Retrospective Cohort Study
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Oct 26, 2021; 9(30): 8999-9010
Published online Oct 26, 2021. doi: 10.12998/wjcc.v9.i30.8999
Uncertainty in illness and coping styles: Moderating and mediating effects of resilience in stroke patients
Zi-Ting Han, Hui-Min Zhang, Yi-Ming Wang, Shan-Shan Zhu, Dong-Yang Wang
Zi-Ting Han, Hui-Min Zhang, Shan-Shan Zhu, School of Nursing, Xinxiang Medical University, Xinxiang 453000, Henan Province, China
Yi-Ming Wang, School of International Education, Xinxiang Medical University, Xinxiang 453000, Henan Province, China
Dong-Yang Wang, Department of Nursing, School of Pharmacy, Changzhou University, Changzhou 213000, Jiangsu Province, China
Dong-Yang Wang, Faculty of Nursing, Mahidol University, Nakhon Pathom 73170, Thailand
Author contributions: Han ZT and Zhang HM contributed equally to this work; Wang DY and Zhang HM designed the research study; Han ZT, Zhang HM, Wang YM, and Wang DY performed the research; Han ZT and Zhang HM contributed new reagents and analytic tools; Han ZT, Zhu SS, and Wang DY analyzed the data and wrote the manuscript; all authors have read and approved the final manuscript.
Supported by The Humanities and Social Sciences Research Program of the Henan Province Education Department in 2017, No. 2017-ZZJH-439.
Institutional review board statement: This study was approved by the Academic Ethics Committee of Xinxiang Medical University (No. 20190201001).
Informed consent statement: Written informed consent was obtained from all participants, and the researchers kept the research data confidential.
Conflict-of-interest statement: None.
Data sharing statement: No additional data are available.
STROBE statement: The manuscript was checked according to the STROBE statement.
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: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Dong-Yang Wang, PhD, Academic Research, Department of Nursing, School of Pharmacy, Changzhou University, No. 21 Gehu Road, Wujin District, Changzhou 213000, Jiangsu Province, China. wangdongyang1994@gmail.com
Received: April 12, 2021
Peer-review started: April 12, 2021
First decision: May 11, 2021
Revised: May 19, 2021
Accepted: September 2, 2021
Article in press: September 2, 2021
Published online: October 26, 2021
ARTICLE HIGHLIGHTS
Research background

Stroke has a great impact on the mental health of patients. Positive coping style, good resilience, and less disease uncertainty can promote the recovery of mental health of stroke patients.

Research motivation

There is no consensus on the relationship among disease uncertainty, resilience, and coping style of stroke patients.

Research objectives

This study aimed to analyze the moderating and mediating of resilience between coping style and disease uncertainty.

Research methods

The Mishel Uncertainty in Illness Scale, the Connor-Davidson Resilience Scale, and the Medical Coping Modes Questionnaire were used to test the uncertainty in illness, resilience, and coping style, respectively.

Research results

Resilience had a significant moderating role in the correlation between coping style and unpredictability and information deficiency for uncertainty in illness. Further, the tenacity and strength dimensions of resilience mediated the correlation between the confrontation coping style and complexity, respectively. The strength dimension of resilience mediated the correlation between an avoidance coping style and the unpredictability of uncertainty in illness, as well as correlated with resignation, complexity, and unpredictability.

Research conclusions

To the best of our knowledge, this is the first study that examined the relationship among coping style, resilience, and uncertainty in illness. The findings indicated that resilience could moderate and mediate the relationship between coping style and uncertainty in illness.

Research perspectives

It is recommended that medical institutions should strengthen psychological intervention and counseling for stroke patients to enhance their adaptability and coping ability during illness.