Mediating roles of family functioning and self-efficacy in the relationship between depression and family resilience among kidney dialysis patients

Bibliographic Data

ID15696161
AuthorsYuru Wang (0000-0002-6814-9579, Lanzhou University of Technology, corresponding author), Yanwei Yang (0000-0002-5457-1023, People's Liberation Army 401 Hospital), Qing Zeng (0000-0002-7471-4941, Lanzhou University of Technology), Fangqing Liu (0000-0002-7236-4845, Lanzhou University of Technology), Yiting Wang (0000-0001-7751-0592), Yi‐ting Wang (0000-0003-2008-4435, Lanzhou University of Technology), Hongchen Zhang (0009-0002-0924-8945, Lanzhou University of Technology)
Year2025
Volume13
Issue1
Pages1013-1013
Publication date2025-09-24
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueBMC Psychology (JOURNAL)
Journal identifiersISSN: 2050-7283 • E-ISSN: 2050-7283
PublisherBioMed Central (PUBLISHER • GB)
DOI10.1186/s40359-025-03255-1
PMID40993719
OpenAlexW4414487604
LanguageEN
References cited50

Kidney dialysis patients often experience intensified depression after prolonged maintenance dialysis, which may diminish family resilience. Conversely, family functioning and self-efficacy might bolster resilience by serving as crucial internal resources. The mechanisms through which depression impact family resilience via these resources remain unclear. The present study used a cross-sectional design and included 211 kidney dialysis patients. The study was conducted in Lanzhou, China. The participants were selected through convenience sampling from September 2023 to January 2024. General Information Questionnaire, Depression subscale of the Hospital Anxiety and Depression Scale (HADS), Family Resilience Rating Scale (FRRS), Family APGAR Index (APGAR) and Simplified Coping Style Questionnaire (GSES), were used for data collection. Independent-sample t-tests and one-way ANOVA determined the influential factors using SPSS 27.0. Structural equation modeling, executed with AMOS 24.0 software, validated the mediating effects of family functioning and self-efficacy between depression and family resilience. Family resilience levels among kidney dialysis patients differed significantly by education level, marital status and per capita monthly income. Depression were inversely associated with family resilience. Family functioning (β = 0.22, p < 0.01) and self-efficacy (β = 0.04, p < 0.01) mediated the relationship between depression and family resilience, respectively. This study provides further insights into the psychological mechanism of depression and family resilience in kidney dialysis patients. Caregivers can actively help kidney dialysis patients to reduce depression and improve the family functioning, so as to enhance the family resilience

Anxiety · Coping (psychology · Depression (economics · Dialysis · Family resilience · Psychological resilience · Social support · Dialysis and Renal Disease Management · Family Caregiving in Mental Illness · Resilience and Mental Health