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ORIGINAL RESEARCH article

Front. Psychol.

Sec. Health Psychology

Heterogeneity in Medical Coping Modes and the Moderating Role of Social Support on Social Disability in Patients After Percutaneous Coronary Intervention

Provisionally accepted
Jia  ZhangJia Zhang*Song  bin HuangSong bin Huang*Dan  ni PengDan ni PengLing  ling YangLing ling YangFei  wan HuangFei wan HuangYan  jie ChenYan jie Chen
  • Heyuan People's Hospital, Heyuan, China

The final, formatted version of the article will be published soon.

Objective: This study aimed to identify heterogeneous patterns of medical coping modes (MCM) and to examine the moderating role of social support in the relationship between these patterns and social disability in young and middle-aged patients after percutaneous coronary intervention (PCI). Methods: A cross-sectional study was conducted among 129 post-PCI patients from a single center in China. Participants completed the Medical Coping Modes Questionnaire (MCMQ), the Social Support Rating Scale (SSRS), and the Social Disability Screening Schedule (SDSS). Latent profile analysis (LPA) was used to identify distinct coping patterns. The moderation effect of social support was tested using the Johnson-Neyman technique. Results: Two distinct coping profiles were identified via LPA: "Adaptive Copers" (55.1%), characterized by higher confrontation and lower avoidance/resignation, and "Maladaptive Copers" (44.9%), showing the opposite pattern. A counterintuitive finding emerged, with the Maladaptive Copers reporting significantly lower social disability scores. Furthermore, beyond this profile differentiation, social support demonstrated a significant U-shaped moderating effect in the coping-disability relationship. Its moderating role was statistically significant only at very low (<39.884) and very high (>52.924) levels of support. Conclusion: This study reveals two key findings: first, post-PCI patients are heterogeneous in coping, comprising adaptive and maladaptive subgroups; second, the impact of these coping styles on social disability is non-linearly moderated by social support. Clinicians should assess both coping profiles and social support levels to tailor interventions effectively.

Keywords: latent profile analysis, Medical coping modes, moderation analysis, Percutaneous Coronary Intervention, Social disability, Socialsupport

Received: 24 Oct 2025; Accepted: 03 Dec 2025.

Copyright: © 2025 Zhang, Huang, Peng, Yang, Huang 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:
Jia Zhang
Song bin Huang

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