Mengqi Li
1,2
Yu Jiang
3*The final, formatted version of the article will be published soon.
ORIGINAL RESEARCH article
Front. Psychiatry
Sec. Anxiety and Stress Disorders
Volume 15 - 2024 |
doi: 10.3389/fpsyt.2024.1474715
The Chain Mediating Role of Rumination and Psychological Resilience in Symptom Burden and Kinesiophobia in Patients with Chronic Heart Failure
Provisionally accepted- 1 Jiangnan University, Wuxi, China
- 2 Wuxi Medical College, Jiangnan University, Wuxi, Jiangsu Province, China
- 3 Wuxi No.2 People's Hospital, Nanjing Medical University, Wuxi, Jiangsu Province, China
Objective: To explore the chain-mediating role and impact of ruminationand psychological resilience on symptom burden and kinesiophobia in patients with chronic heart failure. Methods: We selected a total of 318 patients with chronic heart failure from a hospital in Wu xi between November 2023 and May 2024 using a convenience sampling method. Various scales and questionnaires assessed general information, symptom burden, resilience, rumination thinking, and kinesiophobia.Statistical analysis was conducted using SPSS and the bootstrap method to examine the chain mediation effect. Results: The scores for symptom burden, rumination, psychological resilience, and kinesiophobia in patients with chronic heart failure were 0.81± 0.47, 50.63± 9.02, 23.43± 6.26, and 38.91± 8.01, respectively. Mediation analysis showed that symptom burden had a direct positive predictive effect on rumination (β = 0.475, 95% CI: 0.365-0.584), rumination had a direct negative predictive effect on psychological resilience (β = -0.199, 95% CI: -0.306--0.092), and psychological resilience had a direct negative predictive effect on kinesiophobia (β = -0.273, 95% CI: -0.340--0.206). Rumination and psychological resilience played a chain mediation role between symptom burden and kinesiophobia, with a total effect of 0.606, a direct effect of 0.380, and an indirect effect of 0.226. The mediation effect accounted for 37.29% of the total effect. Conclusion: Kinesiophobia is at a high level in patients with chronic heart failure. Symptom burden can affect patients' kinesiophobia through the independent or chain mediation effects of rumination and psychological resilience. Healthcare professionals should actively adopt strategies to address symptom burden and rumination while enhancing psychological resilience to reduce patients' kinesiophobia.
Keywords: Chronic heart failure1, Kinesiophobia2, Rumination3, resilience4, symptom burden5, Chain mediation6
Received: 02 Aug 2024; Accepted: 02 Dec 2024.
Copyright: © 2024 Li, Jiang and Cheng. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Yu Jiang, Wuxi No.2 People's Hospital, Nanjing Medical University, Wuxi, Jiangsu Province, China
Lina Cheng, Wuxi No.2 People's Hospital, Nanjing Medical University, Wuxi, Jiangsu Province, China
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