Social support as a mediator between depressive symptoms and self-care activities in adults patient with type 2 diabetes mellitus
Background: People with type 2 DM are at risk of experiencing depression, which in turn can affect their self-care activities. Recent evidence has shown that social support is beneficial in reducing the risk of depression and positively affecting increases in self-care activities. However, the role...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2021-12-01
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| Series: | Journal of Public Health Research |
| Subjects: | |
| Online Access: | https://www.jphres.org/index.php/jphres/article/view/2734 |
| _version_ | 1797972405534064640 |
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| author | Pandan Enggarwati Debie Dahlia Riri Maria |
| author_facet | Pandan Enggarwati Debie Dahlia Riri Maria |
| author_sort | Pandan Enggarwati |
| collection | DOAJ |
| description | Background: People with type 2 DM are at risk of experiencing depression, which in turn can affect their self-care activities. Recent evidence has shown that social support is beneficial in reducing the risk of depression and positively affecting increases in self-care activities. However, the role of social support in the relationship between depressive symptoms and self-care activities has not been studied. This study aims to determine the mediating effects of social support on the relationship between depressive symptoms and self-care activities of people with type 2 DM.
Design and methods: A cross-sectional consecutive sampling approach was used with 94 respondents with type 2 diabetes in East Jakarta, Indonesia, who were undergoing diabetes treatments during May–June 2020. The instruments used were the Centre for Epidemiologic Studies-Depression Scale (CES-D), Summary of Diabetes Self Care Activities (SDSCA), and Duke-UNC Functional Social Support Questionnaire (DUFSSQ). All three questionnaires have been tested for validity and reliability. Data analysis was carried out using multiple linear regression, path analysis, and the Sobel test.
Results: The results of multiple linear regression analysis on the variables age, sex, education level, socioeconomic status, duration of type 2 DM, and complications of type 2 DM showed that only complications of type 2 diabetes affected self-care activities (p = 0,000; R2 = 0.515). The results of the path analysis and Sobel test showed that social support significantly mediated the effects of the relationship between depressive symptoms and self-care activities (z = -0,162 > table 1.96; direct effect = -0,499; indirect effect = -0,0789; total effect = 40, 3%).
Conclusions: Screening for depressive symptoms and interventions involving social support are strongly suggested for patients with type 2 DM who are suspected of showing a decline in self-care activities. |
| first_indexed | 2024-04-11T03:47:59Z |
| format | Article |
| id | doaj.art-d1db7e2894254cb69193e6149504934b |
| institution | Directory Open Access Journal |
| issn | 2279-9028 2279-9036 |
| language | English |
| last_indexed | 2024-04-11T03:47:59Z |
| publishDate | 2021-12-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Public Health Research |
| spelling | doaj.art-d1db7e2894254cb69193e6149504934b2023-01-02T02:34:16ZengSAGE PublishingJournal of Public Health Research2279-90282279-90362021-12-0110.4081/jphr.2021.2734Social support as a mediator between depressive symptoms and self-care activities in adults patient with type 2 diabetes mellitusPandan Enggarwati0Debie DahliaRiri Maria1Faculty of Nursing, Universitas Indonesia, Depok, West JavaDepartment of Medical-Surgical Nursing, Faculty of Nursing, Universitas Indonesia, Depok, West JavaBackground: People with type 2 DM are at risk of experiencing depression, which in turn can affect their self-care activities. Recent evidence has shown that social support is beneficial in reducing the risk of depression and positively affecting increases in self-care activities. However, the role of social support in the relationship between depressive symptoms and self-care activities has not been studied. This study aims to determine the mediating effects of social support on the relationship between depressive symptoms and self-care activities of people with type 2 DM. Design and methods: A cross-sectional consecutive sampling approach was used with 94 respondents with type 2 diabetes in East Jakarta, Indonesia, who were undergoing diabetes treatments during May–June 2020. The instruments used were the Centre for Epidemiologic Studies-Depression Scale (CES-D), Summary of Diabetes Self Care Activities (SDSCA), and Duke-UNC Functional Social Support Questionnaire (DUFSSQ). All three questionnaires have been tested for validity and reliability. Data analysis was carried out using multiple linear regression, path analysis, and the Sobel test. Results: The results of multiple linear regression analysis on the variables age, sex, education level, socioeconomic status, duration of type 2 DM, and complications of type 2 DM showed that only complications of type 2 diabetes affected self-care activities (p = 0,000; R2 = 0.515). The results of the path analysis and Sobel test showed that social support significantly mediated the effects of the relationship between depressive symptoms and self-care activities (z = -0,162 > table 1.96; direct effect = -0,499; indirect effect = -0,0789; total effect = 40, 3%). Conclusions: Screening for depressive symptoms and interventions involving social support are strongly suggested for patients with type 2 DM who are suspected of showing a decline in self-care activities.https://www.jphres.org/index.php/jphres/article/view/2734depression symptomssocial supportself-care activitiestype 2 diabetes mellitus |
| spellingShingle | Pandan Enggarwati Debie Dahlia Riri Maria Social support as a mediator between depressive symptoms and self-care activities in adults patient with type 2 diabetes mellitus Journal of Public Health Research depression symptoms social support self-care activities type 2 diabetes mellitus |
| title | Social support as a mediator between depressive symptoms and self-care activities in adults patient with type 2 diabetes mellitus |
| title_full | Social support as a mediator between depressive symptoms and self-care activities in adults patient with type 2 diabetes mellitus |
| title_fullStr | Social support as a mediator between depressive symptoms and self-care activities in adults patient with type 2 diabetes mellitus |
| title_full_unstemmed | Social support as a mediator between depressive symptoms and self-care activities in adults patient with type 2 diabetes mellitus |
| title_short | Social support as a mediator between depressive symptoms and self-care activities in adults patient with type 2 diabetes mellitus |
| title_sort | social support as a mediator between depressive symptoms and self care activities in adults patient with type 2 diabetes mellitus |
| topic | depression symptoms social support self-care activities type 2 diabetes mellitus |
| url | https://www.jphres.org/index.php/jphres/article/view/2734 |
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