Social support as a mediator between depressive symptoms and self-care activities in adults patient with type 2 diabetes mellitus

Background: People with type 2 DM are at risk of experiencing depression, which in turn can affect their self-care activities. Recent evidence has shown that social support is beneficial in reducing the risk of depression and positively affecting increases in self-care activities. However, the role...

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Autores principales:	Pandan Enggarwati, Debie Dahlia, Riri Maria
Formato:	article
Lenguaje:	EN
Publicado:	PAGEPress Publications 2021
Materias:	depression symptoms social support self-care activities type 2 diabetes mellitus Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/d1db7e2894254cb69193e6149504934b
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spelling	oai:doaj.org-article:d1db7e2894254cb69193e6149504934b2021-12-02T09:09:27ZSocial support as a mediator between depressive symptoms and self-care activities in adults patient with type 2 diabetes mellitus10.4081/jphr.2021.27342279-90282279-9036https://doaj.org/article/d1db7e2894254cb69193e6149504934b2021-12-01T00:00:00Zhttps://www.jphres.org/index.php/jphres/article/view/2734https://doaj.org/toc/2279-9028https://doaj.org/toc/2279-9036 Background: People with type 2 DM are at risk of experiencing depression, which in turn can affect their self-care activities. Recent evidence has shown that social support is beneficial in reducing the risk of depression and positively affecting increases in self-care activities. However, the role of social support in the relationship between depressive symptoms and self-care activities has not been studied. This study aims to determine the mediating effects of social support on the relationship between depressive symptoms and self-care activities of people with type 2 DM. Design and methods: A cross-sectional consecutive sampling approach was used with 94 respondents with type 2 diabetes in East Jakarta, Indonesia, who were undergoing diabetes treatments during May–June 2020. The instruments used were the Centre for Epidemiologic Studies-Depression Scale (CES-D), Summary of Diabetes Self Care Activities (SDSCA), and Duke-UNC Functional Social Support Questionnaire (DUFSSQ). All three questionnaires have been tested for validity and reliability. Data analysis was carried out using multiple linear regression, path analysis, and the Sobel test. Results: The results of multiple linear regression analysis on the variables age, sex, education level, socioeconomic status, duration of type 2 DM, and complications of type 2 DM showed that only complications of type 2 diabetes affected self-care activities (p = 0,000; R2 = 0.515). The results of the path analysis and Sobel test showed that social support significantly mediated the effects of the relationship between depressive symptoms and self-care activities (z = -0,162 > table 1.96; direct effect = -0,499; indirect effect = -0,0789; total effect = 40, 3%). Conclusions: Screening for depressive symptoms and interventions involving social support are strongly suggested for patients with type 2 DM who are suspected of showing a decline in self-care activities. Pandan EnggarwatiDebie DahliaRiri MariaPAGEPress Publicationsarticledepression symptomssocial supportself-care activitiestype 2 diabetes mellitusPublic aspects of medicineRA1-1270ENJournal of Public Health Research (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	depression symptoms social support self-care activities type 2 diabetes mellitus Public aspects of medicine RA1-1270
spellingShingle	depression symptoms social support self-care activities type 2 diabetes mellitus Public aspects of medicine RA1-1270 Pandan Enggarwati Debie Dahlia Riri Maria Social support as a mediator between depressive symptoms and self-care activities in adults patient with type 2 diabetes mellitus
description	Background: People with type 2 DM are at risk of experiencing depression, which in turn can affect their self-care activities. Recent evidence has shown that social support is beneficial in reducing the risk of depression and positively affecting increases in self-care activities. However, the role of social support in the relationship between depressive symptoms and self-care activities has not been studied. This study aims to determine the mediating effects of social support on the relationship between depressive symptoms and self-care activities of people with type 2 DM. Design and methods: A cross-sectional consecutive sampling approach was used with 94 respondents with type 2 diabetes in East Jakarta, Indonesia, who were undergoing diabetes treatments during May–June 2020. The instruments used were the Centre for Epidemiologic Studies-Depression Scale (CES-D), Summary of Diabetes Self Care Activities (SDSCA), and Duke-UNC Functional Social Support Questionnaire (DUFSSQ). All three questionnaires have been tested for validity and reliability. Data analysis was carried out using multiple linear regression, path analysis, and the Sobel test. Results: The results of multiple linear regression analysis on the variables age, sex, education level, socioeconomic status, duration of type 2 DM, and complications of type 2 DM showed that only complications of type 2 diabetes affected self-care activities (p = 0,000; R2 = 0.515). The results of the path analysis and Sobel test showed that social support significantly mediated the effects of the relationship between depressive symptoms and self-care activities (z = -0,162 > table 1.96; direct effect = -0,499; indirect effect = -0,0789; total effect = 40, 3%). Conclusions: Screening for depressive symptoms and interventions involving social support are strongly suggested for patients with type 2 DM who are suspected of showing a decline in self-care activities.
format	article
author	Pandan Enggarwati Debie Dahlia Riri Maria
author_facet	Pandan Enggarwati Debie Dahlia Riri Maria
author_sort	Pandan Enggarwati
title	Social support as a mediator between depressive symptoms and self-care activities in adults patient with type 2 diabetes mellitus
title_short	Social support as a mediator between depressive symptoms and self-care activities in adults patient with type 2 diabetes mellitus
title_full	Social support as a mediator between depressive symptoms and self-care activities in adults patient with type 2 diabetes mellitus
title_fullStr	Social support as a mediator between depressive symptoms and self-care activities in adults patient with type 2 diabetes mellitus
title_full_unstemmed	Social support as a mediator between depressive symptoms and self-care activities in adults patient with type 2 diabetes mellitus
title_sort	social support as a mediator between depressive symptoms and self-care activities in adults patient with type 2 diabetes mellitus
publisher	PAGEPress Publications
publishDate	2021
url	https://doaj.org/article/d1db7e2894254cb69193e6149504934b
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Social support as a mediator between depressive symptoms and self-care activities in adults patient with type 2 diabetes mellitus

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