延迟折扣在抑郁症状与糖尿病发病之间的中介作用:来自社区样本的前瞻性调查结果

IF 2 3区 心理学 Q3 PSYCHOLOGY, CLINICAL
Ken Kurisu, Briana N DeAngelis, Kazuhiro Yoshiuchi, Mustafa al'Absi
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引用次数: 0

摘要

背景:高延迟折扣(冲动性增加的指标)与糖尿病护理参与度降低之间的正相关关系已被调查。然而,延迟折扣与糖尿病发病之间的关系(可能与不健康的行为有关)尚未得到很好的调查。此外,尽管抑郁症与糖尿病风险的增加和延迟折扣的增加有关,但检查这三个因素之间关联的研究很少。本研究旨在确定抑郁症状与糖尿病发病之间的关系,延迟折扣作为这种关系的中介。方法:使用来自社区样本的三阶段在线前瞻性调查数据,进行横断面和纵向中介分析,以第一阶段的抑郁症状为自变量,第一阶段的延迟折扣为中介变量,检查第一阶段的糖尿病患病率以及第二和第三阶段的发病率。结果:延迟折扣与糖尿病患病率均呈正相关(系数= 0.170;95%置信区间[CI] = 0.066 ~ 0.278;P = 0.002)和发病率(系数= 0.306;95% CI = 0.098 ~ 0.540;p = 0.006)。此外,通过延迟折扣,抑郁症状与糖尿病患病率间接相关(间接系数= 0.091;95%自举CI = 0.034 ~ 0.149)和发病率(间接系数= 0.138;95% bootstrap CI = 0.037 ~ 0.256)。结论:延迟折扣可能通过调节抑郁症状与糖尿病发病之间的正相关关系而增加糖尿病发病风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Mediating Role of Delay Discounting in the Link Between Depressive Symptoms and Diabetes Onset: Findings from a Prospective Survey of a Community Sample.

Background: The positive relationship between higher delay discounting, an indicator of increased impulsivity, and reduced engagement in diabetes care has been investigated. However, the association between delay discounting and diabetes onset, likely linked through unhealthy behaviors, has not been well investigated. Additionally, although depression has been linked to an increased risk of diabetes and greater delay discounting, studies examining associations among all three factors are scarce. The present study aimed to determine the association between depressive symptoms and the onset of diabetes, with delay discounting as a mediator of this relationship.

Methods: Using data from a three-phase online prospective survey of a community sample, cross-sectional and longitudinal mediation analyses were conducted to examine diabetes prevalence from Phase 1 and incidence from Phases 2 and 3 as the outcomes, with depressive symptoms at Phase 1 as the independent variable and delay discounting at Phase 1 as the mediator.

Results: Delay discounting was positively associated both with diabetes prevalence (coefficient = 0.170; 95% confidence interval [CI] = 0.066 to 0.278; P = 0.002) and incidence (coefficient = 0.306; 95% CI = 0.098 to 0.540; P = 0.006). Furthermore, through delay discounting, depressive symptoms were indirectly associated with diabetes prevalence (indirect coefficient = 0.091; 95% bootstrap CI = 0.034 to 0.149) and incidence (indirect coefficient = 0.138; 95% bootstrap CI = 0.037 to 0.256), respectively.

Conclusions: Delay discounting may increase the risk of diabetes onset by mediating the positive association between depressive symptoms and diabetes onset.

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来源期刊
CiteScore
5.20
自引率
3.70%
发文量
97
期刊介绍: The International Journal of Behavioral Medicine (IJBM) is the official scientific journal of the International Society for Behavioral Medicine (ISBM). IJBM seeks to present the best theoretically-driven, evidence-based work in the field of behavioral medicine from around the globe. IJBM embraces multiple theoretical perspectives, research methodologies, groups of interest, and levels of analysis. The journal is interested in research across the broad spectrum of behavioral medicine, including health-behavior relationships, the prevention of illness and the promotion of health, the effects of illness on the self and others, the effectiveness of novel interventions, identification of biobehavioral mechanisms, and the influence of social factors on health. We welcome experimental, non-experimental, quantitative, qualitative, and mixed-methods studies as well as implementation and dissemination research, integrative reviews, and meta-analyses.
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