摘要
Abstract
Objective:To examine the mediating effect of psychological resilience and self-efficacy on the rela-tionship between social support and well-being in elderly patients with depression.Methods:Using convenience sampling,a total of 177 elderly patients hospitalized for depression at the Second Affiliated Hospital of Henan Medical University between March 2024 and August 2025 were enrolled.The following scales were used for as-sessment:the social support rating scale(SSRS),the Connor-Davidson resilience scale(CD-RISC),the general self-efficacy scale(GSES),and the general well-being schedule(GWB).Pearson correlation analysis and media-tion effect modeling assessed relationships among variables.Results:The mean SSRS score for elderly patients with depression was(30.71±6.64),the mean CD-RISC score was(42.38±9.23),the mean GSES score was(25.43±1.69),and the mean GWB score was(64.73±12.67).Pearson correlation analysis revealed positive correla-tions between SSRS total scores and CD-RISC scores,GSES scores,and GWB scores(all P＜0.001).Structural equation modeling revealed that the indirect effect value of the path"SSRS score→CD-RISC score→GSES score"was 0.143(95%CI:0.062-0.286),accounting for 22.17%of the total effect(P＜0.05).The indirect effect value of the path"CD-RISC score→GSES score→GWB score"was 0.048(95%CI:0.008-0.114),accounting for 15.95%of the total effect(P＞0.05).The indirect effect value of the path"SSRS score→CD-RISC score→GSES score→GWB score"was 0.219(95%CI:0.128-0.357),accounting for 45.53%of the total effect(P＜0.05).Con-clusion:Social support can significantly enhance the well-being of elderly patients with depression,partially by improving their psychological resilience and self-efficacy.Clinical interventions should focus on optimizing pa-tients′ social support networks,strengthening their psychological resilience and self-efficacy,and jointly promot-ing the improvement of their well-being.关键词
心理弹性/老年抑郁症/幸福感/自我效能感/社会支持/中介效应/结构方程模型/调查问卷Key words
psychological resilience/elderly depression/well-being/self-efficacy/social support/mediating ef-fect/structural equation model/questionnaire分类
医药卫生
