ArticleFrontiers in psychology2026
The serial mediating role of self-esteem and health literacy in the relationship between self-efficacy and benefit finding among Chinese systemic lupus erythematosus patients.
Article in Frontiers in psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: To investigate the serial mediating roles of self-esteem and health literacy in the relationship between self-efficacy and benefit finding among patients with systemic lupus erythematosus (SLE), and to provide empirical evidence for developing targeted clinical interventions. Methods: A cross-sectional study was conducted using convenience sampling. A total of 207 patients with SLE were recruited from the rheumatology outpatient department of a tertiary Grade-A hospital in Zhejiang Province. Data were collected using the General Information Questionnaire, the Rosenberg Self-Esteem Scale (RSES), the Self-Efficacy for Managing Chronic Disease Scale, the Health Literacy Scale, and the Benefit Finding Scale (BFS). Pearson correlation analysis and Hayes' Process macro, were used to analyze the data. Results: The mean scores for self-efficacy, self-esteem, health literacy, and benefit finding were 21.47 ± 5.37, 27.42 ± 2.68, 94.29 ± 10.71, and 65.20 ± 10.92, respectively. Correlation analysis revealed significant positive associations among self-efficacy, self-esteem, health literacy, and benefit finding ( Conclusion: Self-efficacy is positively associated with benefit finding in patients with SLE directly and indirectly through self-esteem and health literacy. Age moderates the relationship between self-efficacy and self-esteem. Clinical nursing staff should adopt age-specific interventions to improve patients' self-esteem and health literacy, which may help promote their benefit finding.
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