Psychiatry Investig.
2024 Sep;21(9):1033-1044. 10.30773/pi.2024.0024.
Social Support, Coping Strategies, Depression, Anxiety, and Cognitive Function Among People With Type 2 Diabetes Mellitus: A Path Analysis
- Affiliations
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- 1Department of Nephrology, Xiangya Hospital, Central South University, Changsha, China
- 2Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, China
- 3Department of Human Resources, Central Hospital Affiliated to Shandong First Medical University, Jinan, China
- 4Department of Toxicology, Xiangya School of Public Health, Central South University, Changsha, China
- 5Infection Control Center, Xiangya Hospital, Central South University, Changsha, China
- 6Department of Preventive Medicine, Changzhi Medical College, Changzhi, China
- KMID: 2559035
- DOI: http://doi.org/10.30773/pi.2024.0024
Abstract
Objective
To explore the linear associations between social support, coping strategies, depression, anxiety, and cognitive function among people with type 2 diabetes mellitus (T2DM) using a path-analytic method.
Methods
This cross-sectional study enrolled 496 individuals hospitalized due to T2DM. Well-trained investigators conducted face-to-face interviews with the participants using the Social Support Rating Scale, the Chinese version of Medical Coping Modes Questionnaire, the Hospital Anxiety and Depression scale, and the Mini Mental State Examination to measure social support (including objective support, subjective support, and support utilization), coping strategies (including confrontation, avoidance, and acceptance-resignation), depression/anxiety, and cognitive function, respectively. A path analysis was used to elucidate the linear associations between social support, coping strategies, depression, anxiety, and cognitive function.
Results
In the final path model with satisfactory model fit, objective support was found to be associated with cognitive function not only directly but also indirectly through confrontation coping and depression, and acceptance-resignation coping and depression/anxiety. Further, subjective support was found to be associated with cognitive function indirectly through depression/anxiety, as well as serially through acceptance-resignation coping and depression/anxiety. Support utilization was found to be associated with cognitive function indirectly through confrontation coping and depression, as well as through acceptance-resignation coping and depression/anxiety.
Conclusion
Social support, coping strategies, depression, and anxiety were associated with cognitive function among people with T2DM, and these associations were best explained by a serial mediation model from social support, coping strategies, and depression and anxiety to cognitive function.
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