The Association Between General Self-Efficacy and Depressive Symptoms in People with Type 2 Diabetes Mellitus: The Mediating Role of Coping Styles Preference
Qingting Li,1,* Yao Chen,1,* Maritta Välimäki,1 Qing Long,1 Jundi Yang,2 Jia Guo1 1Xiangya School of Nursing, Central South University, Changsha, 410013, People’s Republic of China; 2School of Nursing, the University of Hong Kong, Pokfulam, 999077, People’s Republic of China*...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2022-09-01
|
| Series: | Psychology Research and Behavior Management |
| Subjects: | |
| Online Access: | https://www.dovepress.com/the-association-between-general-self-efficacy-and-depressive-symptoms--peer-reviewed-fulltext-article-PRBM |
| _version_ | 1828111965910728704 |
|---|---|
| author | Li Q Chen Y Välimäki M Long Q Yang J Guo J |
| author_facet | Li Q Chen Y Välimäki M Long Q Yang J Guo J |
| author_sort | Li Q |
| collection | DOAJ |
| description | Qingting Li,1,* Yao Chen,1,* Maritta Välimäki,1 Qing Long,1 Jundi Yang,2 Jia Guo1 1Xiangya School of Nursing, Central South University, Changsha, 410013, People’s Republic of China; 2School of Nursing, the University of Hong Kong, Pokfulam, 999077, People’s Republic of China*These authors contributed equally to this workCorrespondence: Jia Guo, Email guojia621@163.comBackground: Depressive symptoms are prevalent in persons with type 2 diabetes mellitus and related with poor disease outcomes. Both general self-efficacy and coping style are associated with depressive symptoms. A model about proactive coping indicates that coping style plays a mediation role between general self-efficacy and depressive symptoms. But, empirical evidence is missing about this potential mediation relationship which may be a barrier of taking precise strategies for relieving depressive symptoms.Objective: This study aims to investigate the prevalence of elevated depressive symptoms in persons with type 2 diabetes mellitus and explore whether coping style preference mediates the association between general self-efficacy and depressive symptoms.Methods: This was a secondary data analysis of a cross-sectional survey (June–July 2017) among 721 persons with type 2 diabetes mellitus (45.4% male and 54.6% female) aged from 22 to 96 years old. Data on general self-efficacy, coping style preference and depressive symptoms were collected using validated questionnaires in hospital setting. The mediation model was tested using the bootstrapping (K=5000) in the MPlus program version 7.4. The results were reported following the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines.Results: The prevalence of elevated depressive symptoms was 58% (n = 418) among persons with type 2 diabetes mellitus at hospital setting. A higher level of general self-efficacy was related to less depressive symptoms via positive coping preference (p < 0.01).Discussion: About two-thirds of persons with type 2 diabetes mellitus experienced elevated depressive symptoms during hospitalization. The intervention elements, including strengthening general self-efficacy and promoting positive coping, are promising to decrease their depressive symptoms.Keywords: type 2 diabetes mellitus, depressive symptoms, self-efficacy, coping style, mediation analysis |
| first_indexed | 2024-04-11T11:43:05Z |
| format | Article |
| id | doaj.art-3f9f630c65714e69acfd7550b9272716 |
| institution | Directory Open Access Journal |
| issn | 1179-1578 |
| language | English |
| last_indexed | 2024-04-11T11:43:05Z |
| publishDate | 2022-09-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Psychology Research and Behavior Management |
| spelling | doaj.art-3f9f630c65714e69acfd7550b92727162022-12-22T04:25:43ZengDove Medical PressPsychology Research and Behavior Management1179-15782022-09-01Volume 152501251178060The Association Between General Self-Efficacy and Depressive Symptoms in People with Type 2 Diabetes Mellitus: The Mediating Role of Coping Styles PreferenceLi QChen YVälimäki MLong QYang JGuo JQingting Li,1,* Yao Chen,1,* Maritta Välimäki,1 Qing Long,1 Jundi Yang,2 Jia Guo1 1Xiangya School of Nursing, Central South University, Changsha, 410013, People’s Republic of China; 2School of Nursing, the University of Hong Kong, Pokfulam, 999077, People’s Republic of China*These authors contributed equally to this workCorrespondence: Jia Guo, Email guojia621@163.comBackground: Depressive symptoms are prevalent in persons with type 2 diabetes mellitus and related with poor disease outcomes. Both general self-efficacy and coping style are associated with depressive symptoms. A model about proactive coping indicates that coping style plays a mediation role between general self-efficacy and depressive symptoms. But, empirical evidence is missing about this potential mediation relationship which may be a barrier of taking precise strategies for relieving depressive symptoms.Objective: This study aims to investigate the prevalence of elevated depressive symptoms in persons with type 2 diabetes mellitus and explore whether coping style preference mediates the association between general self-efficacy and depressive symptoms.Methods: This was a secondary data analysis of a cross-sectional survey (June–July 2017) among 721 persons with type 2 diabetes mellitus (45.4% male and 54.6% female) aged from 22 to 96 years old. Data on general self-efficacy, coping style preference and depressive symptoms were collected using validated questionnaires in hospital setting. The mediation model was tested using the bootstrapping (K=5000) in the MPlus program version 7.4. The results were reported following the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines.Results: The prevalence of elevated depressive symptoms was 58% (n = 418) among persons with type 2 diabetes mellitus at hospital setting. A higher level of general self-efficacy was related to less depressive symptoms via positive coping preference (p < 0.01).Discussion: About two-thirds of persons with type 2 diabetes mellitus experienced elevated depressive symptoms during hospitalization. The intervention elements, including strengthening general self-efficacy and promoting positive coping, are promising to decrease their depressive symptoms.Keywords: type 2 diabetes mellitus, depressive symptoms, self-efficacy, coping style, mediation analysishttps://www.dovepress.com/the-association-between-general-self-efficacy-and-depressive-symptoms--peer-reviewed-fulltext-article-PRBMtype 2 diabetes mellitusdepressive symptomsself-efficacycoping stylemediation analysis |
| spellingShingle | Li Q Chen Y Välimäki M Long Q Yang J Guo J The Association Between General Self-Efficacy and Depressive Symptoms in People with Type 2 Diabetes Mellitus: The Mediating Role of Coping Styles Preference Psychology Research and Behavior Management type 2 diabetes mellitus depressive symptoms self-efficacy coping style mediation analysis |
| title | The Association Between General Self-Efficacy and Depressive Symptoms in People with Type 2 Diabetes Mellitus: The Mediating Role of Coping Styles Preference |
| title_full | The Association Between General Self-Efficacy and Depressive Symptoms in People with Type 2 Diabetes Mellitus: The Mediating Role of Coping Styles Preference |
| title_fullStr | The Association Between General Self-Efficacy and Depressive Symptoms in People with Type 2 Diabetes Mellitus: The Mediating Role of Coping Styles Preference |
| title_full_unstemmed | The Association Between General Self-Efficacy and Depressive Symptoms in People with Type 2 Diabetes Mellitus: The Mediating Role of Coping Styles Preference |
| title_short | The Association Between General Self-Efficacy and Depressive Symptoms in People with Type 2 Diabetes Mellitus: The Mediating Role of Coping Styles Preference |
| title_sort | association between general self efficacy and depressive symptoms in people with type 2 diabetes mellitus the mediating role of coping styles preference |
| topic | type 2 diabetes mellitus depressive symptoms self-efficacy coping style mediation analysis |
| url | https://www.dovepress.com/the-association-between-general-self-efficacy-and-depressive-symptoms--peer-reviewed-fulltext-article-PRBM |
| work_keys_str_mv | AT liq theassociationbetweengeneralselfefficacyanddepressivesymptomsinpeoplewithtype2diabetesmellitusthemediatingroleofcopingstylespreference AT cheny theassociationbetweengeneralselfefficacyanddepressivesymptomsinpeoplewithtype2diabetesmellitusthemediatingroleofcopingstylespreference AT valimakim theassociationbetweengeneralselfefficacyanddepressivesymptomsinpeoplewithtype2diabetesmellitusthemediatingroleofcopingstylespreference AT longq theassociationbetweengeneralselfefficacyanddepressivesymptomsinpeoplewithtype2diabetesmellitusthemediatingroleofcopingstylespreference AT yangj theassociationbetweengeneralselfefficacyanddepressivesymptomsinpeoplewithtype2diabetesmellitusthemediatingroleofcopingstylespreference AT guoj theassociationbetweengeneralselfefficacyanddepressivesymptomsinpeoplewithtype2diabetesmellitusthemediatingroleofcopingstylespreference AT liq associationbetweengeneralselfefficacyanddepressivesymptomsinpeoplewithtype2diabetesmellitusthemediatingroleofcopingstylespreference AT cheny associationbetweengeneralselfefficacyanddepressivesymptomsinpeoplewithtype2diabetesmellitusthemediatingroleofcopingstylespreference AT valimakim associationbetweengeneralselfefficacyanddepressivesymptomsinpeoplewithtype2diabetesmellitusthemediatingroleofcopingstylespreference AT longq associationbetweengeneralselfefficacyanddepressivesymptomsinpeoplewithtype2diabetesmellitusthemediatingroleofcopingstylespreference AT yangj associationbetweengeneralselfefficacyanddepressivesymptomsinpeoplewithtype2diabetesmellitusthemediatingroleofcopingstylespreference AT guoj associationbetweengeneralselfefficacyanddepressivesymptomsinpeoplewithtype2diabetesmellitusthemediatingroleofcopingstylespreference |