Mediating effect of depression between self-efficacy and fear of progression in elderly patients with post-stroke epilepsy
10.3760/cma.j.cn115682-20250128-00457
- VernacularTitle:抑郁在卒中后癫痫老年患者自我效能感与恐惧疾病进展间的中介效应分析
- Author:
Yulian ZHAO
1
;
Yang YANG
1
;
Yaru LI
1
Author Information
1. 驻马店市中心医院神经内科，驻马店 463000
- Publication Type:Journal Article
- Keywords:
Stroke;
Aged;
Post-stroke epilepsy;
Depression;
Self-efficacy;
Fear of progression;
Mediating effect
- From:
Chinese Journal of Modern Nursing
2025;31(32):4447-4451
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the mediating effect of depression between self-efficacy and fear of progression in elderly patients with post-stroke epilepsy.Methods:From January 2023 to June 2024, 200 elderly patients with post-stroke epilepsy at Zhumadian Central Hospital were selected as study subjects using convenience sampling. The survey was conducted using the General Information Questionnaire, General Self-Efficacy Scale (SSEQ), Patient Health Questionnaire-9 (PHQ-9), and Fear of Progression Questionnaire-Short Form (FOP-Q-SF) .Results:A total of 200 questionnaires were distributed, and 198 valid questionnaires were collected, with a valid response rate of 99.00%. Among 198 elderly patients with post-stroke epilepsy, the SSEQ, PHQ-9, and FOP-Q-SF scores were (52.35±4.20), (13.46±1.57), and (35.70±2.10), respectively. Pearson correlation analysis revealed that SSEQ scores were negatively correlated with both PHQ-9 and FOP-Q-SF scores, while PHQ-9 scores were positively correlated with FOP-Q-SF scores ( P<0.01). Mediating analysis showed that depression partially mediated the relationship between self-efficacy and fear of progression in elderly patients with post-stroke epilepsy. The mediating effect was -0.046, with a total effect of -0.346, and the mediating effect accounted for 13.30% of the total effect. Conclusions:Depression partially mediates the relationship between self-efficacy and fear of progression in elderly patients with post-stroke epilepsy. Controlling depression not only helps enhance patients' self-efficacy but may also reduce their fear of progression.
