Direct and Interactive Associations of Self-Efficacy and Social Support with Anxiety and Depression in Cardiovascular Patients

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Abstract

The objectives of the study were twofold: i) perceived social support and self-efficacy would negatively predict depression and anxiety in Cardiovascular Diseases (CVD) patients; and ii) self-efficacy would moderate the association of perceived social support with anxiety and depression in CVD patients. There were 174 CVD patients (ages 19- 60 years) selected from cardiac units of government sector hospitals. They were assessed from self-report scales of self-efficacy, social support, anxiety and, depression. The results from correlation and regression analyses showed that only friend’s social support was a negative predictors of anxiety, and friend’s and significant other’s support were negative predictors of depression. Additionally, self-efficacy was a stronger negative predictor of both the anxiety and depression after controlling the effects due to social support. Finally, self-efficacy moderated the associations of friend’s and significant other’s support with anxiety and depression. It was concluded that self-efficacy and social support are significant positive resources for better mental health of CVD patients.
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自我效能感和社会支持与心血管患者焦虑和抑郁的直接互动关系
本研究的目的是双重的:i)感知社会支持和自我效能感对心血管疾病(CVD)患者的抑郁和焦虑具有负向预测作用;自我效能感会调节CVD患者感知社会支持与焦虑、抑郁的关系。从公立医院心脏科选择174例心血管病患者(年龄19- 60岁)。他们通过自我报告量表对自我效能、社会支持、焦虑和抑郁进行评估。相关分析和回归分析结果显示,只有朋友的社会支持是焦虑的负向预测因子,朋友和重要他人的支持是抑郁的负向预测因子。此外,自我效能在控制了社会支持的影响后,对焦虑和抑郁都有较强的负向预测。最后,自我效能感调节了朋友和重要他人支持与焦虑和抑郁的关系。结论:自我效能感和社会支持是改善心血管疾病患者心理健康的重要积极资源。
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