ArticleBMC geriatrics2023
Psychological resilience and quality of life among middle-aged and older adults hospitalized with chronic diseases: multiple mediating effects through sleep quality and depression.
Article in BMC geriatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed, 27 citations in OpenAlex.
- How health literacy and eHealth literacy influence quality of life in older adults with chronic diseases: a network and path analysis.Health and quality of life outcomes · 2026Article
- Independent and joint associations of psychological resilience and social support with cognitive impairment among middle-aged and older Chinese adults.Aging clinical and experimental research · 2026Article
- Associations Between Life Satisfaction and Sleep Quality Among Older Adults in China: Mediating Roles of Psychological Resilience and Anxiety and a Moderating Role of Chronic Disease.Healthcare (Basel, Switzerland) · 2026Article
- Role of psychological resilience and psychological distress in linking fear of disease progression to quality of life in chronic heart failure: a cross-sectional serial mediation analysis.Frontiers in psychiatry · 2026Article
- Effect of physical exercise on the subjective wellbeing of middle-aged and older adults: chain mediating role of self-esteem and psychological resilience.Frontiers in public health · 2026Article
- Association of social support with sleep and subjective health outcomes in Ghanaian artisanal miners.Scientific reports · 2025Article
- Experiences of People Living with a Kidney Transplant: A Phenomenological Study.Healthcare (Basel, Switzerland) · 2025Article
- Association between night sleep duration and depression among Chinese elderly: evidence from the China health and retirement longitudinal study 2020.BMC geriatrics · 2025Article
- Risk prediction of cardiometabolic diseases with depression in the community of Xinjiang production and construction corps.BMC public health · 2025Article
- Latent profiles of psychological resilience in patients with chronic disease and their association with social support and activities of daily living : Title page.BMC psychology · 2025Article
- The relationship between psychological resilience and quality of life among primary caregivers of cancer patients: the mediating role of care burden and the moderating role of social support.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- Multidimensional health status and its impact on health care consumption behavior among elderly people with chronic diseases: evidence from CHARLS in China.Frontiers in psychology · 2025Article
- The association between experiential avoidance, depressive symptoms, and suicidal ideation in hospitalized older adults with functional impairments: the moderating role of resilience.Frontiers in psychiatry · 2025Article
- Exploring the mediating role of meaning in life and psychological resilience in the relationship between physical exercise and sleep quality among Chinese secondary school students.Frontiers in psychology · 2025Article
- The impact of frailty on quality of life among older adults in nursing homes: the mediating role of psychological resilience.Frontiers in public health · 2025Article
- Exploring depression, comorbidities and quality of life in geriatric patients: a study utilizing the geriatric depression scale and WHOQOL-OLD questionnaire.BMC geriatrics · 2024Article
- The Impact of Chronic Diseases on Mental Health: An Overview and Recommendations for Care Programs.Current psychiatry reports · 2024Review
- The comparative study of chronically ill and healthy children and adolescents in the light of their general mental health.Scientific reports · 2024Article
- The relationship between stigma and quality of life in hospitalized middle-aged and elderly patients with chronic diseases: the mediating role of depression and the moderating role of psychological resilience.Frontiers in psychiatry · 2024Article
- Mediating Role of Psychological Resilience Between Depression and Quality of Life in Maintenance Hemodialysis Patients in Baoding City, China: A Cross-Sectional Study.International journal of general medicine · 2024Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundThe present study is intended to examine the multiple mediating roles of sleep quality and depression in the relationship between psychological resilience and quality of life in middle-aged and older adults hospitalized with chronic diseases.
methodsFrom October 2, 2021, to February 27, 2022, a questionnaire survey was conducted using a multistage stratified sampling method among 339 middle-aged and older adults (45 years and over) hospitalized with chronic diseases. These participants were recruited from a hospital in Zhejiang Province, China. The questionnaire included the Aged Cumulative Disease Rating Scale, the Psychological Resilience Scale, the Pittsburgh Sleep Quality Index Scale, the Depression Scale, and the Quality-of-Life Scale. A descriptive analysis was performed to characterize the sample. Linear regression was utilized to evaluate the relationship between psychological resilience and quality of life. Amos 24.0 was used to analyze the multiple mediated effects of sleep quality and depression.
resultsPsychological resilience exerted a remarkable direct effect on the quality of life in middle-aged and older adults hospitalized with chronic diseases (β = 0.239, 95% CI = 0.125-0.354), which represented 52.98% of the total effect. Through three significantly mediated pathways indirectly affect the quality of life: (1) through the sleep quality pathway (β = 0.115, 95% CI = 0.056-0.201), which represented 25.39% of the total effect; (2) through the depression pathway (β = 0. 060, 95% CI = 0.023-0.114), which represented 13.24% of the total effect; and (3) through both the sleep quality and depression pathway (β = 0. 038, 95% CI = 0.019-0.074), which represented 8.39% of the total effect. The total mediating effect was 47.02%.
conclusionsSleep quality and depression mediate the relationship between psychological resilience and quality of life in middle-aged and older adults hospitalized with chronic diseases. Therefore, healthcare professionals and stakeholders should be concerned about the sleep status and mental health of middle-aged and older adults hospitalized with chronic diseases, strengthen their attention to psychological resilience, and provide interventions and treatment measures for hospitalized patients who have sleep problems and depressive tendencies.
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