PDF(Pubmed)
Abstract：
OBJECTIVE: Gestational diabetes (GDM) is a prevalent complication in pregnancy that requires effective self-management, which can be influenced by illness perceptions. Moreover, behavioral regulation can be affected by attachment styles. Thus, our study aimed to identify common GDM perception profiles and test their association with attachment styles.
METHODS: In this cross-sectional study, 446 women completed the Relationship Questionnaire (RQ), the Brief Illness Perception Questionnaire (BIPQ), and additional items about GDM diagnosis, information, competence, adherence, behavioral change. Latent profile analysis (LPA) was conducted to determine GDM perception profiles. Multinomial logistic regression followed to calculate the association between GDM perception profiles and attachment styles.
RESULTS: Three distinct profiles emerged: coping (n = 172, 38.6%)-characterized by the most positive GDM perception, burdened (n = 222, 49.8%)-indicating the emotional burden of the disease, and resourceless (n = 52, 11.7%)-reporting lack of resources (i.e. information, competence). Women with insecure attachment styles were more likely to develop a burdened GDM perception profile. Specifically, the expression of a fearful (OR = 1.184 [95%CI: 1.03; 1.36], p = 0.016) and a preoccupied (OR = 1.154 [95%CI: 1.01; 1.32], p = 0.037) attachment style increased the likelihood for a burdened perception profile, while a secure attachment style (OR = 10.791 [95%CI: 0.65; 0.96], p = 0.017) decreased likelihood for developing resourceless GDM perception profile.
CONCLUSIONS: Three GDM perception profiles were identified and the role of attachment styles in shaping these perceptions was confirmed. Further studies are needed to investigate whether a tailored treatment approach based on the predominant attachment style could lead to more positive GDM perceptions, improved glycemic control, and better perinatal outcomes.
METHODS: In this cross-sectional study, 446 women completed the Relationship Questionnaire (RQ), the Brief Illness Perception Questionnaire (BIPQ), and additional items about GDM diagnosis, information, competence, adherence, behavioral change. Latent profile analysis (LPA) was conducted to determine GDM perception profiles. Multinomial logistic regression followed to calculate the association between GDM perception profiles and attachment styles.
RESULTS: Three distinct profiles emerged: coping (n = 172, 38.6%)-characterized by the most positive GDM perception, burdened (n = 222, 49.8%)-indicating the emotional burden of the disease, and resourceless (n = 52, 11.7%)-reporting lack of resources (i.e. information, competence). Women with insecure attachment styles were more likely to develop a burdened GDM perception profile. Specifically, the expression of a fearful (OR = 1.184 [95%CI: 1.03; 1.36], p = 0.016) and a preoccupied (OR = 1.154 [95%CI: 1.01; 1.32], p = 0.037) attachment style increased the likelihood for a burdened perception profile, while a secure attachment style (OR = 10.791 [95%CI: 0.65; 0.96], p = 0.017) decreased likelihood for developing resourceless GDM perception profile.
CONCLUSIONS: Three GDM perception profiles were identified and the role of attachment styles in shaping these perceptions was confirmed. Further studies are needed to investigate whether a tailored treatment approach based on the predominant attachment style could lead to more positive GDM perceptions, improved glycemic control, and better perinatal outcomes.
摘要：
目的：妊娠期糖尿病（GDM）是妊娠期常见的并发症，需要有效的自我管理，这可能会受到疾病观念的影响。此外，行为调节会受到依恋风格的影响。因此，我们的研究旨在确定常见的GDM感知特征并检验其与依恋风格的关联.
方法：在这项横断面研究中，446名妇女完成了关系问卷(RQ)，简要疾病感知问卷(BIPQ)，以及关于GDM诊断的其他项目，信息,能力,坚持,行为改变。进行潜在谱分析(LPA)以确定GDM感知谱。随后进行多项逻辑回归以计算GDM感知概况与依恋风格之间的关联。
结果：出现了三个不同的特征：应对（n=172，38.6％）-以最积极的GDM感知为特征，负担（n=222，49.8%）-表明疾病的情感负担，和无资源(n=52，11.7%)-报告缺乏资源(即信息，能力)。具有不安全依恋风格的女性更有可能发展出沉重的GDM感知特征。具体来说,恐惧的表达(OR=1.184[95CI:1.03;1.36]，p=0.016)和全神贯注(OR=1.154[95CI：1.01；1.32]，p=0.037)附件样式增加了负担感轮廓的可能性，而安全的附件样式(OR=10.791[95CI:0.65;0.96]，p=0.017)降低了发展无资源GDM感知特征的可能性。
结论：确定了三个GDM感知谱，并确认了依恋方式在塑造这些感知中的作用。需要进一步的研究来调查基于主要依恋方式的定制治疗方法是否可以导致更积极的GDM认知。改善血糖控制，和更好的围产期结局。
方法：在这项横断面研究中，446名妇女完成了关系问卷(RQ)，简要疾病感知问卷(BIPQ)，以及关于GDM诊断的其他项目，信息,能力,坚持,行为改变。进行潜在谱分析(LPA)以确定GDM感知谱。随后进行多项逻辑回归以计算GDM感知概况与依恋风格之间的关联。
结果：出现了三个不同的特征：应对（n=172，38.6％）-以最积极的GDM感知为特征，负担（n=222，49.8%）-表明疾病的情感负担，和无资源(n=52，11.7%)-报告缺乏资源(即信息，能力)。具有不安全依恋风格的女性更有可能发展出沉重的GDM感知特征。具体来说,恐惧的表达(OR=1.184[95CI:1.03;1.36]，p=0.016)和全神贯注(OR=1.154[95CI：1.01；1.32]，p=0.037)附件样式增加了负担感轮廓的可能性，而安全的附件样式(OR=10.791[95CI:0.65;0.96]，p=0.017)降低了发展无资源GDM感知特征的可能性。
结论：确定了三个GDM感知谱，并确认了依恋方式在塑造这些感知中的作用。需要进一步的研究来调查基于主要依恋方式的定制治疗方法是否可以导致更积极的GDM认知。改善血糖控制，和更好的围产期结局。
