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

Abstract

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.

A Study on the Relationship between Sense of Disease Uncertainty and Family Strength and Mental Resilience in Guardians of Children with Inflammatory Bowel Disease

“…Uncertainty in illness refers to the lack of ability to determine disease information, including the etiology, pathogenesis, treatment plan, nursing measures, and prognosis of the disease, which is one of the main factors causing psychological pressure on patients or guardians and may lead to the weakening of guardians' ability to seek disease information. It is easy to cause a large number of adverse psychological states and extreme behaviors if guardians are prevented from playing their normal care-giving functions [ 7 ]. The uncertainty of the disease will adversely affect the normal living status and quality of life of the guardian, thus damaging the mental health of the guardian and is not conducive to the treatment and rehabilitation of the children [ 8 ].…”

Resilience and Its Association With Activities of Daily Living 3 Months After Stroke

“…It involves adapting personal coping strategies and the use of social network and has increasingly been recognized as a protective factor for health ( 6 ). For instance, resilience has shown to have a moderating and mediating role in the associations between coping style and uncertainty in illness ( 7 ), and to protect against unfavorable cardiometabolic outcomes that are otherwise more likely in stroke patients ( 8 ). A higher level of resilience has also been associated with better cardiovascular outcomes ( 9 ).…”

“…Following a stroke, less adaptive psychological factors has shown to be negatively associated with participation over time ( 14 ), while resilience has shown to act as an independent predictor of quality of life and physical independence ( 15 – 17 ). Therefore, resilience has been highlighted as a factor to consider in optimizing rehabilitation early after a stroke ( 7 , 18 – 20 ). In the study by Gyawali et al ( 14 ), resilience was associated with stroke outcomes in the chronic phase.…”

Does Cyberostracism Reduce Prosocial Behaviors? The Protective Role of Psychological Resilience

“…Second, according to frustration–attack theory [ 58 ], if individuals who suffer from cyberostracism have no appropriate coping styles, they may engage in aggressive behaviors to deal with adversity under the guidance of attack clues. However, a high level of psychological resilience enables individuals to consciously accept the frustrating event, i.e., cyberostracism, and proactively employ effective problem-solving tactics to cope with the setback [ 59 ].…”