Social support and self-efficacy multiply mediate the relationship between medical coping style and resilience in patients with type A aortic dissection

Frontiers in Psychiatry

Psychiatry

Jin Zhu¹  Wenxuan Tan¹  Miaoxuan Hong²  Rong Zhang³ 

[1]Department of Nursing, Southern Medical University, Guangzhou, China

[2]Guangdong Provincial People’s Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou, China

[3]Department of Nursing, Shantou University Medical College, Shantou, China

[4]Guangdong Second Rongjun Hospital, Foshan, China

关键词: dissecting aneurysm;    mediation analysis;    resilience;    self-efficacy;    social support;   

DOI  :  10.3389/fpsyt.2023.1174038

 received in 2023-02-27, accepted in 2023-05-05,  发布年份 2023

来源: Frontiers

【 摘 要 】

BackgroundPrevious research has shown that medical coping modes are associated with resilience in cardiovascular disease patients. However, postoperatively, the mechanism underlying this association in Stanford type A aortic dissection patients is poorly understood.ObjectiveThis study investigated the mediating effects of social support and self-efficacy on the relationship between medical coping modes and resilience in Stanford type A aortic dissection patients postoperatively.MethodsWe assessed 125 patients after surgery for Stanford type A aortic dissection using the Medical Coping Modes Questionnaire, the General Self-Efficacy Scale, the Social Support Rating Scale, and the Connor–Davidson Resilience Scale. Structural equation modeling with AMOS (v.24) was used to test the hypothesized model with multiple mediators. Both direct and mediational effects (through social support and self-efficacy) of medical coping modes on resilience outcomes were examined.ResultsThe mean Connor–Davidson Resilience Scale score was 63.78 ± 12.29. Confrontation, social support, and self-efficacy correlated with resilience (r = 0.40, 0.23, 0.72, respectively; all p < 0.01). In multiple mediation models, social support independently (effect = 0.11; 95% confidence interval [CI], 0.04–0.27) and social support and self-efficacy serially (effect = 0.06; 95% CI, 0.02–0.14) mediated the association of confrontation with resilience maintenance, accounting for 57.89 and 10.53% of the total effect, respectively.ConclusionSocial support and self-efficacy were multiple mediators of the relationship between confrontation and resilience. Interventions designed to facilitate confrontation and subsequently increase social support and self-efficacy may be useful to increase resilience in Stanford type A aortic dissection patients.

【 授权许可】

Unknown   
Copyright © 2023 Hong, Zhang, Zhu and Tan.