Trajectories of social support in adults with type 2 diabetes: Associations with depressive symptoms and functional disability
Trajectories of social support in adults with type 2 diabetes: Associations with depressive symptoms and functional disability
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DOI：
10.1002/gps.5042
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发表时间：
2019-03-01
影响因子：
4
通讯作者：
Schmitz, Norbert
中科院分区：
文献类型：
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作者：
Levy, Melanie;Deschenes, Sonya S.;Schmitz, Norbert
目的对成人2型糖尿病(T2D)患者社会支持的时间轨迹及其与糖尿病相关结局的关系知之甚少。这项研究确定并探索了T2D成人社区样本中不同的社会支持轨迹，以及不同轨迹与抑郁症状和功能残疾的前瞻性关联程度。方法数据来源于糖尿病治疗评价研究的5个年度波动(N=1077)。通过自我报告评估社会支持、抑郁症状和功能残疾。对社会支持轨迹、抑郁症状和功能残疾之间的关系进行了单独的分析，对人口统计特征、糖尿病相关协变量以及基线抑郁症状和功能残疾进行了调整。结果隐性班级成长模型确定了四条不同的社会支持轨迹。轨迹组1和2分别由社会支持持续偏低和持续中等偏低的参与者组成。轨迹组3和4分别包括具有持续中高社会支持和持续高社会支持的参与者。持续低社会支持的人报告的功能残疾高于持续的中高社会支持和持续高社会支持的人。结论本研究的结果表明，社会支持的时间模式是成人T2D患者未来功能障碍的预测因子。
Objectives Little is known about temporal trajectories of social support in adults with type 2 diabetes (T2D) and how they are associated with diabetes-related outcomes. This study identified and explored different trajectories of social support in a community sample of adults with T2D, as well as the extent to which different trajectories were prospectively associated with depressive symptoms and functional disability. Methods Data came from five annual waves of the Evaluation of Diabetes Treatment study (N = 1077). Social support, depressive symptoms, and functional disability were assessed via self-report. Separate analyses were conducted to examine the associations between social support trajectories, depressive symptoms, and functional disability, adjusting for demographic characteristics, diabetes-related covariates, and baseline depressive symptoms and functional disability. Results Latent class growth modeling identified four distinct social support trajectories. Trajectory Groups 1 and 2 comprised participants with persistently low and persistently moderate-low social support, respectively. Trajectory Groups 3 and 4 included participants with persistently moderate-high and persistently high social support, respectively. People with persistently low social support reported higher functional disability relative to those with persistently moderate-high and persistently high social support. Conclusions The findings of the present study indicate that temporal patterns of social support are a predictor of future functional disability among adults with T2D.