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https://hdl.handle.net/123456789/934| Τύπος: | Ανακοίνωση σε συνέδριο |
| Τίτλος: | Hypoglycemia unawarensss is associated with attachment and reflective functioning in people with Type 1 diabetes. |
| Συγγραφέας: | [EL] Θωμάκος, Πέτρος[EN] Thomakos, Petros [EL] Γρίβα, Φαίη[EN] Griva, Fay [EL] Κεπαπτσόγλου, Όλγα[EN] Kepaptsoglou, Olga [EL] Μητράκου, Ασημίνα[EN] Mitrakou, Asimina [EL] Βασλαματζής, Γρηγόρης[EN] Vaslamatzis, Grigoris [EL] Ζούπας, Χρήστος[EN] Zoupas, Christos |
| Ημερομηνία: | 2019 |
| Περίληψη: | The importance of attachment has been studied extensively as a frame for understanding the self-care behaviours of people with diabetes and their relations with practitioners. A component of attachment is the ability to reflect upon one’s mental state and understand what one is feeling and why. Aim of the study was to investigate attachment patterns and their relation with the reflective function of people with type 1 diabetes. 102 people (age 38.6±10 years, 63% females, diabetes duration 21.3±13 years, HbA1c 7.5±1.2%, Gold Score 2.2±1.5) completed measures of attachment (ECR-R) and reflective functioning (RFQ). Results suggested that there were differences in the attachment styles (χ2= 9.04, p= 0.02) between individuals who were able to detect hypoglycemia symptoms quickly enough to avoid progression to a severe hypoglycemic episode and those with hypoglycemia unawareness. 63.6% (p< 0.001) of participants with hypoglycemia unawareness were characterized as fearfully attached, a pattern associated with emotional dysregulation and problems in interpersonal relationships. People with impaired reflective functioning were more likely to report hypoglycemia unawareness (t= 2.74, p= 0.007) suggesting that impairments in identifying and expressing emotional states are associated with the ability to recognize hypoglycemic symptoms. Mediation analysis revealed significant indirect effects with a point estimate of b= 0.128 (SE= 0.055), excluding zero (95% CI= 0.033, 0.248) for anxiety and b= 0.109 (SE= 0.052), excluding zero (95% CI = 0.019, 0.226) for avoidance, indicating that attachment insecurities indirectly influence hypoglycemia awareness via the capacity to recognize and understand one’s own and other’s psychological state. Overall, the results indicate that impaired reflective processes may be involved in the recognition of hypoglycemia. Therapeutic interventions designed to enhance reflective functioning could improve hypoglycemia awareness. |
| Γλώσσα: | Αγγλικά |
| Τόπος δημοσίευσης: | San Francisco, California, USA |
| Σελίδες: | 1 |
| DOI: | 10.2337/db19-843-P |
| ISSN: | 0012-1797 |
| Θεματική κατηγορία: | [EL] Κοινωνικές επιστήμες, διεπιστημονική προσέγγιση[EN] Social Sciences, Interdisciplinary |
| Λέξεις-κλειδιά: | Type 1 diabetes; Attachment; reflective functioning |
| Κάτοχος πνευματικών δικαιωμάτων: | © 2019 by the American Diabetes Association. |
| Όροι και προϋποθέσεις δικαιωμάτων: | Readers may use this article as long as the work is properly cited, the use is educational and not for profit, and the work is not altered. More information is available at http://www.diabetesjournals.org/content/license. |
| Διατίθεται ανοιχτά στην τοποθεσία: | https://plan.core-apps.com/tristar_ada19/abstract/23b1b637ba2e46d4ad6b8619bbf0a4c3 https://diabetes.diabetesjournals.org/content/68/Supplement_1/843-P |
| Ηλεκτρονική διεύθυνση του τεκμηρίου στον εκδότη: | https://plan.core-apps.com/tristar_ada19/abstract/23b1b637ba2e46d4ad6b8619bbf0a4c3 https://diabetes.diabetesjournals.org/content/68/Supplement_1/843-P |
| Ηλεκτρονική διεύθυνση περιοδικού: | https://diabetes.diabetesjournals.org/ |
| Τίτλος πηγής δημοσίευσης: | Diabetes |
| Τεύχος: | Supplement 1 |
| Τόμος: | 68 |
| Όνομα εκδήλωσης: | 79th Scientific Session American Diabetes Association (2019) |
| Τοποθεσία εκδήλωσης: | San Francisco, California, USA |
| Ημ/νία έναρξης εκδήλωσης: | 07/06/2019 |
| Ημ/νία λήξης εκδήλωσης: | 11/06/2019 |
| Εμφανίζεται στις συλλογές: | Μεταδιδακτορικοί ερευνητές |
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