ArticlePloS one2019
Social support as a mediator between sleep disturbances, depressive symptoms, and health-related quality of life in patients undergoing hemodialysis.
Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed, 59 citations in OpenAlex.
- Global prevalence of poor sleep quality in hemodialysis patients: a systematic review and meta-analysis.Frontiers in medicine · 2026Review
- Enhancing Patient-Centered Communication in Hemodialysis Symptom Management Care-Development and Validation of the HSB-HD Scale for Assessing Help-Seeking Behavior in Hemodialysis Patients: A Multiphase Cross-Sectional Study.Journal of nursing management · 2026Article
- Development and usability evaluation of an audio-based cognitive behavioral therapy mobile app for depression in hemodialysis patients.BMC psychology · 2025Article
- Effect of a Spiritual Care Program on Treatment Adherence and Sleep Quality in Hemodialysis Patients: A Cluster-Randomized Clinical Trial.Health science reports · 2025Article
- Social Support and Quality of Life in Hemodialysis Patients: A Comparative Study with Healthy Controls.Medicina (Kaunas, Lithuania) · 2024Article
- Association between sleep quality and quality of life in Singapore.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024Article
- The moderating role of social support in the relationship between death anxiety and resilience among dialysis patients.BMC nephrology · 2024Article
- The impact of perceived social support on sleep quality in a sample of patients undergoing hemodialysis in Somalia.Frontiers in psychiatry · 2023Article
- Level of Depression and Anxiety on Quality of Life Among Patients Undergoing Hemodialysis.International journal of general medicine · 2023Article
- The influence of social support on sleep and fatigue level among patients receiving hemodialysis in Saudi Arabia: a cross-sectional correlational design.Frontiers in psychology · 2023Article
- Self-assessment of the health status and leisure activities of individuals on haemodialysis.Scientific reports · 2022Article
- The mediating effect of sleep quality and fatigue between depression and renal function in nondialysis chronic kidney disease: a cross-sectional study.BMC nephrology · 2022Article
- Relationships of social support and attitudes towards death: A mediator role of depression in older patients on haemodialysis.Nursing open · 2022Article
- Chronic Pain and Quality of Life in Maintenance Hemodialysis Patients in China: A Multicenter, Cross-Sectional Study.Journal of pain research · 2022Article
- Risk factors and prediction model of sleep disturbance in patients with maintenance hemodialysis: A single center study.Frontiers in neurology · 2022Article
- Cognitive Behavioral Therapy plus Coping Management for Depression and Anxiety on Improving Sleep Quality and Health for Patients with Breast Cancer.Brain sciences · 2021Article
- Fatigue, anxiety, depression and sleep quality in patients undergoing haemodialysis.BMC nephrology · 2021Article
- The Role of Socioeconomic Status, Family Resilience, and Social Support in Predicting Psychological Resilience Among Chinese Maintenance Hemodialysis Patients.Frontiers in psychiatry · 2021Article
- Traumatic stress as a mediator of quality of life and burden in informal caregivers of amputees due to diabetic foot: a longitudinal study.Health psychology report · 2021Article
- The Effect of Peer Support on Hope Among Patients Under Hemodialysis.International journal of nephrology and renovascular disease · 2020Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe hemodialysis regimen is an inevitable and mandatory treatment for patients with end-stage renal disease (ESRD). During the dialysis journey, patients may experience maladaptation in terms of sleep disturbances, depressive symptoms, and reduced health-related quality of life (HRQOL). Psychosocial resources such as social support may have beneficial influences on health outcomes, but studies have rarely analyzed the integrated relationships among risk factors which include pain, sleep disturbances, duration since diagnosis and various health outcomes in Taiwan. This study aimed to bridge this gap by investigating the relationships among related risk factors, social support, sleep disturbances, depressive symptoms, and HRQOL, which is composed of physical quality of life (PQOL) and mental quality of life (MQOL), in ESRD patients.
methodA correlational design was used, and 178 patients aged 20 years or older were recruited via convenience sample. The relationships among the risk factors, the mediators, depressive symptoms, PQOL, and MQOL were analyzed using structural equation modeling.
resultsThe findings showed that more than 70% of the participants reported poor sleep quality, and 32% reported depressive symptoms. When participants had greater pain and more sleep disorders, they were more likely to be depressed. When participants had more appraisal support; they had better PQOL and fewer depressive symptoms. Overall, the structural equation model explained 31.8% of the variance in self-reported depressive symptoms, 29.4% of the variance in PQOL, and 5.7% of the variance in MQOL. Moreover, appraisal support enhanced PQOL and reduced depressive symptoms by exerting its two mediating effects on sleep disturbances.
conclusionOur findings indicate that patients with ESRD who have more social support have better PQOL and MQOL and fewer depressive symptoms than those with less social support.
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