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Research Article: Chain mediation model of consultation empathy, resilience and resignation coping on depression: a cross-sectional study among patients with COVID-19 in China

Date Published: 2023-11-08

Abstract:
Objectives This study aimed to explore the mediating role of resilience and resignation coping in the relationship between consultation empathy and depression in patients with COVID-19. Design Cross-sectional study. Setting Participants were recruited from a tertiary hospital in Guangzhou, Guangdong province. Participants A total of 215 patients were recruited for this study. Outcome measures A total of 215 patients completed the Consultation and Relational Empathy Measure, Connor-Davidson Resilience Scale, Medical Coping Modes Questionnaire and Hospital Anxiety and Depression Scale. PROCESS 4.1 model 6 was used to analyse the moderated mediating effects. Results Consultation empathy had a positive correlation with resilience (r=0.34, p<0.001), and a negative correlation with resignation (r=?0.288, p<0.001) and depression (r=?0.379, p<0.001). Resilience had a negative correlation with resignation (r=?0.463, p<0.001) and depression (r=?0.605, p<0.001). Resignation had a positive correlation (r=0.547, p<0.001) with depression. In the moderated mediating model, consultation empathy had significant indirect predictive effects on depression through resilience (95% CI ?0.093 to –0.030) or resignation (95% CI ?0.043 to –0.005). Consultation empathy had significant indirect predictive effects on depression through both resilience and resignation (95%?CI ?0.030 to –0.008). Conclusions Consultation empathy not only predicted depression directly, but also indirectly predicted depression through the chain mediating effects of resilience and resignation coping.

Introduction:
Since the emergence of the novel coronavirus SARS-CoV-2 in 2019, designated as COVID-19, it has posed a serious threat to public health around the world. The WHO estimates that as of 10 August 2023, there were more than 769?million confirmed illnesses and more than 6.9?million documented deaths globally. 1 COVID-19 can be divided into asymptomatic infection, mild disease, normal type and severe type. 2 There is an increasing consensus that this pandemic can significantly burden the psychological health of affected…

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