Mediators of adherence among adults with comorbid diabetes and depression: The role of self-efficacy and social support

Elizabeth Tovar, Mary Kay Rayens, Yevgeniya Gokun, Michele Clark

Research output: Contribution to journalArticlepeer-review

26 Scopus citations

Abstract

Depression and diabetes have been linked in a variety of ways, and the presence of depression in those with diabetes can negatively affect adherence to care recommendations. A sample of 201 participants with Type 2 Diabetes completed a cross-sectional survey that assessed depressive symptoms, adherence, self-efficacy, social support, and personal characteristics. Multiple regression analysis was used to test whether self-efficacy and social support mediate the relationship between depressive symptoms and adherence. The findings suggest complete mediation via self-efficacy and some types of social support. Intervening to bolster self-efficacy and social support may decrease the negative effect of depression on adherence.

Original languageEnglish
Pages (from-to)1405-1415
Number of pages11
JournalJournal of Health Psychology
Volume20
Issue number11
DOIs
StatePublished - Nov 1 2015

Bibliographical note

Publisher Copyright:
© 2015 SAGE Publications.

Keywords

  • adherence
  • adults
  • depression
  • self-efficacy
  • social support

ASJC Scopus subject areas

  • Applied Psychology

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