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Relationships between perceived social support, self-efficacy, coping styles and resilience in older patients with
Zihan Lin1, Yuwen Fan1, Mengqian Wu1
1Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, 321 Zhongshan Road, Nanjing, Jiangsu, 210008, China.
Aim:
To explore the structural relationships among perceived social support, self-efficacy, coping styles, and resilience in older patients with Parkinson's disease (PD).
Methods:
This study is a cross-sectional study. A total of 220 older patients with PD were recruited from hospitals in China using convenience sampling. Patients completed a standardized questionnaire. Structural equation modeling (SEM) was employed to test the hypothesized relationships.
Results:
The resilience of older patients with PD was at a moderately low level. SEM results indicated that resilience was positively associated with perceived social support, confrontation coping, and self-efficacy, and negatively correlated with acceptance-resignation coping. Confrontation coping and self-efficacy partially mediated the relationship between perceived social support and resilience. A significant serial mediation effect (confrontation coping→self-efficacy) was also observed.
Conclusions:
Confrontation coping and self-efficacy are key mechanisms linking perceived social support to resilience. Interventions targeting confrontation coping strategies and enhancing self-efficacy may improve resilience among older patients with PD.
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