Objective:This study evaluated the effect of resilience on depression among patients with breast cancer from individual and familial perspectives by exploring the mediating and moderating effects of family resilience ...Objective:This study evaluated the effect of resilience on depression among patients with breast cancer from individual and familial perspectives by exploring the mediating and moderating effects of family resilience between individual resilience and depression.Methods:A questionnaire survey was conducted among 337 patients with breast cancer who were admitted to the Oncology Department of Jiangsu Province Hospital.The survey included demographic information,the Connor–Davidson Resilience Scale(CD-RISC),the Family Resilience Assessment Scale(FRAS),and the Chinese version of the Patient Health Questionnaire-9(PHQ-9)for Depression.The relationship among individual resilience,family resilience,and depression was analyzed using hierarchical regression and bootstrap test to assess the mediating and moderating effects of family resilience.Results:The depression scores were(13.50±5.16),the individual resilience scores were(48.62±17.50),and the family resilience scores were(105.98±24.35).Significant differences in depression scores were observed in terms of family monthly income,average weekly exercise before diagnosis,post-diagnosis interpersonal relationship quality,and overall sleep quality in the past month(p<0.05).Patients with lower individual resilience had significantly higher depression scores than those with higher resilience(F=24.314,p<0.001),and similarly,patients with lower family resilience had higher depression scores than those with higher family resilience(F=41.660,p<0.001).Individual resilience and family resilience were significantly negatively correlated with depression(r=-0.447 and-0.441,respectively,p<0.001).Hierarchical regression analysis and bootstrap test showed that family resilience(β=-0.310,p<0.001)had a partial mediating effect between individual resilience(β=-0.321,p<0.001)and depression.The indirect effect size was-0.038,the 95%CI was(-0.056,-0.020),and the direct effect ratio was 71.43%.The interaction of family resilience and individual resilience had a moderating effect on depression(B=0.166,p<0.001).Family resilience negatively moderated the relationship between individual resilience and depressive symptoms and enhanced the protective effect of individual resilience against depression with increasing family resilience.Conclusion:Family resilience has mediating and moderating effects between individual resilience and depression in patients with breast cancer.展开更多
This study assessed the influence of occupational stress,individual resilience,and organizational resilience on the safety performance of healthcare providers during the COVID-19 pandemic.Demographic variables includi...This study assessed the influence of occupational stress,individual resilience,and organizational resilience on the safety performance of healthcare providers during the COVID-19 pandemic.Demographic variables including age,work experience,and gender were explored.Data were collected from 344 healthcare providers employed at a teaching hospital.The entropy method and the multi-criteria decision-making(MCDM)method were used to examine the influence of occupational stress,individual resilience,and organizational resilience on the safe performance of healthcare providers.The results of the entropy method showed that organizational resilience was the most influential factor in the safe performance of older healthcare providers.In contrast,individual resilience was the most significant factor in enhancing the safety performance of younger healthcare providers.Analyses of work experience indicated that individual resilience was the most influential factor in the safe performance of less experienced healthcare providers.Gender-based analysis revealed that individual resilience had a major effect on the safety performance of both women and men.The findings of this study could assist managers in improving the performance of the healthcare sector during pandemics by using and implementing resilience concepts at both the individual and organizational levels.展开更多
基金supported by the National Natural Science Foundation of China (No.82203171)the Jiangsu Province Science and Technology Coordination Research Project (No.JSKXKT2023040).
文摘Objective:This study evaluated the effect of resilience on depression among patients with breast cancer from individual and familial perspectives by exploring the mediating and moderating effects of family resilience between individual resilience and depression.Methods:A questionnaire survey was conducted among 337 patients with breast cancer who were admitted to the Oncology Department of Jiangsu Province Hospital.The survey included demographic information,the Connor–Davidson Resilience Scale(CD-RISC),the Family Resilience Assessment Scale(FRAS),and the Chinese version of the Patient Health Questionnaire-9(PHQ-9)for Depression.The relationship among individual resilience,family resilience,and depression was analyzed using hierarchical regression and bootstrap test to assess the mediating and moderating effects of family resilience.Results:The depression scores were(13.50±5.16),the individual resilience scores were(48.62±17.50),and the family resilience scores were(105.98±24.35).Significant differences in depression scores were observed in terms of family monthly income,average weekly exercise before diagnosis,post-diagnosis interpersonal relationship quality,and overall sleep quality in the past month(p<0.05).Patients with lower individual resilience had significantly higher depression scores than those with higher resilience(F=24.314,p<0.001),and similarly,patients with lower family resilience had higher depression scores than those with higher family resilience(F=41.660,p<0.001).Individual resilience and family resilience were significantly negatively correlated with depression(r=-0.447 and-0.441,respectively,p<0.001).Hierarchical regression analysis and bootstrap test showed that family resilience(β=-0.310,p<0.001)had a partial mediating effect between individual resilience(β=-0.321,p<0.001)and depression.The indirect effect size was-0.038,the 95%CI was(-0.056,-0.020),and the direct effect ratio was 71.43%.The interaction of family resilience and individual resilience had a moderating effect on depression(B=0.166,p<0.001).Family resilience negatively moderated the relationship between individual resilience and depressive symptoms and enhanced the protective effect of individual resilience against depression with increasing family resilience.Conclusion:Family resilience has mediating and moderating effects between individual resilience and depression in patients with breast cancer.
基金we thank all healthcare staff who participated in this study.We also gratefully acknowledge financial support from the Health and Environment Research Center,Tabriz University of Medical Sciences[Grant No.65558ethical code:IR.TBZMED.REC.1399.617].
文摘This study assessed the influence of occupational stress,individual resilience,and organizational resilience on the safety performance of healthcare providers during the COVID-19 pandemic.Demographic variables including age,work experience,and gender were explored.Data were collected from 344 healthcare providers employed at a teaching hospital.The entropy method and the multi-criteria decision-making(MCDM)method were used to examine the influence of occupational stress,individual resilience,and organizational resilience on the safe performance of healthcare providers.The results of the entropy method showed that organizational resilience was the most influential factor in the safe performance of older healthcare providers.In contrast,individual resilience was the most significant factor in enhancing the safety performance of younger healthcare providers.Analyses of work experience indicated that individual resilience was the most influential factor in the safe performance of less experienced healthcare providers.Gender-based analysis revealed that individual resilience had a major effect on the safety performance of both women and men.The findings of this study could assist managers in improving the performance of the healthcare sector during pandemics by using and implementing resilience concepts at both the individual and organizational levels.
