The mediating role of coping styles in illness perception and self-management in patients with obstructive sleep apnea

Chen, Qing; Liang, Chunguang; Zhao, Ying; Kong, Jie; Zhang, Hui; Yan, Xiangru; Zhang, Huiying

doi:10.1016/j.sleep.2023.12.003

Cited by 3 publications

(1 citation statement)

References 35 publications

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“…Coping styles are the cognitive approaches and behavioral strategies that people turn to in the face of stress and frustration and provide another psychological process that may affect VRQOL ( Sturrock et al, 2015 ). Research has demonstrated that coping style predicts individual healthy activities and those who have effective coping styles report having fewer mental and physical impairments and engage in more healthy behaviors ( Knowles et al, 2023 ; Chen et al, 2024 ). Throughout the treatment and rehabilitation of older patients with DED, a positive coping style can help them confront their illness more proactively and develop long-term resilience.…”

Section: Introductionmentioning

confidence: 99%

Effects of social support on vision-related quality of life in older adults with dry eye disease: the chain mediating role of illness perception and coping style

Pan,

et al. 2024

Front. Psychol.

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ObjectiveThis study explored the effects of social support, illness perception, coping style, and vision-related quality of life (VRQOL) in older patients with dry eye disease (DED) using a chain mediation model.MethodsA total of 407 patients with DED from a tertiary hospital in Wuxi, Jiangsu Province, China, between June and December 2023 were selected as participants. A demographic questionnaire, the Social Support Rating Scale, the Brief Illness Perception Questionnaire, the Medical Coping Modes Questionnaire, and the National Eye Institute Visual Functioning questionnaire-25 were all given to them to complete. IBM SPSS (version 27.0) was used for data analysis, and Model 6 of the PROCESS Macro was used to test the predicted chain mediation model.ResultsThe positive association between social support and VRQOL demonstrated the mediation role of illness perception and coping style. Social support affected VRQOL via three pathways: illness perception (effect = 0.190), confrontational coping style (effect = 0.103), and a combination of illness perception and confrontational coping style (effect = 0.067), accounted for 23.60%, 12.80%, and 8.32% of the total effect, respectively.ConclusionSocial support in older patients with DED can significantly and positively predict the VRQOL. In addition to the independent mediating effect of illness perception and confrontational coping style, a chain-mediating effect exists between social support and VRQOL. The study serves as a valuable strategy for healthcare professionals to prevent and intervene in VRQOL for older patients with DED in the future.

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Section: Introductionmentioning

confidence: 99%

Effects of social support on vision-related quality of life in older adults with dry eye disease: the chain mediating role of illness perception and coping style

Pan,

et al. 2024

Front. Psychol.

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The relationship between hope level and self-management behaviors in Chinese patients with type 2 diabetes mellitus: a chain-mediated role of social support and disease perception

Zhang,

Sun,

Bian

et al. 2024

BMC Psychol

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Background Type 2 diabetes mellitus is a chronic disease and one of the fastest- growing global health emergencies of the 21st century. The relationships between hope level, social support, disease perception, and self-management behaviors are still unclear. Therefore, this study aimed to create a structural equation model to investigate the underlying mechanisms of self-management behaviors in patients with type 2 diabetes mellitus and provide a theoretical basis for future interventions. Methods By using cross-sectional studies and convenience sampling methods. A survey was conducted from June 2023 to April 2024 on 404 patients with type 2 diabetes mellitus at the First and Third Hospitals of Jinzhou Medical University. Data were collected using scales, including the General Information Questionnaire, the Herth Hope Scale, the Social Support Rating Scale, the Brief Disease Perception Questionnaire, and the Diabetes Self-Management Behavior Scale. Data were analyzed using descriptive analysis, Harman’s one-way analysis of variance, Pearson’s correlation test, structural equation modeling, and the bootstrap method to verify mediating effects. Results Correlation analyses showed that all four variables were significantly correlated with each other ( p < 0.01). Social support had the strongest correlation with self-management behavior (β = 0.554, p < 0.01), followed by hope level (β = 0.543, p < 0.01), and disease perception (β = -0.505, p < 0.01). The structural equation model indicated a strong overall fit (χ 2 /df = 3.378, GFI = 0.926, CFI = 0.924, IFI = 0.925, TLI = 0.903, RMSEA = 0.077). Conclusion Overall, the chain mediation of social support and disease perception was significant. In developing targeted intervention strategies, future research should prioritize enhancing hope, optimizing social support, and reducing negative perceptions of disease by patients as key areas of focus. At the same time, strengthening self-management abilities and health behaviors in patients with type 2 diabetes should not be neglected.

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The link between fear of disease progression and health promotion behaviors in patients with obstructive sleep apnea hypoventilation syndrome (OSAHS): the mediating role of social support

Zhang,

Liang,

Zhang

et al. 2024

BMC Psychol

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Objective This study aims to assess the levels of social support, fear of disease progression (FOP) and health promotion behaviors in patients with obstructive sleep apnea-hypopnea syndrome (OSAHS), and to examine the associations between FOP, social support, and health promotion behaviors in OSAHS patients, with a focus on exploring the mediating role of social support. The findings aim to provide insights for enhancing health promotion behaviors among OSAHS patients in China and to offer a theoretical foundation for healthcare professionals in devising intervention strategies to promote health behaviors in individuals with OSAHS. Methods This cross-sectional study included 307 patients diagnosed with OSAHS in Jinzhou City, Liaoning province. The survey instruments utilized included the Demographic Characteristics Questionnaire, Social Support Rating Scale (SSRS), Fear of Disease Progression Scale (Fop-Q-SF), and Health-Promoting Lifestyle Scale (HPLP II). Pearson correlation analysis was employed to assess correlations, while multiple linear regression and structural equation modeling were utilized to explore potential mediation effects. Results In the OSAHS patient population, FOP ( r =-0.55, p <0.001) and social support ( r = 0.60, p <0.001) were found to be significantly correlated with health promotion behaviors. In the mediated effects model, social support was identified as a partial mediator in the association between FOP and health promotion behaviors among OSAHS patients, accounting for 59.00% of the total effect. Conclusion FOP demonstrates a direct relationship with health promotion behaviors in patients with OSAHS, with social support playing a mediating role in this connection. Healthcare professionals are advised to underscore the significance of social support in promoting the health of OSAHS patients to mitigate FOP and consequently improve health promotion behaviors.

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The mediating role of coping styles in illness perception and self-management in patients with obstructive sleep apnea

Cited by 3 publications

References 35 publications

Effects of social support on vision-related quality of life in older adults with dry eye disease: the chain mediating role of illness perception and coping style

Effects of social support on vision-related quality of life in older adults with dry eye disease: the chain mediating role of illness perception and coping style

The relationship between hope level and self-management behaviors in Chinese patients with type 2 diabetes mellitus: a chain-mediated role of social support and disease perception

The link between fear of disease progression and health promotion behaviors in patients with obstructive sleep apnea hypoventilation syndrome (OSAHS): the mediating role of social support

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