ORIGINAL RESEARCH article
Front. Psychiatry
Sec. Public Mental Health
Volume 16 - 2025 | doi: 10.3389/fpsyt.2025.1670046
This article is part of the Research TopicMental Health Challenges in Long-term Pharmacotherapy for Patients with Chronic DiseasesView all 13 articles
Effect of basic psychological satisfaction needs on resilience in patients with first acute myocardial infarction: the mediating role of family resilience and hope
Provisionally accepted
- Department of Cardiology Ward II, Xinxiang Central Hospital, The Fourth Clinical College of Henan Medical University, Xinxiang, China
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Background: Psychological resilience is key to coping with adversity, stress buffering, and trauma. Acute myocardial infarction (AMI), a major life event, triggers severe psychological stress, especially in first-time patients facing heightened adversity. This diminishes resilience and worsens the prognosis. Evidence links basic psychological need satisfaction to resilience, but the mediating roles of family resilience and hope remain untested. This study aimed to explore the influence of psychological satisfaction needs on the psychological resilience of patients with first-time AMI, and to investigate the chain intermediary role of family resilience and hope in it. Methods: This cross-sectional study was conducted from June 2023 to June 2025. Patients with first-time AMI and treated at our hospital were enrolled via convenience sampling. Data were collected using Basic Psychological Needs Scales (BPNS), Basic Psychological Needs Scales (BPNS), Family Resilience Assessment Scale (FRAS) and the Herth Hope Index (HHI). Statistical analysis included an independent sample T test, Pearson correlation analysis, linear regression and self-help intermediary analysis. Results: A total of 179 first-time AMI patients showed mean scores of (62.95 ± 5.71) on the CD-RISC, (110.35 ± 14.00) on the BPNS, (37.28 ± 9.87) on the FRAS, and (24.63 ± 5.93) on the HHI. Significant positive correlations were observed between CD-RISC scores and BPNS, FRAS, and HHI scores (P < 0.05). The total effect of basic psychological needs satisfaction on psychological resilience was significant (β = 0.273, P < 0.001), with a significant direct predictive effect. Basic psychological needs satisfaction positively predicted family resilience (β = 0.489, P < 0.001) and hope (β = 0.262, P < 0.001). Both family resilience (β = 0.211, P < 0.001) and hope (β = 0.273, P < 0.001) demonstrated significant positive effects on psychological resilience. Path analysis confirmed four significant mediation pathways (all 95% CIs
Keywords: acute myocardial infarction, Basic psychological need satisfaction, family resilience, hope, Mediation analysis
Received: 21 Jul 2025; Accepted: 11 Sep 2025.
Copyright: © 2025 Ding, Miao, Bai and Wang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Hong Ding, Department of Cardiology Ward II, Xinxiang Central Hospital, The Fourth Clinical College of Henan Medical University, Xinxiang, China
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