The relationship between self-efficacy and self-management: a moderated mediation model of self-control and emotion regulation among stroke survivors.

IF 2.1 4区医学 Q1 REHABILITATION

Disability and Rehabilitation Pub Date : 2025-06-08 DOI:10.1080/09638288.2025.2514260

Xiaoxuan Wang, Hu Jiang, Zhixin Zhao, Beilei Lin, Tao Wang, Zihao Ruan, Zhiguang Ping, Suyan Chen, Zhenxiang Zhang

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引用次数: 0

Abstract

Purpose: To explore the impact of self-efficacy on self-management with the parallel mediating effects of impulsivity and good control, as well as the moderating effect of emotion regulation.

Methods: Convenience sampling method was used in this study. From March to July 2024, stroke patients were recruited from a tertiary hospital in Henan Province, China. Questionnaires were administered to collect sociodemographic data, self-control, self-efficacy, emotion regulation, and self-management. Descriptive statistics and Process Macro Models 4 and 14 in the SPSS program (SPSS Inc., Chicago, IL) were used for data analysis.

Results: A total of 519 stroke survivors reported self-management with a moderate standardization score. Impulsivity and good control co-mediating the association of self-efficacy and self-management. After adding the cognitive reappraisal as the moderator, the moderated mediation model of impulsivity was confirmed with adequate fit indices. However, cognitive reappraisal did not play a moderating role in good control and self-management.

Conclusions: Self-efficacy can promote self-management in stroke survivors by reducing impulsivity and enhancing self-control. Notably, cognitive reappraisal may suppress impulsive thoughts in stroke survivors and promote self-management.

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自我效能感与自我管理的关系：脑卒中幸存者自我控制与情绪调节的中介模型。

目的：探讨自我效能感在冲动性和良好控制的平行中介作用下对自我管理的影响，以及情绪调节的调节作用。方法：本研究采用方便抽样方法。2024年3月至7月，从中国河南省某三级医院招募脑卒中患者。通过问卷调查收集社会人口统计数据、自我控制、自我效能、情绪调节和自我管理。使用SPSS程序（SPSS Inc., Chicago， IL）中的描述性统计和过程宏模型4和14进行数据分析。结果：共有519名中风幸存者报告自我管理，标准化评分中等。冲动性和良好的控制力在自我效能感和自我管理之间起中介作用。在加入认知重评作为调节因子后，冲动性被调节的中介模型得到了充分的拟合指标的证实。然而，认知重评在良好的控制和自我管理中没有起到调节作用。结论：自我效能感可以通过降低脑卒中幸存者的冲动性和增强自我控制能力来促进自我管理。值得注意的是，认知重评可以抑制中风幸存者的冲动想法，促进自我管理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Disability and Rehabilitation 医学-康复医学

CiteScore

5.00

自引率

9.10%

发文量

415

审稿时长

3-6 weeks

期刊介绍： Disability and Rehabilitation along with Disability and Rehabilitation: Assistive Technology are international multidisciplinary journals which seek to encourage a better understanding of all aspects of disability and to promote rehabilitation science, practice and policy aspects of the rehabilitation process.