Relationship between sense of coherence and diabetes mellitus: a systematic review

Abstract The aim was to synthesize the best scientific evidence on the effect of sense of coherence in disease development, treatment, and biomedical metabolic control indicators, as well as the complications involved for people at risk of developing diabetes and for diabetics. The systematic review method was implemented. Search and selection efforts of two independent reviewers on Scopus, Web of Science, PubMed, Ebsco, Science Direct, and manuals databases, available until 2017, in Spanish and English, of the population aged 18 and over. From a total of 154 studies, 20 articles were included in the systematic review. Over half of the studies used the SOC-13 version to verify the sense of coherence and the most frequent indicator of metabolic control was glycated hemoglobin. In addition to this, 14 of the 20 studies found a statistically significant relationship between sense of coherence and diabetes. It is concluded that the sense of coherence has a strong correlation with diabetes in the different phases of the disease and is related to the reduction of risk for the development of the disease, a reduction of glycated hemoglobin values, and the appearance of diabetes mellitus-related complications.

摘要 本研究旨在整合现有最优科学证据，明确心理一致感（Sense of Coherence, SOC）在糖尿病高危人群与糖尿病患者的疾病发生、治疗及生物医学代谢控制指标中的作用，及其与相关并发症的关联情况。本研究采用系统综述方法开展研究：由两名独立研究者对截至2017年、以西班牙语和英语发表、针对18岁及以上人群的相关文献进行检索与筛选，检索数据库涵盖Scopus、Web of Science、PubMed、Ebsco、Science Direct及手工检索数据库。经初步检索共获得154篇文献，最终纳入20篇文献进入本次系统综述。超过半数的研究采用SOC-13量表对心理一致感进行测评，最常用的代谢控制指标为糖化血红蛋白（glycated hemoglobin, HbA1c）。此外，20项研究中有14项证实，心理一致感与糖尿病之间存在具有统计学意义的显著关联。本研究结论表明，心理一致感与糖尿病不同疾病阶段均存在强相关性，且与糖尿病发病风险降低、糖化血红蛋白水平降低以及糖尿病相关并发症的发生存在密切关联。