{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T04:55:29Z","timestamp":1790916929951,"version":"4.1.0"},"reference-count":58,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T00:00:00Z","timestamp":1790899200000},"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. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Stroke is an acute, sudden-onset condition that constitutes an acute stressful event for both patients and caregivers, exerting a significant psychological impact. Based on the actor-partner interdependence mediating model, this study examines the influence of social support on benefit finding among stroke patients and their caregivers and investigates whether self-disclosure mediates this relationship.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study is a cross-sectional study. Using convenience sampling, 278 pairs of stroke patients and their caregivers were selected from a Grade III Level A hospital in Lianyungang City, Jiangsu Province, China, as the study subjects. The assessment tools included a general information questionnaire, the Social Support Rating Scale, the Distress Disclosure Index, and the Benefit Finding Scale. Data analysis was performed using SPSS 27.0 and Mplus 8.3 software, and a 95% confidence interval for the indirect path was estimated using bootstrap resampling with 5,000 repetitions to correct for bias.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Regarding actor effects, the indirect paths from patients\u2019 and caregivers\u2019 own social support to benefit finding via self-disclosure were both statistically significant (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u202f=\u202f0.106, 95%\n                      <jats:italic>CI<\/jats:italic>\n                      \u202f=\u202f0.055\u20130.156;\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u202f=\u202f0.072, 95%\n                      <jats:italic>CI<\/jats:italic>\n                      \u202f=\u202f0.029\u20130.115) Regarding the partner effect, the indirect path from the caregivers\u2019 social support to the patients\u2019 benefit finding via the patients\u2019 self-disclosure was statistically significant (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u202f=\u202f0.058, 95%\n                      <jats:italic>CI<\/jats:italic>\n                      \u202f=\u202f0.015\u20130.102).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The results indicate an actor-partner interdependence mediating effect among social support, self-disclosure, and benefit finding among stroke patients and their caregivers. This provides support for enhancing benefit finding among stroke patients and their caregivers; healthcare professionals can facilitate this by expanding the social support networks of patients and caregivers and encouraging them to express their inner thoughts, thereby enhancing benefit finding during the course of treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1890113","type":"journal-article","created":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T04:40:00Z","timestamp":1790916000000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Analysis of the actor-partner interdependence mediation model for self-disclosure between social support and benefit finding among stroke patients and their caregivers"],"prefix":"10.3389","volume":"14","author":[{"given":"Susu","family":"Zhu","sequence":"first","affiliation":[{"name":"Department of Nursing, The Affiliated Lianyungang Hospital of Xuzhou Medical University","place":["Lianyungang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ning","family":"Ban","sequence":"additional","affiliation":[{"name":"Department of Nursing, The Affiliated Lianyungang Hospital of Xuzhou Medical University","place":["Lianyungang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiao","family":"Miao","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, The Affiliated Lianyungang Hospital of Xuzhou Medical University","place":["Lianyungang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meng","family":"Guo","sequence":"additional","affiliation":[{"name":"Department of Neurocritical Care, The Affiliated Lianyungang Hospital of Xuzhou Medical University","place":["Lianyungang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liang","family":"Ma","sequence":"additional","affiliation":[{"name":"Department of Nursing, The Affiliated Lianyungang Hospital of Xuzhou Medical University","place":["Lianyungang, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,10,2]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"565","DOI":"10.3969\/j.issn.1672-5921.2024.08.009","article-title":"Brief report on stroke center in China, 2022","volume":"21","year":"2024","journal-title":"Chin J Cerebrovasc Dis."},{"key":"ref2","doi-asserted-by":"publisher","first-page":"795","DOI":"10.1016\/s1474-4422(21)00252-0","article-title":"Global, regional, and national burden of stroke and its risk factors, 1990\u20132019: a systematic analysis for the global burden of disease study 2019","volume":"20","year":"1990","journal-title":"Lancet Neurol"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"18","DOI":"10.1177\/17474930211065917","article-title":"World stroke organization (WSO): global stroke fact sheet 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