Resilience mediates the influence of hope, optimism, social support, and stress on anxiety severity among Chinese patients with cervical spondylosis

Abstract

ObjectiveCervical spondylosis (CS) is a potential stressor threatening mental health among affected individuals. This study was to analyze resilience level and associated factors among cervical spondylosis (CS) patients, and to explore the underlying mechanism of anxiety based on resilience-focused psychological variables.MethodsResilience Scale-14 (RS-14), Zung Self-Rating Anxiety Scale (SAS), Herth Hope Index (HHI), Revised Life Orientation Test (LOT-R), Multidimensional Scale of Perceived Social Support (MSPSS), Perceived Stress Scale-10 (PSS-10) were used in this cross-sectional investigation among 250 CS patients.ResultsThe score of resilience was 65.58 ± 16.14. Hierarchical linear regression analysis revealed that hope, optimism, perceived social support, perceived stress, and whether having comorbid chronic diseases were the independent associates of resilience among CS patients, which explained 63.9% of the total variance. The structural equation model showed that hope, optimism, perceived social support and perceived stress affected anxiety via resilience, and hope and optimism also had direct effects on anxiety.ConclusionChinese patients with CS had moderate level of mental resilience, which was independently related to hope, optimism, perceived social support, perceived stress, and whether having comorbid chronic diseases. Resilience played a mediating role between various psychological variables and anxiety. Improving the level of resilience, hope, optimism and perceived social support and reducing the level of perceived stress are important strategies to reduce anxiety level. Relevant healthcare professionals should put more focus on the mental problems of Chinese CS patients and help maintain good psychological status by improving their resilience and associated psychological variables thereof.

Associations among resilience, hope, social support, stress, and anxiety severity in Chinese women with abnormal cervical cancer screening results

“…We hypothesized that targeting resilience and its determinants could help alleviate anxiety severity among this population. Unexpectedly, the SEM results of this study showed that only perceived stress was significantly correlated with anxiety severity among women with abnormal cervical cancer screening results, which was inconsistent with our previous findings regarding patients with cervical spondylosis [ 24 ]. Interventions towards anxiety among this population should be preferentially focused on stress-buffering strategies rather than on those targeting resilience, hope, or social support.…”

“…Accumulating evidence confirms that hope is significantly protective for various mental disorders [ 21 , 22 ]. In addition, hope is also protective for individuals’ resilience [ 23 , 24 ]. Stress refers to the experience of distress when confronted with unpleasant threats or stressors and presents as perceived helplessness and a decrease in self-efficacy.…”

“…In line with this, a recent study revealed a close and negative correlation between social support and COVID-19 pandemic-related PTSD risk [ 27 ]. Increasing evidence also posits the resilience mediates the interaction between social support and psychological problems [ 24 , 28 , 29 ].…”

Prevalence and risk factors for anxiety and depression among community dwelling patients with cervical spondylosis during the COVID-19 pandemic

“…CS is mainly manifested as neck and back pain, limb weakness and difficulty in walking in the affected patients and all these manifestations seriously decrease the quality of life of the affected individuals [ 14 ]. Indeed, long-term CS symptoms have not only brought about physical distress, but also mental affliction, including anxiety and depression [ 15 , 16 ]. In spite of that, overall little attention has been paid to the psychological impact of this disease and related factors, no matter before or after the COVID-19 outbreak.…”

Resilience and its related factors among women with breast cancer

“…Resilience refers to an individual’s ability to successfully cope with significant changes, problems, and notable risks (Abbaspoor et al ., 2020). It acts as a protective factor and defense mechanism against distress, cancer-related stressors, and challenges related to treatment, such as emotional and social stressors (Chu et al ., 2022). Therefore, it is closely associated with mental well-being.…”