ArticleFrontiers in medicine2025
Depression and social frailty in elderly patients receiving maintenance hemodialysis: multiple mediating roles of bidirectional social support and personal mastery.
Article in Frontiers in medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Digital Peer Support Intervention for Family Caregivers of Individuals With Neuromuscular Disease: Randomized Controlled Trial.Journal of medical Internet research · 2026Trial
- The Mediating Effect of Psychological Capital Between Two-Way Social Support and Academic Resilience Among Chinese Undergraduate Nursing Students.Florence Nightingale journal of nursing · 2026Article
- Perceived health exposure to mega sporting event and depressive symptoms in older adults: the mediating roles of physical activity and loneliness.BMC psychiatry · 2026Article
- Depression, Anxiety, Stress Symptoms and Health-Related Quality of Life in Hemodialysis Patients: Cross-Sectional Findings from a Romanian Cohort.Medicina (Kaunas, Lithuania) · 2026Article
- Self-perceptions of aging and associated factors among older patients undergoing maintenance hemodialysis: a latent profile analysis.Frontiers in public health · 2026Article
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Abstract
Objective: This study aimed to investigate the multiple mediating roles of bidirectional social support and sense of personal mastery in the relationship between depression and social frailty among elderly patients undergoing maintenance hemodialysis (MHD). Methods: A cross-sectional survey was conducted among 248 elderly MHD patients from two tertiary hospitals in Wuhan, China. Data were collected using a general information questionnaire, the Social Vulnerability Index, the Geriatric Depression Scale-5 (GDS-5), the Brief Two-Way Social Support Scale, and the Personal Mastery Scale. Structural Equation Modeling (SEM) was performed using AMOS 28.0. Results: The mean scores were as follows: depression (1.91 Conclusion: Social frailty among elderly MHD patients is at a moderate level, with 27.02% experiencing moderate to severe social frailty. The prevalence of depressive symptoms was 53.6%. Depression significantly predicts social frailty, while bidirectional social support and personal mastery serve as partial mediators. Enhancing these psychosocial factors may help reduce the risk or severity of social frailty in this population.
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