Relationships Among Social Support, Coping Strategy, and Depressive Symptoms in Older Adults With Diabetes

Kong, Ling Na; Zhu, Wen Fen; He, Shan; Yu, Yongguang; Yang, Li

doi:10.3928/00989134-20190305-03

Cited by 17 publications

(12 citation statements)

References 28 publications

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“…Social support and positive coping strategies seem to protect individuals from the devastating consequences of depression and lead to a better health control. Patients need to understand that DFU is not a restriction on social life but may be perceived as a new condition that requires adaptation 35,36,37 …”

Section: Discussionmentioning

confidence: 99%

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

Polikandrioti

Vasilopoulos

Κoutelekos

et al. 2020

International Wound Journal

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Diabetic foot ulcer (DFU) exerts a heavy physical and emotional burden on patients with diabetes mellitus. The purpose of the present study was to explore the impact of anxiety and perceived social support on depression of DFU patients well as patients' characteristics associated with depression. The sample of the study consisted of 180 DFU patients. Data collected by the completion of “Self‐rating Depression/Anxiety Scale‐ Zung” (SDS/SAS) and the Multidimensional Scale of Perceived Social Support (MSPSS). Patients had moderate levels of anxiety and depression (median: 36, 42, respectively) and high levels of perceived social support from their significant ones, their family and friends (median: 24, 24, 17, respectively). After multiple regression factors that were found to have an impact on depression after taking into account all other factors, were patient's age of above 70 years, patient's anxiety and the social support they received from their significant ones. More specifically, patients aged above 70 years had 9.51 points higher depression than patients aged <50 years of age (β = 9.51, 95% CI: [0.76, 18.25], P = .034). Moreover, one point increase in patient's anxiety score indicated an increase of 0.71 points in patient's depression (β = 0.71, 95% CI: [0.43, 1.00], P = .001). On the contrary, one point increase in patient's social support from their significant ones indicated a decrease of 1.52 points in patient's depression (β = −1.52, 95% CI: [−0.25, −2.79], P = .020). Clinically, a better understanding of factors having an impact on depression on DFU may provide an essential in planning cost effective interventions.

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Section: Discussionmentioning

confidence: 99%

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

Polikandrioti

Vasilopoulos

Κoutelekos

et al. 2020

International Wound Journal

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“…Knowing that social support is linked to decreased emotional distress and improved health outcomes in persons with type 2 diabetes are congruent with current literature. A very recent report on older adults indicates that the inclusion of planning to enhance social support is essential to diminishing depressive symptoms in older adults with type 2 diabetes [38]. Higher levels of social inclusion have been reported as predictive of lower levels of blood glucose and low-density lipoprotein [39], and it has been reported that low social support is linked to shorter leukocyte telomere length which is a predictor for higher rates of cellular aging [40].…”

Section: Discussionmentioning

confidence: 99%

A systematic review of the relationships among psychosocial factors and coping in adults with type 2 diabetes mellitus

McCoy

Theeke

2019

International Journal of Nursing Sciences

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Type 2 diabetes mellitus contributes to poor health outcomes including mortality, yet there is a gap in the literature when seeking to understand the influence of psychosocial factors on coping in this population. The paper presents a systematic review of quantitative studies that examined relationships among psychosocial determinants and coping in adults with type 2 diabetes. This review is the second layer of knowledge discovery for the concept, “Taking on a life-altering change is a rhythmical journey of experiencing ups and downs on the way to acceptance.” The life-altering change was determined to be a diagnosis of type 2 diabetes, the journey is the ups and downs of coping with the diagnosis as people work toward acceptance of type 2 diabetes. The review includes a synthesis of findings from 22 quantitative studies of psychosocial factors and coping in adults with type 2 diabetes. Anxiety, depression, stress, and diabetes distress were identified as key influential psychosocial factors. Increased social support was inversely related to emotional distress and coping styles were related to social well-being, psychological health, and physical health outcomes. The positive coping style of problem-focused coping was linked to improved psychological and physical health. Emotional responses to diagnosis were related to depression and anxiety. Negative coping styles of resignation, protest, or isolation were higher in women and linked to poorer quality of life, while avoidance was linked to increased diabetes-related distress and depressive symptoms.

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“…In China, the effect of social support on mental health has been widely reported. Social support could help reduce depressive symptoms in patients with diabetes [23]. Perceived social support can reduce loneliness among adolescents [24].…”

Section: Introductionmentioning

confidence: 99%

The Association between Social Support and Cognitive Impairment among the Urban Elderly in Jinan, China

Jiang

Kong

2021

Healthcare

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China is currently facing a severe challenge of population ageing. However, no study has specifically explored the association between social support and cognitive impairment in Chinese urban elderly aged 60 and older. We explored the prevalence of cognitive impairment and its relationship with social support among the urban elderly aged above 60 years in Jinan, China. A total of 522 urban elderly individuals were recruited using multi-stage cluster random sampling, of which 35.55% were males and 64.45% were females. The average age of all participants was 69.66 ± 8.91 years old. Social support was assessed using the Social Support Rating Scale. Cognitive status was assessed using the Mini-Mental State Examination. Data were collected through face-to-face interviews using structured questionnaires. Descriptive analysis, chi-square tests, and logistic regression analyses were conducted. After analysing the data from 512 participants, 154 (30.1%), 352 (68.8%), and 6 (1.2%) participants had high, moderate, and low levels of social support, respectively. In addition, 125 participants (24.4%) had a cognitive impairment, while the other 387 participants (75.6%) had a normal cognitive status. Binary logistic regression analyses showed that age, educational level, occupation or pre-retirement occupation, and social support were statistically associated with cognitive impairment. A significant association between social support and cognitive impairment was found among the urban elderly in Jinan, China, which provided useful information for the intervention of cognitive impairment. More attention should be paid to the social support of the urban elderly to effectively reduce the occurrence of cognitive impairment.

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Relationships Among Social Support, Coping Strategy, and Depressive Symptoms in Older Adults With Diabetes

Cited by 17 publications

References 28 publications

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

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

A systematic review of the relationships among psychosocial factors and coping in adults with type 2 diabetes mellitus

The Association between Social Support and Cognitive Impairment among the Urban Elderly in Jinan, China

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