Associations of perceived social support and positive psychological resources with fatigue symptom in patients with rheumatoid arthritis.
OBJECTIVE:This study aimed to assess the association between perceived social support (PSS) and fatigue and the roles of hope, optimism, general self-efficacy and resilience as mediators or moderators on PSS-fatigue association among Rheumatoid Arthritis (RA) patients in China. METHODS:A multi-cente...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2017-01-01
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| Series: | PLoS ONE |
| Online Access: | http://europepmc.org/articles/PMC5349444?pdf=render |
| _version_ | 1818289805835894784 |
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| author | NeiLi Xu Shuai Zhao HongXia Xue WenYi Fu Li Liu TianQi Zhang Rui Huang Ning Zhang |
| author_facet | NeiLi Xu Shuai Zhao HongXia Xue WenYi Fu Li Liu TianQi Zhang Rui Huang Ning Zhang |
| author_sort | NeiLi Xu |
| collection | DOAJ |
| description | OBJECTIVE:This study aimed to assess the association between perceived social support (PSS) and fatigue and the roles of hope, optimism, general self-efficacy and resilience as mediators or moderators on PSS-fatigue association among Rheumatoid Arthritis (RA) patients in China. METHODS:A multi-center, cross-sectional study was conducted withinpatients diagnosed with RA in northeast China, in which 305 eligible inpatients were enrolled. The Multidimensional Fatigue Inventory, Multidimensional Scale of Perceived Social Support, Herth Hope Index, Life Orientation Test Revised, General Self-Efficacy Scale and Ego-Resiliency Scale were completed. The associations of PSS, hope, optimism, general self-efficacy and resilience with fatigue and the moderating roles of these positive psychological constructs were tested by hierarchical linear regression. Asymptotic and resampling strategies were utilized to assess the mediating roles of hope, optimism, general self-efficacy and resilience. RESULTS:The mean score of the MFI was 57.88 (SD = 9.50). PSS, hope, optimism and resilience were negatively associated with RA-related fatigue, whereas DAS28-CRP was positively associated. Only resilience positively moderated the PSS-fatigue association (B = 0.03, β = 0.13, P<0.01). Hope, optimism and resilience may act as partial mediators in the association between PSS and fatigue symptoms (hope: a*b = -0.16, BCa 95%CI: -0.27, -0.03; optimism: a*b = -0.20, BCa 95%CI: -0.30, -0.10; resilience: a*b = -0.12, BCa 95%CI: -0.21-0.04). CONCLUSIONS:Fatigue is a severe symptom among RA patients. Resilience may positively moderate the PSS-fatigue association. Hope, optimism and resilience may act as partial mediators in the association. PSS, hope, optimism and resilience may contribute as effective recourses to alleviate fatigue, upon which PSS probably has the greatest effect. |
| first_indexed | 2024-12-13T02:18:07Z |
| format | Article |
| id | doaj.art-529d03c2cc2f40f795651aa4d9d1f7a3 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-13T02:18:07Z |
| publishDate | 2017-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-529d03c2cc2f40f795651aa4d9d1f7a32022-12-22T00:02:50ZengPublic Library of Science (PLoS)PLoS ONE1932-62032017-01-01123e017329310.1371/journal.pone.0173293Associations of perceived social support and positive psychological resources with fatigue symptom in patients with rheumatoid arthritis.NeiLi XuShuai ZhaoHongXia XueWenYi FuLi LiuTianQi ZhangRui HuangNing ZhangOBJECTIVE:This study aimed to assess the association between perceived social support (PSS) and fatigue and the roles of hope, optimism, general self-efficacy and resilience as mediators or moderators on PSS-fatigue association among Rheumatoid Arthritis (RA) patients in China. METHODS:A multi-center, cross-sectional study was conducted withinpatients diagnosed with RA in northeast China, in which 305 eligible inpatients were enrolled. The Multidimensional Fatigue Inventory, Multidimensional Scale of Perceived Social Support, Herth Hope Index, Life Orientation Test Revised, General Self-Efficacy Scale and Ego-Resiliency Scale were completed. The associations of PSS, hope, optimism, general self-efficacy and resilience with fatigue and the moderating roles of these positive psychological constructs were tested by hierarchical linear regression. Asymptotic and resampling strategies were utilized to assess the mediating roles of hope, optimism, general self-efficacy and resilience. RESULTS:The mean score of the MFI was 57.88 (SD = 9.50). PSS, hope, optimism and resilience were negatively associated with RA-related fatigue, whereas DAS28-CRP was positively associated. Only resilience positively moderated the PSS-fatigue association (B = 0.03, β = 0.13, P<0.01). Hope, optimism and resilience may act as partial mediators in the association between PSS and fatigue symptoms (hope: a*b = -0.16, BCa 95%CI: -0.27, -0.03; optimism: a*b = -0.20, BCa 95%CI: -0.30, -0.10; resilience: a*b = -0.12, BCa 95%CI: -0.21-0.04). CONCLUSIONS:Fatigue is a severe symptom among RA patients. Resilience may positively moderate the PSS-fatigue association. Hope, optimism and resilience may act as partial mediators in the association. PSS, hope, optimism and resilience may contribute as effective recourses to alleviate fatigue, upon which PSS probably has the greatest effect.http://europepmc.org/articles/PMC5349444?pdf=render |
| spellingShingle | NeiLi Xu Shuai Zhao HongXia Xue WenYi Fu Li Liu TianQi Zhang Rui Huang Ning Zhang Associations of perceived social support and positive psychological resources with fatigue symptom in patients with rheumatoid arthritis. PLoS ONE |
| title | Associations of perceived social support and positive psychological resources with fatigue symptom in patients with rheumatoid arthritis. |
| title_full | Associations of perceived social support and positive psychological resources with fatigue symptom in patients with rheumatoid arthritis. |
| title_fullStr | Associations of perceived social support and positive psychological resources with fatigue symptom in patients with rheumatoid arthritis. |
| title_full_unstemmed | Associations of perceived social support and positive psychological resources with fatigue symptom in patients with rheumatoid arthritis. |
| title_short | Associations of perceived social support and positive psychological resources with fatigue symptom in patients with rheumatoid arthritis. |
| title_sort | associations of perceived social support and positive psychological resources with fatigue symptom in patients with rheumatoid arthritis |
| url | http://europepmc.org/articles/PMC5349444?pdf=render |
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