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24-10-2022 | ORIGINAL PAPER

Effects of Perceived Stigma on Depressive Symptoms and Demoralization in Maintenance Hemodialysis Patients: Self-warmth and Self-coldness as Mediators

Auteurs: Mengxin Lu, Yaoyao Yang, Guangmei Wang, Hui Wang, Danjun Feng

Gepubliceerd in: Mindfulness | Uitgave 12/2022

Abstract

Objectives

Patients with maintenance hemodialysis (MHD) experience stigma due to their dependence on machines and changes in appearance, which contributes to negative psychological outcomes. This study investigated the effect of perceived stigma on depressive symptoms and demoralization in MHD patients and explored the mediating roles of self-warmth and self-coldness.

Methods

This study included 301 MHD patients in a cross-sectional design. The participants completed self-reported measures of perceived stigma, self-warmth, self-coldness, depressive symptoms, and demoralization. Structural equation modeling was used to test the relationships among the main variables.

Results

The results suggested that perceived stigma was directly and positively correlated with depressive symptoms and demoralization. Both relationships were mediated by self-warmth and self-coldness. Additionally, the mediating effect of self-coldness was significantly greater than self-warmth in both the depressive symptoms and demoralization models.

Conclusions

Perceived stigma was a risk factor for depressive symptoms and demoralization in MHD patients. Self-coldness played a more important mediating role than self-warmth in the relationship between perceived stigma and two negative psychological outcomes.

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Titel: Effects of Perceived Stigma on Depressive Symptoms and Demoralization in Maintenance Hemodialysis Patients: Self-warmth and Self-coldness as Mediators
Auteurs: Mengxin Lu
Yaoyao Yang
Guangmei Wang
Hui Wang
Danjun Feng
Publicatiedatum: 24-10-2022
Uitgeverij: Springer US
Gepubliceerd in: Mindfulness / Uitgave 12/2022
Print ISSN: 1868-8527
Elektronisch ISSN: 1868-8535
DOI: https://doi.org/10.1007/s12671-022-02011-5

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Abstract

Objectives

Methods

Results

Conclusions

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