Author:
Zhao Lanlan,Xu Fuqin,Zheng Xin,Xu Ziwen,Osten Benjamin,Ji Kai,Ding Shuo,Liu Guoqing,Yang Shufan,Chen Ren
Abstract
Abstract
Background
Diabetes has become a prominent global public health problem, which is an important cause of death, disease burden, and medical and health economic burden.
Previous studies have reported that majority of persons diagnosed with diabetes later presented with psychological and mental health diseases. The study aimed to explore the mediation role of anxiety on social support and depression among diabetic patents in elderly caring social organizations (SOs).
Methods
A multi-stage stratified cluster random sampling method was used in this cross-sectional study, and a questionnaire consisting of demographic questionnaire, MSPSS, GAD-7, and CES-D-10 was utilized to gather data. SPSS 22.0 and MPLUS 7.4 were used for statistical analysis. Spearman correlation analysis was employed to investigate correlations of key variables. A generalized linear model was used to exam factors associated with depression. Finally, the mediation effect among study variables was investigated by structural equation modeling (SEM).
Results
The average scores of social support, anxiety, and depression were 58.41 ± 14.67, 2.95 ± 3.95, and 7.24 ± 5.53, respectively. The factors of gender, social support, and anxiety were identified as significantly influential factors related to depression among diabetic patients in elderly caring SOs. The effect of social support on depression was significantly mediated by anxiety (β = -0.467, 95%CI: -0.813 to -0.251). Furthermore, anxiety partially mediated the relationship between family support and depression (β = -0.112, 95%CI: -0.229 to -0.012), and anxiety functioned as a complete mediator in the effect of significant others' support and depression (β = -0.135, 95%CI: -0.282 to -0.024).
Conclusions
The indirect effect of social support on depression through anxiety among diabetic patients in elderly caring SOs was elucidated. Social support played a key role in maintaining and regulating their mental health, particularly from family and significant others. Social support provided by both family and significant others exerted an important influence on maintaining and regulating their mental health. In light of this pathway, the elderly caring SOs should enhance the magnitude of social support from these two sources, thereby diminishing the likelihood of experiencing anxiety and depression.
Funder
Graduate Research and Practice Innovation projects in Anhui Medical University
Royal Society of Edinburgh
National Science Foundation of China's international cooperation and exchange projects
the National Science Foundation of China
Scientific Research Projects for Higher Education of Anhui Province under Grant
Publisher
Springer Science and Business Media LLC
Subject
Geriatrics and Gerontology
Cited by
1 articles.
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