ArticleFrontiers in public health2026
Illness acceptance and early self-management in older adults with prediabetes: the mediating role of depression.
Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Early self-management is essential for preventing the progression from prediabetes to diabetes, particularly among older adults who often experience difficulties maintaining stable health behaviors during the early adaptation stage. Illness acceptance represents an important cognitive response to disease-related stress, while depression reflects a common emotional reaction during early disease awareness. However, the psychological mechanisms linking illness acceptance and early self-management in older adults with prediabetes remain insufficiently understood. Objective: This study aimed to examine the relationships among illness acceptance, depression, and early self-management in older adults with prediabetes, and to investigate the mediating role of depression within the stress-cognitive appraisal-coping framework. Methods: A cross-sectional study was conducted among 400 older adults with prediabetes recruited from multiple hospitals in Zhejiang Province, China, between June and December 2025. Participants completed validated measures assessing illness acceptance (Acceptance of Illness Scale), depressive symptoms (PHQ-3), and self-management behaviors (Self-Management Scale). Pearson correlation analysis was used to assess associations among variables. Mediation analysis was conducted using PROCESS Model 4 with bias-corrected bootstrapping after adjustment for demographic and clinical covariates. Results: Illness acceptance was positively associated with depressive symptoms ( Conclusion: Illness acceptance was positively associated with early self-management among older adults with prediabetes, both directly and indirectly through emotional pathways. The findings suggest that emotional responses accompanying early disease awareness may influence behavioral engagement during disease adaptation. Integrating acceptance-based education with emotional support strategies may enhance early self-management interventions for older adults with prediabetes.
Indexed as
Identifiers
What OpenQuestion holds
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.