Evidence map›Paper›PMID 40579656›Full record

ArticleInternational journal of behavioral medicine2025

"My Body Is a Ticking Time Bomb": Associations of Body Mindsets with Psychological Distress in People with Chronic Kidney Disease.

Emily J Dowling, Tripti Singh, Joseph Chilcot, Alia J Crum, Lauren C Heathcote

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Article in International journal of behavioral medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Mental health and kidney disease.Nature reviews. Nephrology · 2026
    Review
4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Emily J DowlingKing's College London, London, United Kingdom. emily.j.dowling@kcl.ac.uk.
Tripti SinghKing's College London, London, United Kingdom.
Joseph ChilcotKing's College London, London, United Kingdom.
Alia J CrumStanford University, Stanford, United States.
Lauren C HeathcoteKing's College London, London, United Kingdom. lauren.heathcote@kcl.ac.uk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study investigated the association between body mindsets-established, but mutable beliefs a person holds about their body-with psychological distress in people with chronic kidney disease (CKD).

methodsA cross-sectional, mixed methods survey was conducted in people with CKD at various stages of treatment. Participants completed the Patient Health Questionnaire-4 (PHQ-4) to capture distress, the Body Mindset Inventory (BMI), and qualitative free-text responses elaborating on their mindsets. Hierarchical regression models explored associations of body mindsets with psychological distress, controlling for demographic variables, treatment modalities, and comorbidities.

resultsTwo hundred and thirty-two adults with CKD (62% female) completed the survey; 27.6% were receiving dialysis and 34.7% had received a kidney transplant. Those who more strongly endorsed the mindset that their Body is an Adversary reported greater psychological distress, while those who more strongly endorsed the mindsets that their Body is Capable or their Body is Responsive reported less psychological distress. Together, all three mindsets explained 12% unique variance in psychological distress, even after accounting for demographic factors, treatment modalities, and comorbidities. Mixed methods analyses illustrated the range of body mindsets in people with CKD, with some describing their body as "A ticking time bomb" and others stating "My body is a fighter just like me. My body is amazing."

conclusionMindsets about the body are significantly associated with psychological distress in people with CKD. These cross-sectional data provide a foundation for future longitudinal and interventional studies on the relationship between mindsets and distress outcomes in people living with CKD.

Indexed as

Body MindsetsChronic kidney diseaseCore BeliefsDepressionPsychological Distress

Identifiers

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.