Background

Depression symptoms are common in patients with pulmonary arterial hypertension (PAH). Social support may mediate the effect of illness concealment on depression symptoms.

Objective

To examine the relationships between illness concealment, dimensions of social support, and depression symptoms and the mediating effect of the dimensions of social support on depression symptoms in PAH patients.

Methods

A cross-sectional design and convenience sampling were applied. Data were collected with three questionnaires and analyzed with hierarchical regression and the PROCESS macro.

Results

Ninety-seven participants were enrolled (mean age 50 ± 14 years). In total, 8% had a Patient Health Questionnaire (PHQ)-9 score ≥15. Hierarchical regression analysis showed that education level (β = 0.28, p < 0.05), illness concealment (β = 0.21, p < 0.05), and emotional support (β = 0.29, p < 0.01) were determinants of depression symptoms. Emotional support mediated the relationship between illness concealment and depression symptoms.

Conclusions

Emotional support can help patients reduce the effect of illness concealment on depression symptoms.

中文翻译：

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社会支持在肺动脉高压患者疾病隐匿与抑郁症状关系中的中介作用

背景

抑郁症状在肺动脉高压 (PAH) 患者中很常见。社会支持可能介导疾病隐瞒对抑郁症状的影响。

客观的

研究疾病隐瞒、社会支持维度和抑郁症状之间的关系以及社会支持维度对 PAH 患者抑郁症状的中介作用。

方法

应用了横截面设计和方便抽样。使用三份问卷收集数据，并使用层次回归和 PROCESS 宏进行分析。

结果

共招募了 97 名参与者（平均年龄 50 ± 14 岁）。总共有 8% 的患者健康问卷 (PHQ)-9 得分≥15。分层回归分析显示，文化程度（β = 0.28，p < 0.05）、疾病隐瞒（β = 0.21，p < 0.05）和情感支持（β = 0.29，p < 0.01）是抑郁症状的决定因素。情感支持介导了疾病隐瞒与抑郁症状之间的关系。

结论

情感支持可以帮助患者减少疾病隐瞒对抑郁症状的影响。