ArticleFrontiers in psychiatry2022
Influence of positive and negative affect on self-management among patients with early chronic kidney disease during the COVID-19 pandemic: The mediating and suppressing effect of ego depletion.
Article in Frontiers in psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 13 citations in OpenAlex.
- Impact of GPT-4-Generated Discharge Letters on Patients' Medical Comprehension: Prospective Crossover Study.Journal of medical Internet research · 2026Trial
- The Effect of Mindfulness on Self-Management Behaviors in Inflammatory Bowel Disease Patients: The Suppression Effect of Ego Depletion.Nursing research and practice · 2026Article
- Family Function and Self-Management of Patients With Early Chronic Kidney Disease: The Mediating Roles of Self-Perceived Burden and Ego Depletion.Patient preference and adherence · 2025Article
- A network analysis of ego depletion and self-management in patients with epilepsy: differences across seizure frequencies.Frontiers in psychiatry · 2025Article
- Effect of illness perception on self-regulatory fatigue in older adult patients with hypertension: chain-mediating role of self-efficacy and coping style.Frontiers in public health · 2025Article
- Bounded rationality in healthcare: unraveling the psychological factors behind patient satisfaction in China.Frontiers in psychology · 2024Article
- Absolute and relative preferences for mobile phone internet content, mobile phone dependence, and depressive symptoms: a study of Chinese university students in the post-pandemic era.Frontiers in public health · 2023Article
- The Relationship between Trait Impulsivity and Everyday Executive Functions among Patients with Type 2 Diabetes Mellitus: The Mediating Effect of Negative Emotions.Journal of diabetes research · 2023Article
- Network structure of family function and self-management in patients with early chronic kidney disease amid the COVID-19 pandemic.Frontiers in public health · 2022Article
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Authors and funding
8 authors at 3 institutions in 1 country.
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Abstract
Background: Self-management in patients with early chronic kidney disease (CKD) can effectively delay damage to renal function. However, with the continuous spread of COVID-19, patients cannot receive timely treatment, which can lead to different affects, resulting in ego depletion and serious challenges to self-management. This study aimed to investigate the mediating and suppressing roles of ego depletion on the relationship between positive and negative affect and self-management among patients with early CKD during the COVID-19 pandemic in China. Methods: A total of 383 patients with early CKD from three tertiary hospitals were enrolled by convenience sampling in our cross-sectional study from September 2021 to March 2022. Participants completed the Sociodemographic Questionnaire, Positive Affect and Negative Affect Scale, Self-Regulating Fatigue Scale and Chronic Kidney Disease Self-Management Instrument. A structural equation model was conducted to test the mediating and suppressing effects of ego depletion on the relationship between positive and negative affect and self-management. Results: The average score of the participants' self-management was 84.54 (SD: 19.72), and nearly 60% of them were at low and moderate levels. The mediating effect of positive affect on self-management through ego depletion was significant (β = 0.248, 95% CI: 0.170 to 0.376), accounting for 53.22% of the total effect. The suppressing effect of negative affect on self-management through ego depletion was significant (β = -0.191, 95% CI: -0.310 to -0.118), and the absolute value of the ratio of the suppressing effect to the direct effect was 66.55%. Conclusions: Ego depletion partially mediated the relationship between positive affect and self-management while suppressing the relationship between negative affect and self-management among patients with early CKD during the COVID-19 pandemic. The reduction of patients' ego depletion must be taken as the intervention target to improve self-management and delay the progression of CKD.
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