Loneliness, perceived social support, and their changes predict medical adherence over 12 months among patients with coronary heart disease

IF 3.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology Pub Date : 2024-05-23 DOI:10.1111/bjhp.12732

Yunge Fan, Biing-Jiun Shen, Moon-Ho Ringo Ho

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引用次数: 0

Abstract

Objectives

This study investigated whether changes in loneliness and perceived social support predicted medical adherence in patients with coronary heart disease (CHD) over 12 months. Moreover, short-term and long-term buffering effects of social support on the association between loneliness and medical adherence were systematically examined.

Design

A three-wave longitudinal study.

Methods

Participants were 255 CHD patients with a mean age of 63 years. Medical adherence, loneliness, and perceived social support were assessed at baseline, 3 months, and 12 months. Hierarchical regression analyses were conducted to examine the influences of loneliness and social support as well as their changes on medical adherence over 12 months. Moderation analyses were performed to test buffering effects of baseline social support and its changes against loneliness and its changes, respectively.

Results

Changes in loneliness significantly predicted medical adherence at 12 months (β = −.23, p = .001) but not at 3 months (β = −.10, p = .142). Changes in social support predicted medical adherence at both 3 (β = .23, p = .002) and 12 months (β = .26, p = .001). Social support concurrently buffered the adverse impact of loneliness on medical adherence (B = .29, SE = .12, p = .020) at baseline but did not at 3 or 12 months (Bs = −.21 to .40, SEs = .12 to .30, ps = .177 to .847).

Conclusions

Findings highlight the importance of monitoring loneliness and perceived social support continuously over time for CHD patients to promote medical adherence.

查看原文本刊更多论文

孤独感、感知到的社会支持及其变化可预测冠心病患者在 12 个月内坚持治疗的情况。

研究目的本研究调查了孤独感和感知到的社会支持的变化是否能预测冠心病（CHD）患者在12个月内的医疗依从性。此外，还系统研究了社会支持对孤独感与坚持治疗之间关系的短期和长期缓冲作用：设计：三波纵向研究：参与者为255名心脏病患者，平均年龄为63岁。分别在基线、3 个月和 12 个月时对医疗依从性、孤独感和感知到的社会支持进行评估。进行了层次回归分析，以研究孤独感和社会支持的影响因素及其在 12 个月内对坚持医疗的影响变化。同时还进行了调节分析，分别检验基线社会支持及其变化对孤独感及其变化的缓冲作用：结果：孤独感的变化能显著预测 12 个月的医疗依从性（β = -.23，p = .001），但不能预测 3 个月的医疗依从性（β = -.10，p = .142）。社会支持的变化可预测 3 个月 (β = .23, p = .002) 和 12 个月 (β = .26, p = .001) 的医疗依从性。在基线时，社会支持可同时缓冲孤独感对坚持医疗的不利影响（B = .29，SE = .12，P = .020），但在3个月或12个月时却不能（Bs = -.21 to .40，SEs = .12 to .30，Ps = .177 to .847）：研究结果凸显了对心脏病患者的孤独感和感知到的社会支持进行长期持续监测以促进其坚持治疗的重要性。

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

British Journal of Health Psychology PSYCHOLOGY, CLINICAL-

CiteScore

14.10

自引率

1.30%

发文量

期刊介绍： The focus of the British Journal of Health Psychology is to publish original research on various aspects of psychology that are related to health, health-related behavior, and illness throughout a person's life. The journal specifically seeks articles that are based on health psychology theory or discuss theoretical matters within the field.