Older adults often report less exposure to and less affective reactions to daily stressors. However, older adults with a chronic illness such as Type 1 diabetes may experience more daily stressors due to the complications of diabetes and may be more affected by those stressors. The study examined (a) age differences in reported exposure to general and diabetes stressors, (b) whether daily general and diabetes stressors relate to daily positive and negative affect, self-care, and blood glucose, and (c) whether these daily associations are moderated by age and comorbidity. Individuals with Type 1 diabetes (n = 199; 52.3% female, average age 46.81 years) completed a checklist for 14 days reporting general and diabetes stressors. General diabetes distress was assessed with the Diabetes Distress Scale. Daily positive and negative affect and daily self-care behaviors were rated each day. Blood glucose was assessed via glucometers. Older adults reported fewer daily general and diabetes stressors and less diabetes distress compared to younger adults. Multilevel models indicated that both daily general and diabetes stressors (between- and within-person) were associated with lower positive and higher negative affect. Fewer diabetes stressors were associated with better self-care and lower (better) mean blood glucose. Neither age nor comorbidity interacted with general or diabetes stressors to predict any outcome (except one effect for comorbidity), indicating that older adults and those experiencing more comorbid conditions were similarly affected by stressors. Results suggest that older adults experience fewer stressors than younger adults but are similarly affected when stressors do occur. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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对日常一般和1型糖尿病应激源的反应年龄差异。

老年人通常报告较少暴露于日常压力源，对日常应激源的情感反应较少。但是，患有慢性疾病（例如1型糖尿病）的成年人由于糖尿病的并发症可能会承受更多的日常应激源，并且可能会受到这些应激源的更大影响。该研究调查了（a）报告的普通和糖尿病应激源暴露的年龄差异；（b）日常的普通和糖尿病应激源是否与每日的正面和负面影响，自我护理和血糖有关；以及（c）这些日常关联是否由年龄和合并症控制。1型糖尿病患者（n = 199；女性52.3％，平均年龄46.81岁）完成了14天的检查表，其中报告了普通和糖尿病应激源。用糖尿病困扰量表评估一般的糖尿病困扰。每天评估每天的正面和负面影响以及日常自我保健行为。通过血糖仪评估血糖。与年轻人相比，老年人报告的每日一般和糖尿病应激源较少，而糖尿病困扰较少。多层次模型表明，日常一般压力和糖尿病压力源（人与人之间）与较低的正面和较高的负面影响相关。较少的糖尿病应激源与更好的自我护理和更低（更好）的平均血糖相关。年龄或合并症都不能与普通或糖尿病应激源相互作用来预测任何结果（除了合并症的一种影响），这表明应激源对老年人和患有合并症的患者同样具有影响。结果表明，老年人承受的压力比年轻人少，但当压力确实发生时，也会受到类似的影响。（PsycInfo数据库记录（c）2020 APA，保留所有权利）。