The chain mediating role of social support and coping strategy: Type D personality and psychological distress among Chinese COPD patients

Chunyu Wang; Dandan Liao; Xiangjun Yang; Tingting Fu; Jin Yan; Chenjuan Ma

doi:10.1016/j.gerinurse.2024.12.036

The chain mediating role of social support and coping strategy: Type D personality and psychological distress among Chinese COPD patients

Geriatr Nurs. 2025 Jan 10;62(Pt A):1-6. doi: 10.1016/j.gerinurse.2024.12.036. Online ahead of print.

Authors

Chunyu Wang¹, Dandan Liao², Xiangjun Yang³, Tingting Fu², Jin Yan², Chenjuan Ma⁴

Affiliations

¹ School of Nursing, University of California, Los Angeles, CA, USA. Electronic address: wangchuny1227@gmail.com.
² The Third Xiangya Hospital of Central South University, Department of Nursing, Changsha, Hunan, PR China.
³ Xiangya Nursing School, Central South University, Changsha, Hunan, PR China.
⁴ New York University Rory Meyers College of Nursing, New York, NY, USA.

PMID: 39798406
DOI: 10.1016/j.gerinurse.2024.12.036

Abstract

This study examines how coping strategies and social support mediate the relationship between type D personality and psychological distress in COPD patients. A sample of 351 patients completed surveys on demographics, psychological distress (Kessler Psychological Distress Scale), social support (Social Support Self-Rating Scale), coping strategies (Chinese version of Medical Coping Modes Questionnaire), and type D personality (Type D Personality Scale). Using structural equation modeling (SEM) via AMOS 23.0 and SPSS, results showed that confrontation and acceptance-resignation coping strategies, as well as type D personality, were positively correlated with psychological distress, while social support was negatively correlated. SEM estimates revealed a chain mediating effect of social support and coping strategies between type D personality and psychological distress. Enhancing social support and coping strategies is crucial for reducing psychological distress, especially in COPD patients with type D personality.

Keywords: Coping strategy; Mediator; Psychological distress; Social support; Type D personality.