PMID- 31029012
OWN - NLM
STAT- MEDLINE
DCOM- 20200415
LR  - 20221207
IS  - 1573-2517 (Electronic)
IS  - 0165-0327 (Linking)
VI  - 253
DP  - 2019 Jun 15
TI  - Is resourcefulness as a mediator between perceived stress and depression among 
      old Chinese stroke patients?
PG  - 44-50
LID - S0165-0327(18)31861-5 [pii]
LID - 10.1016/j.jad.2019.04.083 [doi]
AB  - OBJECTIVE: This study aimed to explore whether resourcefulness can serve as a 
      mediator between perceived stress and depression among old Chinese stroke 
      patients. METHODS: A cross-sectional study was conducted in six hospitals during 
      July 2016 to July 2017, from five cities of Henan Province, China. A demographic 
      questionnaire, the Perceived Stress Scale (PSS), the Resourcefulness Scale (RS) 
      and the Center for Epidemiologic Studies Depression Scale (CES-D) were 
      distributed among 3000 old stroke patients, and 2907 of them completed this 
      survey. Correlation analysis, multiple linear regression and structural equation 
      model (SEM) were used for statistical analysis of the study. RESULTS: The total 
      scores of the resourcefulness were negatively correlated with perceived stress 
      (r= -0.795, P<0.01) and depression (r= -0.772, P<0.01); It indicated positive 
      correlation of the total scores of perceived stress and depression (r = 0.820, 
      P<0.01). Multiple regression analyses showed that resourcefulness mediated the 
      relationship between perceived stress and depression, which reduced the effect of 
      perceived stress on depression by 16.3% (from 0.464 to 0.301) on the subscale 
      "sense of being out of control" and by 20.3% (from 0.411 to 0.208) on the 
      subscale "feeling of tension" when resourcefulness was included in the model. 
      Structural equation model validated these findings, and further confirmed that 
      resourcefulness had a partial mediation effect (39.4% of total effect) between 
      perceived stress and depression. LIMITATIONS: This cross-sectional study does not 
      allow for examination of the relationship between pre-stroke resourcefulness and 
      post-stroke depression, or the potential intervening role of perceived stress. 
      CONCLUSION: Resourcefulness was found to be a mediator between perceived stress 
      and depression, suggesting the potential benefit of an intervention to teach 
      resourcefulness skills to decrease depression in highly stressed older Chinese 
      stroke patients.
CI  - Copyright (c) 2019 Elsevier B.V. All rights reserved.
FAU - Guo, Lina
AU  - Guo L
AD  - Department of Neurology, The First Affiliated Hospital of Zhengzhou University, 
      Zhengzhou, Henan, People's Republic of China. Electronic address: 
      guolina09@126.com.
FAU - Zauszniewski, Jaclene A
AU  - Zauszniewski JA
AD  - Frances Payne Bolton School of Nursing, Case Western Reserve University. Euclid 
      Avenue Cleveland, Ohio, USA.
FAU - Liu, Yanjin
AU  - Liu Y
AD  - Department of Nursing, The First Affiliated Hospital of Zhengzhou University, 
      Zhengzhou, 450052 Henan, People's Republic of China. Electronic address: 
      lyjhlb@126.com.
FAU - Yv, Suyuan
AU  - Yv S
AD  - Department of Neurology, The First Affiliated Hospital of Zhengzhou University, 
      Zhengzhou, Henan, People's Republic of China.
FAU - Zhu, Yiru
AU  - Zhu Y
AD  - Department of Neurology, The First Affiliated Hospital of Zhengzhou University, 
      Zhengzhou, Henan, People's Republic of China.
LA  - eng
PT  - Evaluation Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20190422
PL  - Netherlands
TA  - J Affect Disord
JT  - Journal of affective disorders
JID - 7906073
SB  - IM
MH  - *Adaptation, Psychological
MH  - Adult
MH  - Asian People/psychology
MH  - China
MH  - Cross-Sectional Studies
MH  - Depression/etiology/*psychology
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Self Efficacy
MH  - Stress, Psychological/etiology/*psychology
MH  - Stroke/*psychology
MH  - Surveys and Questionnaires
OTO - NOTNLM
OT  - Depression symptoms
OT  - Mediation analysis
OT  - Older people
OT  - Resourcefulness
OT  - Stroke
EDAT- 2019/04/28 06:00
MHDA- 2020/04/16 06:00
CRDT- 2019/04/28 06:00
PHST- 2018/08/24 00:00 [received]
PHST- 2019/03/07 00:00 [revised]
PHST- 2019/04/21 00:00 [accepted]
PHST- 2019/04/28 06:00 [pubmed]
PHST- 2020/04/16 06:00 [medline]
PHST- 2019/04/28 06:00 [entrez]
AID - S0165-0327(18)31861-5 [pii]
AID - 10.1016/j.jad.2019.04.083 [doi]
PST - ppublish
SO  - J Affect Disord. 2019 Jun 15;253:44-50. doi: 10.1016/j.jad.2019.04.083. Epub 2019 
      Apr 22.