Chain mediating role of psychological resilience and illness perception between perceived social support and fear of disease progression in young and middle-aged patients with inflammatory bowel disease
PAN Meng
WANG You-fang
ZHANG Yue-qi
XIANG Xuan
YU Lu
Abstract：Objective To explore the chain mediating role of psychological resilience and illness perception in the relationship between perceived social support and fear of disease progression among young and middle-aged patients with inflammatory bowel disease(IBD),and to provide a theoretical basis for reducing fear of disease progression in this population.Methods A cross-sectional survey was conducted between January and July 2024 among young and middle-aged IBD patients from two tertiary hospitals in Guangzhou.Data were collected using a general demographic question-naire,the Fear of Progression Questionnaire-Short Form(FoP-Q-SF),Brief Resilience Scale(BRS),Brief Illness Perception Questionnaire(BIPQ),and the Perceived Social Support Scale(PSSS).SPSS and the Bootstrap method were used to construct and test a chain mediation model.Results Fear of disease progression was significantly correlated with psychological resilience,illness perception,and perceived social support(P＜0.05).Mediation analysis revealed that psychological resilience and illness perception played a significant chain mediating role between perceived social support and fear of disease progression.The total indirect effect was-0.346,with psychological resilience accounting for 33.24％,illness perception for 41.91％,and the combined chain mediation accounting for 24.85％of the total indirect effect.Conclusion Perceived social support significantly influences fear of disease progression in young and middle-aged IBD patients.Psychological resilience and illness perception serve as key chain mediators in this relationship.Inter-ventions should focus on enhancing multi-dimensional social support systems to improve resilience and correct maladap-tive illness perceptions,thereby alleviating fear of disease progression.
Keywords：inflammatory bowel diseasefear of disease progressionperceived social supportpsychological silienceillness perceptionchain mediation
Publication Date：2025-05-15
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 753-758 )