Mediating effect of psychosocial adaptation on relationship between loneliness and fatigue in young patients with cerebral infarction
10.3969/j.issn.1006-9771.2025.05.013
- VernacularTitle:心理社会适应在青年脑梗死患者孤独感与疲劳间的中介效应
- Author:
Xinying WANG
1
;
Xiaoli WANG
1
;
Shuangzhen BAO
1
;
Yuelin ZHENG
1
;
Yongzhao WANG
1
Author Information
1. 衡水市人民医院,河北 衡水市 053000
- Publication Type:Journal Article
- Keywords:
cerebral infarction;
youth;
fatigue;
psychosocial adaptation;
loneliness;
mediating effect
- From:
Chinese Journal of Rehabilitation Theory and Practice
2025;31(5):601-606
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the mediating effect of psychosocial adaptation on the relationship between loneliness and fatigue in young patients with cerebral infarction.Methods A total of 186 patients(aged 18 to 45 years)with cerebral infarction in Hengshui People's Hospital from Febru-ary,2023 to May,2024 were selected.They were investigated with Fatigue Severity Scale(FSS),Univesity of California at Los Angels Loneliness Scale(UCLA)and Psychosocial Adaptation to Illness Scale-self-report ver-sion(PAIS-SR)three months after discharging.The FSS scores were compared among patients with different characteristics.The correlation between the scores of FSS,UCLA and PAIS-SR was analyzed with Pearson's co-efficient.Structural equation modeling was used to analyze the mediating effect of PAIS-SR score on the relation-ship between scores of FSS and UCLA.Results A total of 183 valid questionnaires were returned.The FSS score was(36.78±7.23),the UCLA score was(42.26±9.18),and the PAIS-SR score was(56.62±13.89).There were significant differences in FSS scores among pa-tients with different National Institutes of Health Stroke Scale scores,modified Rankin Scale scores and depres-sion status(F>3.557,P<0.001).The FSS score was positively correlated with the UCLA score(r=0.740,P<0.001)and the PAIS-SR score(r=0.731,P<0.001),while the UCLA score was positively correlated with the PAIS-SR score(r=0.761,P<0.001).The main effect of UCLA score was significant on FSS score(effect size of 0.348),and the mediating effect of PAIS-SR score between UCLA score and FSS score was significant(effect size of 0.154).Conclusion Psychosocial adaptation plays a partial mediating role in the relationship between loneliness and fatigue for young patients with cerebral infarction.Improving psychosocial adaptation may relieve the influence of loneli-ness on fatigue.
