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

作者：Yiru Zhu, XU Hai-ping, Dandan Ding, Yanjin Liu, Lina Guo, Jaclene A. Zauszniewski, Wei Miao, Xiaoli Guo · 发表于：Heliyon · 年份：2023 · DOI：10.1016/j.heliyon.2023.e18908 · 被引用次数：11 · 研究领域：Stroke Rehabilitation and Recovery、Occupational Therapy Practice and Research、Problem Solving Skills Development

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...