%) were female. At 12-week, there was no significant difference in diabetes distress between the two groups, (p=0.876). However, the intervention group had a significant reduction in A1C compared to control group, mean difference (MD) -0.51%, 95% CI (-0.97, -0.04), p=0.035. Other secondary outcomes did not differ between groups. At 24-week, compared to 12-week, the intervention group maintained A1C reduction (7.33 (1.00) vs 7.49 (0.95)%, MD 0.16 95%CI (-0.04, 0.36), p=0.118 , while the wait-list control group had an A1C reduction after receiving the intervention, (8.34 (1.96) vs. 7.76 (1.46)%, MD -0.58%, 95%CI (-0.95, -0.20), p=0.005.</p><p><strong>Conclusion: </strong>A brief, online self-compassion intervention resulted in significantly improved glycemic control, although did it not reduce diabetes distress, in adolescents and young adults with T1D.</p>\",\"PeriodicalId\":44915,\"journal\":{\"name\":\"Annals of Pediatric Endocrinology & Metabolism\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":2.8000,\"publicationDate\":\"2025-05-07\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Annals of Pediatric Endocrinology & Metabolism\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.6065/apem.2448224.112\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"ENDOCRINOLOGY & METABOLISM\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of Pediatric Endocrinology & Metabolism","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.6065/apem.2448224.112","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ENDOCRINOLOGY & METABOLISM","Score":null,"Total":0}
The effects of self-compassion in adolescents and young adults with type 1 diabetes: a pilot randomized controlled trial.
Purpose: Diabetes distress is common in persons with type 1 diabetes (T1D). Kindness to oneself may have positive effects on diabetes distress and glycemic control but the data were limited. This study the effects of a self-compassion intervention, remotely delivered, in adolescents and young adults with T1D.
Methods: Thirty-four participants, age 18-30 years, were randomized to receive and completed a self-compassion intervention (n=16) or to a wait-list control group (n=17). The self-compassion group received a six-session (12 hours over 12 weeks) virtual group meetings. After 12-week, the control group was offered the intervention program. Diabetes distress (primary outcome), A1C, diabetes self-efficacy, self-compassion, depressive symptoms, stress, and self-reported sleep quality (secondary outcomes) were collected at baseline, 12- and 24-week.
Results: Mean (SD) age was 23.6 (3.6) years, and 22 (64.7%) were female. At 12-week, there was no significant difference in diabetes distress between the two groups, (p=0.876). However, the intervention group had a significant reduction in A1C compared to control group, mean difference (MD) -0.51%, 95% CI (-0.97, -0.04), p=0.035. Other secondary outcomes did not differ between groups. At 24-week, compared to 12-week, the intervention group maintained A1C reduction (7.33 (1.00) vs 7.49 (0.95)%, MD 0.16 95%CI (-0.04, 0.36), p=0.118 , while the wait-list control group had an A1C reduction after receiving the intervention, (8.34 (1.96) vs. 7.76 (1.46)%, MD -0.58%, 95%CI (-0.95, -0.20), p=0.005.
Conclusion: A brief, online self-compassion intervention resulted in significantly improved glycemic control, although did it not reduce diabetes distress, in adolescents and young adults with T1D.
期刊介绍：
The Annals of Pediatric Endocrinology & Metabolism Journal is the official publication of the Korean Society of Pediatric Endocrinology. Its formal abbreviated title is “Ann Pediatr Endocrinol Metab”. It is a peer-reviewed open access journal of medicine published in English. The journal was launched in 1996 under the title of ‘Journal of Korean Society of Pediatric Endocrinology’ until 2011 (pISSN 1226-2242). Since 2012, the title is now changed to ‘Annals of Pediatric Endocrinology & Metabolism’. The Journal is published four times per year on the last day of March, June, September, and December. It is widely distributed for free to members of the Korean Society of Pediatric Endocrinology, medical schools, libraries, and academic institutions. The journal is indexed/tracked/covered by web sites of PubMed Central, PubMed, Emerging Sources Citation Index (ESCI), Scopus, EBSCO, EMBASE, KoreaMed, KoMCI, KCI, Science Central, DOI/CrossRef, Directory of Open Access Journals(DOAJ), and Google Scholar. The aims of Annals of Pediatric Endocrinology & Metabolism are to contribute to the advancements in the fields of pediatric endocrinology & metabolism through the scientific reviews and interchange of all of pediatric endocrinology and metabolism. It aims to reflect the latest clinical, translational, and basic research trends from worldwide valuable achievements. In addition, genome research, epidemiology, public education and clinical practice guidelines in each country are welcomed for publication. The Journal particularly focuses on research conducted with Asian-Pacific children whose genetic and environmental backgrounds are different from those of the Western. Area of specific interest include the following : Growth, puberty, glucose metabolism including diabetes mellitus, obesity, nutrition, disorders of sexual development, pituitary, thyroid, parathyroid, adrenal cortex, bone or other endocrine and metabolic disorders from infancy through adolescence.
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