ArticlePloS one2017
Associations of perceived social support and positive psychological resources with fatigue symptom in patients with rheumatoid arthritis.
Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.
- A biopsychosocial network model of fatigue in rheumatoid arthritis: a systematic review.Rheumatology (Oxford, England) · 2019Pooled it
- Article
- Psychological resilience in newly diagnosed lung cancer patients: Trajectories and influencing factors.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025Article
- Relationship Between Fatigue, Perceived Social Support and Symptomatology of Long-COVID Patients in Spain.Scandinavian journal of caring sciences · 2025Observational
- Depression impact on PTSD in Cancer patients through serial mediation of hope and perceived social support.Scientific reports · 2025Article
- Patients' experience on waiting for spinal arthrodesis: a qualitative study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2025Observational
- Influence of Work-Life Balance on Mental Health Among Nurses: The Mediating Role of Psychological Capital and Job Satisfaction.Psychology research and behavior management · 2024Article
- Life satisfaction, generalized sense of self-efficacy and acceptance of illness in rheumatoid arthritis patients depending on age and severity of the disease.Reumatologia · 2023Article
- Examine the Role of Psychological Resilience in Predicting Social and Professional Performance in Patients with Diabetes, Multiple Sclerosis, and Rheumatism.Health psychology research · 2023Article
- Article
- Fatigue and resilience in Master's and PhD students in the Covid-19 pandemic in Brazil: A cross-sectional study.PloS one · 2023Article
- Flourishing despite Chronic Obstructive Pulmonary Disease (COPD): Findings from a Nationally Representative Survey of Canadians Aged 50 and Older.International journal of environmental research and public health · 2022Article
- The mediating effect of social functioning on the relationship between social support and fatigue in middle-aged and young recipients with liver transplant in China.Frontiers in psychology · 2022Article
- Resilience in women with primary Sjögren's syndrome.Rheumatology international · 2021Article
- Effects of Fatigue and Grit on Club Sports Coaches.International journal of environmental research and public health · 2021Article
- A Structural Equation Model of Health-Related Quality of Life in Chinese Patients With Rheumatoid Arthritis.Frontiers in psychiatry · 2021Article
- Management of Fatigue in Rheumatoid Arthritis.RMD open · 2020Review
- The Mediating Role of Psychological Capital in the Relationship Between Occupational Stress and Fatigue: A Cross-Sectional Study Among 1,104 Chinese Physicians.Frontiers in public health · 2020Article
- The Longitudinal Association between Social Support on HIV Medication Adherence and Healthcare Utilization in the Women's Interagency HIV Study.AIDS and behavior · 2019Article
- The relationship between bristol rheumatoid arthritis fatigue scales and disease activity of patients with rheumatoid arthritis.Clinical rheumatology · 2018Article
Corrections and comments
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThis study aimed to assess the association between perceived social support (PSS) and fatigue and the roles of hope, optimism, general self-efficacy and resilience as mediators or moderators on PSS-fatigue association among Rheumatoid Arthritis (RA) patients in China.
methodsA multi-center, cross-sectional study was conducted withinpatients diagnosed with RA in northeast China, in which 305 eligible inpatients were enrolled. The Multidimensional Fatigue Inventory, Multidimensional Scale of Perceived Social Support, Herth Hope Index, Life Orientation Test Revised, General Self-Efficacy Scale and Ego-Resiliency Scale were completed. The associations of PSS, hope, optimism, general self-efficacy and resilience with fatigue and the moderating roles of these positive psychological constructs were tested by hierarchical linear regression. Asymptotic and resampling strategies were utilized to assess the mediating roles of hope, optimism, general self-efficacy and resilience.
resultsThe mean score of the MFI was 57.88 (SD = 9.50). PSS, hope, optimism and resilience were negatively associated with RA-related fatigue, whereas DAS28-CRP was positively associated. Only resilience positively moderated the PSS-fatigue association (B = 0.03, β = 0.13, P<0.01). Hope, optimism and resilience may act as partial mediators in the association between PSS and fatigue symptoms (hope: a*b = -0.16, BCa 95%CI: -0.27, -0.03; optimism: a*b = -0.20, BCa 95%CI: -0.30, -0.10; resilience: a*b = -0.12, BCa 95%CI: -0.21-0.04).
conclusionsFatigue is a severe symptom among RA patients. Resilience may positively moderate the PSS-fatigue association. Hope, optimism and resilience may act as partial mediators in the association. PSS, hope, optimism and resilience may contribute as effective recourses to alleviate fatigue, upon which PSS probably has the greatest effect.
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