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

doi:10.1177/1359105313512514

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 journal › Article › peer-review

29 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 language	English
Pages (from-to)	1405-1415
Number of pages	11
Journal	Journal of Health Psychology
Volume	20
Issue number	11
DOIs	https://doi.org/10.1177/1359105313512514
State	Published - Nov 1 2015

Bibliographical note

Publisher Copyright:
© 2015 SAGE Publications.

Keywords

adherence
adults
depression
self-efficacy
social support

ASJC Scopus subject areas

Applied Psychology

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1177/1359105313512514

Cite this

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AB - 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.

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

Abstract

Bibliographical note

Keywords

ASJC Scopus subject areas

UN SDGs

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