Psychosocial Contributors to Depressive Symptoms in Hispanic Patients With Type 2 Diabetes.

Autor:	Mansyur CL; Department of Public Health, California State University, Sacramento, California.; School of Health Professions, Baylor College of Medicine, Houston, Texas.; Dan L Duncan Comprehensive Cancer Center, Baylor College of Medicine, Houston, Texas., Rustveld LO; Department of Family and Community Medicine, Baylor College of Medicine, Houston, Texas.; School of Health Professions, Baylor College of Medicine, Houston, Texas.; Dan L Duncan Comprehensive Cancer Center, Baylor College of Medicine, Houston, Texas., Nash SG; Department of Family and Community Medicine, Baylor College of Medicine, Houston, Texas.; School of Health Professions, Baylor College of Medicine, Houston, Texas.; Dan L Duncan Comprehensive Cancer Center, Baylor College of Medicine, Houston, Texas., Jibaja-Weiss ML; School of Health Professions, Baylor College of Medicine, Houston, Texas.; Dan L Duncan Comprehensive Cancer Center, Baylor College of Medicine, Houston, Texas.
Jazyk:	angličtina
Zdroj:	The science of diabetes self-management and care [Sci Diabetes Self Manag Care] 2021 Dec; Vol. 47 (6), pp. 415-424. Date of Electronic Publication: 2021 Oct 29.
DOI:	10.1177/26350106211054420
Abstrakt:	Purpose: The purpose of this study is to identify psychosocial factors associated with depressive symptoms in Hispanic patients with diabetes and explore the extent to which their effects may vary by gender and acculturation. Methods: The authors completed a secondary analysis of data from 247 Hispanic adults with type 2 diabetes. Gender and language groups were compared using chi-square and t tests. Hierarchical multiple regression was used to examine associations of depressive symptoms with perceived support, diabetes-related distress, and social and personal factors. Results: Women reported less support than men. English speakers reported more depressive symptoms than Spanish speakers. When adjusting for age, gender, and acculturation, psychosocial factors significantly associated with depressive symptoms included less support received, greater emotional burden, and less ability to socialize or pursue normal activities because of diabetes. Conclusions: Social support provided by family among less acculturated Hispanics may play an important role in reducing emotional burden and lowering the risk of comorbid depression. The quality of interpersonal relationships and the ability to continue normal activities may also be important. More acculturated Hispanic women with diabetes may be at greater risk for comorbid depression and worse health outcomes. Screening for depression and assessment of support needs is warranted for Hispanic women.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu