Analysis of the actor-partner interdependence mediation model for self-disclosure between social support and benefit finding among stroke patients and their caregivers
- 1Department of Nursing, The Affiliated Lianyungang Hospital of Xuzhou Medical University , ,
- 2Department of Neurosurgery, The Affiliated Lianyungang Hospital of Xuzhou Medical University , ,
- 3Department of Neurocritical Care, The Affiliated Lianyungang Hospital of Xuzhou Medical University , ,
Abstract
Objective: Stroke is an acute, sudden-onset condition that constitutes an acute stressful event for both patients and caregivers, exerting a significant psychological impact. Based on the actor-partner interdependence mediating model, this study examines the influence of social support on benefit finding among stroke patients and their caregivers and investigates whether self-disclosure mediates this relationship.
Methods: This study is a cross-sectional study. Using convenience sampling, 278 pairs of stroke patients and their caregivers were selected from a Grade III Level A hospital in Lianyungang City, Jiangsu Province, China, as the study subjects. The assessment tools included a general information questionnaire, the Social Support Rating Scale, the Distress Disclosure Index, and the Benefit Finding Scale. Data analysis was performed using SPSS 27.0 and Mplus 8.3 software, and a 95% confidence interval for the indirect path was estimated using bootstrap resampling with 5,000 repetitions to correct for bias.
Results: Regarding actor effects, the indirect paths from patients’ and caregivers’ own social support to benefit finding via self-disclosure were both statistically significant ( β = 0.106, 95% CI = 0.055–0.156; β = 0.072, 95% CI = 0.029–0.115) Regarding the partner effect, the indirect path from the caregivers’ social support to the patients’ benefit finding via the patients’ self-disclosure was statistically significant ( β = 0.058, 95% CI = 0.015–0.102).
Conclusion: The results indicate an actor-partner interdependence mediating effect among social support, self-disclosure, and benefit finding among stroke patients and their caregivers. This provides support for enhancing benefit finding among stroke patients and their caregivers; healthcare professionals can facilitate this by expanding the social support networks of patients and caregivers and encouraging them to express their inner thoughts, thereby enhancing benefit finding during the course of treatment.
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BibTeX
@article{zhu2026analysis,
title = {{Analysis of the actor-partner interdependence mediation model for self-disclosure between social support and benefit finding among stroke patients and their caregivers}},
author = {Susu Zhu and Ning Ban and Xiao Miao and Meng Guo and Liang Ma},
journal = {Frontiers in public health},
year = {2026},
month = oct,
doi = {10.3389/fpubh.2026.1890113},
url = {https://europepmc.org/article/PMC/PMC13671958},
note = {CC BY},
}
RIS
TY - JOUR
TI - Analysis of the actor-partner interdependence mediation model for self-disclosure between social support and benefit finding among stroke patients and their caregivers
AU - Susu Zhu
AU - Ning Ban
AU - Xiao Miao
AU - Meng Guo
AU - Liang Ma
PY - 2026
DA - 2026/10/02
JO - Frontiers in public health
DO - 10.3389/fpubh.2026.1890113
UR - https://europepmc.org/article/PMC/PMC13671958
AB - Objective: Stroke is an acute, sudden-onset condition that constitutes an acute stressful event for both patients and caregivers, exerting a significant psychological impact. Based on the actor-partner interdependence mediating model, this study examines the influence of social support on benefit finding among stroke patients and their caregivers and investigates whether self-disclosure mediates this relationship. Methods: This study is a cross-sectional study. Using convenience sampling, 278 pairs of stroke patients and their caregivers were selected from a Grade III Level A hospital in Lianyungang City, Jiangsu Province, China, as the study subjects. The assessment tools included a general information questionnaire, the Social Support Rating Scale, the Distress Disclosure Index, and the Benefit Finding Scale. Data analysis was performed using SPSS 27.0 and Mplus 8.3 software, and a 95% confidence interval for the indirect path was estimated using bootstrap resampling with 5,000 repetitions to correct for bias. Results: Regarding actor effects, the indirect paths from patients’ and caregivers’ own social support to benefit finding via self-disclosure were both statistically significant ( β = 0.106, 95% CI = 0.055–0.156; β = 0.072, 95% CI = 0.029–0.115) Regarding the partner effect, the indirect path from the caregivers’ social support to the patients’ benefit finding via the patients’ self-disclosure was statistically significant ( β = 0.058, 95% CI = 0.015–0.102). Conclusion: The results indicate an actor-partner interdependence mediating effect among social support, self-disclosure, and benefit finding among stroke patients and their caregivers. This provides support for enhancing benefit finding among stroke patients and their caregivers; healthcare professionals can facilitate this by expanding the social support networks of patients and caregivers and encouraging them to express their inner thoughts, thereby enhancing benefit finding during the course of treatment.
SN - 2296-2565
ER -