{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T04:47:02Z","timestamp":1785818822054,"version":"3.56.0"},"reference-count":33,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T00:00:00Z","timestamp":1785801600000},"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>To investigate the current status of physical resilience (PR) and social alienation among older adults with ischemic stroke, construct a joint network model, identify core nodes and bridge nodes, and provide evidence for precise intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A convenience sampling method was used to recruit 210 older adults with ischemic stroke from Nantong Sixth People\u2019s Hospital and Nanjing Gaochun People\u2019s Hospital between January 2025 and April 2026. Participants were surveyed using a general information questionnaire, the Physical Resilience Scale for Older Adults (PRSOA), and the General Alienation Scale (GAS). Dimension scores from the two scales were treated as nodes, and a joint network was constructed using the EBICglasso algorithm. Node centrality, bridge strength, and expected influence (EI) were analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The total PR score was 55.6\u202f\u00b1\u202f12.3, and the total social alienation score was 38.2\u202f\u00b1\u202f9.6. Network analysis revealed that meaninglessness (MU) (strength\u202f=\u202f0.79), coping and lifestyle adjustment (CL) (strength\u202f=\u202f0.72), and belief and hope (BH) (strength\u202f=\u202f0.85) were the core nodes. Meaninglessness (bridge strength\u202f=\u202f1.42), CL (bridge strength\u202f=\u202f0.95), and self-alienation (SA) (bridge strength\u202f=\u202f1.18) were the key bridge nodes. Expected influence analysis indicated that reducing MU (EI\u202f=\u202f-1.83), enhancing BH (EI\u202f=\u202f1.45), and strengthening CL (EI\u202f=\u202f1.21) produced the strongest network cascade effects. The network structure showed good stability (CS\u202f=\u202f0.78).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Complex network associations exist between PR and social alienation in older adults with ischemic stroke. Meaninglessness, CL, and BH are core intervention targets. Clinical practice should prioritize addressing patients\u2019 sense of meaninglessness, strengthening coping skills training, and fostering rehabilitative beliefs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1911696","type":"journal-article","created":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T04:27:45Z","timestamp":1785817665000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["A network analysis of physical resilience and social alienation among older adults with ischemic stroke"],"prefix":"10.3389","volume":"14","author":[{"given":"Xiaoyan","family":"Sheng","sequence":"first","affiliation":[{"name":"Department of Neurology, The Sixth People's Hospital of Nantong","place":["Nantong, Jiangsu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenying","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Neurology, Nanjing Gaochun People's Hospital","place":["NanJing, Jiangsu, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,8,4]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1585102459","DOI":"10.1177\/11795735251337605","article-title":"Current snapshots on stroke prevention and control and more proactive national strategies against it in China","volume":"17","author":"Jiang","year":"2025","journal-title":"J Central Nervous Syst Disease"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"684","DOI":"10.3969\/j.issn.1673-5765.2023.06.010","article-title":"Guidelines for endovascular treatment of acute ischemic stroke 2023","volume":"18","author":"Huo","year":"2023","journal-title":"Chin J Stroke"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"415","DOI":"10.1136\/svn-2021-001374","article-title":"China stroke statistics: an update on the 2019 report from the national center for healthcare quality management in neurological diseases, China national clinical research center for neurological diseases, the chinese stroke association, national center for chronic and non-communicable disease control and prevention, chinese center for disease control and prevention and institute for global neuroscience and stroke collaborations","volume":"7","author":"Wang","year":"2022","journal-title":"Stroke Vascular Neurol"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"e2457447","DOI":"10.1001\/jamanetworkopen.2024.57447","article-title":"Prevalence, trajectory, and factors associated with patient-reported nonmotor outcomes after stroke: a systematic review and meta-analysis","volume":"8","author":"Ozkan","year":"2025","journal-title":"JAMA Netw Open"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"5121","DOI":"10.3390\/ijerph16245121","article-title":"Multi-level factors associated with social participation among stroke survivors: China\u2019s health and retirement longitudinal study (2011\u20132015)","volume":"16","author":"Cai","year":"2019","journal-title":"Int J Environ Res Public Health"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"899","DOI":"10.1186\/s12877-025-06540-1","article-title":"Potential profiling of social alienation in elderly stroke patients and study of influencing factors","volume":"25","author":"Lin","year":"2025","journal-title":"BMC Geriatr"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"e26493","DOI":"10.1161\/JAHA.122.026493","article-title":"Effects of objective and perceived social isolation on cardiovascular and brain health: a scientific statement from the american heart association","volume":"11","author":"Cen\u00e9","year":"2022","journal-title":"J Am Heart Assoc"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"108201","DOI":"10.1016\/j.jstrokecerebrovasdis.2024.108201","article-title":"Factors associated with social isolation in stroke patients: a systematic review and meta-analysis","volume":"34","author":"Li","year":"2025","journal-title":"J Stroke Cerebrovasc Dis"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"101701","DOI":"10.1016\/j.arr.2022.101701","article-title":"Physical resilience in older adults: potential use in promoting healthy aging","volume":"81","author":"Li","year":"2022","journal-title":"Ageing Res Rev"},{"key":"ref10","first-page":"706","article-title":"Association of resilience with caregiver burden in caring for the elderly with stroke; a systematic review","volume":"49","author":"Chen","year":"2024","journal-title":"Official J Pakistan Med Assoc"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"925","DOI":"10.1037\/met0000439","article-title":"Which estimation method to choose in network psychometrics? 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