Family risk factors, dyadic coping, and family resilience in young stroke dyads: an actor-partner interdependence mediation model - Report - MDSpire

Family risk factors, dyadic coping, and family resilience in young stroke dyads: an actor-partner interdependence mediation model

  • By

  • Lili Zhu

  • Hui Han

  • Huijuan Wang

  • Jiaru Xie

  • Xue Cheng

  • Wanyin Song

  • Lei Huang

  • Hua Zhang

  • June 5, 2026

  • 0 min

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Clinical Report: Influence of Family Risk Factors and Dyadic Coping on Resilience

Overview

Revise to clarify the role of dyadic coping as a mediator and its interaction with anxiety and depression.

Background

Expand on the psychosocial stressors faced by families of young stroke patients.

Data Highlights

VariableEffectP-value
Anxiety (Actor Effect)β = –0.4790.002
Depression (Actor Effect)β = –0.718< 0.001
ADL (Actor Effect)β = 0.175< 0.001
ADL (Partner Effect)β = 0.198< 0.001
Dyadic Coping (Indirect Effect for Anxiety)β = –0.13995% CI [–0.261, –0.029]
Dyadic Coping (Indirect Effect for Depression)β = –0.19095% CI [–0.321, –0.084]

Key Findings

  • Family resilience is significantly influenced by both patients' and spouses' anxiety and depression.
  • Activities of daily living (ADL) positively impact family resilience in young stroke couples.
  • Dyadic coping serves as a mediator between familial risk factors and family resilience.
  • Actor-partner interdependence model effectively captures the dynamics between patients and spouses.
  • Interventions should target couples as a unit to enhance resilience and mitigate biases.

Clinical Implications

Healthcare providers should consider the psychological well-being of both stroke patients and their spouses when developing treatment plans. Interventions that enhance dyadic coping may improve family resilience and overall health outcomes for young stroke couples.

Conclusion

This study highlights the importance of dyadic coping in fostering family resilience among young stroke couples, suggesting that interventions should focus on the couple as a unit to effectively address their shared challenges.

Related Resources & Content

  1. Frontiers in Cardiovascular Medicine, 2026 -- Dyadic coping experiences of young and middle-aged patients undergoing PCI for coronary heart disease and their spouses during the perioperative period: a qualitative study
  2. Frontiers in Neurology, 2026 -- Psychological resilience and functional recovery after acute ischemic stroke: a prospective cohort study
  3. Critical Care (Springer), 2026 -- Impact of early mobilization on long-term dyadic mental health after critical illness
  4. Recommendations | Stroke rehabilitation in adults | Guidance | NICE, 2023
  5. Frontiers in Psychiatry — Associations between parenting styles and depressive symptoms in college students: a sequential mediation model and a preliminary randomized study
  6. NICE Stroke Rehabilitation Guidelines
  7. Checking your browser - reCAPTCHA

Original Source(s)

Family risk factors, dyadic coping, and family resilience in young stroke dyads: an actor-partner interdependence mediation model

  • by Lili Zhu, Hui Han, Huijuan Wang, Jiaru Xie, Xue Cheng, Wanyin Song, Lei Huang, Hua Zhang

  • June 5, 2026

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