Chen DZ, Chen KF, Xu JS, Gao K. Analysis of influencing factors of psychological resilience in patients with traumatic fractures and its effect on posttraumatic growth. World J Psychiatry 2025; 15(4): 100819 [DOI: 10.5498/wjp.v15.i4.100819]
Corresponding Author of This Article
Dao-Zhen Chen, Department of Traumatology, The First People’s Hospital of Shangqiu, No. 292 Kaixuan South Road, Shangqiu 476100, Henan Province, China. cdz1234562022@163.com
Research Domain of This Article
Orthopedics
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Psychiatry. Apr 19, 2025; 15(4): 100819 Published online Apr 19, 2025. doi: 10.5498/wjp.v15.i4.100819
Analysis of influencing factors of psychological resilience in patients with traumatic fractures and its effect on posttraumatic growth
Dao-Zhen Chen, Kun-Feng Chen, Ji-Sheng Xu, Kun Gao
Dao-Zhen Chen, Kun-Feng Chen, Ji-Sheng Xu, Department of Traumatology, The First People’s Hospital of Shangqiu, Shangqiu 476100, Henan Province, China
Kun Gao, Department of Orthopedics, Henan Province People’s Hospital, Zhengzhou 462000, Henan Province, China
Author contributions: Chen DZ designed and performed the research; Chen DZ, Chen KF, and Xu JS designed the research and supervised the report; Chen DZ, Chen KF, and Gao K collected and analyzed data; and all authors approved the final manuscript.
Institutional review board statement: This study was approved by the Ethic Committee of the First People’s Hospital of Shangqiu, approval No. 202311.
Informed consent statement: Patients were not required to give informed consent to the study because the analysis used anonymous clinical data that were obtained after each patient agreed to treatment by written consent.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: No additional data are available.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Dao-Zhen Chen, Department of Traumatology, The First People’s Hospital of Shangqiu, No. 292 Kaixuan South Road, Shangqiu 476100, Henan Province, China. cdz1234562022@163.com
Received: November 28, 2024 Revised: December 20, 2024 Accepted: February 5, 2025 Published online: April 19, 2025 Processing time: 117 Days and 3.4 Hours
Abstract
BACKGROUND
Traumatic fractures are mainly caused by various exogenous traumatic events, which not only damage patients’ physical health but also affect their psychological state and aggravate stress responses.
AIM
To analyze the influencing factors of psychological resilience of patients with traumatic fractures and the effect of psychological resilience on posttraumatic growth (PTG).
METHODS
This study included 188 patients with traumatic fractures admitted to the First People’s Hospital of Shangqiu from November 2022 to November 2023. The participants were categorized based on the patient’s psychological resilience assessed by the Connor-Davidson Resilience Scale (CD-RISC) into the better resilience group (CD-RISC score ≥ 60 points, n = 80) and the poor resilience group (CD-RISC score < 60 points, n = 108). Patients’ sleep quality was assessed with the Pittsburgh Sleep Quality Index (PSQI). The identification of the influencing factors of psychological resilience in patients with traumatic fractures was realized by binary Logistic regression (with factors such as sex, age, injury cause, trauma severity, fracture site, personality, and PSQI included for analysis). The determination of the PTG status of all participants used the Chinese version of the Posttraumatic Growth Inventory (C-PTGI). Furthermore, a Spearman correlation analysis was conducted to analyze the association between psychological resilience and PTG.
RESULTS
The psychological resilience of patients with traumatic fractures was related to age, sex, trauma severity, and personality. The better resilience group demonstrated statistically lower PSQI scores than the poor resilience group (P < 0.05). The Logistic regression analysis revealed sex, age, trauma severity, personality, and sleep quality as influencing factors of CD-RISC scores in patients with traumatic fractures (all P < 0.05). The score of each C-PTGI dimension and the total score (relating to others, new possibilities, personal strength, spiritual change, and appreciation of life) were higher in the better resilience group than in the poor resilience group (all P < 0.05). Spearman correlation analysis indicated a positive association of the CD-RISC score in patients with traumatic fractures with the scores of all dimensions of C-PTGI and the total C-PTGI score (all P < 0.05).
CONCLUSION
The factors influencing the psychological resilience of patients with traumatic fractures include age, sex, trauma severity, personality, and sleep quality, and psychological resilience is closely associated with PTG.
Core Tip: Traumatic fractures cause different degrees of physical damage to patients. The injured limbs may present with pain, swelling, and ecchymosis. Visceral damage, shock, or even fatality may ensue in severe circumstances, imposing substantial distress and setbacks on patients’ physiological and psychological adaptability. This study included 188 patients with traumatic fractures. The influencing factors of psychological resilience in such patients were confirmed to involve sex, age, trauma severity, personality, and sleep quality. Among female patients, those aged < 40 years, individuals with a higher degree of trauma severity, introverted patients, and those with suboptimal sleep quality, enhanced care, and psychological intervention should be strengthened to improve their psychological resilience as much as possible. This, in turn, exerts a favorable effect on the patient’s posttraumatic growth status. Our study provides effective guidance for the rehabilitation of patients with traumatic fractures.
