Key result
Self-care activities, specifically exercise (β=0.0181, p<0.05) and medication (β=0.0211, p<0.05), mediated the relationship between depression and glycemic control in adults with type 2 diabetes.
Why the study?
Only 26.71% of diabetic patients achieve better glycemic control in China, making it important to investigate the potential mechanisms linking negative emotions and glycemic control.
Do self-care activities mediate the relationship between depression and glycemic control in adults with type 2 diabetes?
Cross-Sectional (n=400)
No
Do self-care activities mediate the relationship between depression and glycemic control in adults with type 2 diabetes?
Self-care activities such as exercise and medication adherence mediate the negative impact of depression on glycemic control in patients with type 2 diabetes.
Answers are grounded in this paper and cite their sources.
May support addressing self-care in depressed T2D patients; hypothesis-generating and requires longitudinal confirmation.
Glycemic control has become a focus of concern among diabetic patients. However, only 26.71% of patients achieved better glycemic control in China. Given the complexity of glycemic control, it is worth investigating the potential mechanisms between negative emotions and glycemic control. A total of 428 participants were recruited from a tertiary hospital (the number of hospital beds>500). They completed questionnaires consisting of demographics, Zung Self-Assessed Anxiety Scale(SAS), Zung Self-Assessed Depression Scale(SDS), and the Summary of Diabetes Self-Care Activities (SDSCA). HbA1 c was used to measure glycemic control. Descriptive analysis, Pearson correlation analysis, and Bootstrap analysis were conducted to analyze data. A total of 428 questionnaires were distributed, with 28 invalid questionnaires (93.46% were valid). Depression and self-care activities (exercise, medication) were associated with glycemic control. At the same time, the Bootstrap analysis revealed that self-care activities (exercise: standardized coefficient β = 0.0181, p < 0.05, medication: standardized coefficient β = 0.0211, p < 0.05) mediated the relationship between depression and glycemic control.
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Song et al. (2020) conducted a cross-sectional in Type 2 diabetes (n=400). Depression and self-care activities was evaluated on Glycemic control (measured by HbA1c) (standardized coefficient β = 0.0181 (exercise), β = 0.0211 (medication), p=<0.05). Self-care activities, specifically exercise (β=0.0181, p<0.05) and medication (β=0.0211, p<0.05), mediated the relationship between depression and glycemic control in adults with type 2 diabetes.
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