The Mediating Role of Emotional Self-Efficacy in the Relationship Between the Number of Medications and Psychological Distress Among Older Adults with Chronic Illness.
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Abstract
Purpose: The present study aimed to examine the associations between the number of medications, emotional self-efficacy, and psychological distress in older adults with chronic illness.
Design: A cross-sectional study was conducted with a convenience sample of 191 older adults in Anhui, China.
Methods: Those participants completed a structured questionnaire that included sociodemographic data, medications, emotional self-efficacy, and psychological distress status. Pearson correlation analysis was used to examine the correlation between study variables. The bootstrap method was employed to analyze the mediating role of emotional self-efficacy.
Findings: The results showed that 10.5% and 14.1% of the participants might be experiencing symptoms of anxiety and depression, respectively. Correlation analysis revealed that emotional self-efficacy was negatively correlated with anxiety and depression. The results showed that emotional self-efficacy partially mediated the relationship between the number of medications and depression, accounting for 51.9% of the total effect. Additionally, emotional self-efficacy partially mediated the relationship between the number of medications and anxiety, accounting for 50.8% of the total effect. However, a suppressor effect was established for the relationship between the number of medications and polypharmacy-related psychological distress.
Conclusions: The findings suggested that emotional self-efficacy might play an important role in the relationship between the number of medications and psychological distress in Chinese older adults with chronic illness.
期刊介绍：
This innovative publication focuses on health care issues relevant to all aspects of community practice -- home health care, visiting nursing services, clinics, hospices, education, and public health administration. Well-researched articles provide practical and up-to-date information to aid the nurse who must frequently make decisions and solve problems without the back-up support systems available in the hospital. The journal is a forum for community health professionals to share their experience and expertise with others in the field.
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