Frontiers in PsychologyPub Date : 2025-05-27eCollection Date: 2025-01-01DOI: 10.3389/fpsyg.2025.1553716
Ke Shi, Jinlai Tian
{"title":"The impact of mental health literacy on professional psychological help-seeking attitudes among Chinese college students: the chain mediating role of anxiety and depression.","authors":"Ke Shi, Jinlai Tian","doi":"10.3389/fpsyg.2025.1553716","DOIUrl":"10.3389/fpsyg.2025.1553716","url":null,"abstract":"<p><p>By analyzing cross-sectional data from 2,078 college students, this study aims to explore the impact of mental health literacy on Chinese college students' professional psychological help-seeking attitudes and to test the chained mediation role of anxiety and depression. Results show that mental health literacy significantly positively predicts professional psychological help-seeking attitudes. Anxiety and depression exhibit partial mediation effects, forming a chained mediation pathway, suggesting mental health literacy indirectly reduces depression by alleviating anxiety, enhancing professional psychological help-seeking attitudes. This study reveals the chained mechanism between anxiety and depression, addressing previous neglect of emotional factors, and highlights the core role of practical dimensions in mental health literacy. It is suggested that universities incorporate mental health literacy training into curricula, strengthen practical skill development, and design interventions for emotion regulation to disrupt the negative cycle of anxiety-depression. This study provides a theoretical basis and targeted strategies for optimizing psychological services for college students.</p>","PeriodicalId":12525,"journal":{"name":"Frontiers in Psychology","volume":"16 ","pages":"1553716"},"PeriodicalIF":2.6,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149184/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144265986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Youth benefit finding and caregiving in a parental illness context: a latent profile analysis.","authors":"Giulia Landi, Kenneth I Pakenham, Jade Pilato, Géraldine Dorard, Aurélie Untas, Roberto Cattivelli, Silvana Grandi, Eliana Tossani","doi":"10.3389/fpsyg.2025.1601162","DOIUrl":"10.3389/fpsyg.2025.1601162","url":null,"abstract":"<p><strong>Introduction: </strong>This study used a person-centred approach to identify patterns of engagement in benefit finding (BF) and caregiving among youth who have a parent with a serious illness.</p><p><strong>Methods: </strong>A total of 403 youth completed questionnaires in a cross-sectional study.</p><p><strong>Results: </strong>Latent profile analyses revealed four profiles. The distribution of caregiving and participants across profiles reflected the caregiving continuum. The 'low BF & caregiving profile' had the lowest caregiving and the highest proportion of participants at the low end of the continuum, while the 'moderate BF & extremely high caregiving profile' had the highest caregiving and the lowest proportion of participants at the high end. The two mid-continuum profiles reflected mid-to-high proportions of caregiving and participants. Results highlighted a corresponding continuum in BF, where engagement varies in sync with caregiving intensity. Profiles differed on demographics, caregiving context, health-related quality of life (HRQoL), and mental health variables. The two mid-continuum profiles reported high caregiving and moderate-to-high BF and evidenced better HRQoL and mental health than the profile at the highest end of the caregiving continuum, but worse HRQoL and mental health than the profile at the lowest end. Despite high caregiving, these two profiles exhibited moderately high HRQoL and mental health, indicating that BF mitigates the adverse impacts of high caregiving. Results also supported the BF theoretical proposal that caregiving must be sufficiently intense to trigger BF.</p><p><strong>Discussion: </strong>Support services should reduce youth caregiving responsibilities and encourage youth caregivers to explore the positive aspects of their caregiving role.</p>","PeriodicalId":12525,"journal":{"name":"Frontiers in Psychology","volume":"16 ","pages":"1601162"},"PeriodicalIF":2.6,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149107/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144265990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Frontiers in PsychologyPub Date : 2025-05-27eCollection Date: 2025-01-01DOI: 10.3389/fpsyg.2025.1592094
Qiaoli Bai, Yaping Bai
{"title":"Heterogeneity of differential atmosphere perception and its relationship with organizational silence among Chinese nurses: a cross-sectional study using latent profile analysis.","authors":"Qiaoli Bai, Yaping Bai","doi":"10.3389/fpsyg.2025.1592094","DOIUrl":"10.3389/fpsyg.2025.1592094","url":null,"abstract":"<p><strong>Objective: </strong>To probe the heterogeneity and the influences of clinical nurses' perceptions of differential atmosphere, and to investigate the relationship between each profile of differential atmosphere perception and organizational silence.</p><p><strong>Methods: </strong>We adopted the General Information Questionnaire, the Differential Atmosphere Scale, and the Nurses' Organizational Silence Assessment Questionnaire to survey 523 clinical nurses in three tertiary general hospitals in Shaanxi Province. And we estimated the potential categories of clinical nurses' differential atmosphere perceptions via latent profile analysis, and quantified the influences on each profile via χ<sup>2</sup> and logistic regression analyses, and probed the differences in the organizational silence scores of individuals with three differential atmosphere perception profiles through the least significant difference (LSD) method.</p><p><strong>Results: </strong>The differential atmosphere perception of clinical nurses was divided into \"Insiders\" (16.25%), \"Go-betweens\" (57.55%), and \"Outsiders\" (26.20%). Monthly income and years of working experience were the influencing factors of different categories of nurses' differential atmosphere perceptions. There was a significant difference on the total organizational silence score and on the three profiles (<i>p</i> < 0.001), specifically, \"Outsiders\" > \"Go-betweens\" > \"Insiders.\"</p><p><strong>Conclusion: </strong>This study has identified three distinct subgroups in the differential atmosphere perception of nurses and their influencing factors. The findings demonstrated the heterogeneity among the clinical nursing population. Nursing managers may take prompt and targeted measures to reduce differential atmosphere perception, so as to improve the development of the nursing team.</p>","PeriodicalId":12525,"journal":{"name":"Frontiers in Psychology","volume":"16 ","pages":"1592094"},"PeriodicalIF":2.6,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149132/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144265968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Frontiers in PsychologyPub Date : 2025-05-27eCollection Date: 2025-01-01DOI: 10.3389/fpsyg.2025.1550949
Reut Paz, Nitza Davidovitch
{"title":"Mindfulness influence on psychological wellbeing: in search of cultural adaptations.","authors":"Reut Paz, Nitza Davidovitch","doi":"10.3389/fpsyg.2025.1550949","DOIUrl":"10.3389/fpsyg.2025.1550949","url":null,"abstract":"<p><strong>Introduction: </strong>In the last decade, mindfulness-based programs have been assimilated among educational staff to cultivate socio-emotional skills and mental resilience. Most mindfulness programs use generic international models, omitting explicit acknowledgement of cultural and ethnic differences. Recent research highlights the importance of considering participants' identities and diverse cultural and religious needs. The first aim of the current study is to explore whether mindfulness affects psychological well-being among Orthodox Jewish teachers. Additionally, the study examined the relationship between mindfulness as a personality trait and psychological well-being and resilience among Orthodox Jewish teachers. The second aim is to examine whether there is a tension in practicing mindfulness among participants who are Orthodox educators, and whether there is a need for cultural adaptations for religious populations to increase the effectiveness of the program.</p><p><strong>Methods: </strong>The participants in this pioneer study were Orthodox teachers and principals from state religious schools who participated in the mindfulness program. The questionnaires were distributed among Orthodox teachers to characterize the group on several measures related to psychological well-being and resilience, as well as on measures of religiosity, to clarify whether there is an association between deep-rooted religious foundations and perceived mental resilience.</p><p><strong>Results: </strong>The research findings indicate that trait mindfulness and mindfulness training are related to increased psychological well-being and resilience. Trait mindfulness was significantly negatively associated with perceived stress. The study also showed that ultra-Orthodox teachers reported a higher sense of stress than did national religious teachers.</p><p><strong>Discussion: </strong>It is evident from the current study that mindfulness qualities may support resilience and psychological well-being among Orthodox educators, whereupon it is important to nurture these qualities among them via mindfulness-based professional development. Moreover, it is evident from the study that to increase the efficacy of these programs, it is necessary to be aware of the participants' ethnic, religious, and cultural features.</p>","PeriodicalId":12525,"journal":{"name":"Frontiers in Psychology","volume":"16 ","pages":"1550949"},"PeriodicalIF":2.6,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149858/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144265981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Frontiers in PsychologyPub Date : 2025-05-27eCollection Date: 2025-01-01DOI: 10.3389/fpsyg.2025.1460731
S Apo Aporosa, Dennis Itoga, Julia Ioane, Jan Prosser, Sione Vaka, Emily Grout, Martin J Atkins, Mitchell A Head, Jonathan D Baker, Tanecia Blue, David H Sanday, Mahonri W Owen, Chris Murray, Karthik Sivanathan, Tua'ipulotu W Cuthers, Anau Mesui-Henry, Mary-Jane McCarthy, James Bunn, Ifereimi Waqainabete, Helen Turner
{"title":"Innovating through tradition: kava-<i>talanoa</i> as a culturally aligned medico-behavioral therapeutic approach to amelioration of PTSD symptoms.","authors":"S Apo Aporosa, Dennis Itoga, Julia Ioane, Jan Prosser, Sione Vaka, Emily Grout, Martin J Atkins, Mitchell A Head, Jonathan D Baker, Tanecia Blue, David H Sanday, Mahonri W Owen, Chris Murray, Karthik Sivanathan, Tua'ipulotu W Cuthers, Anau Mesui-Henry, Mary-Jane McCarthy, James Bunn, Ifereimi Waqainabete, Helen Turner","doi":"10.3389/fpsyg.2025.1460731","DOIUrl":"10.3389/fpsyg.2025.1460731","url":null,"abstract":"<p><p>Levels of post-traumatic stress disorder (PTSD), trauma-related distress, and subsyndromal PTSD, (here \"PTS\") among combat soldiers and first responders are of international concern. In the broader population, a PTS global epidemic is attending trauma associated with the threatscape of the Anthropocene (increased extreme weather events, natural disasters, conflict, rising poverty, emerging infectious disease) as well as the legacy of the COVID-19 pandemic. PTS is also a health economic burden, with costs associated with treatment, long-term morbidity, and increased risk of mortality. In the Pacific region, rising PTS is associated with the existential threat of climate change and the economic and social legacy of colonization. There is an unmet therapeutic need for improved and culturally aligned PTS therapies in the Pacific and beyond. Medical standards of care for anxiety/PTS typically involve psychotropic interventions such as benzodiazepines (BDZ), tricyclic anti-depressants and anti-psychotic medications which have addictive potential, are only effective in the short term, are contraindicated for key populations such as the elderly and have significantly problematic track records in indigenous populations. Moreover, systemic racism both drives PTS in indigenous and other marginalized populations and limits the efficacy in such populations of conventional PTS therapies which are not culturally relevant or informed. Here, we describe the development of a novel, but traditionally grounded, approach to PTSD symptomatology in the context of Pacific populations. This approach has two elements: kava is a culturally significant Pacific drink used traditionally and in cultural practice, as a relaxant, to promote dialog in group settings, to aid in sleep and to manage anxiety. Its anxiolytic and sedative properties may link to the presence of kavalactones which are putative low potency γ-aminobutyric acid (GABA) ligands. <i>Talanoa</i> is a dialog practice common to most Pacific cultures. Our core hypothesis is that, combined, kava-<i>talanoa</i> will outperform current standards of care in PTSD symptom management as a culturally augmented cognitive-behavioral group therapy intervention. In this paper we review supporting literature, describe kava-<i>talanoa</i> pilot study findings and planned clinical trials, discuss important open questions, and present recommendations for broad-based transcultural applicability of this approach to global PTS burdens.</p>","PeriodicalId":12525,"journal":{"name":"Frontiers in Psychology","volume":"16 ","pages":"1460731"},"PeriodicalIF":2.6,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12151179/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144265971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Frontiers in PsychologyPub Date : 2025-05-27eCollection Date: 2025-01-01DOI: 10.3389/fpsyg.2025.1416040
Huihui Zhu, Lina Shu, Xiaoying Wang, Zhechuan Xu
{"title":"Household chaos and preschool migrant children's self-regulation: the mediating role of parent-child conflict and the moderating role of mindful parenting.","authors":"Huihui Zhu, Lina Shu, Xiaoying Wang, Zhechuan Xu","doi":"10.3389/fpsyg.2025.1416040","DOIUrl":"10.3389/fpsyg.2025.1416040","url":null,"abstract":"<p><p>Self-regulation is a foundational ability for children's learning and socioemotional development. Household chaos, as an unavoidable physical environmental risk in the early growth environment of preschool migrant children, may significantly threaten the development of children's self-regulation. Therefore, this study, based on the Family Stress Model and the Risk-Protective Factor Model, explores how household chaos affects the self-regulation of preschool migrant children through parent-child conflict and how mindful parenting moderates this relationship. Nine hundred and forty Chinese preschool migrant children and their families participated in this study. The results indicated that after controlling for factors including gender, age, and family socioeconomic status, household chaos was significantly negatively associated with children's self-regulation ability. Parent-child conflict mediated the relationship between household chaos and the self-regulation of preschool migrant children. At the same time, mindful parenting modified the adverse effects of parent-child conflict on self-regulation, but as the level of parent-child conflict increased, its protective effect gradually decreased. These results suggest that household chaos and parent-child conflict are important risks for the early development of self-regulation in preschool migrant children. In addition, mindful parenting reduced the tension arising from parent-child conflict. These findings underscores the importance of addressing environmental stressors and promoting positive parent-child relationship in early childhood. Moreover, the results provide important implications for both practice and research.</p>","PeriodicalId":12525,"journal":{"name":"Frontiers in Psychology","volume":"16 ","pages":"1416040"},"PeriodicalIF":2.6,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12150784/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144265969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Frontiers in PsychologyPub Date : 2025-05-27eCollection Date: 2025-01-01DOI: 10.3389/fpsyg.2025.1492283
Dong Li, Zhaowen Duan, Xiaoliang Xu, Ying Chen, Xuyi Liu
{"title":"Social expectations or self-regulation?-study on tourists' comity behavior in taking photos.","authors":"Dong Li, Zhaowen Duan, Xiaoliang Xu, Ying Chen, Xuyi Liu","doi":"10.3389/fpsyg.2025.1492283","DOIUrl":"10.3389/fpsyg.2025.1492283","url":null,"abstract":"<p><strong>Introduction: </strong>During travel, photos capture beautiful moments and serve as a visual narrative. However, achieving a satisfactory photo in crowded tourist scenes relies on tourists' mutual cooperation and courtesy. This study aims to explore tourists' courteous behavior in photo-taking through normative activation theory.</p><p><strong>Methods: </strong>Structural equation modeling.</p><p><strong>Results: </strong>(1) Both social and individual norms positively affect courteous behavior, with individual norms having a greater impact; (2) Impression management motivation mediates the relationship between norms and courtesy; (3) Proactive personality moderates the link between individual norms and impression management but does not affect the link between social norms and impression management.</p><p><strong>Discussion: </strong>This study expands the application of normative activation and impression management theories and offers practical insights for tourism management to encourage civilized behavior.</p>","PeriodicalId":12525,"journal":{"name":"Frontiers in Psychology","volume":"16 ","pages":"1492283"},"PeriodicalIF":2.6,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149100/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144265983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Frontiers in PsychologyPub Date : 2025-05-27eCollection Date: 2025-01-01DOI: 10.3389/fpsyg.2025.1505333
Chuang Xu, Wenting Gong, Jian-Hong Ye, Fangyu Fu
{"title":"The immediate and delayed effects of group activities on Chinese college students' empathy: a longitudinal tracking study.","authors":"Chuang Xu, Wenting Gong, Jian-Hong Ye, Fangyu Fu","doi":"10.3389/fpsyg.2025.1505333","DOIUrl":"10.3389/fpsyg.2025.1505333","url":null,"abstract":"<p><p>Although the role of empathy in reducing campus bullying has been receiving increasing attention, empirical research on the development of empathy and its delayed effects among college students is lacking. To examine the immediate and delayed effects of group activities on increases in empathy among college students, this study randomly assigned 90 first-year students from a Chinese university into control, intervention, and delayed intervention groups. The groups with interventions participated in multiple sessions of counselling activities, and the Interpersonal Reactivity Index-C scale was used as a pre-test, post-test, and re-test measure to assess empathy levels in each group. Additionally, interview transcripts were employed to verify the effectiveness of the study. The results showed that group activities were significantly effective in enhancing the level of empathy among college students. Furthermore, the effect of group activities in enhancing empathy levels among college students tended to diminish over time but was maintained at a relatively high level for a certain period. This finding reveals that the development of empathy requires ongoing attention and support. Future studies could further explore the effects of different types of interventions on empathy levels, and the durability and stability of delayed intervention effects can be investigated in long-term follow-up studies. These findings will contribute to the development of more effective strategies for preventing and intervening in campus bullying, thereby providing theoretical and practical support for more harmonious campus environments.</p>","PeriodicalId":12525,"journal":{"name":"Frontiers in Psychology","volume":"16 ","pages":"1505333"},"PeriodicalIF":2.6,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149139/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144265984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Frontiers in PsychologyPub Date : 2025-05-27eCollection Date: 2025-01-01DOI: 10.3389/fpsyg.2025.1599092
Chunhui Qi, Juan Guo, Yanfeng Liu, Zhen Zhang, Guoxiang Zhao
{"title":"The impact of teacher punishment intensity on parental trust in rural China: an experimental examination of a moderated mediation model.","authors":"Chunhui Qi, Juan Guo, Yanfeng Liu, Zhen Zhang, Guoxiang Zhao","doi":"10.3389/fpsyg.2025.1599092","DOIUrl":"10.3389/fpsyg.2025.1599092","url":null,"abstract":"<p><p>Pedagogical punishment refers to the educational behavior carried out by teachers to manage, instruct or correct students who violate rules, so as to promote the healthy development of students. In home-school partnerships, parents determine their level of trust in educators based on pedagogical punishment. Preliminary empirical evidence indicates that the punishment intensity impacts parents' interpersonal trust, though the causal pathways remain to be elucidated. Utilizing a situational experimental design with 462 rural Chinese guardians (234 females, mean age is 40.86 years), this research establishes a causal relationship between pedagogical punishment intensity and parental trust. The analysis further evaluates trustworthiness perception as a mediator and student violation severity as a moderating variable. The findings demonstrate that teacher punishment not only directly strengthens parental trust but also indirectly increases it through perceived trustworthiness. Notably, the severity of student misconduct moderates the relationship between punishment intensity and parental trust, indicating that rigorous punishment behaviors in response to severe violations foster heightened perceived trustworthiness relative to less stringent interventions. This study offers critical insights to education professionals on the rationale and strategies for implementing appropriate punishment practices, thereby enhancing parental trust in educators.</p>","PeriodicalId":12525,"journal":{"name":"Frontiers in Psychology","volume":"16 ","pages":"1599092"},"PeriodicalIF":2.6,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149205/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144265987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Frontiers in PsychologyPub Date : 2025-05-27eCollection Date: 2025-01-01DOI: 10.3389/fpsyg.2025.1578691
Xin Wen, Min Shi, Jie Zhou, Wanfang Yuan, Rong Tang, Ruhui Xu, Wenyi Zhu
{"title":"Exploring illness uncertainty categories in ischemic stroke patients and the relationship with perceived social support: a latent class analysis.","authors":"Xin Wen, Min Shi, Jie Zhou, Wanfang Yuan, Rong Tang, Ruhui Xu, Wenyi Zhu","doi":"10.3389/fpsyg.2025.1578691","DOIUrl":"10.3389/fpsyg.2025.1578691","url":null,"abstract":"<p><strong>Objectives: </strong>This study examined the categories of illness uncertainty and their influencing factors in ischemic stroke patients and analyzed their relationship with perceived social support.</p><p><strong>Methods: </strong>Patients with ischemic stroke who were admitted to the neurology department of a tertiary general hospital in Yibin City from June to December 2024 were selected for this study. The general information questionnaire, the Mishel Uncertainty in illness scale, and the perceived social support scale were used. Latent class analysis was carried out based on the patients' illness uncertainty and explored the relationship with perceived social support.</p><p><strong>Results: </strong>Illness uncertainty in ischemic stroke patients could be classified into 3 different latent classes, namely, \"low-level-unpredictability group\" (16.43%), \"medium-level group\" (14.52%), and \"high-level-complexity group\" (69.05%). Logistic regression analysis showed that place of residency, educational level, per capita monthly household income, number of comorbid other chronic diseases, mRS scores, and self-care ability were the factors influencing the latent class of illness uncertainty in stroke patients (<i>p</i> < 0.05). The difference between the three latent classes of illness uncertainty in ischemic stroke patients was statistically significant in the perceived social support score (<i>p</i> < 0.05).</p><p><strong>Conclusion: </strong>Illness uncertainty in ischemic stroke patients has a distinct categorical class and perceived social support differs for each category. Targeted interventions should be carried out according to the categorization of patients' illness uncertainty class traits in order to reduce the level of patients' illness uncertainty and promote physical and mental health.</p>","PeriodicalId":12525,"journal":{"name":"Frontiers in Psychology","volume":"16 ","pages":"1578691"},"PeriodicalIF":2.6,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12149176/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144265967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}