ArticleBMC psychology2023
Risk and protective factors for resilience among adolescents and young adults with beta-thalassemia major.
Article in BMC psychology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 11 citations in OpenAlex.
- Short Self-Assessment Questionnaire for Parents with Young Children on Caregiver Strengths and Strains: Development and Psychometric Properties of the Balance Scale.Journal of pediatrics. Clinical practice · 2026Article
- Effect of social perspectives in the relationship between suicidal ideation and depression among young women in slums of Kampala, Uganda.BMC psychiatry · 2025Article
- Factors affecting resilience in pregnant Lebanese women exposed to overlapping crises.BMC psychology · 2025Article
- Relationships between coping style, life events, and resilience among nurses in China: a cross-sectional study using structural equation modeling.BMC nursing · 2025Article
- Knowledge, attitudes, and practices regarding intrinsic capacity in the elderly population: A cross-sectional study in Shanghai, China.Scientific reports · 2025Article
- Factors contributing to anxiety in adolescents surviving thalassemia major in Indonesia.BMC pediatrics · 2025Article
- Resilience and social isolation in people living with HIV: a case study in Iran.BMC research notes · 2025Article
- The mediating role of hope in the relation between uncertainty and social support with self-management among patients with ESKD undergoing hemodialysis.BMC nephrology · 2024Article
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Authors and funding
4 authors at 2 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundResilience is the ability to overcome adversity in response to a potentially traumatic event. It can relieve people's discomfort and build personal capacity when facing a stressful situation such as beta thalassemia major. Resilience is a complex and multidimensional concept and is influenced by protective and risk factors. Therefore, the aims of the present study were to (1) investigate the relationship between protective (social support and hope) and risk (uncertainty and defensive coping) factors with resilience and (2) examine the mediating role of courageous coping between these protective and risk factors in resilience.
methodsThis descriptive-analytical study was performed on 312 adolescents and young adults with beta-thalassemia major aged 12-24 years; they were selected using purposeful sampling from two different outpatient thalassemia clinics in the south of Iran. Data were collected in a face-to-face survey using Zimmet Multidimensional Scale of Perceived Social Support, Herth Hope, Stewart Uncertainty in Illness scale, Jalowiec Coping, and Connor-Davidson resilience Scale from April 2022 to November 2022. The collected data were analyzed using descriptive tests, Pearson correlation, and a structural equation model.
resultsAccording to the main findings of mediation analysis, courageous coping partially mediated the relationship between social support and resilience [(β = 0.042; 95% BC CI (0.003, 0.131)] and fully mediated the relationship between hope and resilience [(β = 0.166; 95% BC CI (0.031, 0.348)]. In other cases, uncertainty and defensive coping had a direct and indirect effect on resilience, respectively.
conclusionBased on these results, health professionals and healthcare policymakers should consider this mediator in developing programs to improve resilience. Also, the use of courageous coping could modulate the effect of defensive coping on resilience. Therefore, teaching the use of courageous coping can play an important role in improving resilience.
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