제2형 당뇨병 환자에서 시점간 선택과 혈당조절 사이의 연관성
The Relationship between Intertemporal Choice and Blood Glucose Control in Patients with Type 2 Diabetes
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Objectives：The objectives of this study were to investigate intertemporal choice in patients with type 2 diabetes and whether blood glucose control is related to intertemporal choice. Methods：Ninety seven patients with diabetes(41 inpatients and 56 outpatients) were recruited. All patients were subjected to the following tests : DM Distress Scale(DDS), Beck Anxiety Inventory(BAI), the Center for Epidemiologic Studies Depression Scale(CES-D) and the Big Five Inventory-K-10(BFI-K-10). 73 of recruited patients performed the Delay Discounting Task(DDT). Results：Compared to the outpatient group, the inpatient group showed higher delayed reward discounting rate in DDT. Outpatient group showed higher score in the agreeableness than inpatient group. And Inpatient group scored higher than outpatient group in the score of the BAI. The anxiety score and DDT were negatively correlated, and anxiety score and glycated hemoglobin(HbA1c) were positively correlated(r=0.265, p=0.026). In addition, anxiety scores were positively correlated with neuroticism(r=0.288, p=0.015), diabetes distress scores(r=0.311, p=0.008), depression scores(r=0.688, p=0.000) and negatively correlated with agreeableness scores(r=-0.390, p=0.001). Agreeableness showed a negative correlation(r=-0.254, p=0.031) with HbA1c and 180days’ indifferent points(r=0.311, p=0.008), respectively. Agreeableness was also significantly associated with diabetic stress(r=-0.253, p=0.033), anxiety(r= -0.390, p=0.001), depression(r=-0.512, p=0.000) and there was a positive correlation with conscientiousness(r= 0.342, p=0.003). Conclusion：In this study, we found that there is difference in intertemporal choice between inpatient and outpatient groups. In addition, it was confirmed that the difference of personality traits and negative emotions between the two groups was related to the selection of intertemporal choice and related to the control of blood glucose.
Abstract
Objectives：The objectives of this study were to investigate intertemporal choice in patients with type 2 diabetes and whether blood glucose control is related to intertemporal choice. Methods：Ninety seven patients with diabetes(41 inpatients and 56 outpatients) were recruited. All patients were subjected to the following tests : DM Distress Scale(DDS), Beck Anxiety Inventory(BAI), the Center for Epidemiologic Studies Depression Scale(CES-D) and the Big Five Inventory-K-10(BFI-K-10). 73 of recruited patients performed the Delay Discounting Task(DDT). Results：Compared to the outpatient group, the inpatient group showed higher delayed reward discounting rate in DDT. Outpatient group showed higher score in the agreeableness than inpatient group. And Inpatient group scored higher than outpatient group in the score of the BAI. The anxiety score and DDT were negatively correlated, and anxiety score and glycated hemoglobin(HbA1c) were positively correlated(r=0.265, p=0.026). In addition, anxiety scores were positively correlated with neuroticism(r=0.288, p=0.015), diabetes distress scores(r=0.311, p=0.008), depression scores(r=0.688, p=0.000) and negatively correlated with agreeableness scores(r=-0.390, p=0.001). Agreeableness showed a negative correlation(r=-0.254, p=0.031) with HbA1c and 180days’ indifferent points(r=0.311, p=0.008), respectively. Agreeableness was also significantly associated with diabetic stress(r=-0.253, p=0.033), anxiety(r= -0.390, p=0.001), depression(r=-0.512, p=0.000) and there was a positive correlation with conscientiousness(r= 0.342, p=0.003). Conclusion：In this study, we found that there is difference in intertemporal choice between inpatient and outpatient groups. In addition, it was confirmed that the difference of personality traits and negative emotions between the two groups was related to the selection of intertemporal choice and related to the control of blood glucose.
참고문헌 (42)
- "Diabetes Fact Sheet in Korea"[URL]
- "Treatment guideline for diabetes"[URL]
- Thompson TJ, "The onset of NIDDM and its relationship to clinical diagnosis in Egyptian adults", Diabet Med, 13, pp.337~340 (1996)[DOI]
- 예현수, "인슐린 비의존성 당뇨병 환자의 식이 및 운동요법에 대한 지식 및 실천조사", Korean J Fam Med, 17, pp.223~231 (1996)
- 남상권, "만성질환노인의 삶의 질 영향요인 연구 : 만성질환유형을 중심으로", 노인복지연구, (53), pp.196~221 (2011), 한국노인복지학회[DOI]
- Reach G, "Is there an impatience genotype leading to non-adherence to long-term therapies?", Diabetologia, 53, pp.1562~1567 (2010)[DOI]
- 도모노노리오, "행동경제학", pp.193~231 (2007), 지형
- Bickel WK, "Excessive discounting of delayed reinforcers as a trans-disease process contributing to addiction and other disease-related vulnerabilities: emerging evidence", Pharmacol Ther, 134, pp.287~297 (2012)[DOI]
- 김양태, "시점간 선택과 중독", 중독정신의학, 20(2), pp.61~67 (2016), 한국중독정신의학회
- 최성원, "알코올 의존 환자에서 시점간 선택에 관한 연구", 중독정신의학, 18, pp.72~79 (2014)
- Richards JB, "Delay or probability discounting in a model of impulsive behavior: effect of alcohol", J Exp Anal Behav, 71, pp.121~143 (1999)[DOI]
- Mazur JE, "An adjusting procedure for studying delayed reinforcement" (1987), Erlbaum
- Berlin HA, "Impulsivity, time perception, emotion and reinforcement sensitivity in patients with orbitofrontal cortex lesions", Brain, 127, pp.1108~1126 (2004)[DOI]
- Rubia K, "Impulsiveness as a timing disturbance: neurocognitive abnormalities in attention-deficit hyperactivity disorder during temporal processes and normalization with methylphenidate", Philos Trans R Soc Lond B Biol Sci, 364, pp.1919~1931 (2009)[DOI]
- Baker F, "Delay discounting in current and never-before cigarette smokers: similarities and differences across commodity, sign, and magnitude", J Abnorm Psychol, 112, pp.382~392 (2003)[DOI]
- Coffey SF, "Impulsivity and rapid discounting of delayed hypothetical rewards in cocaine-dependent individuals", Exp Clin Psychopharmacol, 11, pp.18~25 (2003)[DOI]
- Kirby KN, "Heroin addicts have higher discount rates for delayed rewards than nondrug-using controls", J Exp Psychol Gen, 128, pp.78~87 (1999)[DOI]
- 안상현, "메스암페타민 사용자에서의 시점간 선택 특성 및 영향 요인", 생물치료정신의학, 23(3), pp.222~229 (2017), 대한생물치료정신의학회[DOI]
- Vazquez Lira R, "Assessment of Intertemporal Preferences in Type-2 Diabetes Patients and Smokers", Int J Psychol Res, 10, pp.35~44 (2017)[DOI]
- Reach G, "Patients' impatience is an independent determinant of poor diabetes control", Diabetes Metab, 37, pp.497~504 (2011)[DOI]
- 이수진, "제2형 당뇨병 노인의 성격유형과 당뇨병 관련 스트레스에 따른 당뇨병 자기관리 행위", 한국노년학, 34(2), pp.229~246 (2014), 한국노년학회
- 전병희, "당뇨병 환자에서 우울증상 및 불안증상과 혈당조절과의 연관성", 정신신체의학, 16(2), pp.95~102 (2008), 한국정신신체의학회
- Costa PT, "NEO Personality Inventory(NEO PIR) and NEO Five-Factor Inventory(NEO-FFI)" (1992), Psychological Assessment Resources
- 김선영, "노인에서 한국판 성격 5요인 척도의 표준화 및 타당도", 생물정신의학, 17(1), pp.15~25 (2010), 대한생물정신의학회
- 서수균, "자기집중적 주의, 실제 자기개념 및 자기안내자 선호성을 고려한 자기불일치와 우울 및 불안의 관계", pp.1996
- 문수재, "한국에서의 the Center for Epidemiological Studies-Depression Scale(CES-D)의 사용", 신경정신의학, 30, pp.752~767 (1991)
- 이수진, "제2형 당뇨 노인에서 성격유형과 당뇨관련 스트레스에 따른 자기관리 행위", pp.2013
- Rangel A, "Regulation of dietary choice by the decision-making circuitry", Nat Neurosci, 16, pp.1717~1724 (2013)[DOI]
- Talbot F, "A review of the relationship between depression and diabetes in adults: is there a link", Diabetes Care, 23, pp.1556~1562 (2000)[DOI]
- Gavard JA, "Prevalence of depression in adults with diabetes. An epidemiological evaluation", Diabetes Care, 16, pp.1167~1178 (1993)[DOI]
- 전행심, "당뇨병 환자의 우울및 불안성향과 관련 인자", Korean J Fam Med, 17, pp.83~90 (1996)
- Papelbaum M, "The association between quality of life, depressive symptoms and glycemic control in a group of type 2 diabetes patients", Diabetes Res Clin Pract, 89, pp.227~230 (2010)[DOI]
- Grigsby AB, "Prevalence of anxiety in adults with diabetes: a systematic review", J Psychosom Res, 53, pp.1053~1060 (2002)[DOI]
- Lustman PJ, "Depression and poor glycemic control: a meta-analytic review of the literature", Diabetes Care, 23, pp.934~942 (2000)[DOI]
- Pennebaker JW, "Linguistic styles: language use as an individual difference", J Pers Soc Psychol, 77, pp.1296~1312 (1999)[DOI]
- 대니얼네틀, "성격의 탄생", pp.131~212 (2010), 와이즈북
- Manning J, "Personality influences temporal discounting preferences: behavioral and brain evidence", Neuroimage, 98, pp.42~49 (2014)[DOI]
- van Dooren FE, "Psychological and personality factors in type 2 diabetes mellitus, presenting the rationale and exploratory results from The Maastricht Study, a population-based cohort study", BMC Psychiatry, 16, pp.17~ (2016)[DOI]
- Conti C, "Negative Affectivity Predicts Lower Quality of Life and Metabolic Control in Type 2 Diabetes Patients: A Structural Equation Modeling Approach", Front Psychol, 8, pp.831~ (2017)[DOI]
- Wang RH, "Associations of changes in psychosocial factors and their interactions with diabetes distress in patients with type 2 diabetes: a longitudinal study", J Adv Nurs, 73, pp.1137~1146 (2017)[DOI]
- Thomas A, "The Oxford Handbook of the Five Factor Model", pp.39~147 (2017), Oxford University Press
- Chew BH, "Psychological aspects of diabetes care: Effecting behavioral change in patients", World J Diabetes, 5, pp.796~808 (2014)[DOI]