Publication: 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.
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Identifiers
Date
2022-11
Authors
Funuyet-Salas, Jesus
Perez-San-Gregorio, Maria Angeles
Martin-Rodriguez, Agustin
Romero-Gomez, Manuel
Advisors
Journal Title
Journal ISSN
Volume Title
Publisher
Elsevier Inc.
Abstract
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. 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. 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 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.
Description
MeSH Terms
Adaptation, Psychological
Cross-Sectional Studies
Depression
Diabetes Mellitus
Fibrosis
Humans
Mental Health
Non-alcoholic Fatty Liver Disease
Obesity
Quality of Life
Self Efficacy
Cross-Sectional Studies
Depression
Diabetes Mellitus
Fibrosis
Humans
Mental Health
Non-alcoholic Fatty Liver Disease
Obesity
Quality of Life
Self Efficacy
DeCS Terms
Enfermedad del hígado graso no alcohólica
Afrontamiento activo
Síntomas depresivos
Vitalidad
Diabetes mellitus
Obesidad
Autoeficacia
Fibrosis hepática
Afrontamiento activo
Síntomas depresivos
Vitalidad
Diabetes mellitus
Obesidad
Autoeficacia
Fibrosis hepática
CIE Terms
Keywords
Depression, Fibrosis, Metabolic disease, NAFLD, Self-efficacy
Citation
Funuyet-Salas J, Pérez-San-Gregorio MÁ, Martín-Rodríguez A, Romero-Gómez M. 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. J Psychosom Res. 2022 Nov;162:111045.