Tóm tắt
Background: Chronic diseases negatively affect quality of life, increase disability, and limit physical activities and social participation among patients with chronic diseases. Consequently, they may increase the risk of mental health problems and contribute to depressive symptoms in some patients with chronic diseases.
Objectives: The study aimed to assess social participation and depressive symptoms among patients with chronic diseases receiving treatment at Hue University of Medicine and Pharmacy Hospital, and to determine the relationship between social participation and depressive symptoms among these patients.
Materials and methods: An analytical cross-sectional study was conducted among 124 patients with chronic diseases receiving treatment at Hue University of Medicine and Pharmacy Hospital from April to August 2026. A structured questionnaire was used to assess social participation and depressive symptoms among the patients.
Results: Patients with chronic diseases had a mean P-Scale Short score of 12.60 ± 5.29, indicating mild restriction in social participation, and a mean PHQ-9 score of 6.06 ± 4.32, indicating mild depressive symptoms. A significant positive relationship was found between participation restriction and depressive symptoms among patients with chronic diseases after adjustment for other variables (B = 0.474, β = 0.580, 95% CI: 0.332 to 0.616, p < 0.001).
Conclusion: Patients with chronic diseases experienced mild restriction in social participation and mild depressive symptoms. Participation restriction was positively associated with depressive symptoms, highlighting the importance of addressing both mental health and social participation in the management and care of patients with chronic diseases.
| Đã xuất bản | 15-11-2026 | |
| Toàn văn |
|
|
| Ngôn ngữ |
|
|
| Số tạp chí | Tập 16 Số S-3 (2026) | |
| Phân mục | Nghiên cứu | |
| DOI | 10.34071/jmp.2026.S-3.11 | |
| Từ khóa | social participation, depressive symptoms, chronic diseases, P-Scale Short, PHQ-9 |
công trình này được cấp phép theo Creative Commons Attribution-phi thương mại-NoDerivatives 4.0 License International . p>
Bản quyền (c) 2026 Hue Journal of Medicine and Pharmacy
WHO: Noncommunicable diseases. https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases (2025). Accessed August 10, 2026.
WHO. Caring for people with noncommunicable diseases in Viet Nam: the nearest health care is often the best health care. 2024. Accessed August 10, 2026. [Vietnamese].
WHO: World Report on Disability 2011. https://www.who.int/teams/noncommunicable-diseases/sensory-functions-disability-and-rehabilitation/world-report-on-disability (2011). Accessed August 10, 2026.
WHO: Social determinants of health. https://www.who.int/health-topics/social-determinants-of-health#tab=tab_1.Accessed August 10, 2026.
Komalasari DR, Vongsirinavarat M, Hiengkaew V, Nualnim N. The Adaptation of Participation Scale Short Simplified Questionnaire into Indonesian Language and the Psychometric Properties in Individuals with Type 2 Diabetes Mellitus with Vestibular Dysfunction. Rehabil Res Pract. 2022;2022:2565833. doi: 10.1155/2022/2565833.
Vutova Y, Kamusheva M, Ignatova D, Milushewa P. Screening for depression among chronically ill patients in community pharmacy settings: a pilot study in Bulgaria. Biotechnology & Biotechnological Equipment. 2021;35:1393-400.
Tran Nhu Minh Hang, Nguyen Quang Ngoc Linh, Vo Thi Han, Le Tran Tuan Anh. Prevalence and clinical manifestations of depression in patients with type 2 diabetes mellitus: comparison between the PHQ-9 and clinical criteria of ICD-10. Journal of Medicine and Pharmacy - Hue University of Medicine and Pharmacy. 2020;10(1):31-37. doi:10.34071/jmp.2020.1.5. [Vietnamese].
Tran Viet Luc, Pham Thi Thu Ha, Nguyen Xuan Thanh, Nguyen Ngoc Tam, Vu Thi Thanh Huyen. Factors associated with depressive symptoms according to the PHQ-9 among older patients with osteoporosis. Journal of Medical Research. 2023;165(4):43-51. doi:10.52852/tcncyh.v165i4.1494. [Vietnamese].
Sun L, Liao Y, Gu Z, Wan X, Liu N. The association among social participation, loneliness and depression in stroke survivors: A longitudinal cross-lagged panel analysis. J Psychosom Res. 2026;203:112553. doi:10.1016/j.jpsychores.2026.112553.
Fang Z, Chen J, Deng J. Association Between Social Activities and Depression in Middle-Aged and Older Stroke Patients. Int J Behav Med. 2026. doi:10.1007/s12529-026-10438-6.
van Brakel WH, Anderson AM, Mutatkar RK, Bakirtzief Z, Nicholls PG, Raju MS, et al. The Participation Scale: measuring a key concept in public health. Disabil Rehabil. 2006;28(4):193-203. doi:10.1080/09638280500192785.
Coltof T. Measuring social participation restrictions of persons affected by leprosy in Central Java through validating the Participation Scale Short simplified (PSSS). Thesis; 2018.
Participation scale (P-scale). https://www.infontd.org/toolkits/ntd-morbidity-and-disability-toolkit/participation-scale-p-scale. Accessed March 10, 2026.
Kroenke K, Spitzer RL, Williams JB. The PHQ‐9: validity of a brief depression severity measure. Journal of General Internal Medicine. 2001;16(9):606-13.
WHO: WHO guidelines on translation and adaptation of instruments. http://www.who.int/substance_abuse/research_tools/translation/en/ (2019). Accessed March 10, 2026.
Espindula PAV, de Carvalho Bastone A, Paula Santos A. Construct validity and reliability of the participation scale (P-scale) in individuals with spinal cord injury. J Spinal Cord Med. 2024;47(5):661-8. doi: 10.1080/10790268.2023.2183327.
Munisi H, Sylvester I, Mwakalebela I, Kanenda S, Rudovick L, Mwita M, et al. Depression and chronic kidney disease: a cross-sectional study based at Bugando Medical Centre, Northwestern Tanzania. The Pan African Medical Journal. 2022;42:297.






