ArticleFrontiers in psychology2023
The mediating role of diabetes stigma and self-efficacy in relieving diabetes distress among patients with type 2 diabetes mellitus: a multicenter cross-sectional study.
Article in Frontiers in psychology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Adipose-derived mesenchymal stem cells promote diabetic wound healing through ALDOA secretion.Regenerative therapy · 2026Article
- Diabetes-Related Stigma and Interpersonal Distress Among Adults with Diabetes: A Cross-Sectional Study of Family, Workplace, and Healthcare Settings.Healthcare (Basel, Switzerland) · 2026Article
- Exploring the correlates of diabetes-related stigma in young and middle-aged adults with type 2 diabetes: A cross-sectional study.Medicine · 2026Article
- The relationship between stigma and illness acceptance in type 2 diabetes and determining factors: a cross-sectional study.BMC endocrine disorders · 2026Article
- Medical alliances and diabetes-related distress in China: role of self-efficacy as a partial mediator.International health · 2025Article
- Effect of Diabetes Self-Efficacy on Coping Strategy: Self-Stigma's Mediating Effect.Healthcare (Basel, Switzerland) · 2025Article
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Authors and funding
5 authors.
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Abstract
Background: Patients with diabetes mellitus often suffer from diabetes distress. Social support and certain psychological factors potentially influence diabetes distress, but studies exploring the mechanisms underlying these relationships are scarce. Objectives: To reveal the associations between social support, diabetes stigma, diabetes self-efficacy, and diabetes distress among patients with type 2 diabetes and the underlying mechanisms linking these variables. Design and methods: A multicenter cross-sectional study was adopted and a sample of 431 patients with type 2 diabetes was investigated. Social support, diabetes stigma, diabetes self-efficacy, and diabetes distress were surveyed with the Perceived Social Support Scale, Type 2 Diabetes Stigma Assessment Scale, Self-Efficacy for Diabetes Scale, and Diabetes Distress Scale, respectively. The hypothesized model was verified using structural equation modeling. Results: Social support and diabetes stigma had direct associations with diabetes distress. Diabetes stigma mediated the association between social support and diabetes distress, and the association between diabetes self-efficacy and diabetes distress. Diabetes stigma and self-efficacy exerted a chain mediation effect on the association between social support and diabetes distress. Conclusion: Social support and diabetes stigma were significant predictors of diabetes distress. Diabetes stigma and self-efficacy play essential mediating roles in relieving diabetes distress. This can provide guidance for the development of evidence- and theory-based interventions. Culturally sensitive interventions that aim to provide ongoing social support, decrease diabetes stigma, and enhance self-efficacy have the potential to relieve diabetes distress.
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