Evaluation of the Effect of Psychological Resilience on Anxiety in Patients with Diabetic Retinopathy Through the Mediating Effect of Perceived Stress: A Moderated Mediation Model
Yanqiu Cui,1,2,* Yonghua Mao,2,* Mengjiao Tang,1 Jie Zhu,1 Huiyu Yao2 1Department of Ophthalmology, Changzhou Third People’s Hospital, Changzhou Medical Center, Nanjing Medical University, Changzhou, Jiangsu, People’s Republic of China; 2Nursing department, Changzhou Third Pe...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2025-05-01
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| Series: | Psychology Research and Behavior Management |
| Subjects: | |
| Online Access: | https://www.dovepress.com/evaluation-of-the-effect-of-psychological-resilience-on-anxiety-in-pat-peer-reviewed-fulltext-article-PRBM |
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| Summary: | Yanqiu Cui,1,2,&ast; Yonghua Mao,2,&ast; Mengjiao Tang,1 Jie Zhu,1 Huiyu Yao2 1Department of Ophthalmology, Changzhou Third People’s Hospital, Changzhou Medical Center, Nanjing Medical University, Changzhou, Jiangsu, People’s Republic of China; 2Nursing department, Changzhou Third People’s Hospital, Changzhou Medical Center, Nanjing Medical University, Changzhou, Jiangsu, People’s Republic of China&ast;These authors contributed equally to this workCorrespondence: Huiyu Yao, Email hyyao778@163.comObjective: To investigate the anxiety status of Chinese patients with diabetic retinopathy (DR) and its relationship with psychological resilience and perceived stress.Methods: A sampling method was used to select 606 DR patients, and the 10-item Connor-Davidson Resilience Scale (CD-RISC-10), Perceived Stress Scale short-form (PSS-10), and General Anxiety Disorder-7 (GAD-7) were used for the survey. We used SPSS 26.0 to analyse the data and employed PROCESS v4.1 for the mediating effect test.Results: The incidence of anxiety in DR patients was approximately 53.63%, with psychological resilience (CD-RISC-10 average=27.51± 8.32) and perceived stress (PSS-10 average=15.97± 6.54). Anxiety was negatively correlated with psychological resilience (r=− 0.569, P< 0.01) and positively correlated with perceived stress (r=0.638, P< 0.01). Additionally, psychological resilience was negatively correlated with perceived stress (r=− 0.681, P< 0.01). Perceived stress had a positive predictive effect on anxiety (total effect = − 0.327, 95% bootstrap CI = − 0.363 to − 0.291), and it played a mediating role in the relationship between psychological resilience and anxiety, with a mediating effect size of 54.13%.Conclusion: Psychological resilience and perceived stress directly or indirectly affect anxiety, Perceived stress moderates the relationship between psychological resilience and anxiety as a mediating variable. By analyzing this psychological mechanism, this study provides a new perspective for applying psychology to chronic diseases and a scientific basis for medical staff to develop targeted psychological intervention measures.Keywords: diabetic retinopathy, perceived stress, psychological resilience, mediating effect |
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| ISSN: | 1179-1578 |