Influencing Factors Associated with Psychological Capital Among Ischemic Stroke Patients: A Latent Profile Analysis.

IF 2.8 3区心理学 Q2 PSYCHOLOGY, CLINICAL Psychology Research and Behavior Management Pub Date : 2024-11-26 eCollection Date: 2024-01-01 DOI:10.2147/PRBM.S482943

Yang Zhang, Zhiyan Liu, Xianmei Wang, Ying Gu

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Abstract

Background: China has the highest incidence of stroke worldwide because of a high rate of recurrence of ischemic stroke, which has significant negative impacts on the physical and mental health of patients. However, little research has been devoted to the psychological capital of ischemic stroke patients.

Purpose: To investigate the psychological capital of ischemic stroke patients, and uses latent profile analysis to identify the potential profiles of the psychological capital among patients as well as to explore heterogeneity within subgroups and the factors influencing it.

Methods: A survey was distributed among and completed by 427 ischemic stroke patients from November 2023 to March 2024. Four types of questionnaires were administered: the Psychological Capital Questionnaire (PCQ-26), Perceived Stress Scale (CPSS), Athens Insomnia Scale (AIS), and a general information questionnaire.

Results: Three latent profiles of the psychological capital of ischemic stroke patients were identified: the deficient psychological capital group(19.7%), medium psychological capital group(52.5%), and affluent psychological capital group(27.9%). Compared with the deficient psychological capital group, the results of a disordered multi-classification logistic regression analysis showed that the factors influencing the participants of the medium psychological capital group were their marital status (married OR = 1.081, 95% CI: 1.163-7.468, p = 0.023), perceived stress (OR = -0.2, 95% CI: 0.769-0.872, p < 0.001), and insomnia (OR = -0.273, 95% CI: 0.696-0.833, p < 0.001). The factors influencing the affluent psychological capital group were perceived stress (OR = -0.334, 95% CI: 0.664-0.773, p < 0.001) and insomnia (OR = -0.46, 95% CI: 0.56-0.712, p < 0.001).

Conclusion: Three potential categories of psychological capital in ischemic stroke patients were identified. Sex, marital status, education, perceived stress, and insomnia were found to be associated with psychological capital in stroke patients. Future research should explore other determinants of psychological capital in ischemic stroke patients to formulate interventions that can improve their psychological capital.

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缺血性脑卒中患者心理资本的相关影响因素：潜在剖面分析。

背景：中国是世界上卒中发病率最高的国家，因为缺血性卒中的复发率很高，对患者的身心健康有显著的负面影响。然而，关于缺血性脑卒中患者心理资本的研究却很少。目的：对缺血性脑卒中患者的心理资本进行调查，利用潜在剖面分析确定患者心理资本的潜在剖面，并探讨亚组内心理资本的异质性及其影响因素。方法：于2023年11月至2024年3月对427例缺血性脑卒中患者进行问卷调查。采用心理资本问卷（PCQ-26）、感知压力量表（CPSS）、雅典失眠症量表（AIS）和一般信息问卷。结果：发现了缺血性脑卒中患者心理资本的三个潜在特征：心理资本不足组（19.7%）、中等心理资本组（52.5%）和富裕心理资本组（27.9%）。与缺乏心理资本组比较，无序多分类logistic回归分析结果显示，中等心理资本组的影响因素为婚姻状况（已婚OR = 1.081, 95% CI: 1.163 ~ 7.468, p = 0.023）、感知压力（OR = -0.2, 95% CI: 0.769 ~ 0.872, p < 0.001）和失眠（OR = -0.273, 95% CI: 0.696 ~ 0.833, p < 0.001）。影响富裕心理资本组的因素是感知压力（OR = -0.334, 95% CI: 0.664-0.773, p < 0.001）和失眠（OR = -0.46, 95% CI: 0.56-0.712, p < 0.001）。结论：确定了缺血性脑卒中患者心理资本的三种潜在类型。性别、婚姻状况、受教育程度、感知压力和失眠与脑卒中患者的心理资本有关。未来的研究应探索缺血性脑卒中患者心理资本的其他决定因素，以制定改善其心理资本的干预措施。

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来源期刊

Psychology Research and Behavior Management Multiple-

CiteScore

4.50

自引率

4.70%

发文量

341

审稿时长

16 weeks

期刊介绍： Psychology Research and Behavior Management is an international, peer-reviewed, open access journal focusing on the science of psychology and its application in behavior management to develop improved outcomes in the clinical, educational, sports and business arenas. Specific topics covered in the journal include: -Neuroscience, memory and decision making -Behavior modification and management -Clinical applications -Business and sports performance management -Social and developmental studies -Animal studies The journal welcomes submitted papers covering original research, clinical studies, surveys, reviews and evaluations, guidelines, expert opinion and commentary, case reports and extended reports.