Evidence map›Paper›PMID 42332445›Full record

ArticleMedicine2026

Effects of social support and type D personality, with serial mediation by psychological resilience and positive coping styles - a cross-sectional study: Subjective well-being in hemodialysis patients.

Congyan Xie, Yizhen Zhang, Junhua Xie, Jia Xu

Abstract read
In one paragraph

Article in Medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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

The trial behind it

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

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

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

4 authors.

Congyan XieDepartment of Nursing, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University, Tongji Shanxi Hospital, Taiyuan, China.ORCID 0009-0003-7975-5528
Yizhen Zhang
Junhua Xie
Jia Xu

Funding

Science Foundation of Shanxi Bethune Hospital 2022YH18Science Foundation of Shanxi Bethune Hospital 2023YJ03
6 · The paper itself

Abstract

This study aimed to examine the effects of social support and type D personality on subjective well-being (SWB) in hemodialysis patients and to verify the serial mediating roles of psychological resilience and positive coping styles, addressing the lack of research on multifactor serial mediation mechanisms. A cross-sectional survey was conducted among 427 hemodialysis patients in Shanxi, China. Pearson correlation, multiple linear regression, and bootstrap resampling (5000 resamples) were used for analysis, with annual household income and dialysis vintage as control variables. After controlling for covariates, social support positively predicted SWB (total effect = 0.361, P < .001), whereas type D personality negatively predicted SWB (total effect = -0.235, P < .001). Psychological resilience and positive coping styles exerted significant serial mediating effects in both pathways, with total indirect effects accounting for 55.12% and 59.15% of the total effects, respectively. All effects were statistically significant. Social support is a protective factor and type D personality a risk factor for SWB in hemodialysis patients. Both act through the serial mediating pathway of psychological resilience and positive coping styles, providing clear targets for clinical psychological interventions.

Indexed as

Coping SkillsRenal DialysisResilience, PsychologicalSocial SupportType D PersonalityAdultAgedChinaCross-Sectional StudiesFemaleHumansMaleMiddle AgedPsychological Well-BeingSurveys and Questionnaireshemodialysispositive coping stylespsychological resiliencesocial supportsubjective well-beingtype D personality

Identifiers

PMID42332445
PMCPMC13286315

What Socratic holds

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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 Socratic graph.