Mediators of adherence among adults with comorbid diabetes and depression: The role of self-efficacy and social support

Abstract

Depression and diabetes have been linked in a variety of ways, and the presence of depression in those with diabetes can negatively affect adherence to care recommendations. A sample of 201 participants with Type 2 Diabetes completed a cross-sectional survey that assessed depressive symptoms, adherence, self-efficacy, social support, and personal characteristics. Multiple regression analysis was used to test whether self-efficacy and social support mediate the relationship between depressive symptoms and adherence. The findings suggest complete mediation via self-efficacy and some types of social support. Intervening to bolster self-efficacy and social support may decrease the negative effect of depression on adherence.

Differences in Problematic Internet Use based on Depression, Anxiety, and Stress Levels

“…At the same time, being deficient in terms of social support can cause certain physical and psychological problems (Cohen, 1988;Tovar, Rayens, Gokun, & Clark, 2015). Psychological problems such as depression (Peirce, Frone, Russell, Cooper, & Mudar, 2000), anxiety (Hipkins, Whitworth, Tarrier, & Jayson, 2004), and stress (Glozah & Pevalin, 2014) can be observed in individuals searching for social support.…”

The role of social support on the relationship of depressive symptoms to medication adherence and self‐care activities in adults with type 2 diabetes

“…This finding matches well with previous findings, which showed a similar relationship between depressive symptoms and medication adherence in diabetes patients in the US (Tovar et al . ) and Korea (Park et al . ).…”

“…This finding is similar to previous studies among patients with type 2 diabetes (Osborn & Egede , Tovar et al . ) and other chronic diseases, such as heart failure (Cene et al . ).…”

“…For example, Tovar et al . () suggested that perceived social support by healthcare providers was the most important mediator between depressive symptoms and medication adherence among different sources of social support (i.e. family, friends, significant others), although only a single item was used to measure each source of social support.…”

“…Recently, there has been a growing interest in the important role of social support on the relationship between depressive symptoms and adherence to diabetic therapy, specifically medication adherence (Tovar et al . ) and self‐care activities (Egede & Osborn , Song et al . ).…”