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顺利获得感知压力的中介效应评估心理韧性对糖尿病视网膜病变患者焦虑的影响：一个有调节的中介模型
Authors Cui Y, Mao Y, Tang M , Zhu J, Yao H
Received 21 January 2025
Accepted for publication 18 May 2025
Published 22 May 2025 Volume 2025:18 Pages 1169—1180
DOI http://doi.org/10.2147/PRBM.S518602
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Igor Elman
Yanqiu Cui,1,2,* Yonghua Mao,2,* Mengjiao Tang,1 Jie Zhu,1 Huiyu Yao2
1Department of Ophthalmology, Changzhou Third People’s Hospital, Changzhou Medical Center, Nanjing Medical University, Changzhou, Jiangsu, People’s Republic of China; 2Nursing department, Changzhou Third People’s Hospital, Changzhou Medical Center, Nanjing Medical University, Changzhou, Jiangsu, People’s Republic of China
*These authors contributed equally to this work
Correspondence: Huiyu Yao, Email hyyao778@163.com
Objective: To investigate the anxiety status of Chinese patients with diabetic retinopathy (DR) and its relationship with psychological resilience and perceived stress.
Methods: A sampling method was used to select 606 DR patients, and the 10-item Connor-Davidson Resilience Scale (CD-RISC-10), Perceived Stress Scale short-form (PSS-10), and General Anxiety Disorder-7 (GAD-7) were used for the survey. We used SPSS 26.0 to analyse the data and employed PROCESS v4.1 for the mediating effect test.
Results: The incidence of anxiety in DR patients was approximately 53.63%, with psychological resilience (CD-RISC-10 average=27.51± 8.32) and perceived stress (PSS-10 average=15.97± 6.54). Anxiety was negatively correlated with psychological resilience (r=− 0.569, P< 0.01) and positively correlated with perceived stress (r=0.638, P< 0.01). Additionally, psychological resilience was negatively correlated with perceived stress (r=− 0.681, P< 0.01). Perceived stress had a positive predictive effect on anxiety (total effect = − 0.327, 95% bootstrap CI = − 0.363 to − 0.291), and it played a mediating role in the relationship between psychological resilience and anxiety, with a mediating effect size of 54.13%.
Conclusion: Psychological resilience and perceived stress directly or indirectly affect anxiety, Perceived stress moderates the relationship between psychological resilience and anxiety as a mediating variable. By analyzing this psychological mechanism, this study provides a new perspective for applying psychology to chronic diseases and a scientific basis for medical staff to develop targeted psychological intervention measures.
Keywords: diabetic retinopathy, perceived stress, psychological resilience, mediating effect
