The association between perceived social support and self-management behaviors in adolescents and young adults with inflammatory bowel disease: the chain mediating role of basic psychological needs and anxiety/depression

IntroductionThe incidence of inflammatory bowel disease (IBD) has been increasing, with adolescents and young adults being the peak age of onset. Self-management behaviors were demonstrated to enhance remission and quality of life, yet the mechanisms influencing self-management behaviors remained un...

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Main Authors: Yangfan Zhu, Yueyue Chen, Yuman Tang, Xin Zhang, Qiao Shen, Fei Li, Hao Wang, Xianlan Zheng
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Psychology
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1483021/full
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author Yangfan Zhu
Yangfan Zhu
Yueyue Chen
Yuman Tang
Xin Zhang
Qiao Shen
Fei Li
Hao Wang
Xianlan Zheng
author_facet Yangfan Zhu
Yangfan Zhu
Yueyue Chen
Yuman Tang
Xin Zhang
Qiao Shen
Fei Li
Hao Wang
Xianlan Zheng
author_sort Yangfan Zhu
collection DOAJ
description IntroductionThe incidence of inflammatory bowel disease (IBD) has been increasing, with adolescents and young adults being the peak age of onset. Self-management behaviors were demonstrated to enhance remission and quality of life, yet the mechanisms influencing self-management behaviors remained under-explored. Perceived social support is crucial to self-management behaviors, alongside the roles of basic psychological needs, anxiety, and depression.MethodsWe conducted a two-center cross-sectional survey in China from July to August 2024 via convenience and snowball sampling to investigate how these variables influence self-management behaviors. Data were collected utilizing the structured self-report questionnaires. Mediating effects were analyzed using the bootstrap method.ResultsA total of 183 adolescents and young adults with IBD (male: 71.58%), aged 13 to 24 years old (M = 20.33, SD = 3.03), were included in the analysis. The research findings include the following points: (1) perceived social support positively predicted self-management behaviors (β = 0.767, P < 0.001); (2) perceived social support affected self-management behaviors through chain mediation involving basic psychological needs and anxiety/depression.ConclusionClinical practitioners should enhance social support for adolescents and young adults with IBD and improve their perceptions of such support, fulfill basic psychological needs, and alleviate anxiety and depression to promote effective self-management behaviors.
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spelling doaj-art-f42ecc6a5d344b55bfa7bc049341c2fe2025-02-05T12:17:54ZengFrontiers Media S.A.Frontiers in Psychology1664-10782025-02-011610.3389/fpsyg.2025.14830211483021The association between perceived social support and self-management behaviors in adolescents and young adults with inflammatory bowel disease: the chain mediating role of basic psychological needs and anxiety/depressionYangfan Zhu0Yangfan Zhu1Yueyue Chen2Yuman Tang3Xin Zhang4Qiao Shen5Fei Li6Hao Wang7Xianlan Zheng8Department of Nursing Children's Hospital of Chongqing Medical University, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatric Metabolism and Inflammatory Diseases, Chongqing, ChinaDepartment of Gastroenterology, Chongqing General Hospital, Chongqing University, Chongqing, ChinaMental Health Education and Counseling Center, Chongqing Institute of Foreign Studies, Chongqing, ChinaDepartment of Nursing Children's Hospital of Chongqing Medical University, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatric Metabolism and Inflammatory Diseases, Chongqing, ChinaDepartment of Nursing Children's Hospital of Chongqing Medical University, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatric Metabolism and Inflammatory Diseases, Chongqing, ChinaDepartment of Nursing Children's Hospital of Chongqing Medical University, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatric Metabolism and Inflammatory Diseases, Chongqing, ChinaDepartment of Nursing Children's Hospital of Chongqing Medical University, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatric Metabolism and Inflammatory Diseases, Chongqing, ChinaDepartment of Gastroenterology, Chongqing General Hospital, Chongqing University, Chongqing, ChinaDepartment of Nursing Children's Hospital of Chongqing Medical University, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Pediatric Metabolism and Inflammatory Diseases, Chongqing, ChinaIntroductionThe incidence of inflammatory bowel disease (IBD) has been increasing, with adolescents and young adults being the peak age of onset. Self-management behaviors were demonstrated to enhance remission and quality of life, yet the mechanisms influencing self-management behaviors remained under-explored. Perceived social support is crucial to self-management behaviors, alongside the roles of basic psychological needs, anxiety, and depression.MethodsWe conducted a two-center cross-sectional survey in China from July to August 2024 via convenience and snowball sampling to investigate how these variables influence self-management behaviors. Data were collected utilizing the structured self-report questionnaires. Mediating effects were analyzed using the bootstrap method.ResultsA total of 183 adolescents and young adults with IBD (male: 71.58%), aged 13 to 24 years old (M = 20.33, SD = 3.03), were included in the analysis. The research findings include the following points: (1) perceived social support positively predicted self-management behaviors (β = 0.767, P < 0.001); (2) perceived social support affected self-management behaviors through chain mediation involving basic psychological needs and anxiety/depression.ConclusionClinical practitioners should enhance social support for adolescents and young adults with IBD and improve their perceptions of such support, fulfill basic psychological needs, and alleviate anxiety and depression to promote effective self-management behaviors.https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1483021/fullinflammatory bowel diseaseadolescentsyoung adultsself-managementsocial supportanxiety
spellingShingle Yangfan Zhu
Yangfan Zhu
Yueyue Chen
Yuman Tang
Xin Zhang
Qiao Shen
Fei Li
Hao Wang
Xianlan Zheng
The association between perceived social support and self-management behaviors in adolescents and young adults with inflammatory bowel disease: the chain mediating role of basic psychological needs and anxiety/depression
Frontiers in Psychology
inflammatory bowel disease
adolescents
young adults
self-management
social support
anxiety
title The association between perceived social support and self-management behaviors in adolescents and young adults with inflammatory bowel disease: the chain mediating role of basic psychological needs and anxiety/depression
title_full The association between perceived social support and self-management behaviors in adolescents and young adults with inflammatory bowel disease: the chain mediating role of basic psychological needs and anxiety/depression
title_fullStr The association between perceived social support and self-management behaviors in adolescents and young adults with inflammatory bowel disease: the chain mediating role of basic psychological needs and anxiety/depression
title_full_unstemmed The association between perceived social support and self-management behaviors in adolescents and young adults with inflammatory bowel disease: the chain mediating role of basic psychological needs and anxiety/depression
title_short The association between perceived social support and self-management behaviors in adolescents and young adults with inflammatory bowel disease: the chain mediating role of basic psychological needs and anxiety/depression
title_sort association between perceived social support and self management behaviors in adolescents and young adults with inflammatory bowel disease the chain mediating role of basic psychological needs and anxiety depression
topic inflammatory bowel disease
adolescents
young adults
self-management
social support
anxiety
url https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1483021/full
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