Han ZT, Zhang HM, Wang YM, Zhu SS, Wang DY. Uncertainty in illness and coping styles: Moderating and mediating effects of resilience in stroke patients. World J Clin Cases 2021; 9(30): 8999-9010 [PMID: 34786383 DOI: 10.12998/wjcc.v9.i30.8999]
Corresponding Author of This Article
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
Research Domain of This Article
Physiology
Article-Type of This Article
Retrospective Cohort 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/
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 byThe 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 Processing time: 191 Days and 18 Hours
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.
