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Effects of depressive symptoms on self-efficacy in community patients with type 2 diabetes: the mediating role of diabetes distress
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Lei YUAN1, Li-jun LU1, Jin-hang ZHAO1, Ying YANG2, Dian-jiang LI1, Jia-ping CHEN1, Xiao-na LI1, Si-jun LIU1
Modern Preventive Medicine | 2024, 51(8) : 1358 - 1363
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Modern Preventive Medicine | 2024, 51(8): 1358-1363
• Epidemiology and Statistical Methods Advances •
Effects of depressive symptoms on self-efficacy in community patients with type 2 diabetes: the mediating role of diabetes distress
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Lei YUAN1, Li-jun LU1, Jin-hang ZHAO1, Ying YANG2, Dian-jiang LI1, Jia-ping CHEN1, Xiao-na LI1, Si-jun LIU1
Affiliations
  • School of Public Health, Nanjing Medical University, Nanjing, Jiangsu 211166, China
Published: 2024-04-25 doi: 10.20043/j.cnki.MPM.202311510
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Objective

To analyze the effects of diabetes distress (DD) and depressive symptoms (DS) on self-efficacy in community patients with type 2 diabetes mellitus (T2DM), and to explore the mediating effect of DD on DS and self-efficacy.

Methods

A total of 648 community patients with T2DM in Nanjing were selected by convenience sampling method and investigated with the general information questionnaire, Diabetes Distress Scale, 9-item Patient Health Questionnaire and Diabetes self-efficacy Scale. A multiple linear regression model was used to analyze the influencing factors of self-efficacy, and mediating effect analysis was used to explore the mediating role of DD.

Results

The prevalence of DD and DS was 27.5% and 40.4%, respectively, and the self-efficacy score was 3.82±0.60. DD and DS were significantly positively correlated (r=0.56, P<0.01), and both were negatively correlated with self-efficacy. DD (β=-0.34, P<0.01) and DS (β=-0.16, P<0.01) were the influencing factors of self-efficacy, and DD had a partial mediating effect between DS and self-efficacy, Bootstrap 95%confidence interval was -0.28--0.16 (P<0.01).

Conclusion

Community health workers need to conduct early screening and treatment of DD and DS in T2DM patients, which can help improve patients’ self-efficacy inmanaging the disease.

Type 2 diabetes mellitus  /  Diabetes distress  /  Depressive symptoms  /  Self-efficacy  /  Mediating effect
Lei YUAN, Li-jun LU, Jin-hang ZHAO, Ying YANG, Dian-jiang LI, Jia-ping CHEN, Xiao-na LI, Si-jun LIU. Effects of depressive symptoms on self-efficacy in community patients with type 2 diabetes: the mediating role of diabetes distress[J]. Modern Preventive Medicine, 2024 , 51 (8) : 1358 -1363 . DOI: 10.20043/j.cnki.MPM.202311510
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Year 2024 volume 51 Issue 8
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doi: 10.20043/j.cnki.MPM.202311510
  • Receive Date：2023-11-28
  • Online Date：2026-03-16
  • Published：2024-04-25
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  • Received：2023-11-28
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    School of Public Health, Nanjing Medical University, Nanjing, Jiangsu 211166, China
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表12种不同金属材料的力学参数
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小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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