Observational studyFrontiers in public health2026
Psychological resilience and fear of disease progression among hospitalized patients with unruptured intracranial aneurysms scheduled for endovascular intervention: implications for nursing practice.
Observational study in Frontiers in public health, 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
Background: Hospitalized patients with unruptured intracranial aneurysms scheduled for endovascular intervention often experience uncertainty regarding disease progression during pre-treatment evaluation and treatment decision-making. Fear of disease progression arising from this uncertainty can have a substantial impact on patients' psychological health and quality of life. Psychological resilience, as a key psychological resource for coping with stress and uncertainty, has been shown to be associated with various psychological outcomes; however, its role in fear of disease progression among patients with unruptured intracranial aneurysms and the related implications for nursing care remain insufficiently explored. Methods: A cross-sectional, nurse-led observational study was conducted among hospitalized patients with unruptured intracranial aneurysms who were scheduled to undergo endovascular intervention at a tertiary teaching hospital in China. Psychological resilience was assessed using the Connor-Davidson Resilience Scale, and fear of disease progression was measured using the Fear of Progression Questionnaire-Short Form (FoP-Q-SF). Based on the established FoP-Q-SF cut-off score, participants were classified into a high FoP group (FoP-Q-SF ≥ 34) and a non-high FoP group (FoP-Q-SF <34). Multivariable linear regression analyses were performed to examine the associations between psychological resilience and overall FoP, as well as its subdimensions. Results: A total of 215 patients were included, of whom 71 (33.0%) were classified into the high FoP group and 144 (67.0%) into the non-high FoP group. Higher levels of psychological resilience were independently associated with lower overall FoP scores. Psychological resilience was also significantly associated with lower FoP-ER, whereas no significant association was observed with concerns related to functional impairment and social or family roles. Conclusion: Psychological resilience is inversely associated with fear of disease progression among hospitalized patients with unruptured intracranial aneurysms scheduled for endovascular intervention, particularly with emotional responses to disease-related uncertainty. These findings highlight the importance of assessing psychological resilience and fear of disease progression in routine nursing care. Future studies are warranted to evaluate whether nurse-led, emotionally focused supportive approaches may improve psychological outcomes in this population.
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