Social participation, resilience, and coping tendency in a sample of stroke survivors: a multi-centre cross-sectional study in China.
Xuan Zhou, Ying Wang, Lanshu Zhou
PMID 38175146WHAT IT FOUND
Stroke survivors with higher resilience reported better social participation.
For those with low resilience, using positive coping strategies was linked to less frequent participation, not more. Assess resilience before targeting coping skills.
Key findings
01Higher resilience was independently associated with increased frequency of social participation, decreased restriction, and enhanced satisfaction.
02Resilience moderated the link between coping and participation: positive coping was associated with higher participation frequency only in those with high resilience; in those with low resilience, the association was inverse.
03Objective participation was low (mean frequency 21.80/100) and restricted (mean restriction 38.92/100), yet subjective satisfaction was moderate (mean 63.34/100).
STILL TO COME
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What it does not show
The cross-sectional design cannot establish causality or direction. The sample was drawn from rehabilitation hospitals, potentially biasing results toward those with more severe impairment or specific healthcare access. Data collection occurred during the COVID-19 pandemic, which likely restricted outdoor activities and social participation for all participants. The model explained only a small portion (8.3%) of the variance in social participation satisfaction, suggesting other unmeasured factors are important. Participants with cognitive impairment were excluded, so findings do not apply to that common stroke population.
Declared interests
The authors have no conflicts of interest to declare.
The easy way to misread this
Do not interpret the inverse relationship between positive coping and participation frequency in low-resilience patients as evidence that coping strategies are harmful. The study shows an association in a cross-sectional sample, not a causal effect of the intervention.