Does perceived social support buffer the impact of psychological distress on health-related quality of life among people living with tuberculosis?

IF 1.9 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Psychology Health & Medicine Pub Date : 2025-08-01 Epub Date: 2025-02-25 DOI:10.1080/13548506.2025.2469195

Desmond Uchechukwu Onu, Christy Ngozi Obi-Keguna, Ernest Ike Onyishi, Elisha John Igwe

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Abstract

People living with tuberculosis have been reported to encounter greater distress than normal population, and this distress is known to impact their quality of life adversely. However, studies examining the mechanisms that could mitigate this adverse impact of distress are sparse, hence this study. We investigated whether perceived social support (including emotional and instrumental support from family, friends, and significant others) plays a buffering role in the link between psychological distress and health-related quality of life (HRQoL) among people living with tuberculosis (PLWTB). We utilized a cross-sectional design to conveniently sample 200 tuberculosis patients drawn from a health facility in South-Eastern Nigeria. These participants completed measures of relevant variables. Results showed that psychological distress was negatively associated with HRQoL. Perceived social support (from family, friends, and significant others) significantly predicted HRQoL. Perceived social support moderated the link between psychological distress and HRQoL, but did not buffer against the association. Management of psychological distress associated with tuberculosis health condition should therefore be a major focus in efforts to improve the health and well-being of TB patients.

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感知到的社会支持是否能缓冲心理困扰对结核病患者健康相关生活质量的影响？

据报道，结核病患者比正常人群面临更大的痛苦，这种痛苦已知会对他们的生活质量产生不利影响。然而，研究可以减轻这种不利影响的机制的研究很少，因此本研究。我们调查了感知到的社会支持（包括来自家庭、朋友和重要他人的情感和工具支持）是否在结核病患者（PLWTB）的心理困扰和健康相关生活质量（HRQoL）之间的联系中起缓冲作用。我们采用了横断面设计，方便地对尼日利亚东南部一家卫生机构抽取的200名结核病患者进行抽样。这些参与者完成了相关变量的测量。结果显示，心理困扰与HRQoL呈负相关。感知社会支持（来自家庭、朋友和重要他人）显著预测HRQoL。感知到的社会支持缓和了心理困扰和HRQoL之间的联系，但没有缓冲这种联系。因此，管理与结核病健康状况相关的心理困扰应成为改善结核病患者健康和福祉工作的主要重点。

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来源期刊

Psychology Health & Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

6.20

自引率

0.00%

发文量

200

审稿时长

6-12 weeks

期刊介绍： Psychology, Health & Medicine is a multidisciplinary journal highlighting human factors in health. The journal provides a peer reviewed forum to report on issues of psychology and health in practice. This key publication reaches an international audience, highlighting the variation and similarities within different settings and exploring multiple health and illness issues from theoretical, practical and management perspectives. It provides a critical forum to examine the wide range of applied health and illness issues and how they incorporate psychological knowledge, understanding, theory and intervention. The journal reflects the growing recognition of psychosocial issues as they affect health planning, medical care, disease reaction, intervention, quality of life, adjustment adaptation and management. For many years theoretical research was very distant from applied understanding. The emerging movement in health psychology, changes in medical care provision and training, and consumer awareness of health issues all contribute to a growing need for applied research. This journal focuses on practical applications of theory, research and experience and provides a bridge between academic knowledge, illness experience, wellbeing and health care practice.