Evidence map›Paper›PMID 42553306›Full record

ArticleFrontiers in psychiatry2026

Illness perception, family resilience, and emotional distress among hospitalized older adults with multimorbidity in Xinjiang, China: a latent profile and mediation analysis.

Weilong Wang, Runjia Zhang, Jiaqi Deng, Yongle Pei, Zhengwei Luo, Qian Yu, Xuexia Yang, Shufeng Ren, Qianqian Jia, Xiaoxuan He and 3 more

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Article in Frontiers in psychiatry, 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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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

13 authors.

Weilong WangDepartment of Nursing, Xinjiang Medical University, Urumqi, Xinjiang, China.
Runjia ZhangDepartment of Nursing, Xinjiang Medical University, Urumqi, Xinjiang, China.
Jiaqi DengDepartment of Nursing, The Fourth Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, China.
Yongle PeiDepartment of Nursing, Xinjiang Medical University, Urumqi, Xinjiang, China.
Zhengwei LuoDepartment of Nursing, Xinjiang Medical University, Urumqi, Xinjiang, China.
Qian YuDepartment of Nursing, The Fourth Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, China.
Xuexia YangDepartment of Nursing, The Fourth Affiliated Hospital of Xinjiang Medical University, Urumqi, Xinjiang, China.
Shufeng RenDepartment of Nursing, Xinjiang Medical University, Urumqi, Xinjiang, China.
Qianqian JiaDepartment of Nursing, Xinjiang Medical University, Urumqi, Xinjiang, China.
Xiaoxuan HeDepartment of Nursing, Xinjiang Medical University, Urumqi, Xinjiang, China.
Jingwen CaiDepartment of Nursing, Xinjiang Medical University, Urumqi, Xinjiang, China.
Bo ZhangDepartment of Nursing, Xinjiang Medical University, Urumqi, Xinjiang, China.
Wen CaiDepartment of Nursing, Xinjiang Medical University, Urumqi, Xinjiang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Older adults with multimorbidity frequently encounter significant psychological challenges, with negative illness perception being a prevalent issue. Such perceptions can intensify emotional distress. Family resilience-the ability of a family system to adapt positively to adversity-plays a crucial role in alleviating negative emotions, including anxiety and depression. This study aimed to investigate the heterogeneity of illness perception among older patients with multimorbidity and to assess the mediating effect of family resilience on the relationship between illness perception and emotional distress. Materials and Methods: Between October 2025 and January 2026, 420 multimorbid older patients were recruited in three tertiary hospitals of Xinjiang Province. The evaluation was done based on the Brief Illness Perception Questionnaire, the Chinese version of the Family Resilience Assessment Scale, and the Hospital Anxiety and Depression Scale. The two methods of analysis were the latent profile analysis used to determine the unique patterns of illness perception and the bootstrap-based mediation analysis to determine whether family resilience mediates. Results: Three distinct illness perception profiles were identified: low (32.6%), moderate (47.6%), and high (19.8%) illness perceptions. Using the low illness perception group as the reference, family resilience showed a significant partial mediating effect between moderate illness perception and anxiety (indirect effect = 0.510, 95% Discussion: The results demonstrated heterogeneity in the perception of illness among older multimorbid patients, as a substantial percentage of the sample had moderate-to-high levels. Family resilience played a major partial mediating role between illness perception and emotional distress. The findings suggest the significance of shifting the clinical emphasis to the family system and integrating family resilience improvement as one of the psychological support measures for chronic patients.

Indexed as

emotional distressfamily resilienceillness perceptionlatent profile analysismediation analysismultimorbidity

Identifiers

PMID42553306
PMCPMC13433623

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.