探讨青少年1型糖尿病(T1D)患者糖尿病家庭冲突与健康结局的关系。
根据PRISMA声明(注册号:CRD42020164988)进行系统评价。PubMed,Embase,PsycNET,纳入研究的参考清单,并搜索了其他相关评论(1990-2020)。两名独立审稿人筛选了标题,摘要,和全文。如果他们对患有T1D(平均年龄在14至25岁之间)的年轻人进行采样,并检查了糖尿病特定的家庭冲突与以下结果之间的关系:糖化血红蛋白(HbA1c),治疗依从性,血糖监测,抑郁症,焦虑,生活质量,和/或幸福。
共有20项研究符合预定的纳入标准。在17项研究中,更大的糖尿病特异性家庭冲突与更高的HbA1c值显著相关。七项研究报告了糖尿病家庭冲突加剧与治疗依从性欠佳和/或血糖监测频率较低之间的显着关联。然而,4项研究未发现冲突与HbA1c和/或治疗依从性之间存在显著关系.总共有7项研究报告称,糖尿病家庭冲突的增加与年轻人的生活质量或幸福感以及抑郁和/或焦虑症状的增加显着相关。
糖尿病特异性家庭冲突与T1D年轻人的一些不良健康结果有关。然而,需要对16岁以上的年轻人进行更多的纵向研究。建议筛查和解决糖尿病特定的家庭冲突,鉴于越来越多的研究将家庭冲突与T1D年轻人的各种不良健康结局联系起来。
To investigate the relationships between diabetes-specific family conflict and health outcomes of young people with type 1 diabetes (T1D).
A systematic review was performed according to the PRISMA statement (registration number: CRD42020164988). PubMed, Embase, PsycNET, reference lists of included studies, and other relevant reviews were searched (1990-2020). Two independent reviewers screened titles, abstracts, and full-texts. Studies were included if they sampled young people with T1D (mean age between 14 and 25 years) and examined the relationship between diabetes-specific family conflict and the following outcomes: glycated hemoglobin (HbA1c), treatment adherence, blood glucose monitoring, depression, anxiety, quality of life, and/or well-being.
A total of 20 studies met the predetermined inclusion criteria. Greater diabetes-specific family conflict was significantly related to higher HbA1c values in 17 studies. Seven studies reported a significant association between greater diabetes family conflict and suboptimal treatment adherence and/or less frequent blood glucose monitoring. However, significant relationships between conflict and HbA1c and/or treatment adherence were not found in four studies. Seven studies in total reported that greater diabetes family conflict was significantly related to poorer quality of life or well-being and greater depressive and/or anxiety symptoms in young people.
Diabetes-specific family conflict is associated with some adverse health outcomes for young people with T1D. However, more longitudinal studies of young people aged older than 16 years are needed. Screening for and addressing diabetes-specific family conflict is recommended, given the growing number of studies linking family conflict to various adverse health outcomes in young people with T1D.