ABSTRACT

Elevated rates of psychological disorders are reported among those with type 2 diabetes (T2D). Thus, research into factors enhancing psychological aspects of well-being is critical in T2D. We examine the association between a multifaceted measure of Psychological Flexibility (PF), and its relationship to adjustment and well-being, among this population. Adults with T2D (N = 102) completed an online battery of self-reported questionnaires and were asked for demographics, general T2D features, treatment adherence, PF, adjustment, and well-being. We examined the association between PF (Psychological Flexibility Questionnaire, PFQ), adjustment to diabetes (ATT-39) and well-being (Mental Health Inventory), among adults with T2D. Greater PF was significantly associated with greater well-being, but unrelated to adjustment, which was positively associated with well-being. In a hierarchical regression analysis, perception of change as positive (one of the five PFQ factors) significantly contributed to the explained variance in well-being, beyond the contribution of adjustment. These findings indicate that positive perception of change may enhance well-being independently from adjustment to diabetes since these two constructs are distinct and independent. Such an association between PF and well-being may apply to other medical conditions. Implications for psychological intervention are discussed.

摘要

据报道，2 型糖尿病 (T2D) 患者的心理障碍发生率升高。因此，研究增强幸福感心理方面的因素在 T2D 中至关重要。我们研究了这一人群中心理灵活性 (PF) 的多方面测量与其与调整和幸福的关系之间的关联。患有 T2D 的成年人（N= 102) 完成了一组在线自我报告问卷，并被要求提供人口统计、一般 T2D 特征、治疗依从性、PF、调整和幸福感。我们检查了 PF（心理灵活性问卷，PFQ）、糖尿病调整（ATT-39）和幸福感（心理健康清单）之间的关联，在患有 T2D 的成年人中。更大的 PF 与更大的幸福感显着相关，但与调整无关，后者与幸福感呈正相关。在分层回归分析中，将变化视为积极因素（五个 PFQ 因素之一）显着促进了幸福感的解释方差，超出了调整的贡献。这些发现表明，对变化的积极感知可能会独立于对糖尿病的适应而增强幸福感，因为这两种结构是不同且独立的。PF 与幸福感之间的这种关联可能适用于其他医疗状况。讨论了心理干预的意义。