Published online Oct 26, 2021. doi: 10.12998/wjcc.v9.i30.8999
Peer-review started: April 12, 2021
First decision: May 11, 2021
Revised: May 19, 2021
Accepted: September 2, 2021
Article in press: September 2, 2021
Published online: October 26, 2021
Stroke has a great impact on the mental health of patients. Positive coping style, good resilience, and less disease uncertainty can promote the recovery of mental health of stroke patients.
There is no consensus on the relationship among disease uncertainty, resilience, and coping style of stroke patients.
This study aimed to analyze the moderating and mediating of resilience between coping style and disease uncertainty.
The Mishel Uncertainty in Illness Scale, the Connor-Davidson Resilience Scale, and the Medical Coping Modes Questionnaire were used to test the uncertainty in illness, resilience, and coping style, respectively.
Resilience had a significant moderating role in the correlation between coping style and unpredictability and information deficiency for uncertainty in illness. Further, the tenacity and strength dimensions of resilience mediated the correlation between the confrontation coping style and complexity, respectively. The strength dimension of resilience mediated the correlation between an avoidance coping style and the unpredictability of uncertainty in illness, as well as correlated with resignation, complexity, and unpredictability.
To the best of our knowledge, this is the first study that examined the relationship among coping style, resilience, and uncertainty in illness. The findings indicated that resilience could moderate and mediate the relationship between coping style and uncertainty in illness.
It is recommended that medical institutions should strengthen psychological intervention and counseling for stroke patients to enhance their adaptability and coping ability during illness.