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ORIGINAL RESEARCH article

Front. Public Health
Sec. Public Mental Health
Volume 13 - 2025 | doi: 10.3389/fpubh.2025.1513861
This article is part of the Research Topic The Intersection of Psychology, Healthy Behaviors, and its Outcomes View all 50 articles

Impact of Gratitude on Posttraumatic Growth in Patients with Coronary Stent Implantation: The Mediating Role of Resilience and Perceived Social Support

Provisionally accepted
Shanyan Lei Shanyan Lei 1Yujie Zhang Yujie Zhang 2*Fang Yang Fang Yang 2*
  • 1 Department of Rehabilitation Medicine, First Affiliated Hospital, Zhejiang University, Hangzhou, Zhejiang Province, China
  • 2 School of Humanities and Management, Zhejiang Chinese Medical University, Hangzhou, Jiangsu Province, China

The final, formatted version of the article will be published soon.

    Introduction: This study focused on investigating the extent of posttraumatic growth (PTG) and explored how resilience and perceived social support (PSS) mediate the relationship between gratitude and PTG among patients with a history of coronary stent implantation. Methods: A total of 242 patients with coronary stent implantation completed the Posttraumatic Growth Inventory, the Gratitude Questionnaire-Six Item Form, the Resilience Scale, and the Perceived Social Support Scale.We used structural equation modeling to evaluate the mediating effects of resilience and PSS on gratitude and PTG. Results: The mean score for posttraumatic growth was 55.54 (standard deviation = 15.01). Gratitude had a direct positive effect on PTG in patients with coronary stents (β = 0.126) and an indirect positive effect through the mediating effects of resilience and PSS (β = 0.105 and 0.081, respectively). Furthermore, resilience and PSS acted through serial multiple mediation effects in the relationship between gratitude and PTG. Discussion: Gratitude positively affected PTG directly and indirectly through the single-and chain-mediating effects of resilience and PSS in patients with coronary stent implantation. These findings offer compelling evidence of the key interrelating mechanisms among protective factors that contribute to PTG. Therefore, accounting for the predictive influence of gratitude, resilience, and PSS in PTG when developing relevant intervention strategies may help improve patients' quality of life.

    Keywords: Coronary stent implantation, Gratitude, posttraumatic growth, Model, Mediating effect

    Received: 19 Oct 2024; Accepted: 07 Jan 2025.

    Copyright: © 2025 Lei, Zhang and Yang. 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:
    Yujie Zhang, School of Humanities and Management, Zhejiang Chinese Medical University, Hangzhou, 311402, Jiangsu Province, China
    Fang Yang, School of Humanities and Management, Zhejiang Chinese Medical University, Hangzhou, 311402, Jiangsu Province, China

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.