The mediating effect of dyadic coping on perceived social support and family relationship in spouses of patients with post-stroke motor impairments
10.3760/cma.j.cn371468-20240812-00361
- VernacularTitle:二元应对在脑卒中后运动障碍患者配偶领悟社会支持和家庭关系间的中介效应
- Author:
Tianyue ZHANG
1
;
Aili LI
1
;
Biyun ZHU
1
;
Xiaojuan XU
1
;
Xiaoyao ZHANG
1
;
Longxing XUE
1
Author Information
1. 郑州大学第一附属医院东院区神经内科五病区，郑州 450000
- Publication Type:Journal Article
- Keywords:
Stroke;
Motor impairment;
Spouses;
Perceived social support;
Family cohesion and adaptability;
Dyadic coping;
Happiness;
Mediating effect
- From:
Chinese Journal of Behavioral Medicine and Brain Science
2025;34(2):158-163
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the mediating effect of dyadic coping between perceived social support and family cohesion and adaptability and happiness in spouses of patients with post-stroke motor impairments.Methods:From December 2023 to May 2024, a total of 366 spouses of patients with post-stroke motor impairments who received treatment at the First Affiliated Hospital of Zhengzhou University were recruited as study participants. Data were collected using the general information, perceived social support scale, dyadic coping inventory, Chinese version of the family cohesion and adaptability scale(FACESⅡ-CV), and memorial University of Newfoundland scale of happiness. The AMOS 21.0 software was utilized to construct a structural equation model to examine the mediating effect of dyadic coping between perceived social support, family cohesion and adaptability and happiness.Results:The spouses of patients with post-stroke motor impairments reported overall scores for perceived social support (62.80±12.80), dyadic coping (117.07±20.78), family cohesion and adaptability (115.96±19.51), and happiness (22.27±7.29). Family cohesion and adaptability was positively correlated with dyadic coping and perceived social support ( r=0.614, 0.520, both P<0.01).Spousal happiness was positively correlated with dyadic coping and perceived social support ( r=0.296, 0.202, both P<0.01).The spouses recognized that perceived social support had a positive correlation with dyadic coping ( r=0.479, P<0.01).Dyadic coping played a partial mediating effect between perceived social support and family cohesion and adaptability as well as happiness, accounting for 32.41% (0.211/0.651) and 44.39% (0.190/0.428) of the total effect, respectively. Conclusion:Dyadic coping is the mediating variable of family cohesion, adaptability and happiness of spouses of patients with post-stroke motor impairments. Medical staff should try to construct a dyadic coping intervention plan to improve the dyadic coping level of spouses of patients with post-stroke motor impairments, so as to improve their family happiness index.
