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Jiang Z, Hou S, Zhang Y, Zong L. The mediating and moderating effects of resilience on the relationship between sleep quality and psychological distress in Chinese women with infertility. BMC Womens Health 2024; 24:192. [PMID: 38515092 PMCID: PMC10956316 DOI: 10.1186/s12905-024-03018-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2023] [Accepted: 03/12/2024] [Indexed: 03/23/2024] Open
Abstract
BACKGROUND Research has widely indicated that the psychological distress experienced by infertile patients during fertility treatments may have a negative effect on the results of assisted reproduction. Although numerous studies have shown that psychological resilience and sleep quality are important influencing factors for psychological distress, the mediating mechanisms of psychological resilience in the relationship between sleep quality and psychological distress for Chinese women in particular remain unclear. Therefore, the current study investigates the association between sleep quality, resilience, and psychological distress in Chinese women with infertility and examines the mediating and moderating roles of resilience on the relationship between sleep quality and psychological distress. METHODS In this cross-sectional study, a total of 595 women with infertility who were undergoing IVF-ET were recruited at the Reproductive Medicine, Shandong University, from April to November 2019. Participants were instructed to complete four questionnaires, including a questionnaire about socio-demographic and clinical-related information, the Pittsburgh Sleep Quality Index (PSQI), the 10-item Connor-Davidson Resilience Scale (CD-RISC-10), and the Kessler-10 (K10). Pearson's correlation analysis was conducted preliminarily to describe the relationships between sleep quality, resilience, and psychological distress. A mediation model and a moderated model were constructed and analyzed using the PROCESS macro for SPSS. The Johnson-Neyman (J-N) technique was then used to identify the regions of significance across the levels of moderator values. RESULTS Patients in the sample had a high prevalence of psychological distress (48.6%, K10 scores > 22), and mediation analysis indicated that resilience played a partially mediating role in the relationship between sleep quality and psychological distress (indict effect = 0.072, P < 0.001). Moderation analysis indicated that resilience also moderated the association between sleep quality and psychological distress. CONCLUSIONS Resilience may play a key role in the relationship between sleep quality and psychological distress. Our findings imply that resilience training may therefore be an effective component of psychological distress intervention in women with infertility.
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Affiliation(s)
- Zhenhua Jiang
- The Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jingshi Road, Jinan, 250014, Shandong, China
| | - Sen Hou
- The Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jingshi Road, Jinan, 250014, Shandong, China
| | - Yajie Zhang
- Jinan Maternity and Child Care Hospital, Jingsan Road, Jinan, 250000, Shandong, China
| | - Liping Zong
- Jinan Maternity and Child Care Hospital, Jingsan Road, Jinan, 250000, Shandong, China.
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Chen D, Ni Y, Lu J, Wang Y, Qi Q, Zhai H. Examining the impact of perceived stress, anxiety, and resilience on depression among medical staff after COVID-19 quarantine: a chain mediation analysis. Front Public Health 2023; 11:1250623. [PMID: 37799150 PMCID: PMC10549932 DOI: 10.3389/fpubh.2023.1250623] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2023] [Accepted: 09/01/2023] [Indexed: 10/07/2023] Open
Abstract
Introduction The COVID-19 pandemic and subsequent quarantine measures have led to a significant impact on mental health worldwide. Medical staff, in particular, have been exposed to high levels of stress due to their frontline work during the crisis. However, there is still limited research on the psychological mechanism among medical staff after quarantine. Methods In this cross-sectional observational study, 150 medical staff from Shanghai YangZhi Rehabilitation Hospital, Shanghai, China, were enrolled in October 2022. SPSS 26.0 and PROCESS 4.0 model 6 were used to analyze the chain mediating effect of perceived stress, anxiety, resilience and depression among medical staff after quarantine. Anxiety and depression were compared during and after the quarantine. All scales have high validity and reliability in a Chinese population. Results Our findings revealed a positive correlation between perceived stress and anxiety (r = 0.60, p < 0.001) and depression (r = 0.60, p < 0.001) levels among medical staff. Conversely, resilience was found to have a negative correlation with perceived stress (r = -0.67, p < 0.001), anxiety (r = -0.57, p < 0.001) and depression (r = -0.61, p < 0.001). The score of depression during the quarantine was higher than the score after the quarantine, but the p-value is only marginally significant (p = 0.067). The score of anxiety during the quarantine was significantly higher than the score after the quarantine (p < 0.05). Moreover, the chain mediation model suggested that anxiety and resilience could mediate the association between perceived stress and depression among medical staff following quarantine. Specifically, perceived stress had no direct effect on depression (β = 0.025, t = 0.548, p = 0.59) but positively predicted anxiety (β = 0.381, t = 8.817, p < 0.001) and resilience (β = -1.302, t = -6.781, p < 0.001), which influenced depression levels indirectly through multiple pathways. The three indirect paths: the mediating role of anxiety, the mediating role of resilience, and the chain mediating role of both anxiety and resilience. Discussion This study emphasizes the importance of psychological interventions aimed at protecting medical staff's psychological resilience and promoting coping mechanisms to manage stress during and after crises such as the COVID-19 pandemic. Additionally, our findings suggest that both anxiety and resilience play critical roles in mitigating the detrimental effects of perceived stress on mental health and further highlight the need for continued research to better understand the complex interplay of these factors.
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Affiliation(s)
| | | | | | | | - Qi Qi
- Shanghai YangZhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), School of Medicine, Tongji University, Shanghai, China
| | - Hua Zhai
- Shanghai YangZhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), School of Medicine, Tongji University, Shanghai, China
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Huang J, Xu L, Xu Z, Luo Y, Liao B, Li Y, Shi Y. The relationship among pregnancy-related anxiety, perceived social support, family function and resilience in Chinese pregnant women: a structural equation modeling analysis. BMC Womens Health 2022; 22:546. [PMID: 36572883 PMCID: PMC9791157 DOI: 10.1186/s12905-022-02145-7] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2022] [Accepted: 12/23/2022] [Indexed: 12/27/2022] Open
Abstract
BACKGROUND Accumulating evidence suggests that pregnancy-related anxiety (PRA) has adverse impacts on maternity health and infant development. A substantial body of literature has documented the important influence of family function, perceived social support and resilience on PRA. However, research identifying the mediating mechanisms underlying this relationship in China are still lacking. Therefore, the current study aimed to investigate the prevalence of PRA under the three-child policy in China, and also explore the interrelationships among perceived social support, family function, resilience, and PRA. METHODS In this cross-sectional study, a convenient sampling method was used to select 579 pregnant women who underwent prenatal examination at the maternity outpatient departments of the First Affiliated Hospital of Chongqing Medical University in China from December 2021 to April 2022. Participants were required to complete the following questionnaires: the demographic form, the Chinese Pregnancy-related Anxiety scale, the 10-item Connor-Davidson Resilience Scale, the APGAR Family Care Index Scale, and Multidimensional Scale of Perceived Social Support. Pearson correlation analysis was utilized to examine the rudimentary relationship among the study variables. Bootstrapping analyses in the structural equation modeling were applied to identify the significance of indirect effects. RESULTS There were 41.4% of pregnant Chinese women indicating PRA. Correlational analyses indicated that perceived social support, family function and resilience were negatively associated with PRA (r = - 0.47, P < 0.01; r = - 0.43, P < 0.01; r = - 0.37, P < 0.01, respectively). The results of bootstrapping analyses demonstrated significant indirect effects of perceived social support (β = - 0.098, 95% CI [- 0.184, - 0.021]) and family function (β = - 0.049, 95% CI [- 0.103, - 0.011]) on PRA via resilience. CONCLUSIONS Chinese pregnant women are suffering from high levels of PRA. Better family function and perceived social support might reduce the occurrence of PRA, as well as by the mediating effects of resilience. Healthcare providers must be concerned about PRA and perform corresponding actions to reduce it. By strengthening social support and improving family function, antenatal care providers could effectively reduce or prevent PRA. And more importantly, implementing resilience-promoting measures are also essential to relieve anxiety and support mental health in pregnant women.
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Affiliation(s)
- Jingui Huang
- grid.190737.b0000 0001 0154 0904Department of Medical Oncology, Chongqing University Cancer Hospital, No.181 Hanyu Road, Shapingba District, Chongqing, 400030 China
| | - Lingli Xu
- grid.190737.b0000 0001 0154 0904Department of Human Resources, Chongqing University Cancer Hospital, Chongqing, 400030 China
| | - Zhen Xu
- grid.190737.b0000 0001 0154 0904Department of Medical Oncology, Chongqing University Cancer Hospital, No.181 Hanyu Road, Shapingba District, Chongqing, 400030 China
| | - Yexin Luo
- grid.190737.b0000 0001 0154 0904Department of Medical Oncology, Chongqing University Cancer Hospital, No.181 Hanyu Road, Shapingba District, Chongqing, 400030 China
| | - Bizhen Liao
- grid.452206.70000 0004 1758 417XDepartment of Obstetrics, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016 China
| | - Yan Li
- grid.452206.70000 0004 1758 417XDepartment of Obstetrics, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016 China
| | - Yumei Shi
- grid.190737.b0000 0001 0154 0904Department of Medical Oncology, Chongqing University Cancer Hospital, No.181 Hanyu Road, Shapingba District, Chongqing, 400030 China
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He H, Zhou S, Peng C, Ran W, Tong S, Hong L, Cai F, Jin W, Jiang Y, Li M, Wang X, Luo M, Wang W, Zhao K. Effects of resilience on impulsivity, cognition and depression during protracted withdrawal among Chinese male methamphetamine users. BMC Psychiatry 2022; 22:414. [PMID: 35729547 PMCID: PMC9215047 DOI: 10.1186/s12888-022-04041-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/28/2021] [Accepted: 06/02/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Methamphetamine (METH) dependence is a complex and dynamic public health problem. Long-term abuse of METH can increase numerous risks of mental and physical problems. Currently, the methods to reduce METH dependence and improve the withdrawal symptoms are limited and ineffective. Resilience is seen as a multidimensional and dynamic capability to recover or bounce back from stressful events and is also generally considered as a protective factor against mental dysfunction. METHODS One hundred thirty-four males with METH dependence were consecutively recruited from Huanglong Compulsory Isolated Detoxification Center between 2019 and 2021, of whom 112 were into the group. The Connor-Davidson Resilience Scale (CD-RISC), Self-rating depression scale (SDS), Self-rating anxiety scale (SAS), Barratt Impulsiveness Scale-11(BIS-11), and the Repeatable Battery for the Assessment of Neuropsychological Status (Rbans) were used to evaluate resilience, depression, anxiety, impulsivity, and cognition respectively. RESULTS The results mainly indicated that high resilience group showed lower SDS, SAS and BIS-11 scores than low resilience group (all p < 0.05). Besides, the total scores of Rbans were higher in high resilience groups than low resilience group (both p < 0.05). Moreover, linear regression results showed that resilience may be influenced by the scores of SDS and SAS. CONCLUSIONS Resilience is negatively correlated with impulsivity and depression. Besides, it is also positively associated with cognitive function. Drug users with higher resilience may have a strong ability to mobilize psychological resources to create a good psychological environment, which may have a positive effect on the relief or improvement of symptoms.
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Affiliation(s)
- He He
- grid.268099.c0000 0001 0348 3990School of Mental Health, Wenzhou Medical University, Chashan Higher Education Park, Ouhai District, Wenzhou, 325000 China
| | - Siyao Zhou
- grid.268099.c0000 0001 0348 3990School of Mental Health, Wenzhou Medical University, Chashan Higher Education Park, Ouhai District, Wenzhou, 325000 China
| | - Chenhui Peng
- grid.268099.c0000 0001 0348 3990School of Mental Health, Wenzhou Medical University, Chashan Higher Education Park, Ouhai District, Wenzhou, 325000 China
| | - Wang Ran
- grid.13402.340000 0004 1759 700XThe Second Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China
| | - Siyu Tong
- grid.268099.c0000 0001 0348 3990School of Mental Health, Wenzhou Medical University, Chashan Higher Education Park, Ouhai District, Wenzhou, 325000 China
| | - Lan Hong
- grid.268099.c0000 0001 0348 3990School of Mental Health, Wenzhou Medical University, Chashan Higher Education Park, Ouhai District, Wenzhou, 325000 China
| | - Fangfang Cai
- grid.268099.c0000 0001 0348 3990School of Mental Health, Wenzhou Medical University, Chashan Higher Education Park, Ouhai District, Wenzhou, 325000 China
| | - Wei Jin
- grid.268099.c0000 0001 0348 3990School of Mental Health, Wenzhou Medical University, Chashan Higher Education Park, Ouhai District, Wenzhou, 325000 China
| | - Yile Jiang
- grid.268099.c0000 0001 0348 3990School of Mental Health, Wenzhou Medical University, Chashan Higher Education Park, Ouhai District, Wenzhou, 325000 China
| | - Mengjia Li
- grid.268099.c0000 0001 0348 3990School of Mental Health, Wenzhou Medical University, Chashan Higher Education Park, Ouhai District, Wenzhou, 325000 China
| | - Xuanping Wang
- grid.268099.c0000 0001 0348 3990School of Mental Health, Wenzhou Medical University, Chashan Higher Education Park, Ouhai District, Wenzhou, 325000 China
| | - Mengdan Luo
- grid.268099.c0000 0001 0348 3990School of Mental Health, Wenzhou Medical University, Chashan Higher Education Park, Ouhai District, Wenzhou, 325000 China
| | - Wei Wang
- School of Mental Health, Wenzhou Medical University, Chashan Higher Education Park, Ouhai District, Wenzhou, 325000, China. .,The Affiliated Kangning Hospital of Wenzhou Medical University, Wenzhou, China.
| | - Ke Zhao
- School of Mental Health, Wenzhou Medical University, Chashan Higher Education Park, Ouhai District, Wenzhou, 325000, China. .,The Affiliated Kangning Hospital of Wenzhou Medical University, Wenzhou, China. .,School of Mental Health, Key Laboratory of Alzheimer's Disease of Zhejiang Province, Wenzhou Medical University, Wenzhou, China.
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Hao Z, Jin L, Huang J, Wu H. Stress, academic burnout, smartphone use types and problematic smartphone use: The moderation effects of resilience. J Psychiatr Res 2022; 150:324-331. [PMID: 35447526 DOI: 10.1016/j.jpsychires.2022.03.019] [Citation(s) in RCA: 14] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/14/2021] [Revised: 01/28/2022] [Accepted: 03/09/2022] [Indexed: 11/30/2022]
Abstract
Few studies have investigated stress in association with social and process smartphone use and how these types of use influence problematic smartphone use during the COVID-19 pandemic; furthermore, the moderation effects of resilience have been rarely tested in this model. For these, a cross-sectional survey was conducted involving 766 Chinese undergraduate students (74.4% female; M = 20.1 years, SD = 1.15) who were measured with their levels of stress, academic burnout, smartphone use types (social/process smartphone use), resilience, and problematic smartphone use. Based on the I-PACE theory, we built a structural equation model, and the results indicated that compared with social smartphone use, process smartphone use more related to problematic smartphone use; academic burnout fully mediated between stress and process smartphone use, and between stress and problematic smartphone use. Moreover, resilience moderated between stress and academic burnout, between academic burnout and process smartphone use, and between academic burnout and problematic smartphone use. We discuss the process smartphone use as a key indicator of problematic smartphone use and the role of academic burnout for linking stress and smartphone use behaviors. In addition, interventions for enhancing resilience should be launched in the future.
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Affiliation(s)
- Zejun Hao
- Institute of Foreign Languages, China Medical University, No.77 Puhe Road, Shenyang North New Area, 110122, Shenyang, Liaoning Province, PR China
| | - Liangyi Jin
- Shenyang Women's and Children's Hospital, No.87 Danan Street, Shenhe District, 110011, Shenyang, Liaoning Province, PR China
| | - Jinzi Huang
- Liaoning National Normal College, No. 45, Chongshan East Road, Huanggu District, 110032, Shenyang, Liaoning Province, PR China
| | - Hui Wu
- School of Health Management, China Medical University, No.77 Puhe Road, Shenyang North New Area, 110122, Shenyang, Liaoning Province, PR China.
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Mei XX, Wu XN, Wang HY, Wu JY, Wang XQ, Ye ZJ. Heterogeneity in Psychological Resilience and Mental Health among Newly Graduated Nursing Students: A Latent Profile and Generalized Additive Model Analysis. Psychol Res Behav Manag 2022; 15:597-606. [PMID: 35300205 PMCID: PMC8922342 DOI: 10.2147/prbm.s348661] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2021] [Accepted: 02/25/2022] [Indexed: 02/02/2023] Open
Abstract
Background Psychological resilience is important to mental health and professional development in newly graduated nursing students (NGNSs). However, the association between psychological resilience and mental health in NGNSs is less explored. Purpose The current study was designed to determine mental health profiles measured by the Kessler 10 scale (K10) and evaluate the non-linear association between psychological resilience and mental health in NGNSs. Methods A total of 472 NGNSs from the Be Resilient to Nursing Career program were assessed using the K10 and ten-item Connor–Davidson Resilience Scale (CD-RISC 10). Latent profile analysis and generalized additive model analysis were performed. Results A four-class model based on the K10 was identified: lowest (28.0%), lower-middle (36.4%), upper-middle (26.1%), and highest (9.5%) subgroups. Academic degree and psychological resilience were significant indicators of mental health profiles. Psychological resilience was negatively and nonlinearly correlated with mental health when the CD-RISC 10 score was >17. Conclusion There exists heterogeneity in NGNSs’ mental health. The negative and nonlinear association between psychological resilience and mental health can only be confirmed in NGNSs with moderate and high resilience levels.
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Affiliation(s)
- Xiao Xiao Mei
- Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, 510006, People’s Republic of China
| | - Xiao Na Wu
- Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, 510006, People’s Republic of China
| | - Hui Yuan Wang
- Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, 510006, People’s Republic of China
| | - Jie Yi Wu
- Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, 510006, People’s Republic of China
| | - Xin Qin Wang
- Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, 510006, People’s Republic of China
| | - Zeng Jie Ye
- Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, 510006, People’s Republic of China
- Correspondence: Zeng Jie Ye, People’s Republic of China, Tel +86 15914411786, Email
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Zhou K, Tan J, Watanabe K. How does perceived residential environment quality influence life satisfaction? Evidence from urban China. JOURNAL OF COMMUNITY PSYCHOLOGY 2021; 49:2454-2471. [PMID: 33667325 DOI: 10.1002/jcop.22545] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/26/2020] [Revised: 12/20/2020] [Accepted: 02/18/2021] [Indexed: 06/12/2023]
Abstract
Against the background of fast-paced aging and urbanization in China, the current study proposed a "Residential environment-Emotional health-Life satisfaction" framework to investigate the associations among perceived residential environment quality (PREQ), positive affect (PA), social trust (ST), and life satisfaction (LS) of old adults. Data used were from a nationwide survey and covered 3825 people aged 60 years or older living in urban communities. The partial least squares-structural equation modeling approach was adopted to verify hypotheses. The results found that (1) PREQ, PA, and ST were positively correlated with LS; (2) ST mediated the relationship between PREQ and LS; and (3) people who are men, living without children, high environmental perception, and with a workout habit were more sensitively to PREQ. These findings indicate that improving the residential environment helps to promote the mental health of the Chinese urban elderly, which may have some implications for establishing an age-friendly community.
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Affiliation(s)
- Kui Zhou
- China Western Economic Research Center, Southwestern University of Finance and Economics, Chengdu, China
| | - Jing Tan
- China Western Economic Research Center, Southwestern University of Finance and Economics, Chengdu, China
| | - Kojiro Watanabe
- Department of Civil and Environmental Engineering, Graduate School of Technology, Industrial and Social Sciences, Tokushima University, Tokushima, Japan
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Koral L, Cirak Y. The relationships between fear of cancer recurrence, spiritual well-being and psychological resilience in non-metastatic breast cancer survivors during the COVID-19 outbreak. Psychooncology 2021; 30:1765-1772. [PMID: 33982371 PMCID: PMC8237000 DOI: 10.1002/pon.5727] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2021] [Revised: 05/05/2021] [Accepted: 05/09/2021] [Indexed: 11/10/2022]
Abstract
OBJECTIVES This study examines the relationships between fear of cancer recurrence (FCR), spiritual well-being (SWB) and psychological resilience in breast cancer survivors during the COVID-19 outbreak, and investigates to what extent breast cancer survivors' sociodemographic characteristics affect FCR, SWB and psychological resilience levels. METHODS The study was conducted at Canakkale University Hospital in Turkey. Included in the study were 82 non-metastatic breast cancer patients whose clinical outcomes were followed-up after primary treatment, but suspended due to the COVID-19 outbreak. FCR, SWB and psychological resilience were assessed using the FCR inventory-short form (FCRI-SF), SWB scale and the brief resilience scale (BRS), respectively. RESULTS The mean scores of breast cancer survivors concerning FCR, SWB, and psychological resilience were 17.77 ± 5.38, 36.20 ± 6.21 and 20.01 ± 4.51, respectively. A significant negative correlation was noted between the scores of FCR and SWB and psychological resilience (r = -0.329, p < 0.001 and r = -0.316, p = 0.004, respectively). Additionally, a significantly positive correlation was identified between psychological resilience and SWB (r = 0.501, p = 0.003). A hierarchical linear regression analysis with FCRI-SF as the dependent variable, and SWB and BRS as explanatory variables, indicated that SWB affects FCRI-SF scores and is a potential predictor of FCR. A mediation analysis revealed that SWB partially mediated the relationship between psychological resilience and FCR. CONCLUSION Breast cancer survivors with high SWB and psychological resilience scores experience less FCR, despite their failure to maintain the medical follow-up due to the COVID-19 outbreak. Efforts should be made to increase the psychological resilience and SWB of patients diagnosed with breast cancer.
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Affiliation(s)
- Lokman Koral
- Department of Medical Oncology, Canakkale Onsekiz Mart University Faculty of Medicine, Canakkale, Turkey
| | - Yalcin Cirak
- Department of Medical Oncology, Canakkale Onsekiz Mart University Faculty of Medicine, Canakkale, Turkey
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Tripp DA, Jones K, Mihajlovic V, Westcott S, MacQueen G. Childhood trauma, depression, resilience and suicide risk in individuals with inflammatory bowel disease. J Health Psychol 2021; 27:1626-1634. [PMID: 33719635 PMCID: PMC9092906 DOI: 10.1177/1359105321999085] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Despite the prevalence of suicide risk in inflammatory bowel disease populations,
research has yet to examine associations between childhood trauma, resilience,
depression and suicide risk. In the present online study, 172 participants
responded to measures of childhood trauma, resilience, depression and suicide
risk. A moderated mediation revealed that resilience does not moderate the
associations between childhood trauma, depressive symptoms and suicide risk.
However, a serial mediation revealed that childhood trauma is associated with
decreased resilience, which is related to higher depressive symptoms, and
ultimately higher suicide risk, thus suggesting resilience and depression as
significant intervention targets.
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Cai Y, Wang J, Hou L. Resilience Improves the Sleep Quality in Disabled Elders: The Role of Perceived Stress. Front Psychol 2021; 12:585816. [PMID: 33643125 PMCID: PMC7904684 DOI: 10.3389/fpsyg.2021.585816] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2020] [Accepted: 01/12/2021] [Indexed: 12/12/2022] Open
Abstract
The current research aims to prove the impact of resilience on sleep quality and to investigate the mediating function of perceived stress in the paths from resilience to sleep quality among disabled Chinese elders. The participants were 196 elders with visual and physical disability who resided in the nursing houses in Shanghai, including 102 males and 94 females whose mean age was 74.5 years old (standard deviation = 6.81). All the elders were measured with the 10-item Connor-Davidson Resilience Scale, Pittsburgh Sleep Quality Index (PSQI), and Perceived Stress Scale. The results showed that all the demographic variables were significantly related to perceived stress and PSQI scores. High levels of resilience could significantly enhance the quality of sleep in disabled Chinese elders. In addition, the two-step mediation models also confirmed the impact of resilience on sleep quality as mediated through perceived stress in this special aged population. Better knowledge on the mechanisms of sleep quality among older adults could benefit the prevention and treatment of some geriatric diseases.
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Affiliation(s)
- Yumei Cai
- School of Social and Public Administration, East China University of Science and Technology, Shanghai, China
| | - Junlei Wang
- Law School, East China University of Science and Technology, Shanghai, China
| | - Liwen Hou
- School of Social and Public Administration, East China University of Science and Technology, Shanghai, China
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Román-Mata SS, Zurita-Ortega F, Puertas-Molero P, Badicu G, González-Valero G. A Predictive Study of Resilience and Its Relationship with Academic and Work Dimensions during the COVID-19 Pandemic. J Clin Med 2020; 9:E3258. [PMID: 33053785 PMCID: PMC7601764 DOI: 10.3390/jcm9103258] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2020] [Revised: 10/02/2020] [Accepted: 10/08/2020] [Indexed: 02/07/2023] Open
Abstract
BACKGROUND The aim of the present study was to describe the resilience levels in a Spanish population during the Coronavirus (COVID-19) pandemic and to analyze the existing associations between high resilience and socio-demographic, work, and academic parameters. METHOD 1176 individuals aged 18-67 years participated in a descriptive cross-sectional study. The participants were administered the 10-item resilience scale developed by Connor-Davidson (CD-RISC-10) and an ad-hoc questionnaire that collected information on socio-demographic, work, and academic variables. Basic descriptive data were used to statistically analyze the data, and a binary logistic regression model was developed incorporating the professional occupation, academic level, whether the respondent worked in emergency services, and whether the respondent had dependents. RESULTS Slightly more than a quarter of the participants showed low resilience, almost half reported moderate resilience, and slightly more than a quarter had high resilience. Those who were employed were 2.16-times more likely to have high resilience, whilst those with higher education were 1.57-times more likely. Those working in emergency services were 1.66-times more likely, and those with dependents were 1.58-times more likely to have high resilience. CONCLUSION In addition to the relationships found, a need to improve the resilience levels in the population was found.
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Affiliation(s)
- Silvia San Román-Mata
- Nursing Department, University of Granada (Spain), Campus Universitario de Melilla, Calle Santander 1, 52005 Melilla, Spain;
| | - Félix Zurita-Ortega
- Department of Didactics of Musical, Plastic and Corporal Expression, University of Granada (Spain), Campus de Cartuja, s/n, 18071 Granada, Spain; (F.Z.-O.); (P.P.-M.); (G.G.-V.)
| | - Pilar Puertas-Molero
- Department of Didactics of Musical, Plastic and Corporal Expression, University of Granada (Spain), Campus de Cartuja, s/n, 18071 Granada, Spain; (F.Z.-O.); (P.P.-M.); (G.G.-V.)
| | - Georgian Badicu
- Department of Physical Education and Special Motricity, Faculty of Physical Education and Mountain Sports, Transilvania University of Brașov, 500068 Brașov, Romania
| | - Gabriel González-Valero
- Department of Didactics of Musical, Plastic and Corporal Expression, University of Granada (Spain), Campus de Cartuja, s/n, 18071 Granada, Spain; (F.Z.-O.); (P.P.-M.); (G.G.-V.)
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Sun Y, Wang H, Zhang L, Li Z, Lv S, Li B. Stress and depression among Chinese new urban older adults: A moderated mediation model. SOCIAL BEHAVIOR AND PERSONALITY 2020. [DOI: 10.2224/sbp.9446] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
We explored the relationship between stress and depression among 296 new urban older adults in China aged 60 years and older, along with the moderating effect of relocation duration and the mediating effect of anxiety. Participants completed the Depression Anxiety Stress Scales–simplified
Chinese version. Results show that stress was a risk factor for depression, relocation duration moderated the relationship between stress and depression, and this moderating effect was mediated by anxiety. The importance of focusing on and preventing mental health problems among new urban
older adults in China is discussed, with a focus on stress-induced anxiety and depression, and the feasibility of intervention at different stages postrelocation.
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Cheng J, Zhao YY, Wang J, Sun YH. Academic burnout and depression of Chinese medical students in the pre-clinical years: the buffering hypothesis of resilience and social support. PSYCHOL HEALTH MED 2019; 25:1094-1105. [DOI: 10.1080/13548506.2019.1709651] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Affiliation(s)
- J. Cheng
- School of Health Service Management, Anhui Medical University, Hefei, China
| | - Y. Y. Zhao
- The Fifth Sanatorium for Retired Cadres, Anhui Provincial Military Region, Hefei, China
| | - J. Wang
- School of Public Health, Anhui Medical University, Hefei, China
| | - Y. H. Sun
- School of Public Health, Anhui Medical University, Hefei, China
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