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ORIGINAL RESEARCH article

Front. Public Health

Sec. Public Mental Health

This article is part of the Research TopicCaregiver Burden in Alzheimer's and Other Chronic ConditionsView all 7 articles

Hope Mediates the Association Between Anxiety and Caregivers' Preparedness in Schizophrenia: A Cross-Sectional Study

Provisionally accepted
yakun  liuyakun liu1Weiyu  TengWeiyu Teng2fei  tengfei teng1Guiyuan  ZouGuiyuan Zou1*
  • 1Department of Psychiatric, Shandong Mental Health Center, Shandong University, Jinan, China
  • 2Department of Nursing, Shandong Mental Health Center, Shandong University, Jinan, China

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

Background: This study investigated the level of preparedness of caregivers of patients with schizophrenia and explored hope as a mediator between anxiety and caregivers' preparedness. Methods: This correlational cross-sectional study included 375 caregivers of patients with schizophrenia. Participants completed a self-administered questionnaire on preparedness, anxiety, and hope. Descriptive analysis, Pearson's correlations, and hierarchical linear regression modeling were performed to examine the associations between anxiety, hope, and caregivers' preparedness using SPSS 22.0. The PROCESS v3.3 macro was used to analyze the mediating effect of hope. Results: Caregivers' preparedness, anxiety, and hope scores were (20.79 ± 5.25), (10.38 ± 4.56), and (36.01 ± 5.25) respectively. Anxiety was negatively correlated with hope and caregivers' preparedness (r = - 0.478, p < 0.001; r = - 0.290, p < 0.001), and hope was positively correlated with caregivers' preparedness (r = 0.513, p < 0.001). Hope partially mediated the relationship between anxiety and caregivers' preparedness, accounting for 24.8% of the total effect. Conclusions: Anxiety among caregivers of patients with schizophrenia influences their preparedness and is mediated by hope. Enhancing hope among caregivers can reduce the impact of low preparedness caused by high anxiety.

Keywords: Anxiety, hope, preparedness, Caregivers, Schizophrenia, Mediation

Received: 23 Jun 2025; Accepted: 05 Nov 2025.

Copyright: © 2025 liu, Teng, teng and Zou. 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: Guiyuan Zou, zouguiyuan00@126.com

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