Key result
Higher self-efficacy is linked to fewer depressive symptoms via positive coping in hospitalized T2D patients.
Why the study?
Depressive symptoms are prevalent in type 2 diabetes mellitus, but empirical evidence is missing regarding whether coping style mediates the relationship between general self-efficacy and depressive symptoms.
Does coping style preference mediate the association between general self-efficacy and depressive symptoms in persons with type 2 diabetes mellitus?
Cross-Sectional (n=721)
Does coping style preference mediate the association between general self-efficacy and depressive symptoms in persons with type 2 diabetes mellitus?
p-value: p=< 0.01
In hospitalized patients with type 2 diabetes, higher general self-efficacy is associated with fewer depressive symptoms, a relationship mediated by a preference for positive coping styles.
No practice change indicated for T2DM depression care; leaves open whether self-efficacy interventions improve outcomes.
Background: Depressive symptoms are prevalent in persons with type 2 diabetes mellitus and related with poor disease outcomes. Both general self-efficacy and coping style are associated with depressive symptoms. A model about proactive coping indicates that coping style plays a mediation role between general self-efficacy and depressive symptoms. But, empirical evidence is missing about this potential mediation relationship which may be a barrier of taking precise strategies for relieving depressive symptoms. Objective: This study aims to investigate the prevalence of elevated depressive symptoms in persons with type 2 diabetes mellitus and explore whether coping style preference mediates the association between general self-efficacy and depressive symptoms. Methods: This was a secondary data analysis of a cross-sectional survey (June–July 2017) among 721 persons with type 2 diabetes mellitus (45.4% male and 54.6% female) aged from 22 to 96 years old. Data on general self-efficacy, coping style preference and depressive symptoms were collected using validated questionnaires in hospital setting. The mediation model was tested using the bootstrapping ( K =5000) in the MPlus program version 7.4. The results were reported following the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines. Results: The prevalence of elevated depressive symptoms was 58% (n = 418) among persons with type 2 diabetes mellitus at hospital setting. A higher level of general self-efficacy was related to less depressive symptoms via positive coping preference ( p < 0.01). Discussion: About two-thirds of persons with type 2 diabetes mellitus experienced elevated depressive symptoms during hospitalization. The intervention elements, including strengthening general self-efficacy and promoting positive coping, are promising to decrease their depressive symptoms.
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Li et al. (2022) conducted a cross-sectional in type 2 diabetes mellitus (n=721). General self-efficacy and coping style preference was evaluated on Elevated depressive symptoms and mediation by coping style preference (p=< 0.01). Higher general self-efficacy was associated with fewer depressive symptoms via positive coping preference (p<0.01) among hospitalized patients with type 2 diabetes, 58% of whom had elevated symptoms.
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