ArticleBMC psychiatry2024
Social support, family resilience and psychological resilience among maintenance hemodialysis patients: a longitudinal study.
Article in BMC psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers.
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55 citing papers in PubMed.
- Perceived Family Functioning, Family Resilience, and Multidimensional Sleep Problems Among Chinese Children and Adolescents With Cancer: The Indirect Association of Depression and Anxiety.Cancer medicine · 2026Article
- The Chain Mediating Effect of Sleep Quality and Family Resilience Between Depressive Mood and Treatment Compliance in Continuous Blood Purification Patients.Actas espanolas de psiquiatria · 2026Article
- Biological and Metabolic Correlates of Psychological Resilience in Maintenance Hemodialysis: An Exploratory Gender-Based Study.Medicina (Kaunas, Lithuania) · 2026Article
- A multi-systemic ethical dilemma model in hemodialysis patients: a qualitative study.BMC medical ethics · 2026Article
- Patient activation and its influencing factors among maintenance hemodialysis patients: a cross-sectional study in China.BMC nephrology · 2026Article
- Heterogeneous trajectories of family resilience and their predictors among family caregivers of older adults receiving maintenance hemodialysis: a longitudinal study.BMC nephrology · 2026Article
- Factors influencing Taiwanese patients' resilience and satisfaction with dialysis: a cross-sectional survey.BMC health services research · 2026Article
- Psychological impact of the February 6, 2023, Türkiye earthquake: the roles of social support, hope, resilience, and death obsession.BMC psychology · 2026Article
- Mediating effect of coping style between family resilience and demoralization in patients with decompensated cirrhosis.Scientific reports · 2026Article
- Development and Validation of a Predictive Model for the Risk of Postoperative Frailty in Elderly Patients With Benign Brain Tumors.Brain and behavior · 2026Article
- Facilitators and barriers to self-management among patients with maintenance hemodialysis in central China: a qualitative study.BMC nephrology · 2026Article
- Factors influencing patient involvement in treatment decision-making for diabetic retinopathy: a mixed methods study protocol.BMJ open · 2026Article
- Longitudinal Changes in Depression, Anxiety and Stress Symptoms Among Hemodialysis Patients.Clinics and practice · 2026Article
- Fall risk, fall awareness, and social support among 825 community-dwelling older adults with functional limitations: a cross-sectional study.Frontiers in public health · 2026Article
- Family functionality and social support in Brazilian older people with chronic kidney disease in hemodialysis: a cross-sectional study.Sao Paulo medical journal = Revista paulista de medicina · 2026Article
- Association between free thyroxine and aggression: the chain mediating role of hostile attribution bias and psychological resilience.Frontiers in psychology · 2026Article
- Article
- Exploring the mediating role of psychological resilience between social support and anxiety in nurses: a cross-sectional study in Chengdu, Sichuan, China.Frontiers in public health · 2026Article
- Health literacy of patients hospitalized for digestive surgeries.Revista da Escola de Enfermagem da U S P · 2026Article
- Effects of combining Shugan Jieyu capsule treatment with group psychological counseling on alexithymia in hemodialysis patients.Frontiers in pharmacology · 2026Article
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Abstract
backgroundPsychological distress is common in maintenance hemodialysis patients, and high psychological resilience can promote psychological well-being. The current research focuses on psychological resilience protective factors such as family resilience and social support. However, the trajectories of psychological resilience, family resilience, and social support over time and their longitudinal relationships in maintenance hemodialysis patients have not been fully explored yet. Therefore, this study aims to explore the longitudinal relationship between these factors.
methodsPatients who received regular hemodialysis treatment for more than three months at dialysis centers of three tertiary hospitals in Zhejiang, China, were recruited from September to December 2020. A total of 252 patients who met the inclusion and exclusion criteria completed three follow-up surveys, including social support, family resilience, and psychological resilience assessments. A repeated measures ANOVA was used to explore differences in their respective scores at different time points. The cross-lagged analysis was performed in AMOS using the maximum likelihood method to examine the the reciprocal predictive relationships between these factors.
resultsSocial support and psychological resilience remained relatively stable over time, whereas family resilience indicated a little increasing trend. According to the cross-lagged analysis, higher T1 social support predicted higher family resilience at T2 [β = 0.123, 95% CI (0.026-0.244)]. Further, the effects of T2 social support to T3 family resilience [β = 0.194, 95%CI (0.039-0.335)] and psychological resilience [β = 0.205, 95%CI (0.049-0.354)] were significant. Finally, the effects of T2 family resilience to T3 social support [β = 0.122, 95%CI (0.010-0.225)] and psychological resilience [β = 0.244, 95%CI (0.119-0.359)] were also significant.
conclusionsThe study showed that the directionality of the relationship appears to be from social support or family resilience to patients' psychological resilience but not vice versa. This finding reminds healthcare professionals to emphasize the vital role of social and family resources in providing appropriate support and interventions for maintenance hemodialysis patients to promote psychological resilience and mental health development.
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