ArticleFrontiers in psychology2025
Type D personality and fear of progression among patients with first-ever stroke: the serial mediation role of perceived social support and intolerance of uncertainty.
Article in Frontiers in psychology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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8 authors.
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Abstract
Objective: Fear of progression (FoP) significantly impacts multidimensional health outcomes in stroke patients. Although Type D personality predicts FoP, mechanisms underlying the association between Type D personality and FoP remain poorly understood. This study aimed to investigate the impact of Type D personality on FoP in first-ever stroke patients and the serial mediation role of perceived social support (PSS) and intolerance of uncertainty (IU). Methods: This cross-sectional study employed convenience sampling to recruit 300 patients with first-ever stroke (228 males and 72 females; mean age 59.52 ± 12.72 years) from two tertiary hospitals in Yinchuan, China. Participants completed the following scales: the General Information Questionnaire, the 14-item Type D scale, the Multidimensional Scale of Perceived Social Support, the Intolerance of Uncertainty Scale-12, and the Fear of Progression Questionnaire-Short Form. SPSS 24.0 was used for Harman's single-factor test, descriptive statistics, Pearson correlation analysis, and regression analysis, with serial mediation role examined using the PROCESS macro v3.5. Results: Our results showed that: (1) the direct effect of Type D personality on FoP was significant. (2) PSS did not independently mediate the Type D personality-FoP relationship. (3) IU significantly mediated the Type D personality-FoP relationship. (4) PSS and IU demonstrated the significant serial mediation role between Type D personality and FoP. Conclusion: Type D personality exerted a direct effect on FoP among first-ever stroke patients. The serial mediation model demonstrated that enhancing PSS could reduce IU, thereby alleviating FoP. Interventions targeting PSS enhancement and IU reduction constitute a promising approach to mitigate FoP in these patients, despite Type D traits' inherent stability.
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