Uncertainty in illness and coping styles: Moderating and mediating effects of resilience in stroke patients

Abstract Objectives:This study aimed to investigate the mediating roles of coping styles and stroke knowledge between social support and uncertainty in illness among patients with primary stroke in China. Methods:The total of 204 Chinese primary stroke patients recruited using convenience sampling were asked to answer Mishel Uncertainty in Illness Scale for Adult(MUIS-A), Stroke Knowledge Questionnaire(SKQ), Social Support Rating Scale(SSRS), and Medical Coping Modes Questionnaires (MCMQ). Demographics characteristics of the patients were presented using descriptive statistics. We reported the relationship between the study variables using Pearson’s Correlation Coefficients. We performed structural equation modeling to estimate the mediator effect of coping styles and stroke knowledge between social support and uncertainty in illness.Results: The results showed that 92% of patients with primary stroke had moderate above level of uncertainty in illness, with a mean score 75.04 (SD=9.61).Uncertainty was positively associated with coping styles (r=0.232, P＜0.01), and negatively associated with social support(r=-0.237, P＜0.01) and stroke knowledge (r=-0.386, P＜0.01).The structural equation model indicated that the coping styles(19.8% of total effect) and stroke knowledge (38.5% of total effect)respectively acted as mediator role between social support and uncertainty in illness.Conclusions:Most patients with primary stroke present moderate above level of uncertainty in illness. stroke knowledge and coping styles were important mediating factors in the pathway between coping styles and uncertainty in illness. Our findings suggest the provision of stroke knowledge and training of coping styles for patients with primary stroke could alleviate their uncertainty in illness.

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Are Individuals in Rorschach Nonpatient Samples Truly Psychologically Healthy?

Rorschachiana Journal of the International Society for the Rorschach ◽

10.1027/1192-5604/a000052 ◽

2015 ◽

Vol 36 (2) ◽

pp. 112-155 ◽

Cited By ~ 5

Author(s):

Anna Maria Rosso ◽

Andrea Camoirano ◽

Gabriele Schiaffino

Keyword(s):

Psychological Treatment ◽

Coping Styles ◽

Anxiety And Depression ◽

Future Research ◽

Extensive Form ◽

Community Needs ◽

Rorschach Comprehensive System ◽

Form Quality ◽

And Coping ◽

Rorschach Variables

Abstract. The aim of this study was to collect a Rorschach Comprehensive System (RCS) adult nonpatient sample from Italy using more stringent exclusion criteria and controlling for psychopathology, taking into account the methodological suggestions of Ritzler and Sciara (2008) . The authors hypothesized that: (a) adult nonpatient samples are not truly psychologically healthy, in that a high number of psychopathological symptoms are experienced by participants, particularly anxiety and depression, although they have never been in psychological treatment; (b) significant differences emerge between healthy and nonhealthy groups on Rorschach variables, particularly on CS psychopathological indexes; (c) RCS psychopathological indexes are significantly correlated in the expected direction with scores on psychopathological scales. The results confirmed the hypotheses, indicating the need to collect psychologically healthy samples in addition to normative and nonpatient samples. Because differences were found in the comparison between Exner’s sample (2007) and the healthy group in this study regarding form quality and coping styles, the authors suggest that future research should investigate the construct validity of ambitent style and culturally specific influences on form quality. Moreover, the Rorschach scientific community needs to have more extensive form quality tables, enriched with objects that are currently not included.

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