Mediating role of self-compassion in psychological distress and self-management behaviors among patients with type 2 diabetes
10.3760/cma.j.cn211501-20241111-03094
- VernacularTitle:2型糖尿病患者自我同情在心理痛苦和自我管理行为间的中介作用
- Author:
Mengxi JIA
1
;
Min LI
1
;
Yanli CAO
1
;
Jin WANG
1
Author Information
1. 中国医科大学附属第一医院内分泌与代谢病科，沈阳 110001
- Publication Type:Journal Article
- Keywords:
Diabetes mellitus, type 2;
Self-management behaviors;
Self-compassion;
Psychological distress;
Mediation effect
- From:
Chinese Journal of Practical Nursing
2025;41(22):1728-1734
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the status of psychological distress, self-compassion, and self-management behaviors among patients with type 2 diabetes mellitus (T2DM), and explore the mediating role of self-compassion in the relationship between diabetes distress and self-management behaviors, and to provide a theoretical basis for the psychological intervention of patients with T2DM.Methods:A convenience sampling method was adopted to select 221 patients with T2DM hospitalized in the Department of Endocrinology and Metabolism, the First Hospital of China Medical University from November 2023 to April 2024. The General Information Form, the Diabetes Distress Scale-17, the Self-Compassion Scale and the Summary of Diabetes Self-Care Activity were utilized for investigation. A structural equation model was constructed with AMOS 24.0 to analyze the relationships among psychological distress, self-compassion, and self-management behaviors, and the mediating effect of self-compassion was tested using the Bootstrap method.Results:A total of 221 patients with T2DM were included, including 138 males and 83 females, aged (54.52 ±10.42) years old. The total score of psychological distress of patients with T2DM was (34.55 ± 18.82) points, the total score of self-compassion was (94.22 ± 26.04) points, and the total score of self-management behavior was (40.81 ± 22.64) points. Psychological distress in T2DM patients was significantly negatively correlated with both self-compassion ( r=-0.850, P<0.01) and self-management behaviors ( r=-0.736, P<0.01). In contrast, self-compassion was significantly positively correlated with self-management behaviors ( r=0.743, P<0.01). Self-compassion partially mediated the relationship between diabetes-related psychological distress and self-management behaviors, with a mediation effect size of -0.456. Conclusions:Psychological distress among T2DM patients is at a moderate level, and their self-management behaviors require urgent improvement. Psychological distress not only directly impacts self-management behaviors but also indirectly influences them through self-compassion. Healthcare professionals should prioritize enhancing patients′ self-compassion levels to mitigate the negative effects of psychological distress on their health behaviors.
