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

Exploring Illness Perception, Family Resilience, and Emotional Distress in Hospitalized Older Adults with Multimorbidity in Xinjiang, China: A Latent Profile and Mediation Study

  • By

  • Weilong Wang

  • Runjia Zhang

  • Jiaqi Deng

  • Yongle Pei

  • Zhengwei Luo

  • Qian Yu

  • Xuexia Yang

  • Shufeng Ren

  • Qianqian Jia

  • Xiaoxuan He

  • Jingwen Cai

  • Bo Zhang

  • Wen Cai

  • July 21, 2026

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Clinical Report: Exploring Illness Perception and Family Resilience in Older Adults

Overview

This study identifies distinct illness perception profiles among hospitalized older adults with multimorbidity and highlights the mediating role of family resilience in the relationship between illness perception and emotional distress.

Background

Older adults with multimorbidity often face significant psychological challenges, including anxiety and depression. Understanding the factors that contribute to emotional distress, such as illness perception and family resilience, is crucial for this population.

Data Highlights

Illness Perception ProfilePercentage
Low32.6%
Moderate47.6%
High19.8%

Key Findings

  • Three distinct illness perception profiles identified: low (32.6%), moderate (47.6%), and high (19.8%).
  • Family resilience partially mediates the relationship between moderate illness perception and anxiety (indirect effect = 0.510).
  • Family resilience also mediates the relationship between moderate illness perception and depression (indirect effect = 0.450).
  • High illness perception correlates with increased anxiety (indirect effect = 1.263) and depression (indirect effect = 1.114).
  • Significant emotional distress is prevalent among older adults with multimorbidity.

Clinical Implications

The findings highlight the importance of assessing family resilience in older adults with multimorbidity.

Conclusion

This study identifies the heterogeneity of illness perception among older adults with multimorbidity and the role of family resilience in the relationship with emotional distress.

Related Resources & Content

  1. Frontiers in Psychiatry, 2026 -- Latent profile analysis of depressive symptoms among Chinese older adults with disabilities and associated factors
  2. DIGITAL HEALTH, 2026 -- Factors associated with healthy lifestyles in Chinese older adults with chronic conditions
  3. BMC Psychiatry, 2026 -- A Transparent Machine Learning Approach for Forecasting Depressive Symptoms in Elderly Chinese Individuals with Chronic Illnesses
  4. Frontiers in Psychiatry, 2026 -- Stigma and quality of life in hospitalized schizophrenia patient-family caregiver dyads in Northern China
  5. WHO, 2025 -- Integrated care for older people (ICOPE): guidance for person-centred assessment and pathways in primary care, 2nd ed
  6. Integrated care for older people (‎ICOPE)‎: guidance for person-centred assessment and pathways in primary care, 2nd ed
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  8. https://academic.oup.com/aje/article/194/10/3041/8196630

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