The impact of diabetes stigma on psychological, behavioral and clinical outcomes in young and middle-aged Chinese patients with type 2 diabetes mellitus: the moderating effects of psychosocial factors.

IF 1.9 3区心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY

Psychology & Health Pub Date : 2025-08-28 DOI:10.1080/08870446.2025.2552234

Tianyu Ma, Anan Li, Yanxia Han, Qing Jiang, Yunying Hou

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引用次数: 0

Abstract

Objective: Diabetes stigma may lead to poor psychological health and self-management behaviors, resulting in adverse clinical outcomes. This study aimed to explore the associations between diabetes stigma and psychological, behavioral, and clinical outcomes and the moderating effects of hope, self-esteem, and social support in young and middle-aged Chinese patients with type 2 diabetes mellitus (T2DM).

Methods: A cross-sectional investigation (N = 300) was conducted. First, diabetes stigma, psychological (anxiety, depression, and distress), behavioral (diet, exercise, blood glucose testing, and foot care), and clinical outcomes (baseline HbA1c) and psychosocial moderators (hope, self-esteem, and social support) were assessed. Second, 3-month post-discharge HbA1c was assessed. Linear regression models were used to analyze data.

Results: Diabetes stigma was positively associated with anxiety, depression, and distress. Hope negatively moderated the association between public stigma and anxiety. Hope and self-esteem negatively moderated the associations between diabetes stigma and depression. Social support negatively moderated the association between public stigma and depression. Self-esteem positively moderated the association between self-stigma and distress.

Conclusions: Decreasing diabetes stigma can improve psychosocial health among young and middle-aged Chinese patients with T2DM, and interventions targeting hope, self-esteem, and social support can decrease the negative impact of diabetes stigma on psychological outcomes.

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糖尿病污名对中国中青年2型糖尿病患者心理、行为和临床结局的影响：心理社会因素的调节作用

目的：糖尿病耻辱感可能导致心理健康和自我管理行为不良，从而导致不良的临床结局。本研究旨在探讨糖尿病耻辱感与中国中青年2型糖尿病（T2DM）患者心理、行为和临床结局的关系，以及希望、自尊和社会支持的调节作用。方法：进行横断面调查（N = 300）。首先，对糖尿病污名、心理（焦虑、抑郁和痛苦）、行为（饮食、运动、血糖测试和足部护理）、临床结果（基线HbA1c）和社会心理调节因子（希望、自尊和社会支持）进行评估。其次，评估出院后3个月的HbA1c。采用线性回归模型对数据进行分析。结果：糖尿病病耻感与焦虑、抑郁和痛苦呈正相关。希望负向调节公众耻辱和焦虑之间的关联。希望和自尊负向调节糖尿病耻辱感和抑郁之间的关联。社会支持负向调节公众耻辱感与抑郁之间的关系。自尊正向调节自我耻辱感与痛苦之间的关联。结论：减少糖尿病耻辱感可以改善中国中青年2型糖尿病患者的心理健康状况，以希望、自尊和社会支持为目标的干预可以减少糖尿病耻辱感对心理结局的负面影响。

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

Psychology & Health Multiple-

CiteScore

7.30

自引率

3.00%

发文量

期刊介绍： Psychology & Health promotes the study and application of psychological approaches to health and illness. The contents include work on psychological aspects of physical illness, treatment processes and recovery; psychosocial factors in the aetiology of physical illnesses; health attitudes and behaviour, including prevention; the individual-health care system interface particularly communication and psychologically-based interventions. The journal publishes original research, and accepts not only papers describing rigorous empirical work, including meta-analyses, but also those outlining new psychological approaches and interventions in health-related fields.