A Cross-sectional Study of Depressive Symptoms and Diabetes Self-care in African Americans and Hispanics/Latinos With Diabetes: The Role of Self-efficacy.
A Cross-sectional Study of Depressive Symptoms and Diabetes Self-care in African Americans and Hispanics/Latinos With Diabetes: The Role of Self-efficacy.
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DOI：
10.1177/0145721716654008
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发表时间：
2016-08
期刊：
影响因子：
--
通讯作者：
Nouwen A
中科院分区：
文献类型：
--
作者：
Hernandez R;Ruggiero L;Prohaska TR;Chavez N;Boughton SW;Peacock N;Zhao W;Nouwen A
本研究的目的是探讨抑郁症状和糖尿病自我护理之间的关系，在非洲裔美国人和西班牙裔/拉丁裔2型糖尿病患者，以及是否协会（如果有的话）介导的糖尿病相关的自我效能。样本包括参加糖尿病自我管理干预研究的年龄≥18岁的非裔美国人和西班牙裔/拉丁裔2型糖尿病患者的自我报告基线数据。采用9项患者健康问卷对抑郁症状进行评估。糖尿病自我护理活动总结测量了健康饮食，体育活动，血糖检查，足部护理和吸烟的参与。糖尿病授权量表-简表评估糖尿病相关的心理社会自我效能。使用Baron和Kenny回归技术和Sobel检验检查间接影响。样本特征（n=250）为：平均年龄53岁; 68%为女性; 54%为非洲裔美国人; 74%的收入<20，000美元。在非裔美国人组中，抑郁症状与一般饮食、特定饮食、体力活动和血糖监测等自我护理领域呈显著负相关。在西班牙裔/拉丁美洲人中，抑郁症与特定饮食呈负相关。自我效能在非裔美国人的抑郁症和足部护理之间的关系中起着重要的中介作用。自我效能介导的抑郁症和足部护理之间的关系，在非洲裔美国人组，但没有被发现是一个调解人的任何自我保健领域内的西班牙裔/拉丁美洲人组。在临床实践中，减轻抑郁症状可能会提高自我护理行为的依从性。糖尿病教育可以考虑纳入与糖尿病自我护理相关的自我效能，特别是在非洲裔美国患者中。
The purpose of this study is to examine the relationship between depressive symptoms and diabetes self-care in African American and Hispanic/Latino patients with type 2 diabetes and whether the association (if any) is mediated by diabetes-related self-efficacy. The sample included self-report baseline data of African American and Hispanic/Latino patients with type 2 diabetes aged ≥18 years enrolled in a diabetes self-management intervention study. Depressive symptoms were assessed with the 9-item Patient Health Questionnaire. The Summary of Diabetes Self-Care Activities measured engagement in healthy eating, physical activity, blood glucose checking, foot care, and smoking. The Diabetes Empowerment Scale-Short Form assessed diabetes-related psychosocial self-efficacy. Indirect effects were examined using the Baron and Kenny regression technique and Sobel testing. Sample characteristics (n=250) were: Mean age of 53 years; 68% female; 54% African American; 74% with income <$20,000. Depressive symptoms showed a significant negative association with self-care domains of general diet, specific diet, physical activity, and glucose monitoring in the African American group. In Hispanics/Latinos, depression was inversely associated with specific diet. Self-efficacy served a significant mediational role in the relation between depression and foot care among African Americans. Self-efficacy mediated the relationship between depression and foot care in the African American group, but was not found to be a mediator of any self-care areas within the Hispanic/Latino group. In clinical practice, alleviation of depressive symptoms may improve self-care behavior adherence. Diabetes education may consider inclusion of components to build self-efficacy related to diabetes self-care, especially among African American patients.
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影响因子：
7.6
作者：
BARON, RM;KENNY, DA
通讯作者：
KENNY, DA
影响因子：
--
作者：
Ciechanowski, PS;Katon, WJ;Russo, JE
通讯作者：
Russo, JE
影响因子：
2.3
作者：
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通讯作者：
Sáez-Santiago, E
影响因子：
0.5
作者：
Kroenke, K;Spitzer, RL
通讯作者：
Spitzer, RL
影响因子：
3
作者：
Ayalon, L;Young, MA
通讯作者：
Young, MA