The impact of social and emotional support on serious psychological distress among people with functional disabilities and type 2 diabetes.

IF 1.8 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Chronic Illness Pub Date : 2024-09-01 Epub Date: 2024-05-15 DOI:10.1177/17423953241253874

Ya-Ching Huang, Muna Bhattarai, Emma Cho, Hyunwoo Yoon

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引用次数: 0

Abstract

Objectives: To examine the impact of social and emotional support on serious psychological distress (SPD) in individuals with type 2 diabetes (T2DM) and functional disabilities after controlling for socio-demographic factors and health status. Findings provide information for healthcare providers to enhance patients' psychological well-being.

Methods: Data from 529 adults were obtained from the 2021 National Health Interview Survey, including those who had T2DM and also reported significant difficulty or inability to perform an activity in any of the following domains: seeing, hearing, walking or climbing stairs, communicating, remembering or concentrating, or practicing self-care. Descriptive analysis and a hierarchical regression model of SPD were used.

Results: The mean age of participants was 67.88 years old, and the mean duration of diabetes diagnosis was 16.88 years. Notably, 12.5% of individuals reported SPD. A decreased likelihood of reporting SPD occurrence was associated with older age (odds ratio (OR) = 0.95), a longer duration of T2DM diagnosis (OR = 0.97), having at least a high school education (OR = 0.54), and receiving social and emotional support.

Discussion: Social and emotional support likely mitigates psychological distress, suggesting that social and emotional support resources should be enhanced, especially among individuals who are younger and those more recently diagnosed with T2DM.

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社会和情感支持对功能性残疾和 2 型糖尿病患者严重心理困扰的影响。

目的在控制社会人口因素和健康状况后，研究社会和情感支持对2型糖尿病（T2DM）和功能障碍患者严重心理困扰（SPD）的影响。研究结果将为医疗服务提供者提供信息，以提高患者的心理健康水平：从2021年全国健康访谈调查中获得了529名成年人的数据，其中包括患有T2DM并报告在以下任一领域的活动有明显困难或无能为力的人：视觉、听觉、行走或爬楼梯、交流、记忆或集中注意力或自我护理。研究采用了描述性分析和SPD分层回归模型：参与者的平均年龄为 67.88 岁，诊断糖尿病的平均时间为 16.88 年。值得注意的是，12.5% 的人报告了 SPD。报告 SPD 发生的可能性降低与年龄较大（比值比 (OR) = 0.95）、T2DM 诊断持续时间较长（比值比 = 0.97）、至少受过高中教育（比值比 = 0.54）以及获得社会和情感支持有关：讨论：社会和情感支持可减轻心理压力，这表明应加强社会和情感支持资源，尤其是对那些年龄较小、最近才被诊断出患有 T2DM 的人。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Chronic Illness Multiple-

CiteScore

3.80

自引率

0.00%

发文量

期刊介绍： Chronic illnesses are prolonged, do not resolve spontaneously, and are rarely completely cured. The most common are cardiovascular diseases (hypertension, coronary artery disease, stroke and heart failure), the arthritides, asthma and chronic obstructive pulmonary disease, diabetes and epilepsy. There is increasing evidence that mental illnesses such as depression are best understood as chronic health problems. HIV/AIDS has become a chronic condition in those countries where effective medication is available.