Recent psychodynamic research hypothesises a connection between diabetes adaptation and the feeling of loss and damage enacted by such a chronic disease. This study aims at exploring the associations between damaged ego-related strategies in persons with diabetes and: 1) age, gender, type and duration of diabetes, and related treatment, 2) depressive symptoms, 3) indicators of adherence and quality of care. A convenience sample of 109 persons (56% female; n = 61 with type 2 diabetes) with a mean age of 56.12 years (SD = 15.30) was enrolled. Participants completed measures of damaged ego-related strategies (empathic identification, mania, frustration, destructiveness) (PET), depression (BDI-II), self-care (SDSCA), medication adherence (Morisky Scale) and quality of care (Score-Q index). Linear multiple stepwise regressions and Pearson’s correlations were performed. Age was negatively associated with empathic identification (β = .317, p < .01) and positively with destructiveness (β = .323, p < .01). Depressive symptoms negatively correlated with empathic identification (r = −.34, p < .01). Moreover, medication adherence was associated with higher empathic identification (r = .22, p < .05) and lower mania (r = −.30, p < .01), while quality of care was negatively associated with destructiveness (r = −.25, p < .05). Overall, a successful loss processing seems promising in lowering depression and non-adherence in persons with diabetes. Specifically, the need for psychological support for older persons is advocated.

最近的心理动力学研究假设糖尿病适应与这种慢性疾病造成的失落感和伤害感之间存在联系。本研究旨在探索糖尿病患者自我受损相关策略与以下因素之间的关联：1) 年龄、性别、糖尿病类型和持续时间以及相关治疗，2) 抑郁症状，3) 依从性和护理质量指标。纳入了平均年龄为 56.12 岁 (SD = 15.30) 的 109 人（56% 为女性；n = 61 名患有 2 型糖尿病）的便利样本。参与者完成了对受损的自我相关策略（移情识别、躁狂、沮丧、破坏性）（PET）、抑郁（BDI-II）、自我保健（SDSCA）、药物依从性（Morisky 量表）和护理质量（Score- Q 指数）。进行了线性多重逐步回归和 Pearson 相关性。年龄与共情认同呈负相关（β = .317，p < .01），与破坏性呈正相关（β = .323，p < .01）。抑郁症状与共情认同呈负相关（r = -.34，p < .01）。此外，药物依从性与较高的共情认同（r = .22，p < .05）和较低的躁狂症（r = -.30，p < .01）相关，而护理质量与破坏性呈负相关（r = - .25，p < .05）。总体而言，成功的损失处理似乎有希望降低糖尿病患者的抑郁和不依从性。具体而言，提倡对老年人进行心理支持。