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World J Psychiatry. Sep 19, 2026; 16(9): 119378
Published online Sep 19, 2026. doi: 10.5498/wjp.119378
Published online Sep 19, 2026. doi: 10.5498/wjp.119378
Psychological resilience and self-control in individuals at high risk of stroke: A mental health-focused study
Cheng-Jian Zhang, Wen-Hong An, Li-Xiang Deng, Ping Liu, Nursing Teaching and Research Office, School of Health and Wellness, Panzhihua University, Panzhihua 617000, Sichuan Province, China
Shuang Liu, Jing Liu, Department of Basic Medicine, School of Basic Medical Sciences, Panzhihua University, Panzhihua 617000, Sichuan Province, China
Ling-Mei Ruan, Department of Neurology, Panzhihua Central Hospital, Panzhihua 617067, Sichuan Province, China
Author contributions: Zhang CJ designed the study, performed data collection, conducted the statistical analysis, and drafted the initial manuscript; Liu S conceived and supervised the study, provided critical intellectual input, and served as the corresponding author; An WH and Deng LX participated in participant recruitment and data acquisition; Liu J assisted with data interpretation and methodological support; Liu P contributed to questionnaire administration and data management; Zhang CJ, Liu S, An WH, Liu J, Deng LX, Liu P, and Ruan LM contributed to manuscript revision, approved the final version of the manuscript, and agree to be accountable for all aspects of the work.
AI contribution statement: We confirm that this manuscript and all the related documents for responding to the reviewers were all written, revised and approved by us personally, without using any artificial intelligence assistance tools. All the authors are fully responsible for the integrity, accuracy, originality and scientific rigor of this manuscript.
Supported by 2024 Open Fund Project of Sichuan Provincial Key Laboratory of Philosophy and Social Sciences for Intelligent Medical Care and Elderly Health Management, No. ZHYYZKYB2424.
Institutional review board statement: This study has been reviewed and approved by the Ethics Committee of Panzhihua Central Hospital (approval No. 2025-096).
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Data sharing statement: No data available.
Corresponding author: Shuang Liu, MS, MD, Department of Basic Medicine, School of Basic Medical Sciences, Panzhihua University, No. 10 North Section of Third Avenue, Panzhihua 617000, Sichuan Province, China. shuangliu1130055462@protonmail.com
Received: March 17, 2026
Revised: April 14, 2026
Accepted: May 29, 2026
Published online: September 19, 2026
Processing time: 159 Days and 21.8 Hours
Revised: April 14, 2026
Accepted: May 29, 2026
Published online: September 19, 2026
Processing time: 159 Days and 21.8 Hours
Core Tip
Core Tip: This study measured psychological resilience, proactive health behaviors, self-control abilities, and the presence of anxiety in participants at a high risk of stroke. The results showed positive correlations between proactive health behaviors and resilience and between proactive health behaviors and self-control. Minimal-mild anxiety was common among the participants. Mediation analysis showed that resilience partially explained this relationship. These results suggest that stroke prevention strategies should go beyond traditional health education and incorporate evidence-based resilience-enhancing interventions for individuals at a high risk of stroke.