Resourcefulness as a mediator in the relationship between self-perceived burden and depression among the young and middle-aged stroke patients: A cross-sectional study

Yiru Zhu; Haiping Xu; Dandan Ding; Yanjin Liu; Lina Guo; Jaclene A Zauszniewski; Miao Wei; Xiaoli Guo

doi:10.1016/j.heliyon.2023.e18908

Resourcefulness as a mediator in the relationship between self-perceived burden and depression among the young and middle-aged stroke patients: A cross-sectional study

Heliyon. 2023 Aug 6;9(8):e18908. doi: 10.1016/j.heliyon.2023.e18908. eCollection 2023 Aug.

Authors

Yiru Zhu¹, Haiping Xu¹, Dandan Ding¹, Yanjin Liu², Lina Guo², Jaclene A Zauszniewski³, Miao Wei², Xiaoli Guo¹

Affiliations

¹ The Third Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052 Henan Province, China.
² The First Affiliated Hospital of Zhengzhou University, Zhengzhou, 450052 Henan Province, China.
³ Frances Payne Bolton School of Nursing, Case Western Reserve University. Euclid Avenue Cleveland, Ohio, USA.

Abstract

Objective: To explore the relationships among self-perceived burden, resourcefulness and depression, and to study further whether resourcefulness mediates the effects of self-perceived burden on depression in young and middle-aged stroke patients.

Methods: A cross-sectional survey was conducted with 1050 young and middle-aged stroke patients. We used a general demographic questionnaire, Self-Perceived Burden Scale (SPBS), Resourcefulness Scale© (RS) and Hamilton Depression Scale (HAMD) to assess self-perceived burden, resourcefulness, and depression. Statistical methods included correlation analysis, multiple linear regression, and structural equation model.

Results: 1018 valid questionnaires were collected with a response rate of 96.95%. Resourcefulness was inversely correlated with self-perceived burden (r = -0.367, p < 0.01) and depression (r = -0.625, p < 0.01); Self-perceived burden was positively associated with depression (r = 0.698, p < 0.01). Multiple linear regression analyses showed that resourcefulness mediated the effects of self-perceived burden on depression; The structural equation model demonstrated that the resourcefulness mediated the relationship between self-perceived burden and depression.

Conclusion: Resourcefulness is a mediator between self-perceived burden and depression. Medical staff adjust the psychological state of stroke patients based on the theory of resourcefulness, thereby improving their problem-solving ability, actively encouraging patients to establish problem-solving strategies, providing disease rehabilitation knowledge and skills, and promoting the improvement of resourcefulness level.

Keywords: Depression; Mediation effect; Resourcefulness; Self-perceived stress; Young and middle-aged stroke patients.