{
  "abstract": "Objective: This study aimed to examine the dyadic relationships among mental health literacy, ego depletion self-regulatory fatigue, and attitudes toward aging in community-dwelling older adults with diabetes and their spouses using an Actor–Partner Interdependence Mediation Model (APIMeM).\n\nMethods: A convenience sample of 221 dyads consisting of older adults with diabetes and their spouses was recruited from six communities in Chengdu, China, between October 2025 and April 2026. Data were collected using the General Information Questionnaire, the Chinese version of the Multicomponent Mental Health Literacy Measure (MMHL-CV), the Self-Regulatory Fatigue Scale (SRF-S), and the Attitudes to Aging Questionnaire (AAQ). An APIMeM was constructed using Mplus 8.3 to investigate actor and partner effects among mental health literacy, self-regulatory fatigue, and attitudes toward aging.\n\nResults: The mean mental health literacy scores of older adults with diabetes and their spouses were 12.12 ± 7.35 and 12.04 ± 7.23, respectively. The corresponding self-regulatory fatigue scores were 50.81 ± 15.72 and 49.42 ± 14.73, while the attitudes toward aging scores were 68.04 ± 21.32 and 68.48 ± 19.53, respectively. The Actor–Partner Interdependence Mediation Model (APIMeM) showed that mental health literacy was positively associated with both individuals’ own and their partners’ attitudes toward aging, and was negatively associated with both their own and their partners’ self-regulatory fatigue. In addition, self-regulatory fatigue was negatively associated with both individuals’ own and their partners’ attitudes toward aging (all p < 0.05).\n\nConclusion: Mental health literacy, self-regulatory fatigue, and attitudes toward aging were significantly associated within community-dwelling older adults with diabetes and their spouses. Healthcare professionals should consider patients and their spouses as a dyadic health unit when designing comprehensive psychological support programs. Family-centered interventions may be associated with better psychological well-being and favorable healthy and positive aging.",
  "abstract_shown": true,
  "affiliations": [
    "School of Nursing, Chengdu Medical College",
    "Key Laboratory of Intelligent Medical Care and Elderly Health Management",
    "Department of Gastroenterology, Chengdu Eighth People’s Hospital",
    "Department of Traditional Chinese Medicine, Chengdu Eighth People's Hospital"
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 4,
  "authors": [
    {
      "affs": [
        0,
        1
      ],
      "name": "Pingxia Yu"
    },
    {
      "affs": [
        2
      ],
      "name": "Shiwen Wu"
    },
    {
      "affs": [
        3
      ],
      "name": "Hua Zhou"
    },
    {
      "affs": [
        0,
        1,
        3
      ],
      "name": "Quan Wen"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/a1p4r6h4pxyz8.bib",
  "cited_by": 0,
  "doi": "10.3389/fpubh.2026.1943940",
  "fulltext_url": "https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13729859/?tool=EBI",
  "id": "a1p4r6h4pxyz8",
  "issns": [
    "2296-2565"
  ],
  "landing_url": "https://www.frontiersin.org/articles/10.3389/fpubh.2026.1943940/full",
  "language": "eng",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Original Research"
    ],
    [
      "openalex",
      "2712|Diabetes Management and Education"
    ]
  ],
  "openalex": "W7223051751",
  "pdf_url": "https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2026.1943940/pdf",
  "pmcid": "PMC13729859",
  "pmid": "42979464",
  "published": "2026-10-20",
  "publisher": "Frontiers Media SA",
  "ris": "https://research.draconitic.com/paper/a1p4r6h4pxyz8.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:20:24Z",
      "native_id": "10.3389/fpubh.2026.1943940",
      "source": "crossref",
      "url": "https://www.frontiersin.org/articles/10.3389/fpubh.2026.1943940/full"
    },
    {
      "first_seen": "2026-11-04T15:20:45Z",
      "native_id": "PMC:PMC13729859",
      "source": "europepmc",
      "url": "https://europepmc.org/article/PMC/PMC13729859"
    },
    {
      "first_seen": "2026-11-07T12:22:35Z",
      "native_id": "PMC13729859",
      "source": "pmc",
      "url": "https://doi.org/10.3389/fpubh.2026.1943940"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2712|Diabetes Management and Education",
      "subfield": "endocrinology-metabolism"
    }
  ],
  "title": "Mental health literacy, self-regulatory fatigue, and attitudes toward aging among community-dwelling older adults with diabetes and their spouses: an actor–partner interdependence mediation model analysis",
  "title_text": "Mental health literacy, self-regulatory fatigue, and attitudes toward aging among community-dwelling older adults with diabetes and their spouses: an actor–partner interdependence mediation model analysis",
  "type": "peer-reviewed",
  "updated_at": "2026-11-07T12:22:35Z",
  "url": "https://research.draconitic.com/paper/a1p4r6h4pxyz8",
  "venue": "Frontiers in Public Health",
  "versions": []
}