ArticleScientific reports2025
Perceived social support mediates the relationship between self-efficacy and depression/anxiety in patients with cardiovascular disease.
Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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1 citing paper in PubMed.
- Stress, Anxiety, and Self-Efficacy in Hypertension: Evidence from a Romanian Case-Control Study.Diseases (Basel, Switzerland) · 2025Article
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3 authors.
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Abstract
This study aimed to assess the psychological characteristics of patients with cardiovascular disease (CVD), focusing on perceived social support, self-efficacy, and emotional symptoms such as depression and anxiety. Additionally, we investigated whether perceived social support mediates the relationship between self-efficacy and these mood disorders. This cross-sectional survey involved 1,144 CVD patients drawn from the 2021 China Family Health Index Survey Report. Participants completed standardized measures including a Demographic Inventory, the Perceived Social Support Scale (PSSS), the New General Self-Efficacy Scale (NGSES), the Patient Health Questionnaire-9 (PHQ-9), and the Generalized Anxiety Disorder-7 (GAD-7). Nonparametric analyses, chi-square tests, linear regression, and mediation analyses using the PROCESS macro were performed. Among Chinese CVD patients, depression and anxiety prevalence were 19.6% and 47.1%, respectively. Median scores were 60 (IQR 50-69) for perceived social support and 29 (IQR 24-32) for self-efficacy. Regression analyses showed significant negative associations between perceived social support and depression (β=-0.092, p < 0.001) and anxiety (β=-0.075, p < 0.001). Mediation models indicated associated with emotional disturbances via support perception (indirect effects: depression=-0.113, anxiety=-0.092). These findings highlight the potential relevance of psychosocial resources in managing emotional well-being among CVD patients and suggest that perceived social support may be an important target for forthcoming psychosocial interventions. However, due to the cross-sectional design, causal reasoning is avoided, and longitudinal studies are needed to confirm these associations.
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