Liu Ya-Ting, Zhang Si-Xun, Xiang Dan-Dan, Ge Song, Liu Zhi-Wei, Fan Bao-Yu, Zhang Zhen-Xiang, Li Xin, Mei Yong-Xia
J Cardiovasc Nurs. 2025;40(5):E257-E266. doi: 10.1097/JCN.0000000000001161. Epub 2024 Dec 2.
Existing literature indicates that benefit finding and social support play protective roles against depressive symptoms. However, there is a lack of understanding regarding the interplay between benefit finding, social support, and depressive symptoms within the dyadic context of stroke survivor-spousal caregiver relationships.
The objective of this study is to investigate the relationships among benefit finding, social support, and depressive symptoms in young and middle-aged stroke survivors and their spouse caregivers. In addition, the mediating role of social support in the association between benefit finding and depressive symptoms is explored.
A total of 203 pairs of stroke survivor-spouse caregiver were included in the study. Depressive symptoms, social support, and benefit finding were measured using the Patient Health Questionnaire-9, the Perceived Social Support Scale, the Benefit Finding Scale, and the Caregiver Benefit Finding Scale. The Actor-Partner Interdependence Mediation Model was used to assess direct and indirect effect.
The findings revealed a significant negative association between higher levels of benefit finding and lower depressive symptoms in both stroke survivors (actor effect, -0.126) and spousal caregivers (partner effect, -0.044). Perceived social support emerged as a significant mediator in the relationship between benefit finding and depressive symptoms in spousal caregivers (indirect effect, -0.024). Furthermore, spousal caregivers' perceived social support served as a mediating variable between caregiver benefit finding and depressive symptoms in stroke survivors (indirect effect, -0.023).
The study underscores the interdependence between stroke survivors and spousal caregivers, highlighting the mutual influence they have on each other. Consequently, targeted interventions addressing both members of the dyad, with a focus on enhancing benefit finding and social support, could prove beneficial in ameliorating depressive symptoms in stroke survivor-spousal caregiver.
现有文献表明，发现益处和社会支持对抑郁症状具有保护作用。然而，对于中风幸存者 - 配偶照顾者二元关系中发现益处、社会支持和抑郁症状之间的相互作用，人们缺乏了解。
本研究的目的是调查年轻和中年中风幸存者及其配偶照顾者中发现益处、社会支持和抑郁症状之间的关系。此外，还探讨了社会支持在发现益处与抑郁症状之间关联中的中介作用。
本研究共纳入203对中风幸存者 - 配偶照顾者。使用患者健康问卷 - 9、感知社会支持量表、发现益处量表和照顾者发现益处量表来测量抑郁症状、社会支持和发现益处情况。采用行为者 - 伙伴相互依赖中介模型来评估直接和间接效应。
研究结果显示，中风幸存者（行为者效应，-0.126）和配偶照顾者（伙伴效应，-0.044）中，较高水平的发现益处与较低的抑郁症状之间存在显著负相关。在配偶照顾者中，感知社会支持在发现益处与抑郁症状之间的关系中是一个显著的中介变量（间接效应，-0.024）。此外，配偶照顾者的感知社会支持在照顾者发现益处与中风幸存者抑郁症状之间起到中介变量的作用（间接效应，-0.023）。
该研究强调了中风幸存者和配偶照顾者之间的相互依赖关系，突出了他们彼此之间的相互影响。因此，针对二元关系中的双方进行有针对性的干预，重点是增强发现益处和社会支持，可能有助于改善中风幸存者 - 配偶照顾者中的抑郁症状。
