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Acta Diabetologica

Published in:

22-11-2023 | Type 2 Diabetes | Original Article

Relationship between family function, self-perceived burden and loneliness in patients with type 2 diabetes mellitus: a cross-lagged analysis

Authors: Jiahui Qiu, Yaxin Bi, Juan Pang, Ning Zhang, Fenfen Sun, Yuyin He, Yan Zou, Xiaojuan Wan, Lin Liu, Yu Zhang

Published in: Acta Diabetologica | Issue 3/2024

Abstract

Aims

To explore the inter-predictive role and causal relationship between family functioning, self-perceived burden and loneliness in people with type 2 diabetes.

Methods

In this study, patients with type 2 diabetes admitted to two tertiary care hospitals in China were selected for an 8-month follow-up, and the patients' scores on the Family Functioning, Self-perceived Burden, and Loneliness scales were measured repeatedly at three time periods: during hospitalisation (T1), 1 month after discharge (T2), and 3 months after discharge (T3).

Results

The results showed that family function at the T1 time point had a negative predictive effect on self-perceived burden at the T2 time point, β = − 0.43, P = 0.005. Loneliness at the T1 time point had a positive predictive effect on self-perceived burden at the T2 time point, β = 0.08, P = 0.021. Unlike the pathway at time point T1, family functioning at time point T2 negatively predicted loneliness at time point T3, β = − 0.32, P = 0.013. Loneliness at time point T2 positively predicted family functioning at time point T3, β = 0.025, P = 0.013. Loneliness at time point T2 negatively predicted self-perceived burden at time point T3 (P = 0.011).

Conclusions

The results of the cross-lagged analysis show that there is a mutually predictive and moderating relationship between family functioning and loneliness in patients with type 2 diabetes. Loneliness can predict the level of self-perceived burden at the next time point.

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Title: Relationship between family function, self-perceived burden and loneliness in patients with type 2 diabetes mellitus: a cross-lagged analysis
Authors: Jiahui Qiu
Yaxin Bi
Juan Pang
Ning Zhang
Fenfen Sun
Yuyin He
Yan Zou
Xiaojuan Wan
Lin Liu
Yu Zhang
Publication date: 22-11-2023
Publisher: Springer Milan
Keyword: Type 2 Diabetes
Published in: Acta Diabetologica / Issue 3/2024
Print ISSN: 0940-5429
Electronic ISSN: 1432-5233
DOI: https://doi.org/10.1007/s00592-023-02207-8

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