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Sung KiwolCorresponding author College of Nursing, Catholic University of Daegu, Daegu, South Korea.
Purpose: The purpose of this study was to examine the mediation of depressive symptoms in the relationship between cardiovascular risk and the health conservation of community-dwelling vulnerable diabetic elderly in order to provide a basis for planning nursing interventions to improve the health conservation of vulnerable diabetic elderly. Methods: The participants were 99 vulnerable diabetic elderly who registered at the community health centers in D city. Data were collected using self-report questionnaires and analyzed with the SPSS-WIN 19.0 program. The instruments were Sung’s Health Conservation Scale, the Arizona Heart Institute Cardiovascular Risk Factor Questionnaire, and the Geriatric Depression Scale Short Form-Korea version (GDSSF-K). Results: The mean score for health conservation was 100.52. Overall depressive symptoms were 11.84, cardiovascular risk was 20.35. There were significant correlations among the three variables: health conservation, depressive symptoms, and cardiovascular risk. Also, depressive symptoms had a proportional mediating effect in the relationship between cardiovascular risk and health conservation. Conclusion: Based on the findings of this study, health management programs focusing on cardiovascular risk management and depressive symptom improvement are highly recommended to promote health conservation in the vulnerable diabetic elderly
Xu WeiCorresponding author Nanjing Normal University, Nanjing, China
This study examined the mediating role of alcohol use in the relationship between PTSD symptoms and trauma-related psychotic reactions. A total of 231 participants including 181 females were recruited via web advertisement and flyers. Alcohol use condition, trauma-related psychotic experience, and PTSD symptoms were measured by Feeling the need to Cut down, Annoyed by criticism, Guilty about drinking, and need for an Eye-opener in the morning (CAGE), Psychosis Screening Questionnaire (PSU) and Short screening scale for posttraumatic stress disorder (SSSP). All the participants were asked to finish the questionnaire package on the Internet and were interviewed later to validate the screening. Logistic regression was used to estimate the mediating effect of alcohol use. Results showed that alcohol use played a mediating role between PTSD symptoms and auditory hallucination while this effect didn’t exist between PTSD symptoms and paranoia. Findings indicated that hallucination and paranoia in people with PTSD symptoms were influenced by alcohol use in diverse ways.