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首页> 外文期刊>Psychosomatics >Does Social Support Moderate the Association Among Major Depression, Generalized Anxiety Disorder, and Functional Disability in Adults With Diabetes?
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Does Social Support Moderate the Association Among Major Depression, Generalized Anxiety Disorder, and Functional Disability in Adults With Diabetes?

机译：社会支持是否会使重大抑郁症，广义焦虑症和糖尿病成年人的功能性残疾之间的关联适度？

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Background: Diabetes requires complex self management routines to prevent the development of functional disability. Relative to people without diabetes, those with diabetes are more likely to have comorbid major depressive disorder (MDD) and generalized anxiety disorder (GAD), which also increase the likelihood of functional disability. Social support is associated with positive health outcomes in people with comorbid diabetes and mental disorders and may serve as a buffer against functional disability, though this possibility has yet to be examined. Objectives: This study examined whether social support moderates the association between MDD or GAD and functional disability in adults with diabetes. Adults with MDD or GAD were expected to report greater disability than those without MDD or GAD. This association was expected to be stronger in people reporting lower social support relative to those reporting higher social support. Methods: Data came from the cross-sectional 2012 Canadian Community Health Survey-Mental Health (n = 1764). Diabetes status, social support, and functional disability were assessed via self-report; past year MDD and GAD were assessed with structured diagnostic interviews. Results: Linear regression analyses, conducted separately for MDD and GAD, indicated main effects of past-year MDD and GAD, such that those with a mental disorder reported greater functional disability than those without a mental disorder. Social support did not moderate the associations between either MDD and functional disability or GAD and functional disability. Conclusions: In this nationally representative population study, both MDD and GAD predicted greater functional disability in adults with diabetes. Social support, however, did not moderate these associations.
机译：背景：糖尿病需要复杂的自我管理惯例，以防止功能残疾的发展。相对于没有糖尿病的人，那些患有糖尿病的人更有可能具有共同抑郁症（MDD）和广义焦虑症（GAD），这也增加了功能残疾的可能性。社会支持与共同糖尿病和精神障碍的人们的积极健康成果有关，并且可以作为功能障碍的缓冲，尽管尚未检查这种可能性。目的：本研究审查了社会支持是否会使MDD或GAD与糖尿病成年人的功能残疾之间的关联进行调节。预计有MDD或GAD的成年人会报告比没有MDD或GAD的成年人的残疾。该协会预计在报告与报告更高社会支持的人的社会支持下报较低的社会支持方面将更加强劲。方法：数据来自于2012年的2012年Canadian社区健康调查 - 心理健康状况（n = 1764）。通过自我报告评估糖尿病状态，社会支持和功能性残疾;过去一年的MDD和Gad被结构化诊断访谈评估。结果：用于MDD和GAD的线性回归分析，表明过去年度MDD和GAD的主要影响，具有精神障碍的人报告了比没有精神障碍的那些功能性残疾。社会支持没有审查MDD和功能残疾或GAD和功能残疾之间的关联。结论：在本国代表性的人口研究中，MDD和GAD都预测了糖尿病成年人的更大功能残疾。然而，社会支持没有适度这些协会。

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