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Aim <p>To explore the structural relationships among perceived social support, self-efficacy, coping styles, and resilience in older patients with Parkinson’s disease (PD).</p> Methods <p>This study is a cross-sectional study. A total of 220 older patients with PD were recruited from hospitals in China using convenience sampling. Patients completed a standardized questionnaire. Structural equation modeling (SEM) was employed to test the hypothesized relationships.</p> Results <p>The resilience of older patients with PD was at a moderately low level. SEM results indicated that resilience was positively associated with perceived social support, confrontation coping, and self-efficacy, and negatively correlated with acceptance-resignation coping. Confrontation coping and self-efficacy partially mediated the relationship between perceived social support and resilience. A significant serial mediation effect (confrontation coping→self-efficacy) was also observed.</p> Conclusions <p>Confrontation coping and self-efficacy are key mechanisms linking perceived social support to resilience. Interventions targeting confrontation coping strategies and enhancing self-efficacy may improve resilience among older patients with PD.</p>

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Relationships between perceived social support, self-efficacy, coping styles and resilience in older patients with Parkinson’s disease

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年5月30日

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  • Zihan Lin,
  • Yuwen Fan,
  • Mengqian Wu,
  • Fang Wang,
  • Kaijun Han,
  • Yan Wang,
  • Yingying Zhang,
  • Lu Chen

摘要

Aim

To explore the structural relationships among perceived social support, self-efficacy, coping styles, and resilience in older patients with Parkinson’s disease (PD).

Methods

This study is a cross-sectional study. A total of 220 older patients with PD were recruited from hospitals in China using convenience sampling. Patients completed a standardized questionnaire. Structural equation modeling (SEM) was employed to test the hypothesized relationships.

Results

The resilience of older patients with PD was at a moderately low level. SEM results indicated that resilience was positively associated with perceived social support, confrontation coping, and self-efficacy, and negatively correlated with acceptance-resignation coping. Confrontation coping and self-efficacy partially mediated the relationship between perceived social support and resilience. A significant serial mediation effect (confrontation coping→self-efficacy) was also observed.

Conclusions

Confrontation coping and self-efficacy are key mechanisms linking perceived social support to resilience. Interventions targeting confrontation coping strategies and enhancing self-efficacy may improve resilience among older patients with PD.