Chain mediation model of consultation empathy, resilience and resignation coping on depression: a cross-sectional study among patients with COVID-19 in China

Objectives This study aimed to explore the mediating role of resilience and resignation coping in the relationship between consultation empathy and depression in patients with COVID-19.Design Cross-sectional study.Setting Participants were recruited from a tertiary hospital in Guangzhou, Guangdong p...

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Bibliographic Details
Main Authors: Yuan Zhang, Yuhui Lin, Lujie Wang, Shuling Huang, Zhiyi Feng
Format: Article
Language:English
Published: BMJ Publishing Group 2023-11-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/13/11/e079050.full
Description
Summary:Objectives This study aimed to explore the mediating role of resilience and resignation coping in the relationship between consultation empathy and depression in patients with COVID-19.Design Cross-sectional study.Setting Participants were recruited from a tertiary hospital in Guangzhou, Guangdong province.Participants A total of 215 patients were recruited for this study.Outcome measures A total of 215 patients completed the Consultation and Relational Empathy Measure, Connor-Davidson Resilience Scale, Medical Coping Modes Questionnaire and Hospital Anxiety and Depression Scale. PROCESS 4.1 model 6 was used to analyse the moderated mediating effects.Results Consultation empathy had a positive correlation with resilience (r=0.34, p<0.001), and a negative correlation with resignation (r=−0.288, p<0.001) and depression (r=−0.379, p<0.001). Resilience had a negative correlation with resignation (r=−0.463, p<0.001) and depression (r=−0.605, p<0.001). Resignation had a positive correlation (r=0.547, p<0.001) with depression. In the moderated mediating model, consultation empathy had significant indirect predictive effects on depression through resilience (95% CI −0.093 to –0.030) or resignation (95% CI −0.043 to –0.005). Consultation empathy had significant indirect predictive effects on depression through both resilience and resignation (95% CI −0.030 to –0.008).Conclusions Consultation empathy not only predicted depression directly, but also indirectly predicted depression through the chain mediating effects of resilience and resignation coping.
ISSN:2044-6055