Social support and self-efficacy multiply mediate the relationship between medical coping style and resilience in patients with type A aortic dissection

• Published in: Frontiers in psychiatry Vol. 14; p. 1174038
• Main Authors: Hong, Miaoxuan, Zhang, Rong, Zhu, Jin, Tan, Wenxuan
• Format: Journal Article
• Language: English
• Published: Switzerland Frontiers Media S.A 31.05.2023
• Subjects: dissecting aneurysm; mediation analysis; Psychiatry; resilience; self-efficacy; social support; social support; mediation analysis; dissecting aneurysm; resilience; self-efficacy
• ISSN: 1664-0640; 1664-0640
• DOI: 10.3389/fpsyt.2023.1174038

Previous research has shown that medical coping modes are associated with resilience in cardiovascular disease patients. However, postoperatively, the mechanism underlying this association in Stanford type A aortic dissection patients is poorly understood. This study investigated the mediating effects of social support and self-efficacy on the relationship between medical coping modes and resilience in Stanford type A aortic dissection patients postoperatively. We assessed 125 patients after surgery for Stanford type A aortic dissection using the Medical Coping Modes Questionnaire, the General Self-Efficacy Scale, the Social Support Rating Scale, and the Connor-Davidson Resilience Scale. Structural equation modeling with AMOS (v.24) was used to test the hypothesized model with multiple mediators. Both direct and mediational effects (through social support and self-efficacy) of medical coping modes on resilience outcomes were examined. The mean Connor-Davidson Resilience Scale score was 63.78 ± 12.29. Confrontation, social support, and self-efficacy correlated with resilience (  = 0.40, 0.23, 0.72, respectively; all  < 0.01). In multiple mediation models, social support independently (effect = 0.11; 95% confidence interval [CI], 0.04-0.27) and social support and self-efficacy serially (effect = 0.06; 95% CI, 0.02-0.14) mediated the association of confrontation with resilience maintenance, accounting for 57.89 and 10.53% of the total effect, respectively. Social support and self-efficacy were multiple mediators of the relationship between confrontation and resilience. Interventions designed to facilitate confrontation and subsequently increase social support and self-efficacy may be useful to increase resilience in Stanford type A aortic dissection patients.