Mediating effects of social detachment in young and middle-aged stroke patients between stigma and ability to return to work

ObjectiveTo investigate the mediating effect of social isolation on the relationship between stigma and work ability in young and middle-aged stroke patients.MethodsFrom May 2022 to May 2024, a survey was conducted on young and middle-aged stroke patients visiting the neurology department of a terti...

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Main Authors: Jinping Dong, Xueying Ding, Yating Wen, Shujie Sun, Jingliang Wu, Jianhua Wang, Yang Fan, Guojing Hu, Zhang Xin, Jiayin Li, Xiaoyan Sun
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2025.1474345/full
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author Jinping Dong
Xueying Ding
Yating Wen
Shujie Sun
Jingliang Wu
Jianhua Wang
Yang Fan
Guojing Hu
Zhang Xin
Jiayin Li
Xiaoyan Sun
author_facet Jinping Dong
Xueying Ding
Yating Wen
Shujie Sun
Jingliang Wu
Jianhua Wang
Yang Fan
Guojing Hu
Zhang Xin
Jiayin Li
Xiaoyan Sun
author_sort Jinping Dong
collection DOAJ
description ObjectiveTo investigate the mediating effect of social isolation on the relationship between stigma and work ability in young and middle-aged stroke patients.MethodsFrom May 2022 to May 2024, a survey was conducted on young and middle-aged stroke patients visiting the neurology department of a tertiary hospital in Weifang. The survey utilized the General Information Questionnaire, the Rankin Scale, the General Isolation Scale, the Stigma Scale for Stroke Patients, and the Work Ability Scale.ResultsThe scores for work ability, social isolation, and stigma among young and middle-aged stroke patients were 44.23 ± 12.72, 46.27 ± 5.17, and 43.37 ± 4.48, respectively. There was a positive correlation between stigma and social isolation scores (r = 0.550, P < 0.01), and a negative correlation between stigma and work ability scores (r = −0.371, P < 0.01). Social isolation was negatively correlated with work ability (r = −0.418, P < 0.01). Multiple linear stepwise regression analysis indicated that stroke type, duration of illness, mRS score, stigma, and social isolation are significant factors affecting work ability in young and middle-aged stroke patients. Social isolation significantly mediated the relationship between stigma and work ability, accounting for 21.66% of the total effect.ConclusionStigma and social isolation can directly predict the level of work ability in young and middle-aged stroke patients. Additionally, stigma can indirectly influence work ability through social isolation.
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spelling doaj-art-ec4cd8526e024ec08d0583c876455a292025-01-17T05:10:44ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-01-011310.3389/fpubh.2025.14743451474345Mediating effects of social detachment in young and middle-aged stroke patients between stigma and ability to return to workJinping Dong0Xueying Ding1Yating Wen2Shujie Sun3Jingliang Wu4Jianhua Wang5Yang Fan6Guojing Hu7Zhang Xin8Jiayin Li9Xiaoyan Sun10Medical College, Weifang University of Science and Technology, Weifang, ChinaMedical College, Weifang University of Science and Technology, Weifang, ChinaNeurosurgery Department of Weifang People's Hospital, Weifang, ChinaMedical College, Weifang University of Science and Technology, Weifang, ChinaMedical College, Weifang University of Science and Technology, Weifang, ChinaMedical College, Weifang University of Science and Technology, Weifang, ChinaMedical College, Weifang University of Science and Technology, Weifang, ChinaMedical College, Weifang University of Science and Technology, Weifang, ChinaMedical College, Weifang University of Science and Technology, Weifang, ChinaMedical College, Weifang University of Science and Technology, Weifang, ChinaNeurosurgery Department of Weifang People's Hospital, Weifang, ChinaObjectiveTo investigate the mediating effect of social isolation on the relationship between stigma and work ability in young and middle-aged stroke patients.MethodsFrom May 2022 to May 2024, a survey was conducted on young and middle-aged stroke patients visiting the neurology department of a tertiary hospital in Weifang. The survey utilized the General Information Questionnaire, the Rankin Scale, the General Isolation Scale, the Stigma Scale for Stroke Patients, and the Work Ability Scale.ResultsThe scores for work ability, social isolation, and stigma among young and middle-aged stroke patients were 44.23 ± 12.72, 46.27 ± 5.17, and 43.37 ± 4.48, respectively. There was a positive correlation between stigma and social isolation scores (r = 0.550, P < 0.01), and a negative correlation between stigma and work ability scores (r = −0.371, P < 0.01). Social isolation was negatively correlated with work ability (r = −0.418, P < 0.01). Multiple linear stepwise regression analysis indicated that stroke type, duration of illness, mRS score, stigma, and social isolation are significant factors affecting work ability in young and middle-aged stroke patients. Social isolation significantly mediated the relationship between stigma and work ability, accounting for 21.66% of the total effect.ConclusionStigma and social isolation can directly predict the level of work ability in young and middle-aged stroke patients. Additionally, stigma can indirectly influence work ability through social isolation.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1474345/fullyoung and middle-agedstrokework abilitysocial Isolationmediation model
spellingShingle Jinping Dong
Xueying Ding
Yating Wen
Shujie Sun
Jingliang Wu
Jianhua Wang
Yang Fan
Guojing Hu
Zhang Xin
Jiayin Li
Xiaoyan Sun
Mediating effects of social detachment in young and middle-aged stroke patients between stigma and ability to return to work
Frontiers in Public Health
young and middle-aged
stroke
work ability
social Isolation
mediation model
title Mediating effects of social detachment in young and middle-aged stroke patients between stigma and ability to return to work
title_full Mediating effects of social detachment in young and middle-aged stroke patients between stigma and ability to return to work
title_fullStr Mediating effects of social detachment in young and middle-aged stroke patients between stigma and ability to return to work
title_full_unstemmed Mediating effects of social detachment in young and middle-aged stroke patients between stigma and ability to return to work
title_short Mediating effects of social detachment in young and middle-aged stroke patients between stigma and ability to return to work
title_sort mediating effects of social detachment in young and middle aged stroke patients between stigma and ability to return to work
topic young and middle-aged
stroke
work ability
social Isolation
mediation model
url https://www.frontiersin.org/articles/10.3389/fpubh.2025.1474345/full
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