Is Psychological Distress Associated with Self-Perceived Health, Perceived Social Support and Physical Activity Level in Spanish Adults with Diabetes?

Denche-Zamorano, Ángel; Pisà-Canyelles, Jofre; Barrios-Fernández, Sabina; Pastor-Cisneros, Raquel; Adsuar, José Carmelo; García-Gordillo, Miguel Ángel; Pereira-Payo, Damián; Mendoza-Muñoz, María

doi:10.3390/jpm13050739

Cited by 3 publications

(2 citation statements)

References 46 publications

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“…This finding was consistent with our hypothesis 3 and previous studies. 46 47 A cross-sectional study 48 enrolled 133 hypertensive stroke patients 6 months after discharge in China have shown the perceptions of chronic illness resources received from healthcare teams, family and friends, and the community were positively correlated with health behaviour. Tan et al 49 conducted a cross-sectional study among 350 stroke participants in China and found that PSS had a direct positive effect on rehabilitation motivation.…”

Section: Discussionmentioning

confidence: 99%

Mediation role of perceived social support between recurrence risk perception and health behaviour among patients with stroke in China: a cross-sectional study

Wang,

Zhang,

Lin

et al. 2024

BMJ Open

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ObjectivesTo examine whether patients who had a stroke with high recurrence risk perception would have healthier behaviour and to explore whether perceived social support would function as a mediator.DesignA cross-sectional study.SettingThe study was conducted in a public tertiary hospital in China.ParticipantsA total of 254 patients with stroke were invited to participate, and 250 patients with stroke completed questionnaires validly.Primary and secondary outcome measuresQuestionnaires were administered offline to collect data, consisting of four parts: general demographics and scales related to recurrence risk perception, perceived social support, and health behaviour. A path analysis and correlation analysis were used to analyse the data.ResultsOut of 250 patients with stroke, 78.4% had moderately low health behaviour. The majority (70.8%) of these patients were elderly. High recurrence risk perception and high perceived social support were significantly associated with better health behaviour (all p<0.001). Perceived social support mediated the relationship between recurrence risk perception and health behaviour after controlling for age, gender, education and monthly income in the regression model (95% CI 0.263 to 0.460) and the effect value was 0.360. It was also confirmed that perceived social support had the highest mediation effect with a proportion of mediation up to 59.31%.ConclusionsRecurrence risk perception and perceived social support were influential factors in promoting health behaviour. Moreover, the impact of recurrence risk perception on health behaviour was partially mediated by perceived social support. Therefore, to enhance the sustainability of health behaviour, it is crucial to inform patients with stroke about the risk of recurrence. Patients with more perception of recurrence risk can improve their recovery confidence and thus perceive more social support.

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Section: Discussionmentioning

confidence: 99%

Mediation role of perceived social support between recurrence risk perception and health behaviour among patients with stroke in China: a cross-sectional study

Wang,

Zhang,

Lin

et al. 2024

BMJ Open

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“…Physical self-esteem is an important factor influencing young people’s well-being. This factor is particularly relevant during adolescence and intensive development, as this is the period when personality is formed and is closely linked to young people’s mental health and well-being [ 62 ]. Body image is an important part of the complex mechanism that is self-identity.…”

Section: Discussionmentioning

confidence: 99%

Body image and willingness to change it—A study of university students in Poland

Platta,

Mikulec,

Radzymińska

et al. 2023

PLoS ONE

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The present study aimed to identify declared patterns of ideal appearance among students at selected higher education institutions in Poland. In the present study, we set out to identify the body image and the propensity to change it. In order to achieve the goal of the study, a nationwide survey was carried out using a voluntary diagnostic survey. A total of 810 respondents took part in the survey. The study was conducted using a custom-made self-designed survey questionnaire with an indirect interview technique via a web-based platform (CAWI). The study results indicate that women were far more eager to maintain an attractive appearance through dieting than men. Importantly, the respondents, both women and men, did not identify influencers as role models of attractive appearance. Results of the present survey reveal that attitudes towards one’s physical appearance are diverse and influenced by the considered factors. The attributes that determined the perception of oneself as an attractive person included height, weight, and body build. Normal body weight is a key feature of an attractive appearance, according to the respondents; nevertheless, students show a higher tolerance for being overweight than for being underweight. Furthermore, preferences in this respect are largely conditioned by individual personal characteristics. According to young people, a person with an attractive appearance is one who eats and exercises regularly, and who does not fall into extremes in terms of their appearance. On the other hand, the fear of growing fat and losing one’s attractive appearance was frequently indicated among the concerns over personal appearance. Only one in five respondents expressed complete satisfaction with how they looked, with men and those with a normal BMI significantly more likely to do so. Respondents expressed readiness to undertake a range of activities related to increased exercise regime, changes in their eating habits, or seeking assistance (e.g., of a personal trainer) to achieve the desired body shape. Our findings can be used as a basis for discussion and consideration in developing educational activities on nutrition, as well as on overweight- and obesity-related health issues.

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Psycho-social and health predictors of loneliness in older primary care patients and mediating mechanisms linking comorbidities and loneliness

Trtica,

Volarić,

Kurevija

et al. 2023

BMC Geriatr

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Background Aging is associated with many personal, social, and environmental challenges that increase the risk of loneliness. Loneliness is a painful emotional experience associated with a perceived lack of connection and intimacy. Loneliness accelerates health deterioration, but the presence of chronic health conditions (comorbidities) in older individuals may potentiate the feeling of loneliness. The relationships between health status and loneliness in older individuals have not been assessed in an integrated manner, although it is necessary for planning efficient interventions. The aim of this study was to fill in this knowledge gap, by attempting to create an integrated model of loneliness in older individuals. Methods The sample consisted of 189 (58% F) older individuals (> 60 years) (mean ± SD, 78.47 ± 6.65), attendees in Primary Health Care. Different factors associated with loneliness in the older population were assessed, and classified as demographic, environmental, physical (health-related), and psychological, in addition to functional abilities. A set of standard questionnaires was used to assess psychological factors and functional abilities. The hierarchical regression model assessed the effect of particular blocks of factors on status loneliness. The second aim was to analyze how psychological factors mediate associations between health status (comorbidity level) and loneliness. Results Indicated that increasing comorbidity, anxiety, lack of positive moods, not having hobbies/activities, low perception of social support, impaired cognitive function, and suppression of emotion expression, are significant predictors of loneliness. Mediation analysis informed us of how to help patients with comorbidities feel less lonely. Interventions that were suggested were those that can reduce anxiety and depression, improve cognitive abilities and emotional regulation control, and enhance social support. Conclusions Results can help understand the pathophysiology loops linking poor health status (comorbidity level) of older individuals and loneliness, and have significant potentials from the translational perspectives, as a decision-support tool.

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Is Psychological Distress Associated with Self-Perceived Health, Perceived Social Support and Physical Activity Level in Spanish Adults with Diabetes?

Cited by 3 publications

References 46 publications

Mediation role of perceived social support between recurrence risk perception and health behaviour among patients with stroke in China: a cross-sectional study

Mediation role of perceived social support between recurrence risk perception and health behaviour among patients with stroke in China: a cross-sectional study

Body image and willingness to change it—A study of university students in Poland

Psycho-social and health predictors of loneliness in older primary care patients and mediating mechanisms linking comorbidities and loneliness

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