{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T04:30:50Z","timestamp":1786681850127,"version":"build-2736575974"},"reference-count":57,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T00:00:00Z","timestamp":1786665600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100012829","name":"Guangdong Provincial Hospital of Traditional Chinese Medicine","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100012829","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study aims to identify latent subgroups of dyadic coping (DC) patterns among patients with neuromyelitis optica spectrum disorder (NMOSD) and examine factors associated with subgroup classification.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A cross-sectional study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The study was conducted from June 2023 to August 2024, enrolling 137 patients with NMOSD. Data were collected via standardized instruments: a demographic questionnaire, the Dyadic Coping Inventory (DCI), the 9-item Patient Health Questionnaire (PHQ-9) for depression screening, and the 7-item Generalized Anxiety Disorder Scale (GAD-7). Latent profile analysis (LPA) was performed using Mplus 8.11 to identify coping subgroups, with distal outcomes (PHQ-9 and GAD-7) examined via the Bolck, Croon, and Hagenaars (BCH) method, followed by multivariate logistic regression to assess subgroup associated factor.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Analysis of the positive and negative coping dimensions revealed three distinct profiles among 137 participants: LP-HN (Low positive-High negative coping,\n                      <jats:italic>n<\/jats:italic>\n                      = 22, 16.1%), MP-MHN (Moderate positive-Mild high negative coping,\n                      <jats:italic>n<\/jats:italic>\n                      = 46, 33.6%), and BC (Balanced coping,\n                      <jats:italic>n<\/jats:italic>\n                      = 69, 50.3%). Significant intergroup differences emerged in premorbid residential status, healthcare payment method, physical activity frequency, the score of PHQ-9 and GAD-7. Multivariate analysis identified healthcare payment method as a significant associated factor. BCH analysis of distal outcomes further demonstrated that the MP-MHN group exhibited the highest levels of anxiety and depression, despite maintaining moderate positive coping.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>NMOSD patients demonstrate heterogeneous DC patterns. The healthcare payment method identified as the key associated factor. The MP-MHN subgroup, with the highest psychological burden despite moderate positive coping, warrants prioritized interventions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyg.2026.1846822","type":"journal-article","created":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T04:22:57Z","timestamp":1786681377000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Neuromyelitis optica spectrum disorder patients dyadic coping patterns: a latent profile analysis"],"prefix":"10.3389","volume":"17","author":[{"given":"An-Ning","family":"Wang","sequence":"first","affiliation":[{"name":"The Second Clinical College of Guangzhou University of Chinese Medicine","place":["Guangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhu-Yun","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Neurology, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangdong Provincial Hospital of Chinese Medicine","place":["Guangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hao","family":"Liang","sequence":"additional","affiliation":[{"name":"Department of Nursing, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangdong Provincial Hospital of Chinese Medicine","place":["Guangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li-Xin","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Neurology, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangdong Provincial Hospital of Chinese Medicine","place":["Guangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hao-You","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Neurology, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangdong Provincial Hospital of Chinese Medicine","place":["Guangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lin","family":"Wei","sequence":"additional","affiliation":[{"name":"Department of Nursing, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangdong Provincial Hospital of Chinese Medicine","place":["Guangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiao-Pei","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Nursing, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangdong Provincial Hospital of Chinese Medicine","place":["Guangzhou, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,8,14]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"1023","DOI":"10.1016\/j.apmr.2021.06.021","article-title":"Effect of social determinants of health interventions on adults living with disabilities: A scoping review.","volume":"103","author":"Angelelli","year":"2022","journal-title":"Arch. 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