Exploring the Mediating Effect of Hope Level between Resilience and Anxiety-Depression in Elderly Stroke Patients: a Mediation Model Analysis

XIE Yan; HE Chunyu; JIANG Xiaoqing; WANG Yue; YUAN Ling; ZHAO Yuanmei; ZHUO Zhen; TIAN Yurou

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Journal of Hunan Normal University(Medical Science) ›› 2026, Vol. 23 ›› Issue (1) : 222-227.

Exploring the Mediating Effect of Hope Level between Resilience and Anxiety-Depression in Elderly Stroke Patients: a Mediation Model Analysis

XIE Yan^1,2, HE Chunyu¹, JIANG Xiaoqing¹, WANG Yue¹, YUAN Ling¹, ZHAO Yuanmei¹, ZHUO Zhen¹, TIAN Yurou¹

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Abstract

Objective To investigate the mediating effect of hope level between resilience and anxiety-depression in elderly stroke patients, providing theoretical basis and practical pathways for psychological interventions. Methods A total of 221 elderly stroke patients were selected using convenience sampling from the First Affiliated Hospital of Chengdu Medical College between October 2024 and September 2025. Data were collected using the general information questionnaire, herth hope index (HHI), Connor-Davidson resilience scale-10(CD-RISC-10), and hospital anxiety and depression scale (HADS). Pearson correlation analysis was used to examine correlations among hope level, resilience, and anxiety-depression. The Process mediation model and Bootstrap method were employed to analyze and verify the mediating effects. Results The mean scores for the 221 elderly stroke patients were as follows: total hope level 33.63±3.52, resilience 24.37±6.90, and total anxiety-depression 12.78±7.70. Pearson correlation analysis revealed that hope level was moderately positively correlated with resilience (r=0.700, P<0.01) and moderately negatively correlated with anxiety-depression (r=-0.537, P<0.01). Resilience was also moderately negatively correlated with anxiety-depression (r=-0.661, P<0.01). Mediation effect analysis demonstrated that resilience had a direct effect on anxiety-depression (β=-0.624, 95%CI: -0.779~-0.469) and an indirect effect on anxiety-depression through the partial mediating role of hope level (β=-0.114, 95%CI: -0.205~-0.027), with the mediating effect accounting for 15.45% of the total effect. Conclusion Hope level partially mediates the relationship between resilience and anxiety-depression in elderly stroke patients. Clinical nursing interventions should focus on enhancing patients' resilience and hope levels to alleviate negative emotions and promote psychological rehabilitation.

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stroke / resilience / hope level / mediating effect / post-stroke depression

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XIE Yan, HE Chunyu, JIANG Xiaoqing, WANG Yue, YUAN Ling, ZHAO Yuanmei, ZHUO Zhen, TIAN Yurou. Exploring the Mediating Effect of Hope Level between Resilience and Anxiety-Depression in Elderly Stroke Patients: a Mediation Model Analysis[J]. Journal of Hunan Normal University(Medical Science). 2026, 23(1): 222-227

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