Vitality, mental health and role-physical mediate the influence of coping on depressive symptoms and self-efficacy in patients with non-alcoholic fatty liver disease: A cross-sectional study

活力 脂肪肝 应对(心理学) 糖尿病 医学 体质指数 内科学 心理健康 肥胖 临床心理学 横断面研究 心理学 疾病 精神科 内分泌学 病理 哲学 神学
作者
Jesús Funuyet‐Salas,María Ángeles Pérez-San-Gregorio,Agustín Martín Rodríguez,Manuel Romero‐Gómez
出处
期刊:Journal of Psychosomatic Research [Elsevier]
卷期号:162: 111045-111045 被引量:4
标识
DOI:10.1016/j.jpsychores.2022.111045
摘要

Objective: Our aim was to determine whether the association between active coping and depressive symptoms in patients with non-alcoholic fatty liver disease (NAFLD) was mediated by vitality, and whether diabetes and obesity could impact on this relationship.We also wanted to find out whether mental health and role-physical modulated the relationship between passive/avoidance coping and self-efficacy, and the role of liver fibrosis.Methods: Depressive symptoms (BDI-II), self-efficacy (GSE), coping (COPE-28) and quality of life (SF-12) were evaluated in 509 biopsy-proven NAFLD patients in this cross-sectional study.Mediation and moderated mediation models were conducted using the SPSS PROCESS v3.5 macro.Results: Vitality mediated the relationship between active coping and depressive symptoms (-2.254,CI = -2.792 to -1.765), with diabetes (-0.043, p = 0.017) and body mass index (BMI) (-0.005, p = 0.009) moderating the association.In addition, mental health (-6.435,CI = -8.399 to -4.542) and role-physical (-1.137,CI = -2.141 to -0.315) mediated the relationship between passive/avoidance coping and self-efficacy, with fibrosis stage (0.367, p < 0.001) moderating this association.Specifically, the presence of diabetes and significant fibrosis, and a higher BMI, were associated with greater negative impact on participant depressive symptoms or self-efficacy.Conclusion: A maladaptive coping style was associated with poorer vitality, mental health and role-physical in NAFLD patients, which along with the presence of metabolic comorbidity (diabetes and obesity) and significant fibrosis predicted more depressive symptoms or poorer self-efficacy in these patients.These results suggested incorporating emotional and cognitive evaluation and treatment in patients with NAFLD.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
大幅提高文件上传限制,最高150M (2024-4-1)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
NexusExplorer应助Min采纳,获得10
1秒前
bwq发布了新的文献求助10
2秒前
3秒前
仁爱听露完成签到 ,获得积分10
7秒前
乐乐应助滑腻腻的小鱼采纳,获得10
8秒前
科研通AI2S应助lin采纳,获得10
8秒前
formulaonef1完成签到,获得积分10
8秒前
大胆的擎苍完成签到,获得积分10
9秒前
chj发布了新的文献求助10
9秒前
9秒前
10秒前
wanwu完成签到,获得积分10
11秒前
扎心应助WCM采纳,获得10
14秒前
I Think发布了新的文献求助10
15秒前
怡然行天完成签到,获得积分10
15秒前
木辰发布了新的文献求助10
16秒前
搜集达人应助科研通管家采纳,获得10
18秒前
爆米花应助科研通管家采纳,获得10
18秒前
CipherSage应助科研通管家采纳,获得10
18秒前
19秒前
19秒前
香蕉觅云应助科研通管家采纳,获得10
19秒前
隐形曼青应助科研通管家采纳,获得10
19秒前
思源应助科研通管家采纳,获得10
19秒前
19秒前
pcr163举报tiomooo求助涉嫌违规
19秒前
很蓝的啦完成签到,获得积分10
19秒前
zho应助斯文听南采纳,获得30
22秒前
WCM完成签到,获得积分10
23秒前
24秒前
路弈发布了新的文献求助10
25秒前
wanjingwan完成签到 ,获得积分10
25秒前
脑三问发布了新的文献求助10
25秒前
25秒前
yufanhui应助很蓝的啦采纳,获得20
25秒前
SciGPT应助淡淡念珍采纳,获得10
26秒前
无奈柚子完成签到,获得积分10
28秒前
wan发布了新的文献求助10
29秒前
大模型应助笨笨的傲芙采纳,获得10
31秒前
I Think完成签到,获得积分10
32秒前
高分求助中
The ACS Guide to Scholarly Communication 2500
Sustainability in Tides Chemistry 2000
Studien zur Ideengeschichte der Gesetzgebung 1000
TM 5-855-1(Fundamentals of protective design for conventional weapons) 1000
Threaded Harmony: A Sustainable Approach to Fashion 810
Pharmacogenomics: Applications to Patient Care, Third Edition 800
Genera Insectorum: Mantodea, Fam. Mantidæ, Subfam. Hymenopodinæ (Classic Reprint) 500
热门求助领域 (近24小时)
化学 医学 生物 材料科学 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 基因 遗传学 催化作用 物理化学 免疫学 量子力学 细胞生物学
热门帖子
关注 科研通微信公众号,转发送积分 3082549
求助须知:如何正确求助?哪些是违规求助? 2735847
关于积分的说明 7539036
捐赠科研通 2385432
什么是DOI,文献DOI怎么找? 1264844
科研通“疑难数据库(出版商)”最低求助积分说明 612830
版权声明 597685