Psychological resilience and quality of life among middle-aged and older adults hospitalized with chronic diseases: multiple mediating effects through sleep quality and depression

Abstract

Background The present study is intended to examine the multiple mediating roles of sleep quality and depression in the relationship between psychological resilience and quality of life in middle-aged and older adults hospitalized with chronic diseases. Methods From October 2, 2021, to February 27, 2022, a questionnaire survey was conducted using a multistage stratified sampling method among 339 middle-aged and older adults (45 years and over) hospitalized with chronic diseases. These participants were recruited from a hospital in Zhejiang Province, China. The questionnaire included the Aged Cumulative Disease Rating Scale, the Psychological Resilience Scale, the Pittsburgh Sleep Quality Index Scale, the Depression Scale, and the Quality-of-Life Scale. A descriptive analysis was performed to characterize the sample. Linear regression was utilized to evaluate the relationship between psychological resilience and quality of life. Amos 24.0 was used to analyze the multiple mediated effects of sleep quality and depression. Results Psychological resilience exerted a remarkable direct effect on the quality of life in middle-aged and older adults hospitalized with chronic diseases (β = 0.239, 95% CI = 0.125–0.354), which represented 52.98% of the total effect. Through three significantly mediated pathways indirectly affect the quality of life: (1) through the sleep quality pathway (β = 0.115, 95% CI = 0.056–0.201), which represented 25.39% of the total effect; (2) through the depression pathway (β = 0. 060, 95% CI = 0.023–0.114), which represented 13.24% of the total effect; and (3) through both the sleep quality and depression pathway (β = 0. 038, 95% CI = 0.019–0.074), which represented 8.39% of the total effect. The total mediating effect was 47.02%. Conclusions Sleep quality and depression mediate the relationship between psychological resilience and quality of life in middle-aged and older adults hospitalized with chronic diseases. Therefore, healthcare professionals and stakeholders should be concerned about the sleep status and mental health of middle-aged and older adults hospitalized with chronic diseases, strengthen their attention to psychological resilience, and provide interventions and treatment measures for hospitalized patients who have sleep problems and depressive tendencies.

The relationship between stigma and quality of life in hospitalized middle-aged and elderly patients with chronic diseases: the mediating role of depression and the moderating role of psychological resilience

“…The study included participants who met four requirements: (1) could not have been younger than 45 years old; (2) had no documented history or diagnosis of neurological or psychiatric diseases ( 1 ); (3) could communicate well and had no comprehension difficulties; and (4) volunteered to participate in the study. Exclusion criteria: (i) patients with serious psychiatric disorders who are unable to communicate and express themselves normally; (ii) patients who did not cooperate with this investigation ( 3 ).…”

“…Chronic non-communicable diseases (often referred to as chronic diseases) are an abbreviation for a group of diseases that are not contagious but have an insidious onset, a long treatment period, and incurable ( 1 ). In the modern world, chronic diseases are a significant hazard to human health, accounting for almost 36 million deaths annually worldwide ( 2 ).…”

“…The relevant results of this study also provide a new perspective for clinical work on psychological intervention for patients with chronic diseases. KEYWORDS middle-aged and elderly, stigma, depression, quality of life, chronic disease Background Chronic non-communicable diseases (often referred to as chronic diseases) are an abbreviation for a group of diseases that are not contagious but have an insidious onset, a long treatment period, and incurable (1). In the modern world, chronic diseases are a significant hazard to human health, accounting for almost 36 million deaths annually worldwide (2).…”

Disease perception and coping in patients with dry eye disease : a qualitative study

“…However, some studies have suggested that the more positive the coping, the better the outcome, a coping strategy is not always effective, coping is context-speci c and the coping effect changes dynamically, excessive confrontation with the disease can cause anxiety, leading to excessive attention to the disease and its side effects, resulting in patients with symptomatic embarrassment [30][31][32] , and appropriate avoidance of certain patients may be better for them. Therefore, ophthalmologists should carry out a reasonable assessment and appropriate interventions for patients with DED, such as self-expression interventions, i.e., patients express their inner feelings and thoughts through verbal and written forms, to improve the patient's psychological resilience and to promote their positive coping with the disease, and the higher the level of psychological resilience of the patients, the more conducive they are to coping with the disease with a positive attitude [33] . It has been proved that improving patients' symptom perception and coping ability can reduce the adverse consequences of uncomfortable symptoms and improve their negative emotions.…”