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Impact of gratitude on posttraumatic growth in patients with coronary stent implantation

The mediating role of resilience and perceived social support

Bibliographic Data

ID22091237
AuthorsShanyan Lei (First Affiliated Hospital Zhejiang University), Yujie Zhang (0000-0001-6480-4268, Zhejiang Chinese Medical University), Fang Yang (0000-0003-0696-6650, Zhejiang Chinese Medical University, corresponding author)
Year2025
Volume13
Pages1513861-1513861
Publication date2025-01-23
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2025.1513861
PMID39916708
OpenAlexW4406777679
LanguageEN
References cited65

Introduction This study focused on investigating the extent of posttraumatic growth (PTG) and explored how resilience and perceived social support (PSS) mediate the relationship between gratitude and PTG among patients with a history of coronary stent implantation. Methods A total of 242 patients with coronary stent implantation completed the Posttraumatic Growth Inventory, the Gratitude Questionnaire-Six Item Form, the Resilience Scale, and the Perceived Social Support Scale. We used structural equation modeling to evaluate the mediating effects of resilience and PSS on gratitude and PTG. Results The mean score for posttraumatic growth was 55.54 (standard deviation = 15.01). Gratitude had a direct positive effect on PTG in patients with coronary stents ( β = 0.126) and an indirect positive effect through the mediating effects of resilience and PSS ( β = 0.105 and 0.081, respectively). Furthermore, resilience and PSS acted through serial multiple mediation effects in the relationship between gratitude and PTG. Discussion Gratitude positively affected PTG directly and indirectly through the single-and chain-mediating effects of resilience and PSS in patients with coronary stent implantation. These findings offer compelling evidence of the key interrelating mechanisms among protective factors that contribute to PTG. Therefore, accounting for the predictive influence of gratitude, resilience, and PSS in PTG when developing relevant intervention strategies may help improve patients’ quality of life

Gratitude · Mediation · Posttraumatic growth · Psychological resilience · Social support · Structural equation modeling · Clinical Psychology · Materials Science · Medicine · Posttraumatic Stress Disorder Research · Psychological Well-being and Life Satisfaction · Psychology · Resilience and Mental Health · Social Psychology

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