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Control metabólico en pacientes diabéticos tipo 1 chilenos: Rol del estrés psicológico. Diabetes tipo 1: Rol del estrés psicológico

ASSOCIATION BETWEEN PSYCHOLOGICAL STRESS AND METABOLIC CONTROL IN PATIENTS WITH TYPE 1 DIABETES MELLITUS

dc.contributores-ES
dc.contributoren-US
dc.creatorOrtiz, Manuel S; Departamento de Psicologia, Universidad de La Frontera, Temuco, Chile. Department of Psychology, University of California, Los Angeles, United States.
dc.creatorMyers, Hector F.; University of California, Los Angeles, United States
dc.date2014-04-30
dc.date.accessioned2019-11-11T18:28:08Z
dc.date.available2019-11-11T18:28:08Z
dc.identifierhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/view/2345
dc.identifier.urihttps://revistaschilenas.uchile.cl/handle/2250/111474
dc.description<!-- /* Font Definitions */ @font-face {font-family:Times; panose-1:2 0 5 0 0 0 0 0 0 0; mso-font-charset:0; mso-generic-font-family:auto; mso-font-pitch:variable; mso-font-signature:3 0 0 0 1 0;} @font-face {font-family:"?????? Pro W3"; mso-font-charset:78; mso-generic-font-family:auto; mso-font-pitch:variable; mso-font-signature:1 0 16778247 0 131072 0;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {mso-style-parent:""; margin:0in; margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:12.0pt; font-family:"Times New Roman"; mso-fareast-font-family:"Times New Roman"; mso-bidi-font-family:"Times New Roman";} p.FreeForm, li.FreeForm, div.FreeForm {mso-style-name:"Free Form"; mso-style-parent:""; margin:0in; margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:12.0pt; mso-bidi-font-size:10.0pt; font-family:"Times New Roman"; mso-ascii-font-family:Helvetica; mso-fareast-font-family:"?????? Pro W3"; mso-hansi-font-family:Helvetica; mso-bidi-font-family:"Times New Roman"; color:black; mso-ansi-language:ES-TRAD;} span.hps {mso-style-name:hps;} span.hpsatn {mso-style-name:"hps atn";} @page Section1 {size:8.5in 11.0in; margin:1.0in 1.25in 1.0in 1.25in; mso-header-margin:.5in; mso-footer-margin:.5in; mso-paper-source:0;} div.Section1 {page:Section1;} --> <!-- /* Font Definitions */ @font-face {font-family:Times; panose-1:2 0 5 0 0 0 0 0 0 0; mso-font-charset:0; mso-generic-font-family:auto; mso-font-pitch:variable; mso-font-signature:3 0 0 0 1 0;} @font-face {font-family:"?????? Pro W3"; mso-font-charset:78; mso-generic-font-family:auto; mso-font-pitch:variable; mso-font-signature:1 0 16778247 0 131072 0;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {mso-style-parent:""; margin:0in; margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:12.0pt; font-family:"Times New Roman"; mso-fareast-font-family:"Times New Roman"; mso-bidi-font-family:"Times New Roman";} p.FreeForm, li.FreeForm, div.FreeForm {mso-style-name:"Free Form"; mso-style-parent:""; margin:0in; margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:12.0pt; mso-bidi-font-size:10.0pt; font-family:"Times New Roman"; mso-ascii-font-family:Helvetica; mso-fareast-font-family:"?????? Pro W3"; mso-hansi-font-family:Helvetica; mso-bidi-font-family:"Times New Roman"; color:black; mso-ansi-language:ES-TRAD;} span.hps {mso-style-name:hps;} span.hpsatn {mso-style-name:"hps atn";} @page Section1 {size:8.5in 11.0in; margin:1.0in 1.25in 1.0in 1.25in; mso-header-margin:.5in; mso-footer-margin:.5in; mso-paper-source:0;} div.Section1 {page:Section1;} --> Resumen PROPOSITO: Determinar si diferentes dominios del estrés psicológico (estrés emocional, estrés con el médico, estrés con el tratamiento y estrés interpersonal) predicen el control metabólico de adolescentes diabéticos tipo 1. Identificar si diferentes dominios del estrés psicológico predicen la estabilidad del control metabólico. MATERIAL Y METODO: Una muestra no probabilística e intencionada de 20 adolescentes diabéticos tipo 1 de la ciudad de Temuco (Medad = 15,15, D.S = 3.8) fueron estudiados por 1 año. Tres mediciones de hemoglobina glicosilada (HbA1c) y autorreportes de estrés fueron obtenidos con la Escala de Estrés para Diabéticos de Polonski.     RESULTADOS: Análisis de regresión múltiple jerárquica identificaron que tanto el estrés con el régimen de tratamiento (R2 = 0,505) y el estrés con el médico (R2 = 0,13) predijeron el control metabólico. Análisis de la varianza de medidas repetidas con factores intersujeto, identificaron que el control metabólico asumió una tendencia lineal negativa (F = 16,208; p ≤ 0,001; hp2 = 0,503; poder (1 - b) = 0,965). Diferencias estadísticamente significativas en el control metabólico fueron encontradas entre los adolescentes con alto y bajo estrés con el médico (F = 4,729; p ≤ 0,05; hp2 = 0,228; poder (1 - b) = 0,533), y entre los adolescentes con alto y bajo estrés con el tratamiento (F = 9,804; p ≤ 0,01; hp2 = 0,380; poder (1 - b) = 0,836). CONCLUSION: Atención debe ser puesta a los niveles de estrés entre adolescentes diabéticos. Diferentes dominios del estrés psicológico predijeron trayectorias del control metabólico de adolescentes diabéticos tipo 1. Palabras claves: Estrés psicológico, control metabólico, adolescentes diabéticos tipo 1.   ABSTRACT. PURPOSE: To determine whether different psychological stress factors (emotional burden, physician-related distress, regimen-related distres, diabetes-related interpersonal distress) predict the metabolic control of adolescents with type 1 diabetes, and whether these factors predict the metabolic control stability / non-estability. MATERIALS AND METHODS: An intentional sample (n = 20) of type 1 diabetic adolescents was followed-up for a year (Mage = 15.15; S.D = 3.8) Three HbA1c exams were performed and a stress self-report was obtained with the Polonsky’ Diabetes Distress Scale. RESULTS: Hierarchical multiple regression identified two factors (regimen-related distress R2 = 0.505; and physician-related distress R2 = 0.13) predicting the metabolic control. Within subject ANOVA with blocking factors, shows that the metabolic control assumed a negative linear trend (F = 16,208; p ≤ 0,001; hp2 = 0,503; power (1 - b) = 0,965). There were differences statistically significant in the metabolic control between adolescents with high and low scores on the physician-related distress (F = 4,729; p ≤ 0,05; hp2 = 0,228; power (1 - b) = 0,533) and those with high and low scores on the regimen-related distress factor (F = 9,804; p ≤ 0,01; hp2 = 0,380; power (1 - b) = 0,836). CONCLUSION: Stress levels in type 1 diabetic adolescents deserve attention. Different psychological stress factors predicting metabolic control trajectories in type 1 diabetic adolescents were found. Key words: Psychological stress, metabolic control, type 1 diabetics adolescents.es-ES
dc.descriptionBackground: An association between psychological stress and metabolic control can occur in patients with diabetes. Aim: To determine the longitudinal association between different psychological stress domains (emotional burden, physician-related distress, regimen-related distress, diabetes-related interpersonal distress) and metabolic control of adolescents with Type 1 diabetes. Material and methods: An intentional sample of 20 Type 1 diabetic adolescents aged 15 ± 4 years was followed-up for one year. Three HbA1c determinations were performed and a stress self-report was obtained with the Polonsky’ Diabetes Distress Scale. Results: Several analyses were conducted using growth curve modeling. The first model included the HbA1c measures, the time term (coded as 0, 1, 2) and several covariates (age, years living with type 1 diabetes mellitus, sex, and physical activity). An overall negative linear trend was found for HbA1c. Subsequent models added the stress domains finding that high levels of emotional burden and regimen related-distress were associated with higher HbA1c levels across all exams. A marginal association was found between diabetes-related interpersonal distress and HbA1c. Conclusions: Stress levels in type 1 diabetic adolescents deserve attention. Different psychological stress factors predicting metabolic control trajectories in type 1 diabetic adolescents were found.en-US
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dc.languagespa
dc.publisherRevista Médica de Chilees-ES
dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/view/2345/387
dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/2345/7239
dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/2345/7712
dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/2345/14115
dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/2345/14147
dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/2345/14148
dc.sourceRevista Médica de Chile; Vol. 142, núm. 4 (2014): ABRIL 2014es-ES
dc.source0034-9887
dc.subjectESTRES PSICOLOGICO; CONTROL METABOLICO, ADOLESCENTES DIABETICOS TIPO 1.es-ES
dc.subjectAdolescents; Diabetes mellitus, type 1; Stress, psychologicalen-US
dc.titleControl metabólico en pacientes diabéticos tipo 1 chilenos: Rol del estrés psicológico. Diabetes tipo 1: Rol del estrés psicológicoes-ES
dc.titleASSOCIATION BETWEEN PSYCHOLOGICAL STRESS AND METABOLIC CONTROL IN PATIENTS WITH TYPE 1 DIABETES MELLITUSen-US
dc.typeinfo:eu-repo/semantics/article
dc.typeinfo:eu-repo/semantics/publishedVersion
dc.typees-ES


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