Key result
The relationship between subjective social status and emotional well-being in heart failure patients is mediated by social connectedness and self-care confidence in serial (effect 0.008; 95% CI 0.001-0.028).
Why the study?
Little is known about the relationship between subjective social status and well-being, or its underlying mechanisms, in patients with heart failure.
Cross-Sectional (n=296)
No
Effect estimate: effect 0.008 (95% CI 0.001-0.028)
In patients with heart failure, higher subjective social status is associated with better emotional well-being, a relationship mediated by social connectedness and self-care confidence.
Social connectedness and self-care confidence may mediate SSS-well-being links in HF; hypothesis-generating, needs prospective confirmation.
BACKGROUND: Previous studies have shown that subjective social status (SSS) was positively associated with well-being in various populations. However, little is known about the relationship considering the underlying mechanism in patients with heart failure (HF). AIMS: The aim was to study the effects of social connectedness and self-care confidence on the relationship between SSS and well-being in patients with HF according to the Reserve Capacity Model. METHODS AND RESULTS: We recruited 296 patients from a general hospital using convenience sampling. SSS, social connectedness, self-care confidence, and well-being were assessed using self-reported questionnaires. A multiple mediation model was examined using the PROCESS macro in SPSS.Higher levels of SSS (r = 0.18, P < 0.01), social connectedness (r = 0.21, P < 0.01), and self-care confidence (r = 0.20, P < 0.01) were positively correlated with better emotional well-being, but not with physical well-being. The multiple mediation analysis revealed that the relationship between SSS and emotional well-being was mediated by social connectedness (effect: 0.061, 95% CI [0.014, 0.148]) and self-care confidence (effect: 0.110, 95% CI [0.006, 0.249]) separately, and together in serial (effect: 0.008, 95% CI [0.001, 0.028]). CONCLUSIONS: Social connectedness and self-care confidence are multiple mediators of the relationship between SSS and emotional well-being. Interventions targeting to strengthening social connectedness and self-care confidence may improve emotional well-being directly. In addition, emotional well-being may be improved by enhancing SSS indirectly in patients with HF.
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Chen et al. (2021) conducted a cross-sectional in Heart failure (n=296). Subjective social status was evaluated on Serial mediation of social connectedness and self-care confidence on the relationship between subjective social status and emotional well-being (effect 0.008, 95% CI 0.001-0.028). The relationship between subjective social status and emotional well-being in heart failure patients is mediated by social connectedness and self-care confidence in serial (effect 0.008; 95% CI 0.001-0.028).
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