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      Resilience mediates the influence of hope, optimism, social support, and stress on anxiety severity among Chinese patients with cervical spondylosis

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          Abstract

          Objective

          Cervical spondylosis (CS) is a potential stressor threatening mental health among affected individuals. This study was to analyze resilience level and associated factors among cervical spondylosis (CS) patients, and to explore the underlying mechanism of anxiety based on resilience-focused psychological variables.

          Methods

          Resilience Scale-14 (RS-14), Zung Self-Rating Anxiety Scale (SAS), Herth Hope Index (HHI), Revised Life Orientation Test (LOT-R), Multidimensional Scale of Perceived Social Support (MSPSS), Perceived Stress Scale-10 (PSS-10) were used in this cross-sectional investigation among 250 CS patients.

          Results

          The score of resilience was 65.58 ± 16.14. Hierarchical linear regression analysis revealed that hope, optimism, perceived social support, perceived stress, and whether having comorbid chronic diseases were the independent associates of resilience among CS patients, which explained 63.9% of the total variance. The structural equation model showed that hope, optimism, perceived social support and perceived stress affected anxiety via resilience, and hope and optimism also had direct effects on anxiety.

          Conclusion

          Chinese patients with CS had moderate level of mental resilience, which was independently related to hope, optimism, perceived social support, perceived stress, and whether having comorbid chronic diseases. Resilience played a mediating role between various psychological variables and anxiety. Improving the level of resilience, hope, optimism and perceived social support and reducing the level of perceived stress are important strategies to reduce anxiety level. Relevant healthcare professionals should put more focus on the mental problems of Chinese CS patients and help maintain good psychological status by improving their resilience and associated psychological variables thereof.

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          Most cited references86

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          A rating instrument for anxiety disorders.

          W W Zung (1971)
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            Psychometric characteristics of the Multidimensional Scale of Perceived Social Support.

            K Berkoff, G Zimet, S Powell … (1990)
            The initial study describing the development of the Multidimensional Scale of Perceived Social Support (MSPSS) indicated that it was a psychometrically sound instrument (Zimet, Dahlem, Zimet, & Farley, 1988). The current study attempted to extend the initial findings by demonstrating the internal reliability, factorial validity, and subscale validity of the MSPSS using three different subject groups: (a) 265 pregnant women, (b) 74 adolescents living in Europe with their families, and (c) 55 pediatric residents. The MSPSS was found to have good internal reliability across subject groups. In addition, strong factorial validity was demonstrated, confirming the three-subscale structure of the MSPSS: Family, Friends, and Significant Other. Finally, strong support was also found for the validity of the Family and Significant Other subscales.
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              The attributional Style Questionnaire

              Christopher Peterson, Amy Semmel, Carl von Baeyer … (1982)
              Article 0 comments Cited 236 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Journal
                Journal ID (nlm-ta): Front Psychiatry
                Journal ID (iso-abbrev): Front Psychiatry
                Journal ID (publisher-id): Front. Psychiatry
                Title: Frontiers in Psychiatry
                Publisher: Frontiers Media S.A.
                ISSN (Electronic): 1664-0640
                Publication date (Electronic): 23 September 2022
                Publication date Collection: 2022
                Volume: 13
                Electronic Location Identifier: 997541
                Affiliations
                [1] 1School of Nursing, Jinzhou Medical University, Jinzhou , Liaoning, China
                [2] 2The First Affiliated Hospital, Jinzhou Medical University, Jinzhou , Liaoning, China
                [3] 3Centre for Mental Health Guidance, Jinzhou Medical University, Jinzhou , Liaoning, China
                Author notes

                Edited by: Yuli Li, Shandong University, China

                Reviewed by: Li Li, Gannan Medical University, China; Zhenyong Lyu, Yangzhou University, China

                *Correspondence: Hongliang Dai daihongliang@ 123456jzmu.edu.cn

                This article was submitted to Aging Psychiatry, a section of the journal Frontiers in Psychiatry

                Article
                DOI: 10.3389/fpsyt.2022.997541
                PMC ID: 9539388
                PubMed ID: 36213904
                SO-VID: 640a2375-6898-4258-a588-67f433722f67
                Copyright © Copyright © 2022 Chu, Zhang, Wang and Dai.
                License:

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                Date received : 19 July 2022
                Date accepted : 29 August 2022
                Page count
                Figures: 1, Tables: 6, Equations: 0, References: 87, Pages: 12, Words: 8785
                Categories
                Subject: Psychiatry
                Subject: Original Research

                ScienceOpen disciplines: Clinical Psychology & Psychiatry
                Keywords: cervical spondylosis,anxiety,resilience,optimism,hope,perceived social support
                Data availability:
                ScienceOpen disciplines: Clinical Psychology & Psychiatry
                Keywords: cervical spondylosis, anxiety, resilience, optimism, hope, perceived social support

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