Mediating Effect of Self-Efficacy on the Relationship Between Perceived Social Support and Resilience in Patients with Recurrent Schizophrenia in China

Li-Yi Wang; Mei-Zhi Li; Xiao-Jian Jiang; Yang Han; Juan Liu; Ting-Ting Xiang; Zheng-Min Zhu

doi:10.2147/NDT.S368695

Mediating Effect of Self-Efficacy on the Relationship Between Perceived Social Support and Resilience in Patients with Recurrent Schizophrenia in China

Neuropsychiatr Dis Treat. 2022 Jul 1:18:1299-1308. doi: 10.2147/NDT.S368695. eCollection 2022.

Authors

Li-Yi Wang¹, Mei-Zhi Li², Xiao-Jian Jiang¹, Yang Han³, Juan Liu⁴, Ting-Ting Xiang¹, Zheng-Min Zhu¹

Affiliations

¹ College of Nursing, Hunan University of Chinese Medicine, Changsha, Hunan, People's Republic of China.
² Department of Nursing, Hunan Provincial Brain Hospital, Changsha, Hunan, People's Republic of China.
³ College of Civil Engineering, Central South University, Changsha, Hunan, People's Republic of China.
⁴ College of Basic Medicine, Ningxia Medical University, Yinchuang, Ningxia, People's Republic of China.

Abstract

Purpose: To explore the mediating effect of self-efficacy on the relationship between perceived social support and resilience in patients with recurrent schizophrenia in China.

Patients and methods: In this cross-sectional study, a total of 176 patients with recurrent schizophrenia who were hospitalized in a tertiary hospital in Hunan Province, China, completed a general data questionnaire, the Connor Davidson Resilience Scale (CD-RISC), the Perceived Social Support Scale (PSSS) and the General Self-Efficacy Energy Scale (GSES).

Results: Among the 176 patients, the mean GSES score was 2.02±0.61, the mean PSSS score was 56.77±14.61, and the mean CD-RISC score was 58.06±17.26. Self-efficacy played a partial mediating role between social support and resilience, and the mediating effect accounted for 42.56% of the total effect.

Conclusion: The resilience level of patients with recurrent schizophrenia in China is moderate and needs to be improved. This research revealed that self-efficacy played a part in mediating perceived social support and resilience in patients with recurrent schizophrenia in China. Perceived social support can indirectly affect resilience in patients with recurrent schizophrenia through self-efficacy. Comprehensive interventions in perceived social support and self-efficacy would help to improve the resilience of patients with recurrent schizophrenia.

Keywords: mediating effect; perceived social support; recurrent schizophrenia; resilience; self-efficacy.

Grants and funding

This study was supported by the Key Research and Development Program of Ningxia Hui Autonomous Region (Special Project for Foreign Scientific and Technological Cooperation) (Grant no. 2019BFG02023); the project funded by the 2021 Scientific Research of Hunan Health Commission (Grant no. 202114052222); and the projects funded by Hunan Innovative Province Construction Special Funding (Grant no. 2021 SK2009).