ArticleBioPsychoSocial medicine2025
Perceived social support and psychological resilience as mediators between social frailty and the frailty of older patients with heart failure: a cross-sectional study.
Article in BioPsychoSocial medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- The relationship between social frailty and self-care ability in elderly stroke patients: the mediating role of self-efficacy.Frontiers in psychology · 2026Article
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6 authors.
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Abstract
objectiveThis study explores the level of frailty and the factors that influence elderly HF inpatients. It also examines the correlation between social frailty, perceived social support, and psychological resilience. It verifies psychological resilience and perceived social support as mediators between social frailty and frailty.
methodThis cross-sectional study collected four hundred fifty-six questionnaires from Northeast China, Northwest China and South China. The research assessment tools include the FRAIL scale (frailty), MSPSS scale (perceived social support), CD-RISC10 (psychological resilience), and HALFT scale (social frailty). Data analysis was performed using multiple regression analysis and the SPSS PROCESS Macro plug-in Model 6 and Model 4.
resultsFemale (β = 0.085, p = 0.036), number of hospitalizations (β = 0.342, p < 0.001), and NYHA class (β = 0.325, p = 0.004) were risk factors for frailty in elderly HF inpatients. Frailty was found to be at a medium-high level, negatively correlated with perceived social support (ρ=-0.471, p < 0.01) and psychological resilience (ρ=-0.670, p < 0.01), and positively correlated with social frailty (ρ = 0.596, p < 0.01). Psychological resilience and perceived social support mediated the relation between social frailty and frailty, with an indirect effect of 27.18%, 10.49%, and 24.19%, respectively, all partial mediation.
conclusionNYHA class, number of hospitalizations, and female sex are indicators of the frailty level of elderly HF patients. Social frailty, psychological resilience, and perceived social support are interrelated. Psychological resilience and perceived social support are mediators in the relation between social frailty and frailty.
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