Mediating effects of coping styles on the relationship between family resilience and self-care status of adolescents with epilepsy transitioning to adult healthcare: A cross-sectional study in China

Published:November 26, 2021DOI:


      • The sample included 1238 adolescent patients with epilepsy from 9 hospitals in China.
      • The score of family resilience, coping styles, and self-care status are presented.
      • Family resilience was positively correlated with Self-care for adolescents with epilepsy.
      • The coping styles is positively correlated with the total score of self-care.
      • The family function and coping styles of adolescents are stressed in transitional care.



      This study aimed to explore the relationship between family resilience, coping styles, and self-care among Chinese adolescents with epilepsy.

      Design and methods

      A total of 1238 adolescents with epilepsy in nine tertiary hospitals in China participated in a cross-sectional survey conducted from May 2018 to March 2020. Structural equation modeling was used to analyze the mediating effect.


      The total scores for family resilience and coping styles were positively correlated with the total self-care status score of adolescents with epilepsy during their transition (r = 0.209, 0.202, P < 0.01). Family resilience was positively correlated with coping style (r = 0.450, P < 0.01). The modified model’s fit index included χ2/df = 1.970, P = 0.001, RMSEA = 0.054, TLI = 0.973, CFI = 0.978, GFI = 0.941, AGFI = 0.917, NFI = 0.956, and IFI = 0.978. The confidence interval (CI) was 0.004–0.140 for the indirect effect and 0.033–0.306 for the direct effect.


      The self-care status of adolescents with epilepsy during the transitional period is closely related to coping style and family resilience. Coping style mediates family resilience and self-care status.

      Practice implications

      Healthcare teams should pay attention to the coping ability of adolescents with epilepsy to help them transition smoothly and to improve family functioning. This study provides a theoretical basis for establishing transitional care programs for adolescents with chronic illnesses. The significant mediating effect of coping style should be emphasized in modalities of healthcare that include patient participation.


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