dc.creator | Funuyet Salas, Jesús | es |
dc.creator | Pérez San Gregorio, María de los Ángeles | es |
dc.creator | Martín Rodríguez, Agustín | es |
dc.creator | Romero Gómez, Manuel | es |
dc.date.accessioned | 2023-05-18T11:39:03Z | |
dc.date.available | 2023-05-18T11:39:03Z | |
dc.date.issued | 2022 | |
dc.identifier.citation | Funuyet Salas, J., Pérez San Gregorio, M.d.l.Á., Martín Rodríguez, A. y Romero Gómez, M. (2022). Vitality, mental health and role-physical mediate the influence of coping on depressive symptoms and self-efficacy in patients with non-alcoholic fatty liver disease: a cross-sectional study. Journal of Psychosomatic Research, 162, 111045, 1-10. https://doi.org/10.1016/j.jpsychores.2022.111045. | |
dc.identifier.issn | 0022-3999 (Impreso) | es |
dc.identifier.uri | https://hdl.handle.net/11441/146328 | |
dc.description.abstract | Objective:
Our aim was to determine whether the association between active coping and depressive symptoms in patients with non-alcoholic fatty liver disease (NAFLD) was mediated by vitality, and whether diabetes and obesity could impact on this relationship. We also wanted to find out whether mental health and role-physical modulated the relationship between passive/avoidance coping and self-efficacy, and the role of liver fibrosis.
Methods:
Depressive symptoms (BDI-II), self-efficacy (GSE), coping (COPE-28) and quality of life (SF-12) were evaluated in 509 biopsy-proven NAFLD patients in this cross-sectional study. Mediation and moderated mediation models were conducted using the SPSS PROCESS v3.5 macro.
Results:
Vitality mediated the relationship between active coping and depressive symptoms (−2.254, CI = −2.792 to −1.765), with diabetes (−0.043, p = 0.017) and body mass index (BMI) (−0.005, p = 0.009) moderating the association. In addition, mental health (−6.435, CI = −8.399 to −4.542) and role-physical (−1.137, CI = −2.141 to −0.315) mediated the relationship between passive/avoidance coping and self-efficacy, with fibrosis stage (0.367, p < 0.001) moderating this association. Specifically, the presence of diabetes and significant fibrosis, and a higher BMI, were associated with greater negative impact on participant depressive symptoms or self-efficacy.
Conclusion:
A maladaptive coping style was associated with poorer vitality, mental health and role-physical in NAFLD patients, which along with the presence of metabolic comorbidity (diabetes and obesity) and significant fibrosis predicted more depressive symptoms or poorer self-efficacy in these patients. These results suggested incorporating emotional and cognitive evaluation and treatment in patients with NAFLD. | es |
dc.format | application/pdf | es |
dc.format.extent | 10 p. | es |
dc.language.iso | eng | es |
dc.publisher | Elsevier | es |
dc.relation.ispartof | Journal of Psychosomatic Research, 162, 111045, 1-10. | |
dc.rights | Atribución 4.0 Internacional | * |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | * |
dc.subject | Depression | es |
dc.subject | Self-efficacy | es |
dc.subject | Fibrosis | es |
dc.subject | Metabolic disease | es |
dc.subject | NAFLD | es |
dc.title | Vitality, mental health and role-physical mediate the influence of coping on depressive symptoms and self-efficacy in patients with non-alcoholic fatty liver disease: a cross-sectional study | es |
dc.type | info:eu-repo/semantics/article | es |
dcterms.identifier | https://ror.org/03yxnpp24 | |
dc.type.version | info:eu-repo/semantics/publishedVersion | es |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | es |
dc.contributor.affiliation | Universidad de Sevilla. Departamento de Personalidad, Evaluación y Tratamiento Psicológicos | es |
dc.contributor.affiliation | Universidad de Sevilla. Departamento de Medicina | |
dc.relation.projectID | PSI2017-83365-P | es |
dc.relation.projectID | FPU16/03146 | es |
dc.relation.publisherversion | https://doi.org/10.1016/j.jpsychores.2022.111045 | es |
dc.identifier.doi | 10.1016/j.jpsychores.2022.111045 | es |
dc.journaltitle | Journal of Psychosomatic Research | es |
dc.publication.volumen | 162 | es |
dc.publication.initialPage | 111045, 1 | es |
dc.publication.endPage | 10 | es |
dc.contributor.funder | Ministerio de Ciencia e Innovación (MICIN). España | es |
dc.contributor.funder | Ministerio de Educación y Formación Profesional. España | es |