Indirect effects of social support and hope on quality of life via emotional distress among stroke survivors: A three-wave structural equation model

Abstract

ObjectivesStroke survivors are prone to functional impairments and reduced quality of life (QoL). This study examined the mediating role of social support and hope in the relationships between functional impairment, emotional distress, and QoL.MethodsA total of 188 stroke survivors in Hong Kong completed assessments on functional impairment, social support, and hope at baseline, with follow-up measurements of emotional distress at 2 months and QoL at 8 months. Structural equation modeling with bootstrapping was used to analyze the direct and indirect effects of functional impairment on emotional distress and QoL via the mediating factors of social support and hope.ResultsThe partial cascading model provided an adequate fit to the data. Functional impairment had significant negative direct effects on hope and physical QoL and social support had significant positive direct effects on hope and physical QoL. Social support had a significant positive indirect effect on physical QoL via hope and perceived stress and on psychosocial QoL via hope and depression. Functional impairment and hope had a significant negative interaction effect on perceived stress.ConclusionThe findings support a mediating role for hope in the relationship between social support and QoL in stroke survivors. The protective effect of hope on perceived stress was stronger among patients with greater functional impairment.

Association of multidimensional frailty and quality of life in middle‐aged and older people with stroke: A cross‐sectional study

“…The results of this study showed that the QoL of middle‐aged and older people with stroke was at a medium level. This was higher than the results of a study of 188 stroke patients aged 18–65 years selected by convenience sampling from hospitals, community rehabilitation centres, and patient self‐help groups conducted in Hong Kong (Fong et al., 2022). The reason may be related to the fact that the patients included in this study had their first attack, and their NIHSS scores mostly indicated mild stroke.…”

The Relationship Between Psychosocial Behavior and the Quality of Life of Male Gout Patients in Southwest China: A Cross-Sectional Study Based on an Information-Motivation-Behavioral Skills Model

“…46 Hope is an important psychological and spiritual resource that can protect against perceived stress, and people with higher hope levels can adopt a more positive coping approach. 47,48 We found that hope was positively correlated with the score for the GIS dimension Gout concern overall (β=0.198), meaning that hope has a negative impact on the quality of life of this dimension. This result differs from previous studies, 10,47 and the reasons for this phenomenon need to be further investigated.…”