Social isolation in the young and middle-aged patients with stroke: role of social support, family resilience and hope
BackgroundStroke is the leading cause of death and disability among adults in China. Social isolation in stroke survivors is a major public health concern across the globe. Social isolation is associated with social support, family resilience, and levels of personal hope, but how they interact to pr...
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Frontiers Media S.A.
2025-02-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1499186/full |
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| author | Xiao Jia Wu Ke Ke Hui Liu Shao Ping Zhan Lei Wang Juan Feng He |
| author_facet | Xiao Jia Wu Ke Ke Hui Liu Shao Ping Zhan Lei Wang Juan Feng He |
| author_sort | Xiao Jia Wu |
| collection | DOAJ |
| description | BackgroundStroke is the leading cause of death and disability among adults in China. Social isolation in stroke survivors is a major public health concern across the globe. Social isolation is associated with social support, family resilience, and levels of personal hope, but how they interact to predict social isolation in the young and middle-aged stroke survivors remains unclear.MethodsUsing cross-sectional design and convenience sampling method, a survey was conducted among 461 young and middle-aged stroke survivors. Perceived social support scale, General isolation Scale, Chinese version of Family Resilience Assessment Scale and Herth hope index were adopted to assess patients’ social, family and personal factors. SPSS 27.0 and AMOS 26.0 were used for descriptive analysis and structural equation modeling of the data.ResultsThe young and middle-aged stroke survivors had a high level of social isolation(49.57 ± 5.84). In the mediating effects model, social support could influence social isolation directly (95% CI -0.250, -0.061) or indirectly through family resilience (95% CI -0.136, -0.062) or patient hope level (95% CI -0.078, -0.017). In addition, Family resilience and hope had a significant chain mediating effect between social support and social isolation (95% CI -0.029, -0.006).ConclusionsSocial support can have both direct and indirect effects on social isolation through the mediating factors of family resilience and hope. Clinicians and nurses can develop supportive interventions by taking integration of family and personal hope. On the one hand, resources can be directed to the individual patient, and on the other hand, the utilization of social support can be ensured by increasing family resilience and enhancing the coping capacity of family members and individuals. |
| format | Article |
| id | doaj-art-e555e9c99af24b97a238959375ddc4df |
| institution | Kabale University |
| issn | 1664-0640 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj-art-e555e9c99af24b97a238959375ddc4df2025-02-12T07:26:28ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402025-02-011610.3389/fpsyt.2025.14991861499186Social isolation in the young and middle-aged patients with stroke: role of social support, family resilience and hopeXiao Jia Wu0Ke Ke1Hui Liu2Shao Ping Zhan3Lei Wang4Juan Feng He5Neurology Department, Renmin Hospital of Wuhan University, Wuhan, ChinaGeneral Department, Tong Ji Hospital, Tongji Medical College of Huazhong University of Science and Technology, Wuhan, ChinaNeurology Department, Renmin Hospital of Wuhan University, Wuhan, ChinaNeurology Department, Renmin Hospital of Wuhan University, Wuhan, ChinaNeurology Department, Renmin Hospital of Wuhan University, Wuhan, ChinaNeurology Department, Renmin Hospital of Wuhan University, Wuhan, ChinaBackgroundStroke is the leading cause of death and disability among adults in China. Social isolation in stroke survivors is a major public health concern across the globe. Social isolation is associated with social support, family resilience, and levels of personal hope, but how they interact to predict social isolation in the young and middle-aged stroke survivors remains unclear.MethodsUsing cross-sectional design and convenience sampling method, a survey was conducted among 461 young and middle-aged stroke survivors. Perceived social support scale, General isolation Scale, Chinese version of Family Resilience Assessment Scale and Herth hope index were adopted to assess patients’ social, family and personal factors. SPSS 27.0 and AMOS 26.0 were used for descriptive analysis and structural equation modeling of the data.ResultsThe young and middle-aged stroke survivors had a high level of social isolation(49.57 ± 5.84). In the mediating effects model, social support could influence social isolation directly (95% CI -0.250, -0.061) or indirectly through family resilience (95% CI -0.136, -0.062) or patient hope level (95% CI -0.078, -0.017). In addition, Family resilience and hope had a significant chain mediating effect between social support and social isolation (95% CI -0.029, -0.006).ConclusionsSocial support can have both direct and indirect effects on social isolation through the mediating factors of family resilience and hope. Clinicians and nurses can develop supportive interventions by taking integration of family and personal hope. On the one hand, resources can be directed to the individual patient, and on the other hand, the utilization of social support can be ensured by increasing family resilience and enhancing the coping capacity of family members and individuals.https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1499186/fullsocial isolationstrokethe young and middle-aged patientsocial supportfamily resiliencehope |
| spellingShingle | Xiao Jia Wu Ke Ke Hui Liu Shao Ping Zhan Lei Wang Juan Feng He Social isolation in the young and middle-aged patients with stroke: role of social support, family resilience and hope Frontiers in Psychiatry social isolation stroke the young and middle-aged patient social support family resilience hope |
| title | Social isolation in the young and middle-aged patients with stroke: role of social support, family resilience and hope |
| title_full | Social isolation in the young and middle-aged patients with stroke: role of social support, family resilience and hope |
| title_fullStr | Social isolation in the young and middle-aged patients with stroke: role of social support, family resilience and hope |
| title_full_unstemmed | Social isolation in the young and middle-aged patients with stroke: role of social support, family resilience and hope |
| title_short | Social isolation in the young and middle-aged patients with stroke: role of social support, family resilience and hope |
| title_sort | social isolation in the young and middle aged patients with stroke role of social support family resilience and hope |
| topic | social isolation stroke the young and middle-aged patient social support family resilience hope |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1499186/full |
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