Evidence map›Paper›PMID 40455729›Full record

ArticlePloS one2025

Social support mediates the relationship between depression and subjective well-being in elderly patients with chronic diseases: Evidence from a survey in Rural Western China.

Zhonglian Li, Suxia Qin, Yafen Zhu, Quanxiang Zhou, Aijing Yi, Caiyun Mo, Jun Gao, Juhai Chen, Tianhui Wang, Zhanhui Feng and 1 more

Abstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–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

12 citing papers in PubMed.

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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

11 authors.

Zhonglian LiSchool of Clinical Medicine, Guizhou Medical University, Guiyang, China.
Suxia QinDepartment of Medicine, Qiannan Medical College for Nationalities, Duyun, China.
Yafen ZhuDepartment of Medicine, Qiannan Medical College for Nationalities, Duyun, China.
Quanxiang ZhouDepartment of Medicine, Qiannan Medical College for Nationalities, Duyun, China.
Aijing YiDepartment of Medicine, Qiannan Medical College for Nationalities, Duyun, China.
Caiyun MoDepartment of Medicine, Qiannan Medical College for Nationalities, Duyun, China.
Jun GaoDepartment of Medicine, Qiannan Medical College for Nationalities, Duyun, China.
Juhai ChenDepartment of Internal Ward, Guiyang Public Health Service Center, Guiyang, China.
Tianhui WangSchool of Clinical Medicine, Guizhou Medical University, Guiyang, China.
Zhanhui FengDepartment of Neurology, Guizhou Provincial People's Hospital, Guiyang, China.
Xiangang MoDepartment of Comprehensive Ward, The Affiliated Hospital of Guizhou Medical University, Guiyang, China.ORCID https://orcid.org/0000-0001-6354-7669

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aging population has led to a marked increase in the prevalence of chronic diseases among the elderly, significantly impacting their physical and mental health, as well as their overall quality of life. In rural regions of Western China, these challenges are exacerbated by limited access to medical insurance, low living standards, and inadequate mental health services. Consequently, the physical and mental well-being of elderly individuals with chronic conditions in these areas warrants focused attention. This study aims to investigate the interrelationships between depression, social support, and subjective well-being, with particular emphasis on the mediating role of social support.

methodsThis cross-sectional study involved a survey of 2,156 elderly individuals aged 60 and above, all living with chronic diseases in the rural areas of Qiannan, Guizhou, China. Pearson correlation and hierarchical linear regression analyses were employed to explore the relationships between the variables. A structural equation model was then constructed using Amos 23.0, based on the identified correlations between depression, social support, and subjective well-being. The bootstrap estimation method was applied to assess the mediating effect of social support in the depression-subjective well-being relationship.

resultsThe analysis revealed a significant negative correlation between depression and subjective well-being, while social support showed a strong positive association with subjective well-being. Mediation analysis confirmed that social support significantly mediates the relationship between depression and subjective well-being, accounting for 10.23% of the total effect. Notably, the influence of subjective support on depression and subjective well-being was found to be more pronounced than that of objective support or social support utilization.

conclusionsThe findings highlight the necessity of strengthening the social support system for elderly individuals with chronic diseases in rural Western China, particularly by enhancing psychological and emotional support. This approach is crucial for mitigating depressive symptoms and improving subjective well-being in this population.

Indexed as

DepressionSocial SupportAgedAged, 80 and overChinaChronic DiseaseCross-Sectional StudiesFemaleHumansMaleMental HealthMiddle AgedQuality of LifeRural PopulationSurveys and Questionnaires

Identifiers

PMID40455729
PMCPMC12129150

What OpenQuestion holds

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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.