{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T17:46:58Z","timestamp":1792086418960,"version":"4.4.0"},"reference-count":24,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T00:00:00Z","timestamp":1789084800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Neurol."],"abstract":"\n Objective<\/jats:title>\n This study examined the mediating role of self-efficacy in the relationship between social integration and self-disgust among patients with stroke, with the aim of informing the development of targeted interventions.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n In this cross-sectional study, a total of 207 patients with stroke completed a general demographic questionnaire, the Stroke Rehabilitation Self-Efficacy Assessment Scale, the Social Network Scale, and a self-disgust assessment tool. Pearson's correlation analyses were performed to examine the relationships among self-efficacy, social integration, and self-disgust. Mediation analysis was then conducted, with the significance of indirect effects evaluated using the bootstrap method.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Median (interquartile range) scores for self-disgust, social integration, and self-efficacy were 40 (36, 45), 3 (2, 5), and 70 (67, 77) respectively. Correlation analysis indicated that self-disgust was significantly negatively correlated with social integration (\n p<\/jats:italic>\n &lt; 0.01), and with self-efficacy (\n p<\/jats:italic>\n &lt; 0.01). Additionally, social integration was significantly positively correlated with self-efficacy (\n p<\/jats:italic>\n &lt; 0.01). Mediation analysis demonstrated that self-efficacy exerted a significant indirect effect on the relationship between social integration and self-disgust (effect = \u22120.475), with the indirect pathway through self-efficacy was associated with 43.42% of the total observed effect.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Our results suggest that self-efficacy may partially mediate the relationship between social integration and self-disgust in patients with stroke. Interventions that enhance self-efficacy and promote social integration may reduce self-disgust and support rehabilitation outcomes.<\/jats:p>\n <\/jats:sec>","DOI":"10.3389\/fneur.2026.1868193","type":"journal-article","created":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T07:52:39Z","timestamp":1789113159000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Mediating role of self-efficacy in the relationship between social integration and self-disgust among patients with stroke"],"prefix":"10.3389","volume":"17","author":[{"given":"Cai-Dan","family":"Liu","sequence":"first","affiliation":[{"name":"Department of Neurology, The First Affiliated Hospital of Hunan University of Chinese Medicine, Changsha","place":["Hunan Province, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huan-Wen","family":"Luo","sequence":"additional","affiliation":[{"name":"Department of Neurology, The First 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