Role of psychological resilience and psychological distress in linking fear of disease progression to quality of life in chronic heart failure: a cross-sectional serial mediation analysis (opens in new tab)

ObjectiveTo examine whether psychological resilience and psychological distress serially mediate the association between fear of disease progression and quality of life (QoL) in patients with chronic heart failure (CHF).MethodsThis cross-sectional study enrolled 212 patients with CHF admitted between June 2023 and June 2025. Assessment tools included a demographic questionnaire, the Fear of Progression Questionnaire (FoP-Q), the Connor–Davidson Resilience Scale (CD-RISC), the Depression Anxie...