Perceived stress and depression amongst older stroke patients: sense of coherence as a mediator?

Li-Na Guo, Yan-Jin Liu, Jacqueline McCallum, Ulrika Soderhamn, Xian-Fei Ding, Su-Yuan Yv, Yi-Ru Zhu, Yv-Ru Guo

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Abstract

Objective: This study aimed to explore the relationship between perceived stress, sense of coherence, and depression
among older stroke patients.
Methods: A demographic questionnaire, the Perceived Stress Scale (PSS), the Sense of Coherence Scale (SOC)
and the Center for Epidemiologic Studies Depression Scale (CES-D) were distributed to 3000 older stroke patients
from Neurology wards in six large general hospitals, and 2907 individuals completed the survey. Data
analysis consisted of correlation, multiple linear regression, and structural equation modeling.
Results: The total score of the SOC and perceived stress showed a negative correlation (r=-0.80, P <0.01),
the total SOC of coherence and depression also resulted in a negative correlation (r=-0.77, P <0.01), and the
total score of the perceived stress and depression resulted in a positive correlation (r=0.82, P <0.01). The
results of multiple regression analyses indicated that SOC mediated the association between perceived stress and
depression, and the influence of perceived stress on depression was decreased by 16.0%with in the sense of being
out of control dimension and was decreased by 12.3% within the feeling of tension dimension when sense of
coherence was added to the model. The structural equation model confirmed that the sense of coherence had a
partial mediation effect between perceived stress and depression.
Conclusion: SOC is the mediating variable between perceived stress and depression, and can reduce the influence
of perceived stress on depression.
Original languageEnglish
Pages (from-to)164-170
Number of pages7
JournalArchives of Gerontology and Geriatrics
Volume79
Early online date25 Aug 2018
DOIs
Publication statusPublished - Nov 2018

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Sense of Coherence
stroke
Stroke
Depression
Structural Models
Neurology
coherence
neurology
regression
General Hospitals
Epidemiologic Studies
Linear Models
Emotions
structural model
Regression Analysis
Demography
mediation

Keywords

  • older stroke patients
  • sense of coherence
  • perceived stress
  • depression
  • mediation effect

Cite this

Guo, Li-Na ; Liu, Yan-Jin ; McCallum, Jacqueline ; Soderhamn, Ulrika ; Ding, Xian-Fei ; Yv, Su-Yuan ; Zhu, Yi-Ru ; Guo, Yv-Ru. / Perceived stress and depression amongst older stroke patients: sense of coherence as a mediator?. In: Archives of Gerontology and Geriatrics. 2018 ; Vol. 79. pp. 164-170.
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title = "Perceived stress and depression amongst older stroke patients: sense of coherence as a mediator?",
abstract = "Objective: This study aimed to explore the relationship between perceived stress, sense of coherence, and depressionamong older stroke patients.Methods: A demographic questionnaire, the Perceived Stress Scale (PSS), the Sense of Coherence Scale (SOC)and the Center for Epidemiologic Studies Depression Scale (CES-D) were distributed to 3000 older stroke patientsfrom Neurology wards in six large general hospitals, and 2907 individuals completed the survey. Dataanalysis consisted of correlation, multiple linear regression, and structural equation modeling.Results: The total score of the SOC and perceived stress showed a negative correlation (r=-0.80, P <0.01),the total SOC of coherence and depression also resulted in a negative correlation (r=-0.77, P <0.01), and thetotal score of the perceived stress and depression resulted in a positive correlation (r=0.82, P <0.01). Theresults of multiple regression analyses indicated that SOC mediated the association between perceived stress anddepression, and the influence of perceived stress on depression was decreased by 16.0{\%}with in the sense of beingout of control dimension and was decreased by 12.3{\%} within the feeling of tension dimension when sense ofcoherence was added to the model. The structural equation model confirmed that the sense of coherence had apartial mediation effect between perceived stress and depression.Conclusion: SOC is the mediating variable between perceived stress and depression, and can reduce the influenceof perceived stress on depression.",
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author = "Li-Na Guo and Yan-Jin Liu and Jacqueline McCallum and Ulrika Soderhamn and Xian-Fei Ding and Su-Yuan Yv and Yi-Ru Zhu and Yv-Ru Guo",
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Perceived stress and depression amongst older stroke patients: sense of coherence as a mediator? / Guo, Li-Na; Liu, Yan-Jin; McCallum, Jacqueline; Soderhamn, Ulrika; Ding, Xian-Fei; Yv, Su-Yuan; Zhu, Yi-Ru; Guo, Yv-Ru.

In: Archives of Gerontology and Geriatrics, Vol. 79, 11.2018, p. 164-170.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Perceived stress and depression amongst older stroke patients: sense of coherence as a mediator?

AU - Guo, Li-Na

AU - Liu, Yan-Jin

AU - McCallum, Jacqueline

AU - Soderhamn, Ulrika

AU - Ding, Xian-Fei

AU - Yv, Su-Yuan

AU - Zhu, Yi-Ru

AU - Guo, Yv-Ru

N1 - Acceptance from webpage AAM: 12m embargo

PY - 2018/11

Y1 - 2018/11

N2 - Objective: This study aimed to explore the relationship between perceived stress, sense of coherence, and depressionamong older stroke patients.Methods: A demographic questionnaire, the Perceived Stress Scale (PSS), the Sense of Coherence Scale (SOC)and the Center for Epidemiologic Studies Depression Scale (CES-D) were distributed to 3000 older stroke patientsfrom Neurology wards in six large general hospitals, and 2907 individuals completed the survey. Dataanalysis consisted of correlation, multiple linear regression, and structural equation modeling.Results: The total score of the SOC and perceived stress showed a negative correlation (r=-0.80, P <0.01),the total SOC of coherence and depression also resulted in a negative correlation (r=-0.77, P <0.01), and thetotal score of the perceived stress and depression resulted in a positive correlation (r=0.82, P <0.01). Theresults of multiple regression analyses indicated that SOC mediated the association between perceived stress anddepression, and the influence of perceived stress on depression was decreased by 16.0%with in the sense of beingout of control dimension and was decreased by 12.3% within the feeling of tension dimension when sense ofcoherence was added to the model. The structural equation model confirmed that the sense of coherence had apartial mediation effect between perceived stress and depression.Conclusion: SOC is the mediating variable between perceived stress and depression, and can reduce the influenceof perceived stress on depression.

AB - Objective: This study aimed to explore the relationship between perceived stress, sense of coherence, and depressionamong older stroke patients.Methods: A demographic questionnaire, the Perceived Stress Scale (PSS), the Sense of Coherence Scale (SOC)and the Center for Epidemiologic Studies Depression Scale (CES-D) were distributed to 3000 older stroke patientsfrom Neurology wards in six large general hospitals, and 2907 individuals completed the survey. Dataanalysis consisted of correlation, multiple linear regression, and structural equation modeling.Results: The total score of the SOC and perceived stress showed a negative correlation (r=-0.80, P <0.01),the total SOC of coherence and depression also resulted in a negative correlation (r=-0.77, P <0.01), and thetotal score of the perceived stress and depression resulted in a positive correlation (r=0.82, P <0.01). Theresults of multiple regression analyses indicated that SOC mediated the association between perceived stress anddepression, and the influence of perceived stress on depression was decreased by 16.0%with in the sense of beingout of control dimension and was decreased by 12.3% within the feeling of tension dimension when sense ofcoherence was added to the model. The structural equation model confirmed that the sense of coherence had apartial mediation effect between perceived stress and depression.Conclusion: SOC is the mediating variable between perceived stress and depression, and can reduce the influenceof perceived stress on depression.

KW - older stroke patients

KW - sense of coherence

KW - perceived stress

KW - depression

KW - mediation effect

U2 - 10.1016/j.archger.2018.08.010

DO - 10.1016/j.archger.2018.08.010

M3 - Article

VL - 79

SP - 164

EP - 170

JO - Archives of Gerontology and Geriatrics

JF - Archives of Gerontology and Geriatrics

SN - 0167-4943

ER -