ORIGINAL RESEARCH article
Front. Psychol.
Sec. Personality and Social Psychology
Volume 16 - 2025 | doi: 10.3389/fpsyg.2025.1558363
This article is part of the Research TopicNew Insights into Social Isolation and Loneliness, Volume IIView all 11 articles
Study on the Mechanism of Family Resilience on Loneliness in Older Adults with Stroke
Provisionally accepted
- 1People’s Hospital of Rizhao, Rizhao, China
- 2School of Nursing, Sun Yat-sen University, Guangzhou, China
- 3Sun Yat-sen Memorial Hospital, Guangzhou, China
- 4Department of Oncology, Sun Yat-Sen Memorial Hospital, Guangzhou, Guangdong Province, China
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Objective: This study examines loneliness in stroke patients who were ≥ 60 years of age, identifying key factors such as family resilience, social support, family function, and psychological capital.We sampled 234 stroke patients who were ≥ 60 years of age. These patients were diagnosed with stroke (ischemic stroke, hemorrhagic stroke) by the hospital and their condition is stable in the recovery period. Data were collected using the UCLA Loneliness Scale, Family Resilience Assessment scale, Positive Psychological Capital scale, Family APGAR Index, and Social Support Rating Scale. Using one-way analysis of variance and multiple linear regression equation to analyze the influencing factors of loneliness in older adults with stroke; Construct a structural equation model to explore the pathways of social support, family function and psychological capital in the relationship between family resilience and loneliness.The average loneliness score among older adults with stroke was (35.07±15.24). Factors affecting loneliness included income, activity level, community resources, social participation, and illness duration. Pearson analysis showed significant negative correlations between loneliness and family resilience (r=-0.738, P<0.01), social support (r=-0.715, P<0.01), family function (r=-0.745, P<0.01), and psychological capital (r=-0.684, P<0.01). Family resilience has a direct negative predictive effect on loneliness (β= -0.342, P< 0.001). Social support, family functioning, and psychological capital play a chain mediating effect between family resilience and loneliness, with a mediating effect value of -0.436, accounting for 56.04% of the total effect.Loneliness in elderly stroke patients is moderate. Strengthening family resilience and support systems can effectively reduce loneliness.
Keywords: Older Adults with Stroke, Loneliness, family resilience, social support, Family function, Psychological Capital
Received: 10 Jan 2025; Accepted: 30 Apr 2025.
Copyright: © 2025 Ju, Dong, Liu, Mu, Ge and Chen. 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: Jie Chen, Sun Yat-sen Memorial Hospital, Guangzhou, China
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