The impact of family function on mental health status in patient with inflammatory bowel disease: The mediating role of self-esteem
Qiwei Wu, Pingting Zhu, Xinyi Liu, Chen Chen, Qiaoying Ji, Qiaohua Gu
Abstract
Objective: Family function is a protective factor for mental health status in IBD patients; however, the underlying processes are unknown. This study aimed to investigate the mediating influence of self-esteem on family functioning and mental health. Methods: self-administered questionnaires. Mediating effects were tested using the SPSS Process program with bootstrap. Results: The total score of PHQ-9 was 7.44 ±5.54. The total score of GAD-7 was 6.15±4.78. Significant associations were identified among family function, self-esteem, depression, and anxiety symptoms. Results revealed a significant indirect effect, suggesting that the effects of family function on depression and anxiety symptoms were mediated by self-esteem; the indirect effects percentages were 41.63 and 29.25. Conclusion: These results indicate that the family function of IBD patients can predict their mental health condition. As self-esteem is a mediating element, which may have been influenced by family function, mental health status is indirectly affected. Therefore, promoting the self-esteem of IBD patients is crucial for facilitating long-term mental wellness.