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...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2025-05-01
|
| 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 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849424828462792704 |
|---|---|
| author | Cui Y Mao Y Tang M Zhu J Yao H |
| author_facet | Cui Y Mao Y Tang M Zhu J Yao H |
| author_sort | Cui Y |
| collection | DOAJ |
| description | 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 |
| format | Article |
| id | doaj-art-a6f2b17fc492408681f99d9ac2a206dd |
| institution | Kabale University |
| issn | 1179-1578 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Psychology Research and Behavior Management |
| spelling | doaj-art-a6f2b17fc492408681f99d9ac2a206dd2025-08-20T03:29:58ZengDove Medical PressPsychology Research and Behavior Management1179-15782025-05-01Volume 18Issue 111691180103177Evaluation of the Effect of Psychological Resilience on Anxiety in Patients with Diabetic Retinopathy Through the Mediating Effect of Perceived Stress: A Moderated Mediation ModelCui Y0Mao Y1Tang M2Zhu J3Yao H4OphthalmologyNursing departmentOphthalmologyOphthalmologyNursing departmentYanqiu 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 effecthttps://www.dovepress.com/evaluation-of-the-effect-of-psychological-resilience-on-anxiety-in-pat-peer-reviewed-fulltext-article-PRBMdiabetic retinopathyperceived stresspsychological resiliencemediating effect |
| spellingShingle | Cui Y Mao Y Tang M Zhu J Yao H 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 Psychology Research and Behavior Management diabetic retinopathy perceived stress psychological resilience mediating effect |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| topic | diabetic retinopathy perceived stress psychological resilience mediating effect |
| url | https://www.dovepress.com/evaluation-of-the-effect-of-psychological-resilience-on-anxiety-in-pat-peer-reviewed-fulltext-article-PRBM |
| work_keys_str_mv | AT cuiy evaluationoftheeffectofpsychologicalresilienceonanxietyinpatientswithdiabeticretinopathythroughthemediatingeffectofperceivedstressamoderatedmediationmodel AT maoy evaluationoftheeffectofpsychologicalresilienceonanxietyinpatientswithdiabeticretinopathythroughthemediatingeffectofperceivedstressamoderatedmediationmodel AT tangm evaluationoftheeffectofpsychologicalresilienceonanxietyinpatientswithdiabeticretinopathythroughthemediatingeffectofperceivedstressamoderatedmediationmodel AT zhuj evaluationoftheeffectofpsychologicalresilienceonanxietyinpatientswithdiabeticretinopathythroughthemediatingeffectofperceivedstressamoderatedmediationmodel AT yaoh evaluationoftheeffectofpsychologicalresilienceonanxietyinpatientswithdiabeticretinopathythroughthemediatingeffectofperceivedstressamoderatedmediationmodel |