Fatigue and psychological distress in Chinese patients with hemodialysis: a moderated mediation model of cognitive decline and psychological flexibility

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This cross-sectional study examines how cognitive decline mediates the link between fatigue and psychological distress in 283 Chinese hemodialysis patients, while assessing psychological flexibility as a moderator. The results indicate that higher psychological flexibility buffers the negative impact of fatigue and cognitive decline on distress levels. The authors suggest these findings support the potential utility of acceptance and commitment therapy (ACT) for this population.

ID
f084de8739e542bb
Source org
PubMed Central
Author
Zhenhua Jiang (Affiliated Hospital of Shandong University of Traditional Chinese Medicine), Xiuli Qiao (Shanghai Public Health Clinical Center), Yang Li (Affiliated Hospital of Shandong University of Traditional Chinese Medicine), Wenkui Sun (Shandong Center for Disease Control and Prevention), Hui Sun (Affiliated Hospital of Shandong University of Traditional Chinese Medicine), Hui Zhang (Affiliated Hospital of Shandong University of Traditional Chinese Medicine), Yue Bao (Shandong University of Traditional Chinese Medicine), Liping Zong (Jinan Maternity And Care Hospital)
Published
2025-07-29
OA status
gold
DOI
10.1186/s12888-025-07087-6
PMID
Not recorded
PMCID
Not recorded
Citations
2

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BibTeX

@article{allodium:f084de8739e542bb,
  title = {Fatigue and psychological distress in Chinese patients with hemodialysis: a moderated mediation model of cognitive decline and psychological flexibility},
  author = {Zhenhua Jiang and Xiuli Qiao and Yang Li and Wenkui Sun and Hui Sun and Hui Zhang and Yue Bao and Liping Zong},
  year = {2025},
  journal = {PubMed Central},
  doi = {10.1186/s12888-025-07087-6},
  url = {https://doi.org/10.1186/s12888-025-07087-6}
}

RIS

TY  - JOUR
TI  - Fatigue and psychological distress in Chinese patients with hemodialysis: a moderated mediation model of cognitive decline and psychological flexibility
AU  - Jiang, Zhenhua
AU  - Qiao, Xiuli
AU  - Li, Yang
AU  - Sun, Wenkui
AU  - Sun, Hui
AU  - Zhang, Hui
AU  - Bao, Yue
AU  - Zong, Liping
PY  - 2025
PB  - PubMed Central
DO  - 10.1186/s12888-025-07087-6
UR  - https://doi.org/10.1186/s12888-025-07087-6
ER  -

APA

Jiang, Z., Qiao, X., Li, Y., Sun, W., Sun, H., Zhang, H., Bao, Y., & Zong, L. (2025). Fatigue and psychological distress in Chinese patients with hemodialysis: a moderated mediation model of cognitive decline and psychological flexibility. PubMed Central. https://doi.org/10.1186/s12888-025-07087-6

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