Illness uncertainty, social support, and coping mode in hospitalized patients with systemic lupus erythematosus in a hospital in Shaanxi, China

Li, Xin; He, Lan; Wang, Jing; Wang, Mingxu

doi:10.1371/journal.pone.0211313

Cited by 80 publications

(20 citation statements)

References 12 publications

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“…This study found that coping style affects uncertainty in illness. This supports previous research which considered coping style as a factor that affects uncertainty in illness[ 25 ]. Based on the theory of resilience and related concepts in the field of psychology, this study investigated the relationship between coping style and uncertainty in illness for stroke patients, and whether resilience plays a mediating and moderating role.…”

Section: Discussionsupporting

confidence: 91%

“…The scale includes three dimensions: Confrontation, avoidance, and resignation. The higher the score in one of the three subscales, the higher a patient’s tendency to adopt this coping style[ 25 ]. During the pre-test of 30 samples, the Cronbach's alpha coefficients for confrontation, avoidance, and resignation subscales in this study were 0.78, 0.72, and 0.71, respectively.…”

Section: Methodsmentioning

confidence: 99%

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Uncertainty in illness and coping styles: Moderating and mediating effects of resilience in stroke patients

Han¹,

Zhang²,

Wang³

et al. 2021

WJCC

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BACKGROUND Stroke has a great influence on the patient’s mental health, and reasonable psychological adjustment and disease perception can promote the recovery of mental health. AIM To explore the relationships among resilience, coping style, and uncertainty in illness of stroke patients. METHODS A retrospective study was used to investigate 154 stroke patients who were diagnosed and treated at eight medical institutes in Henan province, China from October to December 2019. We used the Mishel Uncertainty in Illness Scale, the Connor-Davidson Resilience Scale, and the Medical Coping Modes Questionnaire to test the uncertainty in illness, resilience, and coping style, respectively. RESULTS Resilience had a significant moderating role in the correlation between coping style and unpredictability and information deficiency for uncertainty in illness ( P < 0.05). Further, the tenacity and strength dimensions of resilience mediated the correlation between the confrontation coping style and complexity, respectively ( P < 0.05). The strength dimension of resilience mediated the correlation between an avoidance coping style and the unpredictability of uncertainty in illness ( P < 0.05), as well as correlated with resignation, complexity, and unpredictability ( P < 0.05). CONCLUSION Resilience has moderating and mediating roles in the associations between coping style and uncertainty in illness, indicating that it is vital to improve resilience and consider positive coping styles for stroke patients in the prevention and control of uncertainty in illness.

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Section: Discussionsupporting

confidence: 91%

Section: Methodsmentioning

confidence: 99%

Uncertainty in illness and coping styles: Moderating and mediating effects of resilience in stroke patients

Han¹,

Zhang²,

Wang³

et al. 2021

WJCC

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“…53 Stressors in the early phase of children with critical conditions are often caused by the lack of information at the time about the illness, the uncertainty of medical status and recovery of children, as well as changes in their personal role as parents. 54,56 There is a dynamic process, namely emotional control (emotion-focused coping) and problem-focused coping management, along with the disease course, 54 that results in the evolution of stress and coping/adaptation that minimizes fluctuations in the management of the disease course, [53][54][55] through seeking social support, 54,55 analyzing problem-solving; use more positive judgment; controlling emotions; prevent escape from reality; to be responsible; and accept destiny. 54,57 Limitations of this study need to be added to other control groups, such as healthy individuals, patients with depression/anxiety or lupus patient without nephritis, may be useful in painting a more complete picture.…”

Section: Discussionmentioning

confidence: 99%

<p>Effect of Mental Health Problems on the Quality of Life in Children with Lupus Nephritis</p>

Putera

Irwanto

Maramis

et al. 2020

NDT

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Introduction: Mental health problems, such as anxiety, depression, and ineffective family coping, in children with lupus nephritis (LN) can increase the severity and affect the management of the disease, thus affecting the quality of life (QoL) of patients. Objective: Analyzing the association between levels of depression, anxiety, coping, disease activity on the QoL of pediatric patients with LN. Patients and Methods: There were 62 pediatric LN participants (16 participants in the induction phase and 46 participants in the maintenance phase). Participants were measured for anxiety, depression, coping, disease activity (systemic lupus erythematosus disease activity index/SLEDAI), and QoL. The measurement results were compared between induction and maintenance groups. Analysis of the association between anxiety, depression, coping, and disease activity with the QoL of children with LN used a multiple logistic regression test with p <0.05. Results:: The measurement results obtained anxiety (induction = 69.06±3.92 and maintenance = 45.24±10.33; p <0.001), depression (induction = 69.88±3.34 and maintenance = 42.20±9.12; p <0.001), coping (induction = 99.88±12.93 and maintenance = 115.67±7.34; p <0.001), SLEDAI (induction = 15.81±12.58 and maintenance = 0.43±1.26; p <0.001), and QoL (induction = 49.92 ±12.44 and maintenance = 88.15±8.06; p <0.001).. Anxiety level in the induction group (p = 0.043) and maintenance group (p <0.001; p = 0.032; p = 0.008; p = 0.009). Depression level in the induction group (p = 0.031) and maintenance group (p = 0.024; p = 0.042; p = 0.003). SLEDAI score in the maintenance group (p = 0.003; p = 0.003). Coping in induction group (p = 0.016; p = 0.016) and maintenance group (p = 0.005). Conclusion: Mental health disorders reduce the QoL of LN children, and the level of QoL in induction phase is lower than maintenance phase.

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“…Uncertainty is defined as a situation involving cognition where the subject cannot assign a value to an event or object and cannot predict the results accurately due to lack of signal, and unclear and inaccurate information (Li, 2019). Mishel (1998) put forward the theory of uncertainty in illness, that is, uncertainty in the illness suffered, uncertainty starts from only one aspect of self, but can spread to other aspects, uncertainty is greater with increasing disturbance to aspects of self-identity and one's life (Ogurtsova et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

Uncertainty in Ilness and Psychological Status in Patients with Diabetes Mellitus

Budiman¹,

Yusuf²,

Suhardiningsih³

2020

NLJ

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Poor psychological well-being is an important issue that must be addressed in managing Diabetes Mellitus. Uncertainty surrounding health conditions substantially affects psychological outcomes, anxiety characteristics, loss of hope and psychological distress in clients with Diabetes Mellitus. The purpose of this study was to determine the description of the uncertainty of the disease process (Uncertainty in illness) and the psychological status of Diabetes Mellitus clients in the Jember Community Health Center. The design of this study was the explanatory survey with a cross-sectional approach. The study population was all Diabetes Mellitus clients in the Jember Community Health Center. Sample size: 250 Diabetes Mellitus clients were recruited using a simple random sampling technique. The data used in this research is descriptive statistical analysis so that the results will be obtained in the form of a frequency distribution. The results showed that the highest level of client expectations was with a low expected rate of 51.2%. The level of distress of respondents who had the highest Diabetes Mellitus was in the category of distress by 50.4%. The level of anxiety felt by respondents is mostly in the category of disturbance by 47.6% and uncertainty (Uncertainty) is in the less category by 63.2%. Several psychological factors have contributed to affect the emotional and psychological well-being of diabetes mellitus clients, including the Diabetes Mellitus client's acceptance of the uncertainties surrounding health conditions.

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Illness uncertainty, social support, and coping mode in hospitalized patients with systemic lupus erythematosus in a hospital in Shaanxi, China

Cited by 80 publications

References 12 publications

Uncertainty in illness and coping styles: Moderating and mediating effects of resilience in stroke patients

Uncertainty in illness and coping styles: Moderating and mediating effects of resilience in stroke patients

<p>Effect of Mental Health Problems on the Quality of Life in Children with Lupus Nephritis</p>

Uncertainty in Ilness and Psychological Status in Patients with Diabetes Mellitus

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