{"title":"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。","authors":"Yunge Fan, Biing-Jiun Shen, Moon-Ho Ringo Ho","doi":"10.1111/bjhp.12732","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objectives</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Design</h3>\n \n <p>A three-wave longitudinal study.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>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.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Changes in loneliness significantly predicted medical adherence at 12 months (<i>β</i> = −.23, <i>p</i> = .001) but not at 3 months (<i>β</i> = −.10, <i>p</i> = .142). Changes in social support predicted medical adherence at both 3 (<i>β</i> = .23, <i>p</i> = .002) and 12 months (<i>β</i> = .26, <i>p</i> = .001). Social support concurrently buffered the adverse impact of loneliness on medical adherence (<i>B</i> = .29, SE = .12, <i>p</i> = .020) at baseline but did not at 3 or 12 months (<i>B</i>s = −.21 to .40, SEs = .12 to .30, <i>p</i>s = .177 to .847).</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>Findings highlight the importance of monitoring loneliness and perceived social support continuously over time for CHD patients to promote medical adherence.</p>\n </section>\n </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"29 3","pages":"814-832"},"PeriodicalIF":3.5000,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Loneliness, perceived social support, and their changes predict medical adherence over 12 months among patients with coronary heart disease\",\"authors\":\"Yunge Fan, Biing-Jiun Shen, Moon-Ho Ringo Ho\",\"doi\":\"10.1111/bjhp.12732\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Objectives</h3>\\n \\n <p>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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Design</h3>\\n \\n <p>A three-wave longitudinal study.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>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.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Changes in loneliness significantly predicted medical adherence at 12 months (<i>β</i> = −.23, <i>p</i> = .001) but not at 3 months (<i>β</i> = −.10, <i>p</i> = .142). Changes in social support predicted medical adherence at both 3 (<i>β</i> = .23, <i>p</i> = .002) and 12 months (<i>β</i> = .26, <i>p</i> = .001). Social support concurrently buffered the adverse impact of loneliness on medical adherence (<i>B</i> = .29, SE = .12, <i>p</i> = .020) at baseline but did not at 3 or 12 months (<i>B</i>s = −.21 to .40, SEs = .12 to .30, <i>p</i>s = .177 to .847).</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusions</h3>\\n \\n <p>Findings highlight the importance of monitoring loneliness and perceived social support continuously over time for CHD patients to promote medical adherence.</p>\\n </section>\\n </div>\",\"PeriodicalId\":48161,\"journal\":{\"name\":\"British Journal of Health Psychology\",\"volume\":\"29 3\",\"pages\":\"814-832\"},\"PeriodicalIF\":3.5000,\"publicationDate\":\"2024-05-23\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"British Journal of Health Psychology\",\"FirstCategoryId\":\"102\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/bjhp.12732\",\"RegionNum\":2,\"RegionCategory\":\"心理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PSYCHOLOGY, CLINICAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"British Journal of Health Psychology","FirstCategoryId":"102","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/bjhp.12732","RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}
Loneliness, perceived social support, and their changes predict medical adherence over 12 months among patients with coronary heart disease
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.
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.