The Association between Diabetes Complications, Diabetes Distress, and Depressive Symptoms in Patients with Type 2 Diabetes Mellitus

被引：24
|
作者：
Yang, Qian-Qian [1 ]
Sun, Ji-Wei [1 ,2 ]
Shao, Di [3 ]
Zhang, Hui-Hui [4 ]
Bai, Cai-Feng [1 ]
Cao, Feng-Lin [1 ]
机构：
[1] Shandong Univ, Cheeloo Coll Med, Sch Nursing, 44 Wenhua Xi Rd, Jinan 250012, Shandong, Peoples R China
[2] Shandong Univ, Cheeloo Coll Med, Sch Med, Jinan, Shandong, Peoples R China
[3] Shandong Univ, Cheeloo Coll Med, Sch Hlth Care Management, Jinan, Shandong, Peoples R China
[4] Shandong Univ, Qilu Hosp, Cheeloo Coll Med, Jinan, Shandong, Peoples R China
来源：
CLINICAL NURSING RESEARCH | 2021年 / 30卷 / 03期
关键词：
type; 2; diabetes; diabetes complications; diabetes distress; depressive symptoms; PSYCHOLOGICAL DISTRESS; HEALTH QUESTIONNAIRE; MAJOR DEPRESSION; FOLLOW-UP; VALIDATION; PEOPLE; SCREEN; ADULTS; CAUSAL; LIFE;
D O I：
10.1177/1054773820951933
中图分类号：
R47 [护理学];
学科分类号：
1011 ;
摘要：
This study investigated the association between diabetes complications, diabetes distress, and depressive symptoms in patients with type 2 diabetes mellitus. A total of 600 patients with type 2 diabetes mellitus were included in this study. Data were collected using the Diabetes Distress Scale and the nine-item Patient Health Questionnaire. The results showed that both diabetes complications and diabetes distress were positively associated with depressive symptoms, and diabetes distress attenuated the association between diabetes complications and depressive symptoms. The Sobel test confirmed the mediating effect of diabetes distress. Patients with both diabetes complications and diabetes distress had a higher risk of depressive symptoms than those with diabetes complications or diabetes distress alone. This study indicates that the positive association between diabetes complications and depressive symptoms is persistent and mediated by diabetes distress, and the comorbidity of diabetes complications and diabetes distress has an additive interaction effect on depressive symptoms.
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页码：293 / 301
页数：9
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