Assessing the relationship between multimorbidity, psychosocial variables, and clinical outcomes among older adults living in rural Appalachia.

IF 2.5 3区心理学 Q2 PSYCHOLOGY, CLINICAL

Journal of Health Psychology Pub Date : 2024-12-12 DOI:10.1177/13591053241302131

Brittany L Smalls, Adebola O Adegboyega, Courtney L Ortz, Patience E Simon-Okube, Philip M Westgate, Nancy E Schoenberg

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Abstract

The objective of this study was to assess the relationship between multimorbidity, psychosocial variables, and clinical outcomes among older adults with type 2 diabetes (T2D) in rural Appalachia. Point-of-care clinical data (e.g. A1c, systolic blood pressure, diastolic blood pressure) and self-reported survey data, that includes psychosocial factors (e.g. distress, depressive symptoms, social support, perceived stress), chronic conditions, and sociodemographic variables were obtained from older adults living in rural Appalachia. Clinical data and psychosocial variables were treated as outcome variables, whereas the number of comorbid conditions was treated as the predictor variable. Stress was significantly associated with multimorbidity (β = 0.24, SE = 0.08, p = 0.01). However, T2D distress, social support, disability, and depression did not have statistically significant relationships with multimorbidity. Further research should assess the role of stress on psychosocial factors and clinical outcomes in rural-dwelling older adults.

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评估阿巴拉契亚农村老年人多病、社会心理变量和临床结果之间的关系。

本研究的目的是评估阿巴拉契亚农村地区老年2型糖尿病（T2D）患者的多病、社会心理变量和临床结局之间的关系。从生活在阿巴拉契亚农村的老年人中获得了护理点临床数据（如糖化血红蛋白、收缩压、舒张压）和自我报告的调查数据，其中包括心理社会因素（如痛苦、抑郁症状、社会支持、感知压力）、慢性病和社会人口变量。临床数据和社会心理变量被视为结果变量，而合并症的数量被视为预测变量。应激与多发病显著相关（β = 0.24, SE = 0.08, p = 0.01）。然而，T2D痛苦、社会支持、残疾和抑郁与多重发病率没有统计学上的显著关系。进一步的研究应评估压力对农村老年人社会心理因素和临床结果的作用。

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

Journal of Health Psychology PSYCHOLOGY, CLINICAL-

CiteScore

7.50

自引率

3.10%

发文量

期刊介绍： ournal of Health Psychology is an international peer-reviewed journal that aims to support and help shape research in health psychology from around the world. It provides a platform for traditional empirical analyses as well as more qualitative and/or critically oriented approaches. It also addresses the social contexts in which psychological and health processes are embedded. Studies published in this journal are required to obtain ethical approval from an Institutional Review Board. Such approval must include informed, signed consent by all research participants. Any manuscript not containing an explicit statement concerning ethical approval and informed consent will not be considered.