Mediating effect of coping style and self-concealment on the relationship between type D personality on social isolation among elderly patients with coronary heart disease

LIU Mengqi; HE Pingping; WANG Ping; TIAN Dandan; LIU Yating; ZHANG yingqun

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Journal of Hunan Normal University(Medical Science) ›› 2023, Vol. 20 ›› Issue (6) : 157-162.

Mediating effect of coping style and self-concealment on the relationship between type D personality on social isolation among elderly patients with coronary heart disease

LIU Mengqi¹, HE Pingping², WANG Ping³, TIAN Dandan¹, LIU Yating¹, ZHANG yingqun¹

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Objective To explore the relationship between type D personality, social isolation, coping style and self-concealment among elderly patients with coronary heart disease. Methods A total of 322 elderly patients with coronary heart disease in three grade A tertiary general hospital in Hunan were selected as subjects. Patient were surveyed using the General Alienation Scale (GAS), the Type D personality scale (DS-14), the Medical Coping Modes Questionnaire (MCMQ) and the Self‐Concealment Scale (SCS). Results The sample scored (39.69±11.20) on social isolation, (24.17±9.49) on type D personality, (15.76±5.81) on confrontation coping, (16.02±6.42) on avoidance coping, (10.74±3.81) on submission coping and (34.80±10.26) on self-concealment. There was positively correlation between social isolation, type D personality, avoidance coping, submission coping and self-concealment, while confrontation coping was negatively correlated with any of the other variables. The results of the mediating test showed that the type D personality in elderly patients with coronary heart disease directly and positively predict the social isolation, and indirectly affect separately through confrontation coping, avoidance coping, submission coping as well as self-concealment. Social isolation also could indirectly influenced type D personality through the chain mediating effect of avoidance coping and self-concealment. The total mediating effect accounted for 60.67% of the total effect. Conclusion Social isolation in elderly patients with coronary heart disease was in moderately high levels. Coping style and self-concealment play a partial mediating role between type D personality and social isolation. Medical staffs can improve the level of social isolation in elderly patients with coronary heart disease through the perspectives of changing patients' type D personality, guiding patients to adopt positive coping styles, and reducing patients' self-concealment.

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LIU Mengqi, HE Pingping, WANG Ping, TIAN Dandan, LIU Yating, ZHANG yingqun. Mediating effect of coping style and self-concealment on the relationship between type D personality on social isolation among elderly patients with coronary heart disease[J]. Journal of Hunan Normal University(Medical Science). 2023, 20(6): 157-162

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