title: Mediators of adherence among adults with comorbid diabetes and depression: The role of self-efficacy and social support.
abstract: Depression and diabetes have been linked in a variety of ways, and the presence of depression in those with diabetes can negatively affect adherence to care recommendations. A sample of 201 participants with Type 2 Diabetes completed a cross-sectional survey that assessed depressive symptoms, adherence, self-efficacy, social support, and personal characteristics. Multiple regression analysis was used to test whether self-efficacy and social support mediate the relationship between depressive symptoms and adherence. The findings suggest complete mediation via self-efficacy and some types of social support. Intervening to bolster self-efficacy and social support may decrease the negative effect of depression on adherence.
authors.affiliation: University of Kentucky, USA egres2@email.uky.edu.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Tovar
authors.affiliation: University of Kentucky, USA.
authors.forename: Mary Kay
authors.initials: MK
authors.lastname: Rayens
authors.affiliation: University of Kentucky, USA.
authors.forename: Yevgeniya
authors.initials: Y
authors.lastname: Gokun
authors.affiliation: University of Nevada, Las Vegas, USA.
authors.forename: Michele
authors.initials: M
authors.lastname: Clark
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015897:Comorbidity; D003863:Depression / Q000453:epidemiology / Q000523:psychology*; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance / Q000523:psychology* / Q000706:statistics & numerical data; D020377:Self Efficacy; D012944:Social Support; D055815:Young Adult
keywords: adherence; adults; depression; self-efficacy; social support