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Journal of Behavioral Medicine
Gepubliceerd in:

01-04-2015

Stress, depression and medication nonadherence in diabetes: test of the exacerbating and buffering effects of family support

Auteurs: Lindsay Satterwhite Mayberry, Leonard E. Egede, Julie A. Wagner, Chandra Y. Osborn

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 2/2015

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Abstract

Stressors and depressive symptoms have been associated with medication nonadherence among adults with type 2 diabetes (T2DM). We tested whether these associations were exacerbated by obstructive family behaviors or buffered by supportive family behaviors in a sample of 192 adults with T2DM and low socioeconomic status using unadjusted and adjusted regression models. We found support for the exacerbating hypothesis. Stressors and nonadherence were only associated at higher levels of obstructive family behaviors (interaction AOR = 1.12, p = .002). Similarly, depressive symptoms and nonadherence were only associated at higher levels of obstructive family behaviors (interaction AOR = 3.31, p = .002). When participants reported few obstructive family behaviors, neither stressors nor depressive symptoms were associated with nonadherence. We did not find support for the buffering hypothesis; stressors and depressive symptoms were associated with nonadherence regardless of supportive family behaviors. Nonadherent patients experiencing stressors and/or major depressive symptoms may benefit from interventions that reduce obstructive family behaviors.
vorige artikel Mindfulness-based interventions for binge eating: a systematic review and meta-analysis
volgende artikel Chronic pain, body mass index and cardiovascular disease risk factors: tests of moderation, unique and shared relationships in the Study of Women’s Health Across the Nation (SWAN)
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Metagegevens
Titel
Stress, depression and medication nonadherence in diabetes: test of the exacerbating and buffering effects of family support
Auteurs
Lindsay Satterwhite Mayberry
Leonard E. Egede
Julie A. Wagner
Chandra Y. Osborn
Publicatiedatum
01-04-2015
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 2/2015
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-014-9611-4

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