The Mediating Role of Psychological Resilience between Self-Esteem and Death Anxiety in Elderly Patients after PCI

Corresponding author: Wang Dong, wangpsy@163.com

DOI: 10.12201/bmr.202505.00008

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  Abstract: Objective To investigate the mediating role of psychological resilience between self-esteem and death anxiety in elderly patients after percutaneous coronary intervention (PCI). Methods A total of 188 elderly patients who underwent PCI at Beijing Chaoyang Hospital, Capital Medical University were recruited as participants. They were administered questionnaires including the Chinese version of Rosenberg Self-Esteem Scale (self-esteem scale, SES), the Connor-Davidson Resilience Scale (Connor-Davidson resilience scale, CD-RISC), and the Chinese version of the Five-Level Death Anxiety Scale (The Chinese version of Templers Death Anxiety Scale, CT-DAS). Results The death anxiety score of elderly patients after PCI was (46.87 ± 9.38) points, the self-esteem score was (27.37 ± 4.38) points, and the psychological resilience score was (68.26 ± 15.19) points. Pearson correlation analysis revealed that self-esteem was significantly positively correlated with psychological resilience, while both self-esteem and psychological resilience were significantly negatively correlated with death anxiety (P < 0.01). The partial mediating effect of psychological resilience between self-esteem and death anxiety was -0.104, accounting for 35.7% of the mediating effect. Psychological resilience could effectively explain 35.7% of the variance in death anxiety. Conclusion Self-esteem has a significant impact on death anxiety in elderly patients after PCI, and psychological resilience plays a partial mediating role in the relationship between self-esteem and death anxiety. Psychological interventions can be implemented to enhance patients self-esteem and psychological resilience, thereby alleviating death anxiety and aiding in their better recovery and quality of life.

  Key words: Selderly; post-PCI; death anxiety; self-esteem; psychological resilience

  Submit time: 12 May 2025

  Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
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  1	2025-03-29	10.12201/bmr.202505.00008V1	Download

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