{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T11:08:46Z","timestamp":1788952126669,"version":"build-2803163510"},"reference-count":45,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T00:00:00Z","timestamp":1788912000000},"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. Physiol."],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This study described post-traumatic growth (PTG), resilience (RI), and quality of life (QOL) in older adults hospitalized with hip fracture and examined their cross-sectional associations, including whether PTG statistically accounted for part of the association between RI and QOL.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional convenience sample of 308 adults aged 60\u201390 years with hip fracture was recruited from an orthopedic ward, and 273 valid questionnaires were analyzed (effective response rate, 88.6%). Participants completed the General Information Questionnaire, the 20-item Chinese Post-traumatic Growth Inventory, the Connor-Davidson Resilience Scale, and the Short-Form 12 Health Survey. Associations were evaluated using Spearman correlation, covariate-adjusted linear regression with heteroskedasticity-consistent HC3 standard errors, and a 5,000-resample bootstrap mediation analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Median (interquartile range) scores were 56 (49\u201360) for PTG, 71 (64\u201374) for RI, and 41.34 (37.90\u201344.22) for QOL. RI was positively correlated with PTG (r\n                      <jats:sub>s<\/jats:sub>\n                      =0.511) and QOL (r\n                      <jats:sub>s<\/jats:sub>\n                      =0.682), and PTG was positively correlated with QOL (r\n                      <jats:sub>s<\/jats:sub>\n                      =0.633; all p&amp;lt;0.001). In the fully adjusted QOL model, PTG (standardized \u03b2=0.302, p&amp;lt;0.001) and RI (standardized \u03b2=0.622, p&amp;lt;0.001) remained independently associated with QOL (R\u00b2=0.760; adjusted R\u00b2=0.745). The covariate-adjusted indirect association through PTG was 0.131 (bootstrap 95% CI, 0.086\u20130.175), representing 25.4% of the total RI\u2013QOL association.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>RI, PTG, and QOL were positively associated in this cross-sectional sample of older adults hospitalized with hip fracture. PTG statistically accounted for part of the RI\u2013QOL association; however, the simultaneous measurement of all variables precludes causal or temporal interpretation. Longitudinal studies with detailed clinical covariates are required before intervention effects can be inferred.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fphys.2026.1938367","type":"journal-article","created":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T10:11:50Z","timestamp":1788948710000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Associations among resilience, post-traumatic growth, and quality of life in older adults hospitalized with hip fracture: a cross-sectional mediation analysis"],"prefix":"10.3389","volume":"17","author":[{"given":"Yongning","family":"Dong","sequence":"first","affiliation":[{"name":"Department of Nursing, Wuxi Huishan District People\u2019s Hospital","place":["Wuxi, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"Peng","sequence":"additional","affiliation":[{"name":"Department of Nursing, Wuxi Huishan District People\u2019s Hospital","place":["Wuxi, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weilin","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Wuxi Huishan District People\u2019s Hospital","place":["Wuxi, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ying","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Endocrinology, The Second Medical University Affiliated Hospital of Shandong Province","place":["Weifang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiaqing","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Radiology, Affiliated Hospital of Jiangnan University","place":["Wuxi, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanyun","family":"Tan","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine, Wuxi Huishan District People\u2019s Hospital","place":["Wuxi, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,9,9]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"1709","DOI":"10.1080\/09638280902738441","article-title":"Post-traumatic growth in people living with a serious medical condition and its relations to physical and mental health: A systematic review","volume":"31","author":"Barskova","year":"2009","journal-title":"Disabil. 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