ArticleFrontiers in psychiatry2025
The influence of patient-centered communication on psychological distress: the chain mediating role of health-related self-efficacy and healthy lifestyle behaviors and the moderating role of social media use.
Article in Frontiers in psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Doctor-patient communication in community-dwelling patients with essential hypertension: a cross-sectional study.Internal and emergency medicine · 2026Article
- Use of health information from social media and health self-efficacy: a cross-sectional study.Frontiers in public health · 2026Article
- Latent Profile Analysis of Illness Perception and Its Association with Fear of Progression in Chronic Kidney Disease.International journal of general medicine · 2026Article
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Authors and funding
3 authors.
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Abstract
Background: Psychological distress remains a pervasive issue, influenced by complex psychosocial and behavioral mechanisms. Nevertheless, there is a paucity of research exploring how patient-centered communication influences psychological health through intermediary mechanisms, especially the sequential roles played by health-related self-efficacy and healthy lifestyles. Method: This study was conducted on de-identified public data from the Health Information National Trends Survey 2022 (HINTS 6), with a sample size of 6,252. It first proposed and tested a chain mediation model linking patient-centered communication and psychological distress, mediated by health-related self-efficacy and healthy lifestyle behaviors. Based on the model, it explored the moderating role of social media use in this model. Result: This study found that patient-centered communication is negatively associated with psychological distress and health-related self-efficacy and healthy lifestyle behavior play a chain mediating role between them. Moreover, social media use enhances the positive impact of patient-centered communication on health-related self-efficacy. Conclusion: This study demonstrates the generalizability of patient-centered communication in alleviating psychological distress through the chain mediating pathway of health-related self-efficacy and healthy lifestyle behaviors. Notably, it reveals the moderating effect thresholds of social media use on this pathway. These findings provide both theoretical foundations and practical guidelines for: (1) optimizing doctor-patient communication strategies; (2) media literacy interventions under the WHO health literacy framework; and (3) improving psychological support in post-pandemic telemedicine.
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