The relationship between psychological distress and frailty in stroke patients: the mediating effect of depression

被引:0
作者
Li, Ying [1 ]
Chen, Xiaoan [1 ]
Hu, Di [2 ]
Peng, Xu [1 ]
Wang, Jinguo [1 ]
机构
[1] Jishou Univ, Coll Sports Sci, Jishou, Hunan, Peoples R China
[2] Dalian Univ, Dept Neurol, Zhongshan Hosp, Dalian, Liaoning, Peoples R China
关键词
Psychological distress; Frailty; Depression; Stroke patient; ACUTE ISCHEMIC-STROKE; MECHANICAL THROMBECTOMY; POSTSTROKE DEPRESSION; INFLAMMATORY MARKERS; CANCER-PATIENTS; OLDER-ADULTS; HEALTH; METAANALYSIS; INDIVIDUALS; POPULATION;
D O I
10.1186/s40359-025-02454-0
中图分类号
B84 [心理学];
学科分类号
04 ; 0402 ;
摘要
Background Frailty is a significant factor affecting the quality of life of stroke patients. psychological distress is an essential factor affecting depression in stroke patients. However, the mediating role of depression between psychological distress and debilitation has not been explored. Methods In this study, 315 stroke patients in Shandong and Liaoning provinces were investigated by convenience sampling method from May 2024 to October 2024. Questionnaires included Frailty Scale and Psychological Distress and Depression scale. Results In this study, psychological distress scores (4.16 +/- 2.29), depression scores (8.81 +/- 4.55) and frailty scores (8.92 +/- 4.09) were obtained. There was a significant positive correlation between depression and psychological distress in stroke patients (r = 0.483, P < 0.001), depression and frailty (r = 0.575, P < 0.001). There was a significant positive correlation between psychological distress and frailty in stroke patients (r = 0.391, P < 0.001). The direct effect of psychological distress in stroke patients was 0.264. The direct mediating effect of depression on psychological distress and frailty was 0.435. Conclusion This study provides further insights into the psychological mechanism of psychological distress and frailty in stroke patients. Clinicians and nurses can actively help stroke patients reduce psychological distress, reduce the depression of stroke patients, so as to reduce the occurrence of frailty and improve the quality of life of patients.
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页数:8
相关论文
共 75 条
[1]   Systemic arterial blood pressure and intracerebral hemorrhage after mechanical thrombectomy in anterior cerebral circulation [J].
An, Jiaqi ;
Tang, Yonglan ;
Cao, Xiangqi ;
Yuan, Huijie ;
Wei, Meng ;
Yuan, Xingyun ;
Zhang, Aifeng ;
Li, Yongxin ;
Saguner, Ardan ;
Li, Guoliang ;
Luo, Guogang .
JOURNAL OF INVESTIGATIVE MEDICINE, 2021, 69 (05) :1008-1014
[2]   Natural history, predictors and outcomes of depression after stroke: systematic review and meta-analysis [J].
Ayerbe, Luis ;
Ayis, Salma ;
Wolfe, Charles D. A. ;
Rudd, Anthony G. .
BRITISH JOURNAL OF PSYCHIATRY, 2013, 202 (01) :14-21
[3]   Validation of the distress thermometer for caregivers of children and adolescents with schizophrenia [J].
Bai, Xiaoling ;
Wang, Anni ;
Cross, Wendy ;
Lam, Louisa ;
Plummer, Virginia ;
Guan, Ziyao ;
Sun, Mei ;
Tang, Siyuan .
JOURNAL OF ADVANCED NURSING, 2020, 76 (02) :687-698
[4]  
Basantsova N Yu, 2017, Zh Nevrol Psikhiatr Im S S Korsakova, V117, P153, DOI 10.17116/jnevro2017117111153-160
[5]  
Beghi E, 2019, LANCET NEUROL, V18, P357, DOI [10.1016/S1474-4422(19)30034-1, 10.1016/S1474-4422(18)30454-X, 10.1016/S1474-4422(18)30443-5]
[6]   From social integration to health: Durkheim in the new millennium [J].
Berkman, LF ;
Glass, T ;
Brissette, I ;
Seeman, TE .
SOCIAL SCIENCE & MEDICINE, 2000, 51 (06) :843-857
[7]   Does depression after stroke negatively influence physical disability? A systematic review and meta-analysis of longitudinal studies [J].
Bloechl, Maria ;
Meissner, Sophie ;
Nestler, Steffen .
JOURNAL OF AFFECTIVE DISORDERS, 2019, 247 :45-56
[8]   Measurement of trunk muscle strength after stroke: An integrative review [J].
Bohannon, Richard .
TOPICS IN STROKE REHABILITATION, 2022, 29 (03) :173-180
[9]   Post-stroke immunosuppression: Exploring potential implications beyond infections [J].
Brea, David .
EUROPEAN JOURNAL OF NEUROSCIENCE, 2023, 58 (11) :4269-4281
[10]   Inflammatory markers in late-life depression: Results from a population-based study [J].
Bremmer, M. A. ;
Beekman, A. T. F. ;
Deeg, D. J. H. ;
Penninx, B. W. J. H. ;
Dik, M. G. ;
Hack, C. E. ;
Hoogendijk, W. J. G. .
JOURNAL OF AFFECTIVE DISORDERS, 2008, 106 (03) :249-255