Mediating Effects of Illness Acceptance and Family Intimacy on Sleep Quality and Depression in Patients With Lumbar Disc Herniation.
Saved in:
| Title: | Mediating Effects of Illness Acceptance and Family Intimacy on Sleep Quality and Depression in Patients With Lumbar Disc Herniation. |
|---|---|
| Authors: | Pan, Chunyan1, Wu, Tianyi1, Zou, Jun1, Su, Yufang1 Suyufang19720304@126.com |
| Source: | Actas Espanolas de Psiquiatria. 2025, Vol. 53 Issue 5, p1053-1062. 10p. |
| Subjects: | SLEEP quality, MENTAL depression, PSYCHOTHERAPY, PSYCHOSOCIAL factors, MENTAL health, SPSS (Computer software), INTERVERTEBRAL disk hernias, FAMILY relations |
| Abstract: | Background: Lumbar disc herniation (LDH) is a prevalent degenerative spinal disorder, often accompanied by impaired sleep quality and depressive symptoms, which considerably affect patients’ quality of life and hinder the recovery process. Objective: This study aimed to explore the chain mediating effects of illness acceptance and family intimacy on the relationship between sleep quality and depressive symptoms in patients with LDH. The objective was to elucidate the psychosocial mechanisms influencing the psychological well-being of these patients. Methods: A total of 110 patients diagnosed with LDH between January 2022 and January 2024 were enrolled in this cross-sectional study. Participants completed validated questionnaires assessing sleep quality, illness acceptance, family intimacy and depressive symptoms, including the Pittsburgh Sleep Quality Index (PSQI), Acceptance of Illness Scale (AIS), Family Adaptability and Cohesion Evaluation Scales II (FACES II) and Self-Rating Depression Scale (SDS). Associations among the measured variables were assessed through Pearson correlation analysis. Mediation effects were analysed using the PROCESS v4.2 macro in SPSS, and the significance of the mediating effects was assessed via bootstrapping. Results: A significant positive correlation was observed between the degree of sleep disturbance and depressive symptoms (r = 0.417, p < 0.01). Illness acceptance and family intimacy served as key mediators in the relationship between sleep quality and depressive symptoms. Specifically, poor sleep quality was associated with increased depressive symptoms through its negative effects on family intimacy (β = –0.211, p = 0.027) and illness acceptance (β = –0.266, p = 0.003). Mediation analysis indicated that the total indirect effect accounted for 35.10% of the total effect. The chain-mediated pathway, sleep quality → family intimacy → illness acceptance → depressive symptoms, had an effect size of 0.062 (Boot SE = 0.010, 95% CI: 0.005 to 0.043), indicating that this pathway was also valid. Conclusion: Sleep quality is significantly associated with depressive symptoms in patients with LDH. Illness acceptance and family intimacy function as key mediators in this relationship. These findings underscore the importance of psychosocial factors in the mental health of patients with LDH and provide a theoretical foundation for developing targeted psychological interventions. [ABSTRACT FROM AUTHOR] |
| Copyright of Actas Espanolas de Psiquiatria is the property of Maria Lopez-Ibor and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | MedicLatina |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
|---|---|
| Header | DbId: lth DbLabel: MedicLatina An: 190365505 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
| IllustrationInfo | |
| Items | – Name: Title Label: Title Group: Ti Data: Mediating Effects of Illness Acceptance and Family Intimacy on Sleep Quality and Depression in Patients With Lumbar Disc Herniation. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Pan%2C+Chunyan%22">Pan, Chunyan</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Wu%2C+Tianyi%22">Wu, Tianyi</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Zou%2C+Jun%22">Zou, Jun</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Su%2C+Yufang%22">Su, Yufang</searchLink><relatesTo>1</relatesTo><i> Suyufang19720304@126.com</i> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Actas+Espanolas+de+Psiquiatria%22">Actas Espanolas de Psiquiatria</searchLink>. 2025, Vol. 53 Issue 5, p1053-1062. 10p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22SLEEP+quality%22">SLEEP quality</searchLink><br /><searchLink fieldCode="DE" term="%22MENTAL+depression%22">MENTAL depression</searchLink><br /><searchLink fieldCode="DE" term="%22PSYCHOTHERAPY%22">PSYCHOTHERAPY</searchLink><br /><searchLink fieldCode="DE" term="%22PSYCHOSOCIAL+factors%22">PSYCHOSOCIAL factors</searchLink><br /><searchLink fieldCode="DE" term="%22MENTAL+health%22">MENTAL health</searchLink><br /><searchLink fieldCode="DE" term="%22SPSS+%28Computer+software%29%22">SPSS (Computer software)</searchLink><br /><searchLink fieldCode="DE" term="%22INTERVERTEBRAL+disk+hernias%22">INTERVERTEBRAL disk hernias</searchLink><br /><searchLink fieldCode="DE" term="%22FAMILY+relations%22">FAMILY relations</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Background: Lumbar disc herniation (LDH) is a prevalent degenerative spinal disorder, often accompanied by impaired sleep quality and depressive symptoms, which considerably affect patients’ quality of life and hinder the recovery process. Objective: This study aimed to explore the chain mediating effects of illness acceptance and family intimacy on the relationship between sleep quality and depressive symptoms in patients with LDH. The objective was to elucidate the psychosocial mechanisms influencing the psychological well-being of these patients. Methods: A total of 110 patients diagnosed with LDH between January 2022 and January 2024 were enrolled in this cross-sectional study. Participants completed validated questionnaires assessing sleep quality, illness acceptance, family intimacy and depressive symptoms, including the Pittsburgh Sleep Quality Index (PSQI), Acceptance of Illness Scale (AIS), Family Adaptability and Cohesion Evaluation Scales II (FACES II) and Self-Rating Depression Scale (SDS). Associations among the measured variables were assessed through Pearson correlation analysis. Mediation effects were analysed using the PROCESS v4.2 macro in SPSS, and the significance of the mediating effects was assessed via bootstrapping. Results: A significant positive correlation was observed between the degree of sleep disturbance and depressive symptoms (r = 0.417, p < 0.01). Illness acceptance and family intimacy served as key mediators in the relationship between sleep quality and depressive symptoms. Specifically, poor sleep quality was associated with increased depressive symptoms through its negative effects on family intimacy (β = –0.211, p = 0.027) and illness acceptance (β = –0.266, p = 0.003). Mediation analysis indicated that the total indirect effect accounted for 35.10% of the total effect. The chain-mediated pathway, sleep quality → family intimacy → illness acceptance → depressive symptoms, had an effect size of 0.062 (Boot SE = 0.010, 95% CI: 0.005 to 0.043), indicating that this pathway was also valid. Conclusion: Sleep quality is significantly associated with depressive symptoms in patients with LDH. Illness acceptance and family intimacy function as key mediators in this relationship. These findings underscore the importance of psychosocial factors in the mental health of patients with LDH and provide a theoretical foundation for developing targeted psychological interventions. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Actas Espanolas de Psiquiatria is the property of Maria Lopez-Ibor and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
| PLink | https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=lth&AN=190365505 |
| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.62641/aep.v53i5.1978 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 10 StartPage: 1053 Subjects: – SubjectFull: SLEEP quality Type: general – SubjectFull: MENTAL depression Type: general – SubjectFull: PSYCHOTHERAPY Type: general – SubjectFull: PSYCHOSOCIAL factors Type: general – SubjectFull: MENTAL health Type: general – SubjectFull: SPSS (Computer software) Type: general – SubjectFull: INTERVERTEBRAL disk hernias Type: general – SubjectFull: FAMILY relations Type: general Titles: – TitleFull: Mediating Effects of Illness Acceptance and Family Intimacy on Sleep Quality and Depression in Patients With Lumbar Disc Herniation. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Pan, Chunyan – PersonEntity: Name: NameFull: Wu, Tianyi – PersonEntity: Name: NameFull: Zou, Jun – PersonEntity: Name: NameFull: Su, Yufang IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 09 Text: 2025 Type: published Y: 2025 Identifiers: – Type: issn-print Value: 11399287 Numbering: – Type: volume Value: 53 – Type: issue Value: 5 Titles: – TitleFull: Actas Espanolas de Psiquiatria Type: main |
| ResultId | 1 |
