Self-efficacy mediates the relationship of depressive symptoms and social support with adherence in patients with heart failure

被引：21
|
作者：
Tovar, Elizabeth G. [1 ]
Dekker, Rebecca L. [1 ]
Chung, Misook L. [1 ]
Gokun, Yevgeniya [1 ]
Moser, Debra K. [1 ]
Lennie, Terry A. [1 ]
Rayens, Mary Kay [1 ]
机构：
[1] Univ Kentucky, Lexington, KY 40506 USA
来源：
JOURNAL OF HEALTH PSYCHOLOGY | 2016年 / 21卷 / 11期
基金：
美国国家卫生研究院;
关键词：
adherence; depression; heart; self-efficacy; social support; MEDICATION ADHERENCE; EUROPEAN-SOCIETY; CARE MANAGEMENT; DISEASE; NONCOMPLIANCE; ASSOCIATION; GUIDELINES; SURVIVAL; BEHAVIOR; ADULTS;
D O I：
10.1177/1359105315583369
中图分类号：
B849 [应用心理学];
学科分类号：
040203 ;
摘要：
Poor self-care is common among adults with heart failure and leads to poor health outcomes. Low self-efficacy, depression, and low social support are associated with poor self-care, but knowledge about these relationships in heart failure is limited. Secondary data analysis of cross-sectional data from 346 adults with heart failure measuring self-efficacy, depressive symptoms, social support, and self-care adherence was conducted. Tests of mediation using multiple linear regressions indicate that self-efficacy fully mediates the relationships between depression and adherence, and social support and adherence. Bolstering self-efficacy may have a greater impact on self-care adherence than targeting either depression or social support alone.
引用
收藏
页码：2673 / 2683
页数：11
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