The relationship between psychological distress and frailty in stroke patients: the mediating effect of depression.

IF 3 3区心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY BMC Psychology Pub Date : 2025-02-24 DOI:10.1186/s40359-025-02454-0

Ying Li, Xiaoan Chen, Di Hu, Xu Peng, Jinguo Wang

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Abstract

Background: Frailty is a significant factor affecting the quality of life of stroke patients. psychological distress is an essential factor affecting depression in stroke patients. However, the mediating role of depression between psychological distress and debilitation has not been explored.

Methods: In this study, 315 stroke patients in Shandong and Liaoning provinces were investigated by convenience sampling method from May 2024 to October 2024. Questionnaires included Frailty Scale and Psychological Distress and Depression scale.

Results: In this study, psychological distress scores (4.16 ± 2.29), depression scores (8.81 ± 4.55) and frailty scores (8.92 ± 4.09) were obtained. There was a significant positive correlation between depression and psychological distress in stroke patients (r = 0.483, P < 0.001), depression and frailty (r = 0.575, P < 0.001). There was a significant positive correlation between psychological distress and frailty in stroke patients (r = 0.391, P < 0.001). The direct effect of psychological distress in stroke patients was 0.264. The direct mediating effect of depression on psychological distress and frailty was 0.435.

Conclusion: This study provides further insights into the psychological mechanism of psychological distress and frailty in stroke patients. Clinicians and nurses can actively help stroke patients reduce psychological distress, reduce the depression of stroke patients, so as to reduce the occurrence of frailty and improve the quality of life of patients.

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中风患者心理困扰与虚弱之间的关系：抑郁的中介效应。

背景：虚弱是影响脑卒中患者生活质量的重要因素。心理困扰是影响脑卒中患者抑郁的重要因素。然而，抑郁症在心理困扰与衰弱之间的中介作用尚未被探讨。方法：采用方便抽样方法，对2024年5月~ 2024年10月山东、辽宁两省315例脑卒中患者进行调查。问卷包括虚弱量表和心理困扰与抑郁量表。结果：获得心理困扰评分（4.16±2.29）分、抑郁评分（8.81±4.55）分、虚弱评分（8.92±4.09）分。脑卒中患者抑郁与心理困扰呈显著正相关（r = 0.483， P）。结论：本研究进一步揭示脑卒中患者心理困扰与虚弱的心理机制。临床医生和护士可以积极帮助脑卒中患者减轻心理困扰，减少脑卒中患者的抑郁情绪，从而减少虚弱的发生，提高患者的生活质量。

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来源期刊

BMC Psychology Psychology-Psychology (all)

CiteScore

3.90

自引率

2.80%

发文量

265

审稿时长

24 weeks

期刊介绍： BMC Psychology is an open access, peer-reviewed journal that considers manuscripts on all aspects of psychology, human behavior and the mind, including developmental, clinical, cognitive, experimental, health and social psychology, as well as personality and individual differences. The journal welcomes quantitative and qualitative research methods, including animal studies.