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The chain mediating role of self-efficacy and anxiety in the relationship between social support and well-being of elderly patients with chronic diseases
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Si-yu ZHENG1, Si-si ZHONG1, Jiang-yun CHEN2, Wan-yi SUN1, Zi-cheng WANG1, Yi-bo WU3, Zhen-ni LUO1
Modern Preventive Medicine | 2024, 51(1) : 105 - 110
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Modern Preventive Medicine | 2024, 51(1): 105-110
Health and Social Behavior
The chain mediating role of self-efficacy and anxiety in the relationship between social support and well-being of elderly patients with chronic diseases
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Si-yu ZHENG1, Si-si ZHONG1, Jiang-yun CHEN2, Wan-yi SUN1, Zi-cheng WANG1, Yi-bo WU3, Zhen-ni LUO1
Affiliations
  • School of Health Management, Guangzhou Medical University, Guangzhou, Guangdong 511436, China
Published: 2024-01-10 doi: 10.20043/j.cnki.MPM.202308084
Outline
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Objective

To explore the chain mediating effect of self-efficacy and anxiety on social support and well-being in elderly patients with chronic diseases.

Methods

In total 2 177 elderly patients with chronic diseases ≥ 60 years old in the 2022 psychological and behavioral survey of Chinese residents were investigated using perceived social support scale (PSSS), World Health Organization Five item Well-being Index (WHO-5), New General self-efficacy scale (NGSES), and Generalized Anxiety Disorder (GAD-7). The Process plug-in of SPSS was used, and the chain mediating effect test was carried out by Bootstrap method.

Results

Self-efficacy and anxiety played a chain mediating role in the relationship between social support and well-being. Among them, the direct effect of social support on well-being was significant (β=0.345, 95%CI: 0.330-0.432), the individual mediating effect of self-efficacy was significant (β=0.201, 95%CI: 0.164-0.240), the single mediating effect of anxiety was significant (β=0.029, 95%CI: 0.006-0.016), and the chain mediating effect of self-efficacy-anxiety was significant (β=0.006, 95%CI: 0.002-0.013).

Conclusion

Social support can affect the well-being of elderly patients with chronic diseases through the individual or chain mediation of self-efficacy and anxiety, which provides a theoretical basis for improving the well-being of this population.

Chronic diseases  /  Elderly  /  Social support  /  Well-being  /  Self-efficacy
Si-yu ZHENG, Si-si ZHONG, Jiang-yun CHEN, Wan-yi SUN, Zi-cheng WANG, Yi-bo WU, Zhen-ni LUO. The chain mediating role of self-efficacy and anxiety in the relationship between social support and well-being of elderly patients with chronic diseases[J]. Modern Preventive Medicine, 2024 , 51 (1) : 105 -110 . DOI: 10.20043/j.cnki.MPM.202308084
Year 2024 volume 51 Issue 1
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doi: 10.20043/j.cnki.MPM.202308084
  • Receive Date:2023-08-08
  • Online Date:2026-03-19
  • Published:2024-01-10
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  • Received:2023-08-08
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    School of Health Management, Guangzhou Medical University, Guangzhou, Guangdong 511436, China
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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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