研究进展

糖尿病社区老年人及其配偶的心理健康素养、自我调节疲劳与衰老态度:主客体互依中介模型分析

来源:Frontiers in public health · PMID 42979464 · DOI 10.3389/fpubh.2026.1943940 · 来源:IMA 知识库《文献层·文献监控卡片》2026-11-05 期 · 全文级(file_id dAlZBwueyWSz,实际下载核验 1,395,640 B) · 全文已获取并通过三重归属校验

时间标签:数据日期 2026-11-05 · 生成时间 2026-11-05 05:30(Asia/Shanghai)| 检索窗口 PubMed edat 2026/11/02 – 2026/11/06 | 情报发生日期 2026-11-05

研究问题

(原文未给出可直接抽取的对应表述)

方法

Due to the chronic and progressive nature of the condition, older adult patients often experience negative emotions, which reduce treatment compliance and self-management capabilities, thereby negatively influencing their attitudes toward aging (3).;Consequently, patients and their spouses exhibit marked interdependence in illness management, suggesting that one partner’s psychological attributes may influence the other’s outcomes.Mental health literacy, defined as beliefs pertaining to the identification, management, and prevention of mental health problems (6), plays a pivotal role in this dyadic context.;To address this gap, the present study examined community-dwelling older adult patients with diabetes and their spouses.

核心结论

The prevalence of diabetes increases substantially with age; epidemiological evidence indicates that approximately one-third of older adults in China are affected by diabetes (2).;Prior research indicates that higher mental health literacy facilitates shared positive illness perceptions (7).;Confirmatory factor analyses for both the patient and spouse groups indicated a good fit of the three-factor model, with all indices meeting the recommended criteria (patients: χ2/df = 1.591, CFI = 0.947, TLI = 0.941, RMSEA = 0.052, SRMR = 0.042; spouses: χ2/df = 1.287, CFI = 0.972, TLI = 0.969, RMSEA = 0.036, SRMR = 0.055), demonstrating that the three-factor structure of the MMHL-CV is highly applicable to both groups.2.2.3Self-regulatory fatigue scale (SRF-S)The scale, initially developed by Nes et al.

局限

This supportive behavior not only improves their own psychological state (actor effect) but also alleviates the patient’s psychological distress, potentially fostering more positive attitudes toward aging in the partner (partner effect).However, the prolonged demands of chronic disease management may gradually deplete psychological resources, leading to self-regulatory fatigue.;Thus, community providers should strengthen interventions targeting self-regulatory fatigue – e.g., simplifying disease management protocols and providing individualized guidance – to reduce self-control load and enhance positive aging attitudes for both partners.4.3Implications and limitationsThis study examined the interrelationships among mental health literacy, self-regulatory fatigue, and attitudes toward aging in diabetic patients and spouses, confirming that self-regulatory fatigue mediates both actor and partner effects.;However, several limitations should be noted.

对本项目的价值

中等价值:属「代谢 / 内分泌 / 肝肾老化」方向;代谢 / 内分泌 / 肝肾老化的界面栏目可用作本项目文献库与综述素材。 | 价值分 2.6/5(★★★☆☆)

全文来源

PubMed PMC JATS(正文 26,412 字符,题名指纹 1.0,已过 PubMed PMCID 官方关联 + 题名指纹 + 正文长度归属校验)

原文题录

  • 中文题名:糖尿病社区老年人及其配偶的心理健康素养、自我调节疲劳与衰老态度:主客体互依中介模型分析
  • 英文标题:Mental health literacy, self-regulatory fatigue, and attitudes toward aging among community-dwelling older adults with diabetes and their spouses: an actor-partner interdependence mediation model analysis.
  • 期刊与标识:Frontiers in public health · PMID 42979464 · DOI 10.3389/fpubh.2026.1943940 · PMC PMC13729859

A 级证据分级:A 级(同行评议人体研究)

本文属人体研究证据,但需注意:观察性或小样本干预的结论不等于已证实临床获益;效应量与长期安全性仍需更大规模、更长随访的试验验证。

关于本文的文献来源:本站依据 IMA 知识库「五刊监控·深度文献卡片」撰写,依据已获取的期刊全文(方法、样本量与结论已回到原文核对);未能获取全文的同批条目另行标注「摘要级」,全程未做任何数值推算补全。