ArticleBMC geriatrics2023
Mediation role of anxiety on social support and depression among diabetic patients in elderly caring social organizations in China during COVID-19 pandemic: a cross-sectional study.
Article in BMC geriatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.
- Prevalence and risk factors of depression in patients with diabetes mellitus: a systematic review and meta-analysis.Frontiers in endocrinology · 2025Pooled it
- Gradient boosting machine model predicts psychiatric complications after deep brain stimulation in Parkinson's disease.World journal of psychiatry · 2026Article
- The impact of social support on academic burnout among medical students: the mediating effects of anxiety and depression, and the role of urban-rural differences.Frontiers in psychiatry · 2026Article
- Temporal and geographic trends in mortality involving co-occurring depression and diabetes mellitus in U. S., 1999-2023.Frontiers in medicine · 2026Article
- The relationship between frailty and multimorbidity in Chinese older adults: the chain mediating effects of sleep quality and anxiety.BMC geriatrics · 2025Article
- Disparities in anxiety and related factors among Chinese older adults across different aged-care models: a comparison of two cross-sectional studies.BMC geriatrics · 2025Article
- Unraveling the mediation role of frailty and depression in the relationship between social support and self-management among Chinese elderly COPD patients: a cross-sectional study.BMC pulmonary medicine · 2024Article
- The effect of activities of daily living on anxiety in older adult people: the mediating role of social participation.Frontiers in public health · 2024Article
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Authors and funding
10 authors at 2 institutions in 3 countries.
Funding
Abstract
backgroundDiabetes has become a prominent global public health problem, which is an important cause of death, disease burden, and medical and health economic burden. Previous studies have reported that majority of persons diagnosed with diabetes later presented with psychological and mental health diseases. The study aimed to explore the mediation role of anxiety on social support and depression among diabetic patents in elderly caring social organizations (SOs).
methodsA multi-stage stratified cluster random sampling method was used in this cross-sectional study, and a questionnaire consisting of demographic questionnaire, MSPSS, GAD-7, and CES-D-10 was utilized to gather data. SPSS 22.0 and MPLUS 7.4 were used for statistical analysis. Spearman correlation analysis was employed to investigate correlations of key variables. A generalized linear model was used to exam factors associated with depression. Finally, the mediation effect among study variables was investigated by structural equation modeling (SEM).
resultsThe average scores of social support, anxiety, and depression were 58.41 ± 14.67, 2.95 ± 3.95, and 7.24 ± 5.53, respectively. The factors of gender, social support, and anxiety were identified as significantly influential factors related to depression among diabetic patients in elderly caring SOs. The effect of social support on depression was significantly mediated by anxiety (β = -0.467, 95%CI: -0.813 to -0.251). Furthermore, anxiety partially mediated the relationship between family support and depression (β = -0.112, 95%CI: -0.229 to -0.012), and anxiety functioned as a complete mediator in the effect of significant others' support and depression (β = -0.135, 95%CI: -0.282 to -0.024).
conclusionsThe indirect effect of social support on depression through anxiety among diabetic patients in elderly caring SOs was elucidated. Social support played a key role in maintaining and regulating their mental health, particularly from family and significant others. Social support provided by both family and significant others exerted an important influence on maintaining and regulating their mental health. In light of this pathway, the elderly caring SOs should enhance the magnitude of social support from these two sources, thereby diminishing the likelihood of experiencing anxiety and depression.
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