ArticleJournal of behavioral medicine2015
Stress, depression and medication nonadherence in diabetes: test of the exacerbating and buffering effects of family support.
Article in Journal of behavioral medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it, 70 citations in OpenAlex.
- Diabetes Mellitus Family Assessment Instruments: A Systematic Review of Measurement Properties.International journal of environmental research and public health · 2023Pooled it
- Changes in family involvement occasioned by FAMS mobile health intervention mediate changes in glycemic control over 12 months.Journal of behavioral medicine · 2022Trial
- Mixed-Methods Randomized Evaluation of FAMS: A Mobile Phone-Delivered Intervention to Improve Family/Friend Involvement in Adults' Type 2 Diabetes Self-Care.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2021Trial
- Using Mobile Health to Improve Social Support for Low-Income Latino Patients with Diabetes: A Mixed-Methods Analysis of the Feasibility Trial of TExT-MED + FANS.Diabetes technology & therapeutics · 2018Trial
- Barriers to Self-Management in Depressed Women With Type 2 Diabetes.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres · 2017Trial
- Longitudinal association of family support, health literacy, and self-management behavior in patients with newly diagnosed type 2 diabetes mellitus: an analysis based on cross-lag model.Journal of diabetes and metabolic disorders · 2025Article
- Effects of family function, depression, and self-perceived burden on loneliness in patients with type 2 diabetes mellitus: a serial multiple mediation model.BMC psychiatry · 2023Article
- The role of medication adherence in the association between depressive symptoms and quality of life in older adults with type 2 diabetes mellitus.BMC geriatrics · 2023Article
- Severity and Factors Associated with Depressive Symptoms Among Type 2 Diabetic Patients in Vietnam.Journal of the ASEAN Federation of Endocrine Societies · 2023Article
- Family support in the management of diabetes patients' perspectives from Limpopo province in South Africa.BMC public health · 2022Article
- Testing the psychometric properties of a Chinese version of Dyadic Relationship Scale for families of people with hypertension in China.BMC psychology · 2022Article
- What are the self-management experiences of the elderly with diabetes? A systematic review of qualitative research.World journal of clinical cases · 2022Article
- Examining the Relationship Between Delay Discounting, Delay Aversion, Diabetes Self-care Behaviors, and Diabetes Outcomes in U.S. Adults With Type 2 Diabetes.Diabetes care · 2021Article
- The Quality of Family Relationships, Diabetes Self-Care, and Health Outcomes in Older Adults.Diabetes spectrum : a publication of the American Diabetes Association · 2019Article
- Diabetes self-management and glycemic control: The role of autonomy support from informal health supporters.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2019Article
- Perceptions of Family Among Low-Income Patients With Diabetes in a Text-Based Mobile Health Intervention.Journal of diabetes science and technology · 2018Article
- Do supportive family behaviors promote diabetes self-management in resource limited urban settings? A cross sectional study.BMC public health · 2018Article
- Associations Among Depressive Symptoms, Wellness, Patient Involvement, Provider Cultural Competency, and Treatment Nonadherence: A Pilot Study Among Community Patients Seen at a University Medical Center.Community mental health journal · 2018Article
- Family members' experiences supporting adults with chronic illness: A national survey.Families, systems & health : the journal of collaborative family healthcare · 2017Article
- The influence of diabetes distress on digital interventions for diabetes management in vulnerable people with type 2 diabetes: A qualitative study of patient perspectives.Journal of clinical & translational endocrinology · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 1 country.
Funding
Abstract
Stressors and depressive symptoms have been associated with medication nonadherence among adults with type 2 diabetes (T2DM). We tested whether these associations were exacerbated by obstructive family behaviors or buffered by supportive family behaviors in a sample of 192 adults with T2DM and low socioeconomic status using unadjusted and adjusted regression models. We found support for the exacerbating hypothesis. Stressors and nonadherence were only associated at higher levels of obstructive family behaviors (interaction AOR = 1.12, p = .002). Similarly, depressive symptoms and nonadherence were only associated at higher levels of obstructive family behaviors (interaction AOR = 3.31, p = .002). When participants reported few obstructive family behaviors, neither stressors nor depressive symptoms were associated with nonadherence. We did not find support for the buffering hypothesis; stressors and depressive symptoms were associated with nonadherence regardless of supportive family behaviors. Nonadherent patients experiencing stressors and/or major depressive symptoms may benefit from interventions that reduce obstructive family behaviors.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.