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Journal of Nursing ›› 2021, Vol. 28 ›› Issue (8): 72-76.doi: 10.16460/j.issn1008-9969.2021.08.072

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Medicating Effect of Anhedonia on Self-compassion and Post-traumatic Stress Disorder in Elderly Stroke Patients

GUO Ya-juan1, LIU Li-shuang1, HUO Juan-juan1, ZHANG Hui1, WANG Yong-jun2   

  1. 1.Neurological Rehabilitation Center, Beijing Rehabilitation Hospital Affiliated to Capital Medical University, Beijing 100144, China;
    2.Dept. of Neurology, Beijing Tiantan Hospital Affiliated to Capital Medical University, Beijing 100070,China
  • Received:2020-07-29 Online:2021-04-25 Published:2021-05-12

Abstract: Objective To investigate the correlation among physical anhedonia, social anhedonia, self-compassion and post-traumatic stress disorder in elderly patients with stroke. Methods Totally 185 elderly stroke patients admitted to our hospital were surveyed for information of physical anhedonia, social anhedonia, self-compassion and post-traumatic stress disorder. Pearson correlation analysis was used to analyze their correlation and structural equation model to analyze the mediating effect of physical and social anhedonia on self-compassion and post-traumatic stress disorder. Results The score of physical anhedonia, social anhedonia, self-compassion and post-traumatic stress disorder was 44.29±3.24, 28.57±3.13, 84.29±6.45 and 60.74±6.23 respectively in elderly stroke patients. Physical and social anhedonia were negatively correlated with self-compassion(r=-0.452,-0.415, P<0.01) but positively with post-traumatic stress disorder (r=0.411,0.382, P<0.01). Self-compassion was negatively correlated with post-traumatic stress disorder (r=-0.415, P<0.01). Physical and social anhedonia had a mediating effect on self-compassion and post-traumatic stress disorder (P<0.05), with mediating effect of -0.082 and -0.069 respectively, accounting for 13.89% and 11.69% of the total effects. Conclusion Self-compassion in elderly stroke patients is in general level. The higher the level of self-compassion in elderly stroke patients, the lower the post-traumatic stress disorder. Physical anhedonia and anhedonia have a mediating effect on self-compassion and post-traumatic stress disorder.

Key words: stroke, elderly patient, anhedonia, self-compassion, post-traumatic stress disorder, medicating effect

CLC Number: 

  • R471
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