ArticleFrontiers in psychology2026
Facilitators to and experience of psychological resilience during disease response among people with diabetes: a mixed-methods study using resilience framework.
Article in Frontiers in psychology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: In people with diabetes, strong psychological resilience can help them effectively adapt to the lifestyle changes and emotional fluctuations caused by the disease. Integrating quantitative research (identifying key factors and their statistical associations) and qualitative research (exploring in-depth individual experiences) can provide a more comprehensive understanding of resilience facilitators, which has important implications for integrating resilience interventions into future psychological care practices. Objective: Informed by the resilience framework, this study elucidates the factors contributing to the development of a positive level of psychological resilience and examines how/why people responded to diabetes. Design: Convergent mixed-methods study with a phenomenological qualitative component. Methods: This mixed-methods study combined a cross-sectional survey ( Results: A total of 290 people with diabetes completed the survey questionnaires, and 15 completed an interview. From the environmental context, social support (β = 0.34, Conclusions: Optimizing resilience facilitators while addressing barriers is likely to be associated with higher psychological resilience in diabetes patients. Key findings demonstrate the importance of expanding social support networks and promoting resources access, empowering patients through positive mindset building and cognitive reappraisal techniques (e.g., humor coping, benefit-finding), and implementing motivational strategies anchored in altruism (e.g., family health goals). The study particularly underscores the need to differentiate adaptive acceptance from passive surrender in coping processes. In clinical and psychological practice, dynamic monitoring tools should be integrated to quantify the dual effects of acceptance coping and track the bidirectional reinforcement cycle between resilience and self-efficacy. Systematically incorporating these strategies into chronic disease health education and psychological interventions may be beneficial for both mental health and disease management.
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