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The role of social support on the relationship of depressive symptoms to medication adherence and self‐care activities in adults with type 2 diabetes
Author(s) -
Kim ChunJa,
Schlenk Elizabeth A.,
Kim Dae Jung,
Kim Moonsun,
Erlen Judith A.,
Kim SeEun
Publication year - 2015
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.12682
Subject(s) - social support , sobel test , psychological intervention , medicine , clinical psychology , population , type 2 diabetes , psychology , psychiatry , diabetes mellitus , self esteem , environmental health , psychotherapist , endocrinology
Aim To examine the mediating role of social support on the relationship of depressive symptoms to medication adherence and self‐care activities in Korean adults. Background Recent evidence suggests that higher levels of social support are associated with improved medication adherence and self‐care activities; however, the role of social support on the relationship of depressive symptoms to medication adherence and self‐care activities is less well understood. Design A cross‐sectional survey. Methods The data were collected from 311 Korean adults with type 2 diabetes who were taking hypoglycaemic agents in the period 2012–2013. Depressive symptoms, social support, medication adherence and self‐care activities were assessed using structured questionnaires. Multiple regression analysis with adjustment for covariates and the Sobel test were used to examine the mediating effect of social support on the relationship of depressive symptoms to medication adherence and self‐care activities. Results There were statistically significant differences by subgroups with and without depressive symptoms in social support, medication adherence and self‐care activities of diet, physical activity and stress management. The Sobel test confirmed that social support mediated the effect of depressive symptoms on medication adherence and self‐care activities of diet, physical activity and stress management. Conclusion The evidence from this study suggests that social support‐enhancing interventions that also manage depressive symptoms may be more timely and effective than interventions that target depressive symptoms alone in promoting adherence to medication adherence and self‐care activities in this population.