Influencing Factors of Psychological Resilience in Stroke Patients: A Systematic Review and Meta-Analysis.

IF 2.1 4区心理学 Q2 PSYCHOLOGY Archives of Clinical Neuropsychology Pub Date : 2024-07-24 DOI:10.1093/arclin/acad107

Yuxin Wang, Hongxia Xie, Hongyu Sun, Liya Ren, Hao Jiang, Meijia Chen, Chaoqun Dong

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Abstract

Objective: To systematically review the current status and influencing factors of psychological resilience in stroke patients and to provide a theoretical basis for future personalized rehabilitation support and psychological interventions.

Method: This systematic review and meta-analysis were conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist. A comprehensive search of databases including PubMed, Web of Science, Medline, PsycINFO, CINAHL, Cochrane Library, CNKI, VIP, CMB, and WANGFANG was conducted from inception until November 22, 2023, resulting in the retrieval of 2099 studies. Literature screening and data extraction were performed by two independent evaluators based on pre-defined inclusion and exclusion criteria, and meta-analysis was performed using Review Manager 5.4 software.

Results: The final review included 23 studies. The results showed that self-efficacy, hope, confrontation coping, avoidance coping, functional independence, quality of life, and social support were positively associated with psychological resilience. Conversely, anxiety, depression, and resignation coping were negatively associated with psychological resilience.

Conclusions: Patients with stroke have a low level of psychological resilience, which was influenced by a variety of factors. However, longitudinal and large sample studies are needed to further confirm these findings. These results should be integrated into clinical practice for early assessment and targeted intervention in psychological resilience to assist patients in coping with the rehabilitation process and life changes after a stroke.

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中风患者心理复原力的影响因素：系统回顾与元分析》。

目的系统回顾脑卒中患者心理复原力的现状及影响因素，为未来个性化康复支持和心理干预提供理论依据：本系统综述和荟萃分析是根据系统综述和荟萃分析首选报告项目清单进行的。从开始到 2023 年 11 月 22 日，对 PubMed、Web of Science、Medline、PsycINFO、CINAHL、Cochrane Library、CNKI、VIP、CMB 和 WANGFANG 等数据库进行了全面检索，共检索到 2099 项研究。文献筛选和数据提取由两名独立评估员根据预先设定的纳入和排除标准进行，并使用Review Manager 5.4软件进行荟萃分析：最后的综述包括 23 项研究。结果显示，自我效能、希望、对抗应对、回避应对、功能独立性、生活质量和社会支持与心理复原力呈正相关。相反，焦虑、抑郁和逆来顺受与心理复原力呈负相关：结论：脑卒中患者的心理复原力水平较低，这受到多种因素的影响。然而，需要进行纵向和大样本研究来进一步证实这些发现。这些结果应纳入临床实践，以便对心理复原力进行早期评估和有针对性的干预，帮助患者应对脑卒中后的康复过程和生活变化。

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来源期刊

Archives of Clinical Neuropsychology 医学-心理学

CiteScore

4.60

自引率

7.70%

发文量

358

审稿时长

6-12 weeks

期刊介绍： The journal publishes original contributions dealing with psychological aspects of the etiology, diagnosis, and treatment of disorders arising out of dysfunction of the central nervous system. Archives of Clinical Neuropsychology will also consider manuscripts involving the established principles of the profession of neuropsychology: (a) delivery and evaluation of services, (b) ethical and legal issues, and (c) approaches to education and training. Preference will be given to empirical reports and key reviews. Brief research reports, case studies, and commentaries on published articles (not exceeding two printed pages) will also be considered. At the discretion of the editor, rebuttals to commentaries may be invited. Occasional papers of a theoretical nature will be considered.