Depression in diabetic foot ulcer: Associated factors and the impact of perceived social support and anxiety on depression

Polikandrioti, Maria; Vasilopoulos, Georgios; Κoutelekos, Ioannis; Panoutsopoulos, Georgios I.; Gerogianni, Georgia; Alikari, Victoria; Dousis, Evangelos; Zartaloudi, Afroditi

doi:10.1111/iwj.13348

Cited by 33 publications

(29 citation statements)

References 38 publications

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“…The level of HbA1c reflected the adherence characteristics of DFU patients; adherence characteristics were verified in previous study as important factors of QoL in diabetic patients (22). Polikandrioti et al also found that the decrease of social support was significantly related to the increase of depression in DFU patients and the presence of depression would further affect the QoL of patients (18). Most importantly, low psychological resilience was identified as an important risk factor of QoL in DFU participants in our study, which is similar to how it has been shown to influence patients with other diseases (13,14).…”

Section: Discussionsupporting

confidence: 56%

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Impacts of psychological resilience on self-efficacy and quality of life in patients with diabetic foot ulcers: a prospective cross-sectional study

Kuang¹,

Gu²,

Cao³

et al. 2021

Ann Palliat Med

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Background: Patients with diabetic foot ulcer (DFU) usually have a poor quality of life (QoL) and selfefficacy, which is affected by many risk factors. However, the role of psychological resilience in QoL and selfefficacy in DFU patients has remained unclear.Methods: This prospective cross-sectional study was performed in a single center from January 2018 to February 2020. A total of 98 DFU patients were enrolled in this study. Some demographic and clinical data were prospectively collected from participants. The psychological resilience of participants was assessed by Connor-Davidson resilience scale (CD-RISC). Self-efficacy was also assessed using the diabetes management self-efficacy scale (DMSES) and QoL was assessed by the 36-item short-form (SF-36) health survey. Univariable and multivariable linear regression were used to analyze the risk factors of self-efficacy and QoL. Then, logistic regression was used to analyze the predictors of psychological resilience among the participants.Results: A CD-RISC score of more than 85 points was defined as high psychological resilience in this study; there were 28 participants diagnosed with high psychological resilience and 70 patients with low psychological resilience. Those with high psychological resilience had significantly higher selfefficacy, general health, vitality, social functioning, role emotional, and mental health than those with low psychological resilience. According to multivariable linear regression, low psychological resilience and older age were identified as risk factors of self-efficacy. On the contrary, low psychological resilience, older age, lower perceived social support and higher level of glycated hemoglobin were identified as risk factors of QoL. Finally, males had lower psychological resilience than females and those receiving more social support had higher psychological resilience than participants receiving less social support.Conclusions: Some risk factors of QoL and self-efficacy were identified in this study and these results may provide some evidence for the improvement of QoL and self-efficacy in DFU patients. Being female and receiving higher social support were shown to have potential for improving psychological resilience in DFU patients.

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Section: Discussionsupporting

confidence: 56%

“…There were different grades of foot ulcer among the participants in our study, most of whom had grade 1 or grade 2 foot ulcers. Generally, most DFU participants were diagnosed with a grade of less than 4 according to a previous study (1,18). However, conditions graded as such will still incur a significant decrease in the QoL of patients.…”

Section: Discussionmentioning

confidence: 99%

Impacts of psychological resilience on self-efficacy and quality of life in patients with diabetic foot ulcers: a prospective cross-sectional study

Kuang¹,

Gu²,

Cao³

et al. 2021

Ann Palliat Med

View full text Add to dashboard Cite

show abstract

“…A meta-analysis showed that functional social support referring to the help and encouragement that is provided to individuals by their social network played an important role in medication adherence ( 49 ). Higher social support is related to better psychological health and better health outcomes ( 50 , 51 ), indicating that higher social support has more positive emotion and health behaviors, which may be an explanation for why higher social support is associated with better adherence to some extent. Furthermore, in a qualitative study, patients reported that their spouses or other caregivers provided practical support by directly helping and supervising their medication, which is important to increase their medication adherence ( 52 ).…”

Section: Discussionmentioning

confidence: 99%

Medication Adherence and Associated Factors in Patients With Type 2 Diabetes: A Structural Equation Model

Huang

Ding

Xiong

et al. 2021

Front. Public Health

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Background: The number of patients with type 2 diabetes (T2D) is increasing. Medication treatment is of great importance to stabilize blood glucose. Previous studies have reported that neuroticism, self-efficacy, and social support are factors associated with medication adherence, but few studies have fully investigated the mechanisms between these factors and medication adherence in patients with T2D.Purpose: To explore the prevalence of medication adherence and the factors associated with medication adherence in patients with T2D.Methods: A cross-sectional study consisting of 483 patients with T2D was conducted from July to December 2020. Questionnaires containing sociodemographic and clinical characteristics, the Morisky Medication Adherence Scale-8 (MMAS-8), the neuroticism subscale of the Eysenck Personality Questionnaire-Revised Short Scale (EPQ-RS), the Multidimensional Scale of Perceived Social Support (MSPSS), and the Diabetes Management Self-efficacy Scale (DMSES) were used to collect data. The structural equation model (SEM) was used to test the hypotheses.Results: This study included 305 (63.1%) medication adherence and 178 (36.9%) medication non-adherence patients with T2D. Social support directly influenced medication adherence (β = 0.115, P = 0.029) and indirectly influenced medication adherence through self-efficacy (β = 0.044, P = 0.016). Self-efficacy directly influenced medication adherence (β = 0.139, P = 0.023). Neuroticism indirectly affected medication adherence through social support (β = −0.027, P = 0.023) and self-efficacy (β = −0.019, P = 0.014). Moreover, there was a sequential mediating effect of social support and self-efficacy on the relationship between neuroticism and medication adherence (β = −0.010, P = 0.012). After controlling for age and gender, similar results were obtained. The model fit indices showed a good fit.Conclusions: The medication adherence of patients with T2D needs to be improved. Neuroticism, social support, and self-efficacy had direct or indirect effects on medication adherence in patients with T2D. Healthcare providers should comprehensively develop intervention programs based on neuroticism, social support, and self-efficacy to improve medication adherence in patients with T2D.

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“…Many studies had shown that this scale exhibited excellent psychometric properties in different cultures and were widely used in different countries [18][19][20][21]. It can be applied not only to healthy people but also to various clinical patients such as diabetes [22], breast cancer, autism and mental disorders. In brief, the PSSS is an adaptable instrument for evaluating perceived social support in a variety of samples.…”

Section: Introductionmentioning

confidence: 99%

Factor Structure and Measurement Invariance of the Perceived Social Support Scale in Women Diagnosed with Breast Cancer

Chen¹,

Han²,

Wang³

et al. 2021

Preprint

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Background: The perceived social support of breast cancer patients has a great effect on regulating their negative emotions such as anxiety and depression, which is helpful to improve their mental health level. The Perceived Social Support Scale (PSSS) is a frequently used instrument designed to assess the degree of perceived social support. However, the psychometric properties of PSSS in breast cancer patients have not been adequately studied. The purposes of this study were to evaluate the factor structure of PSSS and examine its measurement invariance across different demographic variables in a sample of breast cancer patients.Method: This study involved 989 female patients diagnosed with breast cancer, aged from 25 to 72 years old (Mean age = 47.67 years, SD = 8.87). The single-group confirmatory factor analysis was administrated to examine the factor structure of PSSS. The multi-group confirmatory factor analysis was used to demonstrate the measurement invariance of PSSS across different sociodemographic variables. Results: The PSSS had satisfactory reliability and validity in current sample. The three-factor model fit well in the overall sample and population subgroups. Configural, metric, scalar, and strict invariances were all supported by the data of breast cancer samples across different age, places of residence and educational levels.Conclusion: This study examined the factor structure and measurement invariance of PSSS across different demographic variables in women diagnosed with breast cancer. Our results proved that PSSS is suitable for use among breast cancer patients.

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Depression in diabetic foot ulcer: Associated factors and the impact of perceived social support and anxiety on depression

Cited by 33 publications

References 38 publications

Impacts of psychological resilience on self-efficacy and quality of life in patients with diabetic foot ulcers: a prospective cross-sectional study

Impacts of psychological resilience on self-efficacy and quality of life in patients with diabetic foot ulcers: a prospective cross-sectional study

Medication Adherence and Associated Factors in Patients With Type 2 Diabetes: A Structural Equation Model

Factor Structure and Measurement Invariance of the Perceived Social Support Scale in Women Diagnosed with Breast Cancer

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