Evidence map›Paper›PMID 39135002›Full record

ArticleBMC pulmonary medicine2024

Social support mediates social frailty with anxiety and depression.

Yang Liu, Mengjiao Yang, Yangyang Zhao, Ziwei Wang, Jie He, Yali Wang, Tokie Anme

Abstract read
In one paragraph

Article in BMC pulmonary medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Frailty in COPD: Clinical Impact, Diagnosis, Biomarkers, and Management Strategies.International journal of chronic obstructive pulmonary disease · 2025
    Pooled it
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  5. Anxiety and depression symptoms in adolescents: a cross-sectional study, Passo Fundo, Rio Grande do Sul state, Brazil, 2024.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Yang Liu *Graduate School of Comprehensive Human Science, University of Tsukuba, Tsukuba, Japan.
Mengjiao Yang *Graduate School of Comprehensive Human Science, University of Tsukuba, Tsukuba, Japan.
Yangyang Zhao *Department of Blood Transfusion, Affiliated Hospital of North Sichuan Medical College, Nanchong City, 637000, Sichuan Province, China.
Ziwei WangDepartment of Respiratory and Critical Care Medicine, Affiliated Hospital of North Sichuan Medical College, Nanchong City, 637000, Sichuan Province, China.
Jie HeDepartment of Nursing, Affiliated Hospital of North Sichuan Medical College, Nanchong City, 637000, Sichuan Province, China.
Yali WangDepartment of Cardiovascular Surgery, Affiliated Hospital of North Sichuan Medical College, Nanchong City, 637000, Sichuan Province, China.
Tokie AnmeFaculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, 3058577, Ibaraki, Japan. tokieanme@gmail.com.

Funding

China Scholarship Council 202208510018Funds for Cooperation Project of Nanchong City and North Sichuan Medical College 22SXQT0189JST, the establishment of university fellowships for the creation of science technology innovation JPMJFS2106Nanchong Federation of Social Science Associations NC22B032
6 · The paper itself

Abstract

backgroundAnxiety and depression are prevalent comorbidities in patients with chronic obstructive pulmonary disease (COPD). However, existing research has yielded conflicting findings regarding the effects of social frailty on anxiety and depression. The primary aim of this study is to validate the relationship between social frailty and social support with anxiety and depression in patients with acute exacerbations of COPD (AECOPD) and to investigate whether social support could explain the variations in prior study outcomes for patients with AECOPD.

methodsOf the 315 patients hospitalized with AECOPD at the respiratory intensive care unit of a large tertiary care institution in Sichuan Province of China, between August 2022 and June 2023 who were surveyed, 306 were included in the analysis after excluding missing data. We conducted a logistic regression analysis to examine the associations of social frailty and social support with anxiety and depression and performed mediation analyses to examine whether social support mediates the relationship of social frailty with anxiety and depression.

resultsThe logistic regression analysis revealed that social frailty did not associate anxiety or depression in patients with AECOPD. The mediation analysis supported this idea and indicated that while social frailty does not directly influence anxiety or depression, it can through social support.

conclusionsThe findings suggest that while social frailty may not directly impact anxiety or depression in patients with AECOPD, social support plays a crucial mediating role. Enhancing social support can indirectly alleviate anxiety and depression among these patients. Enhancing social support networks should thus be prioritized by healthcare providers and family members to improve mental health outcomes in this patient population.

Indexed as

AnxietyDepressionPulmonary Disease, Chronic ObstructiveSocial SupportAgedAged, 80 and overChinaFemaleFrailtyHumansLogistic ModelsMaleMiddle AgedAECOPDAnxietyDepressionSocial frailtySocial support

Identifiers

PMID39135002
PMCPMC11321094

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LicenceCC BY-NC-ND
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Registered trials

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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.