The relationship between social support and depression among older adults with hypertension in urban communities: mediating effects of coping styles
BackgroundOlder adults with hypertension are at an increased risk of depression. Social support and coping style significantly influence this risk, with social cognitive theory suggesting that social support can affect an individual’s coping style, and coping style can affect the effective use of so...
Saved in:
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2025-02-01
|
| Series: | Frontiers in Psychiatry |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1508846/full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1823859165011902464 |
|---|---|
| author | Dan Li Jin-Hua Jie Hong Li Xue-Mei Xia Yilin Zhang Yilin Zhang Yan Yang Yan Yang Jianjun Xiang Jianjun Xiang Jianjun Xiang Hai-Lin Zhuang |
| author_facet | Dan Li Jin-Hua Jie Hong Li Xue-Mei Xia Yilin Zhang Yilin Zhang Yan Yang Yan Yang Jianjun Xiang Jianjun Xiang Jianjun Xiang Hai-Lin Zhuang |
| author_sort | Dan Li |
| collection | DOAJ |
| description | BackgroundOlder adults with hypertension are at an increased risk of depression. Social support and coping style significantly influence this risk, with social cognitive theory suggesting that social support can affect an individual’s coping style, and coping style can affect the effective use of social support. However, the mediating role of coping style in the relationship between social support and depression in older hypertensive patients remains unclear. This study aimed to explore the inter-relationships between social support, coping style and depression in older hypertensive patients within a community setting, and to investigate the mediating effects of coping style.MethodsA cross-sectional questionnaire survey was conducted with 4211 older hypertensive patients from Fuzhou, Fujian Province, China. Participants were assessed for depression, social support, coping styles, and general demographic information. Pearson correlation analysis was employed to test the correlation between variables. Mediation effect test was conducted using SPSS macro program PROCESS with Bootstrap based Model 4, after controlling for confounding factors.ResultsA total of 4211 valid questionnaires were collected, yielding an effective response rate of 98.6%. The average depression score among participants was 7.99 ± 4.92 points, with 29.5% of respondents experiencing varying degrees of depression. Both social support and coping style were associated with depression in older hypertensive patients. Specifically, objective support, subjective support, support utilization, and positive coping style were negatively correlated with depression, with correlation coefficients of -0.159, -0.160, -0.145, and -0.163, respectively. Conversely, negative coping style was positively correlated with depression, with a correlation coefficient of 0.170. Mediating effect analysis showed that coping style played a mediating role between social support and depression. Social support negatively moderated depression through positive coping style (moderating effect =-0.020, Bootstrap 95%CI [-0.027, -0.138], mediating effect value was 15.87%), while it positively influenced depression through negative coping style (moderating effect =0.012, Bootstrap 95%CI [0.008,0.017], intermediate effect value =9.52%).ConclusionSocial support exerts a direct negative effect on depression, while coping styles mediate the relationship between social support and depression. Interventions to reduce depression in this population should focus on enhancing social support (across objective, subjective, and utilization aspects) and promoting positive coping strategies, thus strengthening psychological resilience and improving overall health and quality of life for older adults with hypertension. |
| format | Article |
| id | doaj-art-32654ba0592f4ccbb0858f9f6366948e |
| institution | Kabale University |
| issn | 1664-0640 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj-art-32654ba0592f4ccbb0858f9f6366948e2025-02-11T07:00:05ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402025-02-011610.3389/fpsyt.2025.15088461508846The relationship between social support and depression among older adults with hypertension in urban communities: mediating effects of coping stylesDan Li0Jin-Hua Jie1Hong Li2Xue-Mei Xia3Yilin Zhang4Yilin Zhang5Yan Yang6Yan Yang7Jianjun Xiang8Jianjun Xiang9Jianjun Xiang10Hai-Lin Zhuang11School of Public Health and Health Management, Fujian Health College, Fuzhou, Fujian, ChinaSchool of Public Health and Health Management, Fujian Health College, Fuzhou, Fujian, ChinaSchool of Public Health and Health Management, Fujian Health College, Fuzhou, Fujian, ChinaSchool of Public Health and Health Management, Fujian Health College, Fuzhou, Fujian, ChinaDepartment of Preventive Medicine, School of Public Health, Fujian Medical University, Fuzhou, Fujian, ChinaKey Laboratory of Environment and Health, Fujian Province University, Fuzhou, Fujian, ChinaDepartment of Preventive Medicine, School of Public Health, Fujian Medical University, Fuzhou, Fujian, ChinaKey Laboratory of Environment and Health, Fujian Province University, Fuzhou, Fujian, ChinaDepartment of Preventive Medicine, School of Public Health, Fujian Medical University, Fuzhou, Fujian, ChinaKey Laboratory of Environment and Health, Fujian Province University, Fuzhou, Fujian, ChinaSchool of Public Health, The University of Adelaide, Adelaide, SA, AustraliaSchool of Public Health and Health Management, Fujian Health College, Fuzhou, Fujian, ChinaBackgroundOlder adults with hypertension are at an increased risk of depression. Social support and coping style significantly influence this risk, with social cognitive theory suggesting that social support can affect an individual’s coping style, and coping style can affect the effective use of social support. However, the mediating role of coping style in the relationship between social support and depression in older hypertensive patients remains unclear. This study aimed to explore the inter-relationships between social support, coping style and depression in older hypertensive patients within a community setting, and to investigate the mediating effects of coping style.MethodsA cross-sectional questionnaire survey was conducted with 4211 older hypertensive patients from Fuzhou, Fujian Province, China. Participants were assessed for depression, social support, coping styles, and general demographic information. Pearson correlation analysis was employed to test the correlation between variables. Mediation effect test was conducted using SPSS macro program PROCESS with Bootstrap based Model 4, after controlling for confounding factors.ResultsA total of 4211 valid questionnaires were collected, yielding an effective response rate of 98.6%. The average depression score among participants was 7.99 ± 4.92 points, with 29.5% of respondents experiencing varying degrees of depression. Both social support and coping style were associated with depression in older hypertensive patients. Specifically, objective support, subjective support, support utilization, and positive coping style were negatively correlated with depression, with correlation coefficients of -0.159, -0.160, -0.145, and -0.163, respectively. Conversely, negative coping style was positively correlated with depression, with a correlation coefficient of 0.170. Mediating effect analysis showed that coping style played a mediating role between social support and depression. Social support negatively moderated depression through positive coping style (moderating effect =-0.020, Bootstrap 95%CI [-0.027, -0.138], mediating effect value was 15.87%), while it positively influenced depression through negative coping style (moderating effect =0.012, Bootstrap 95%CI [0.008,0.017], intermediate effect value =9.52%).ConclusionSocial support exerts a direct negative effect on depression, while coping styles mediate the relationship between social support and depression. Interventions to reduce depression in this population should focus on enhancing social support (across objective, subjective, and utilization aspects) and promoting positive coping strategies, thus strengthening psychological resilience and improving overall health and quality of life for older adults with hypertension.https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1508846/fullhypertensiondepressionolder adultsocial supportcoping stylesmediating effects |
| spellingShingle | Dan Li Jin-Hua Jie Hong Li Xue-Mei Xia Yilin Zhang Yilin Zhang Yan Yang Yan Yang Jianjun Xiang Jianjun Xiang Jianjun Xiang Hai-Lin Zhuang The relationship between social support and depression among older adults with hypertension in urban communities: mediating effects of coping styles Frontiers in Psychiatry hypertension depression older adult social support coping styles mediating effects |
| title | The relationship between social support and depression among older adults with hypertension in urban communities: mediating effects of coping styles |
| title_full | The relationship between social support and depression among older adults with hypertension in urban communities: mediating effects of coping styles |
| title_fullStr | The relationship between social support and depression among older adults with hypertension in urban communities: mediating effects of coping styles |
| title_full_unstemmed | The relationship between social support and depression among older adults with hypertension in urban communities: mediating effects of coping styles |
| title_short | The relationship between social support and depression among older adults with hypertension in urban communities: mediating effects of coping styles |
| title_sort | relationship between social support and depression among older adults with hypertension in urban communities mediating effects of coping styles |
| topic | hypertension depression older adult social support coping styles mediating effects |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1508846/full |
| work_keys_str_mv | AT danli therelationshipbetweensocialsupportanddepressionamongolderadultswithhypertensioninurbancommunitiesmediatingeffectsofcopingstyles AT jinhuajie therelationshipbetweensocialsupportanddepressionamongolderadultswithhypertensioninurbancommunitiesmediatingeffectsofcopingstyles AT hongli therelationshipbetweensocialsupportanddepressionamongolderadultswithhypertensioninurbancommunitiesmediatingeffectsofcopingstyles AT xuemeixia therelationshipbetweensocialsupportanddepressionamongolderadultswithhypertensioninurbancommunitiesmediatingeffectsofcopingstyles AT yilinzhang therelationshipbetweensocialsupportanddepressionamongolderadultswithhypertensioninurbancommunitiesmediatingeffectsofcopingstyles AT yilinzhang therelationshipbetweensocialsupportanddepressionamongolderadultswithhypertensioninurbancommunitiesmediatingeffectsofcopingstyles AT yanyang therelationshipbetweensocialsupportanddepressionamongolderadultswithhypertensioninurbancommunitiesmediatingeffectsofcopingstyles AT yanyang therelationshipbetweensocialsupportanddepressionamongolderadultswithhypertensioninurbancommunitiesmediatingeffectsofcopingstyles AT jianjunxiang therelationshipbetweensocialsupportanddepressionamongolderadultswithhypertensioninurbancommunitiesmediatingeffectsofcopingstyles AT jianjunxiang therelationshipbetweensocialsupportanddepressionamongolderadultswithhypertensioninurbancommunitiesmediatingeffectsofcopingstyles AT jianjunxiang therelationshipbetweensocialsupportanddepressionamongolderadultswithhypertensioninurbancommunitiesmediatingeffectsofcopingstyles AT hailinzhuang therelationshipbetweensocialsupportanddepressionamongolderadultswithhypertensioninurbancommunitiesmediatingeffectsofcopingstyles AT danli relationshipbetweensocialsupportanddepressionamongolderadultswithhypertensioninurbancommunitiesmediatingeffectsofcopingstyles AT jinhuajie relationshipbetweensocialsupportanddepressionamongolderadultswithhypertensioninurbancommunitiesmediatingeffectsofcopingstyles AT hongli relationshipbetweensocialsupportanddepressionamongolderadultswithhypertensioninurbancommunitiesmediatingeffectsofcopingstyles AT xuemeixia relationshipbetweensocialsupportanddepressionamongolderadultswithhypertensioninurbancommunitiesmediatingeffectsofcopingstyles AT yilinzhang relationshipbetweensocialsupportanddepressionamongolderadultswithhypertensioninurbancommunitiesmediatingeffectsofcopingstyles AT yilinzhang relationshipbetweensocialsupportanddepressionamongolderadultswithhypertensioninurbancommunitiesmediatingeffectsofcopingstyles AT yanyang relationshipbetweensocialsupportanddepressionamongolderadultswithhypertensioninurbancommunitiesmediatingeffectsofcopingstyles AT yanyang relationshipbetweensocialsupportanddepressionamongolderadultswithhypertensioninurbancommunitiesmediatingeffectsofcopingstyles AT jianjunxiang relationshipbetweensocialsupportanddepressionamongolderadultswithhypertensioninurbancommunitiesmediatingeffectsofcopingstyles AT jianjunxiang relationshipbetweensocialsupportanddepressionamongolderadultswithhypertensioninurbancommunitiesmediatingeffectsofcopingstyles AT jianjunxiang relationshipbetweensocialsupportanddepressionamongolderadultswithhypertensioninurbancommunitiesmediatingeffectsofcopingstyles AT hailinzhuang relationshipbetweensocialsupportanddepressionamongolderadultswithhypertensioninurbancommunitiesmediatingeffectsofcopingstyles |