ArticleFrontiers in psychiatry2025
Social support and quality of life in Chinese heart transplant recipients: mediation through uncertainty in illness and moderation by psychological resilience.
Article in Frontiers in psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- The Stage-Based Psychosocial Adaptation Model for Lung Transplantation (SPA-LT): A Proposed Longitudinal Conceptual Framework for Clinical Care.Journal of clinical medicine · 2026Review
- Quality of Life After Heart Transplantation: Instruments, Domains, and Variations by Time, Age, and Gender.Cureus · 2026Review
- Psychological experiences of patients with Stanford type B aortic dissection during the preoperative waiting period: a qualitative study.BMC cardiovascular disorders · 2026Article
- Psychosocial Adaptation After Heart Transplantation: The Chain-Mediating Effect of Self-Esteem and Death Anxiety on Social Support and Quality of Life in China.Behavioral sciences (Basel, Switzerland) · 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
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Authors and funding
6 authors.
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Abstract
Introduction: In China's collectivist healthcare context, the mechanisms linking social support to quality of life (QoL) in heart transplant recipients remain unclear. This study integrates Mishel's uncertainty in illness theory and Confucian resilience frameworks to cross-sectionally examine dual pathways: direct enhancement of QoL through social support and indirect reduction of uncertainty in illness, moderated by culturally embedded psychological resilience. Methods: A nationwide cross-sectional study included 428 Chinese heart transplant recipients. Social support (SSRS), uncertainty in illness (MUIS-A), resilience (CD-RISC), and QoL (SF-36) were assessed. Mediation (PROCESS Model 4) and moderated mediation (Model 14) were tested using 5,000 bootstrap resamples, controlling for age, gender, and transplant duration. Results: Social support directly improved QoL ( Conclusion: Based on this cross-sectional study, social support demonstrates significant associations with dual pathways: directly associated with improved QoL through relational support networks and indirectly linked to reduced uncertainty in illness via culturally mediated cognitive reframing. Culturally interventions integrating family-centered care and resilience training are recommended to improve long-term outcomes.
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