PDF(Pubmed)
Abstract：
UNASSIGNED: In patients with diabetes, obesity is an aggravating factor for glycemic control and its vascular complications. However, the psychological and behavioral characteristics of those patients with obesity have not been fully clarified. This study investigated eating and coping behavior, personality traits, quality of life (QOL), and depression status in patients with diabetes with or without obesity.
UNASSIGNED: Questionnaires obtained from 567 patients with diabetes at Dokkyo Medical University were analyzed. Eating behavior, coping behavior, personality traits, QOL, and depression status were evaluated by the Eating Behavior Questionnaire, Brief COPE, Japanese Ten-Item Personality Inventory, EuroQol 5 Dimensions-5 Level, and Patient Health Questionnaire-9, respectively. Participants were divided according to body mass index (BMI) into a non-obese group (BMI < 25), obese group (BMI 25-35), and high-degree obese group (BMI ≥ 35), and results were compared between groups.
UNASSIGNED: On all items of the Eating Behavior Questionnaire, scores were higher in the obese and high-degree obese groups than non-obese group, indicating worse eating behavior. In coping behavior, significant intergroup differences were found in self-distraction, substance use, using emotional support, using instrumental support, and venting. As for personality traits, the obese group had significantly lower conscientiousness and higher emotional instability than the non-obese group. There was no significant difference in QOL or depression status.
UNASSIGNED: These results suggest that there are some characteristics in eating and coping behaviors and some personality traits between obese and non-obese patients with diabetes. Treatment based on such characteristics may be useful for patients with diabetes and obesity.
UNASSIGNED: The online version contains supplementary material available at 10.1007/s13340-024-00721-w.
UNASSIGNED: Questionnaires obtained from 567 patients with diabetes at Dokkyo Medical University were analyzed. Eating behavior, coping behavior, personality traits, QOL, and depression status were evaluated by the Eating Behavior Questionnaire, Brief COPE, Japanese Ten-Item Personality Inventory, EuroQol 5 Dimensions-5 Level, and Patient Health Questionnaire-9, respectively. Participants were divided according to body mass index (BMI) into a non-obese group (BMI < 25), obese group (BMI 25-35), and high-degree obese group (BMI ≥ 35), and results were compared between groups.
UNASSIGNED: On all items of the Eating Behavior Questionnaire, scores were higher in the obese and high-degree obese groups than non-obese group, indicating worse eating behavior. In coping behavior, significant intergroup differences were found in self-distraction, substance use, using emotional support, using instrumental support, and venting. As for personality traits, the obese group had significantly lower conscientiousness and higher emotional instability than the non-obese group. There was no significant difference in QOL or depression status.
UNASSIGNED: These results suggest that there are some characteristics in eating and coping behaviors and some personality traits between obese and non-obese patients with diabetes. Treatment based on such characteristics may be useful for patients with diabetes and obesity.
UNASSIGNED: The online version contains supplementary material available at 10.1007/s13340-024-00721-w.
摘要：
■在糖尿病患者中，肥胖是血糖控制及其血管并发症的加重因素。然而,肥胖患者的心理和行为特征尚未完全阐明。这项研究调查了饮食和应对行为，人格特质，生活质量（QOL），和有或没有肥胖的糖尿病患者的抑郁状态。
■对Dokkyo医科大学567名糖尿病患者的问卷调查进行分析。进食行为，应对行为，人格特质，QOL,通过饮食行为问卷评估抑郁状态，简短的COPE,日本十项人格量表，EuroQol5尺寸-5级，和患者健康问卷-9。根据体重指数（BMI）将参与者分为非肥胖组（BMI<25），肥胖组（BMI25-35），和高度肥胖组（BMI≥35），并对结果进行组间比较。
■关于饮食行为问卷的所有项目，肥胖和高度肥胖组的得分高于非肥胖组，表明更糟糕的饮食行为。在应对行为中，在自我分散方面发现了显著的组间差异，物质使用,使用情感支持，使用仪器支持，和发泄。至于人格特质，与非肥胖组相比,肥胖组的自觉性和情绪不稳定性显著降低.QOL或抑郁状态无显著差异。
■这些结果表明，肥胖和非肥胖糖尿病患者在饮食和应对行为方面存在一些特征以及一些人格特质。基于这些特征的治疗可用于患有糖尿病和肥胖症的患者。
■在线版本包含补充材料，可在10.1007/s13340-024-00721-w获得。
■对Dokkyo医科大学567名糖尿病患者的问卷调查进行分析。进食行为，应对行为，人格特质，QOL,通过饮食行为问卷评估抑郁状态，简短的COPE,日本十项人格量表，EuroQol5尺寸-5级，和患者健康问卷-9。根据体重指数（BMI）将参与者分为非肥胖组（BMI<25），肥胖组（BMI25-35），和高度肥胖组（BMI≥35），并对结果进行组间比较。
■关于饮食行为问卷的所有项目，肥胖和高度肥胖组的得分高于非肥胖组，表明更糟糕的饮食行为。在应对行为中，在自我分散方面发现了显著的组间差异，物质使用,使用情感支持，使用仪器支持，和发泄。至于人格特质，与非肥胖组相比,肥胖组的自觉性和情绪不稳定性显著降低.QOL或抑郁状态无显著差异。
■这些结果表明，肥胖和非肥胖糖尿病患者在饮食和应对行为方面存在一些特征以及一些人格特质。基于这些特征的治疗可用于患有糖尿病和肥胖症的患者。
■在线版本包含补充材料，可在10.1007/s13340-024-00721-w获得。
