Bailey B J
Clin Nurs Res. 1996 Feb;5(1):28-42. doi: 10.1177/105477389600500104.
Several factors have been related to depression for people with diabetes, but mechanisms of depression in this population remain unclear. The purpose of this research was to test mastery and self-esteem as mediators of disease-related depression in people with diabetes. A sample of 180 adults ages 21 to 81 participated in the cross-sectional, correlational study. Mastery and self-esteem mediated the relationships between depression and two predictors, effects of diabetes complications and general social support. Feelings of self-esteem alone mediated the effect of regimen demands. The effect of diabetes on daily activities had a significant, direct (i.e., nonmediated) relationship to depressive symptoms. The entire model predicted 53% of variance in depression scores (p = .0001). These findings suggest nursing strategies for managing depression in patients with diabetes.
有几个因素与糖尿病患者的抑郁症有关，但该人群抑郁症的发病机制仍不清楚。本研究的目的是检验掌握感和自尊作为糖尿病患者疾病相关性抑郁症的中介因素。180名年龄在21岁至81岁之间的成年人参与了这项横断面相关性研究。掌握感和自尊介导了抑郁症与两个预测因素之间的关系，即糖尿病并发症的影响和一般社会支持。仅自尊感介导了治疗方案要求的影响。糖尿病对日常活动的影响与抑郁症状有显著的直接（即非中介）关系。整个模型预测了抑郁症评分中53%的方差（p = .0001）。这些发现为糖尿病患者抑郁症的管理提供了护理策略。
