{"id":"https://openalex.org/W7214965625","doi":"https://doi.org/10.3389/fpubh.2026.1951731","title":"Mental health literacy in maintenance hemodialysis: a qualitative study on recognition, knowledge fragmentation, and stigma-related help-seeking barriers","display_name":"Mental health literacy in maintenance hemodialysis: a qualitative study on recognition, knowledge fragmentation, and stigma-related help-seeking barriers","publication_year":2026,"publication_date":"2026-09-30","ids":{"openalex":"https://openalex.org/W7214965625","doi":"https://doi.org/10.3389/fpubh.2026.1951731","pmid":"https://pubmed.ncbi.nlm.nih.gov/42877207","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13662178"},"language":"en","primary_location":{"id":"doi:10.3389/fpubh.2026.1951731","doi":"https://doi.org/10.3389/fpubh.2026.1951731","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fpubh.2026.1951731","pdf_url":"https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2026.1951731/pdf","source":{"id":"https://openalex.org/S2595931848","display_name":"Frontiers in Public Health","issn_l":"2296-2565","issn":["2296-2565"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Public Health","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2026.1951731/pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5153561514","display_name":"Wenyi Xiao","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210105138","display_name":"Ningxia Hui Autonomous Region Peoples Hospital","ror":"https://ror.org/01g8cdp94","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210105138"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Wenyi Xiao","raw_affiliation_strings":["Ningxia Hui Autonomous Region People\u2019s Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ningxia Hui Autonomous Region People\u2019s Hospital","institution_ids":["https://openalex.org/I4210105138"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5072663911","display_name":"\u859b\u6668\u51ac","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210127460","display_name":"Ningxia Medical University","ror":"https://ror.org/02h8a1848","country_code":"CN","type":"education","lineage":["https://openalex.org/I4210127460"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Chendong Xue","raw_affiliation_strings":["School of Nursing, Ningxia Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Nursing, Ningxia Medical University","institution_ids":["https://openalex.org/I4210127460"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5028065821","display_name":"Yingying Che","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210127460","display_name":"Ningxia Medical University","ror":"https://ror.org/02h8a1848","country_code":"CN","type":"education","lineage":["https://openalex.org/I4210127460"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Yingying Che","raw_affiliation_strings":["School of Nursing, Ningxia Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Nursing, Ningxia Medical University","institution_ids":["https://openalex.org/I4210127460"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5088278644","display_name":"Long Ma","orcid":"https://orcid.org/0000-0001-8479-2663","observed_orcids":["https://orcid.org/0000-0001-8479-2663"]},"institutions":[{"id":"https://openalex.org/I4210127460","display_name":"Ningxia Medical University","ror":"https://ror.org/02h8a1848","country_code":"CN","type":"education","lineage":["https://openalex.org/I4210127460"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Long Ma","raw_affiliation_strings":["School of Nursing, Ningxia Medical University"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Nursing, Ningxia Medical University","institution_ids":["https://openalex.org/I4210127460"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5153561798","display_name":"Hui Yao","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210105138","display_name":"Ningxia Hui Autonomous Region Peoples Hospital","ror":"https://ror.org/01g8cdp94","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210105138"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Hui Yao","raw_affiliation_strings":["Ningxia Hui Autonomous Region People\u2019s Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ningxia Hui Autonomous Region People\u2019s Hospital","institution_ids":["https://openalex.org/I4210105138"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5139088502","display_name":"Haixia Li","orcid":"https://orcid.org/0009-0000-3765-5367","observed_orcids":["https://orcid.org/0009-0000-3765-5367"]},"institutions":[{"id":"https://openalex.org/I4210105138","display_name":"Ningxia Hui Autonomous Region Peoples Hospital","ror":"https://ror.org/01g8cdp94","country_code":"CN","type":"healthcare","lineage":["https://openalex.org/I4210105138"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Haixia Li","raw_affiliation_strings":["Ningxia Hui Autonomous Region People\u2019s Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ningxia Hui Autonomous Region People\u2019s Hospital","institution_ids":["https://openalex.org/I4210105138"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5139088502"],"corresponding_institution_ids":["https://openalex.org/I4210105138"],"apc_list":{"value":3150,"currency":"CHF","value_usd":3801},"apc_paid":{"value":3150,"currency":"CHF","value_usd":3801},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.7189859,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"14","issue":null,"first_page":"1951731","last_page":"1951731"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10272","display_name":"Mental Health Treatment and Access","score":0.8852999806404114,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10272","display_name":"Mental Health Treatment and Access","score":0.8852999806404114,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10737","display_name":"Health Literacy and Information Accessibility","score":0.06069999933242798,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10291","display_name":"Dialysis and Renal Disease Management","score":0.03889999911189079,"subfield":{"id":"https://openalex.org/subfields/2727","display_name":"Nephrology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/mental-health-literacy","display_name":"mental health literacy","score":1.0},{"id":"https://openalex.org/keywords/maintenance-hemodialysis","display_name":"maintenance hemodialysis","score":0.9909999966621399},{"id":"https://openalex.org/keywords/end-stage-renal-disease","display_name":"end-stage renal disease","score":0.7900000214576721},{"id":"https://openalex.org/keywords/mental-illness-recognition","display_name":"mental illness recognition","score":0.7329999804496765},{"id":"https://openalex.org/keywords/mental-health-stigma","display_name":"mental health stigma","score":0.8080000281333923},{"id":"https://openalex.org/keywords/barriers-to-help-seeking","display_name":"help-seeking barriers","score":0.9909999966621399},{"id":"https://openalex.org/keywords/psychological-distress","display_name":"psychological distress","score":0.8059999942779541},{"id":"https://openalex.org/keywords/attitudes-toward-mental-illness","display_name":"attitudes toward mental illness","score":0.7009999752044678},{"id":"https://openalex.org/keywords/mental-health-resources","display_name":"mental health resources","score":0.5509999990463257},{"id":"https://openalex.org/keywords/psychoeducation","display_name":"psychoeducation","score":0.8629999756813049},{"id":"https://openalex.org/keywords/psychological-intervention","display_name":"psychological intervention","score":0.4059999883174896}],"concepts":[{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.7299000024795532},{"id":"https://openalex.org/C2776087414","wikidata":"https://www.wikidata.org/wiki/Q6817469","display_name":"Mental health literacy","level":4,"score":0.5688999891281128},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.5685999989509583},{"id":"https://openalex.org/C2778843546","wikidata":"https://www.wikidata.org/wiki/Q3097973","display_name":"Health literacy","level":3,"score":0.4925999939441681},{"id":"https://openalex.org/C74196892","wikidata":"https://www.wikidata.org/wiki/Q7781188","display_name":"Thematic analysis","level":3,"score":0.4404999911785126},{"id":"https://openalex.org/C2776674806","wikidata":"https://www.wikidata.org/wiki/Q12135","display_name":"Mental illness","level":3,"score":0.42730000615119934},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4268999993801117},{"id":"https://openalex.org/C2780477327","wikidata":"https://www.wikidata.org/wiki/Q2115980","display_name":"Psychoeducation","level":3,"score":0.4251999855041504},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.41830000281333923},{"id":"https://openalex.org/C168285401","wikidata":"https://www.wikidata.org/wiki/Q1427245","display_name":"Stigma (botany)","level":2,"score":0.4066999852657318},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.3668000102043152},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.3653999865055084},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.349700003862381},{"id":"https://openalex.org/C169900460","wikidata":"https://www.wikidata.org/wiki/Q2200417","display_name":"Cognition","level":2,"score":0.3467999994754791},{"id":"https://openalex.org/C162127614","wikidata":"https://www.wikidata.org/wiki/Q5928045","display_name":"Ambivalence","level":2,"score":0.33399999141693115},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.3336000144481659},{"id":"https://openalex.org/C2781437451","wikidata":"https://www.wikidata.org/wiki/Q1137326","display_name":"Social stigma","level":3,"score":0.3328999876976013},{"id":"https://openalex.org/C547764534","wikidata":"https://www.wikidata.org/wiki/Q8236","display_name":"Literacy","level":2,"score":0.3249000012874603},{"id":"https://openalex.org/C2778755073","wikidata":"https://www.wikidata.org/wiki/Q10858537","display_name":"Scale (ratio)","level":2,"score":0.2971000075340271},{"id":"https://openalex.org/C113807197","wikidata":"https://www.wikidata.org/wiki/Q60894","display_name":"Health education","level":3,"score":0.29330000281333923},{"id":"https://openalex.org/C105538184","wikidata":"https://www.wikidata.org/wiki/Q16253960","display_name":"Middle Eastern Mental Health Issues & Syndromes","level":4,"score":0.2809999883174896},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.27410000562667847},{"id":"https://openalex.org/C139265228","wikidata":"https://www.wikidata.org/wiki/Q5283089","display_name":"Distress","level":2,"score":0.2644999921321869},{"id":"https://openalex.org/C2779279129","wikidata":"https://www.wikidata.org/wiki/Q4804076","display_name":"Ascription","level":2,"score":0.251800000667572}],"mesh":[{"descriptor_ui":"D000066505","descriptor_name":"Help-Seeking Behavior","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002681","descriptor_name":"China","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006435","descriptor_name":"Renal Dialysis","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007407","descriptor_name":"Interviews as Topic","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007722","descriptor_name":"Health Knowledge, Attitudes, Practice","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008603","descriptor_name":"Mental Health","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010342","descriptor_name":"Patient Acceptance of Health Care","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D036301","descriptor_name":"Qualitative Research","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D057220","descriptor_name":"Health Literacy","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D057545","descriptor_name":"Social Stigma","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":4,"locations":[{"id":"doi:10.3389/fpubh.2026.1951731","doi":"https://doi.org/10.3389/fpubh.2026.1951731","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fpubh.2026.1951731","pdf_url":"https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2026.1951731/pdf","source":{"id":"https://openalex.org/S2595931848","display_name":"Frontiers in Public Health","issn_l":"2296-2565","issn":["2296-2565"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Public Health","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13662178","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13662178/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13662178/pdf/fpubh-14-1951731.pdf","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Front Public Health","raw_type":"Text"},{"id":"pmid:42877207","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42877207","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in public health","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:a47baa5d5b9148a5a69c457273534c3c","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/a47baa5d5b9148a5a69c457273534c3c","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Frontiers in Public Health, Vol 14 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.3389/fpubh.2026.1951731","doi":"https://doi.org/10.3389/fpubh.2026.1951731","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fpubh.2026.1951731","pdf_url":"https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2026.1951731/pdf","source":{"id":"https://openalex.org/S2595931848","display_name":"Frontiers in Public Health","issn_l":"2296-2565","issn":["2296-2565"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-scientific","cwts-core","doaj","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Frontiers in Public Health","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7214965625.pdf","grobid_xml":"https://content.openalex.org/works/W7214965625.grobid-xml"},"referenced_works_count":21,"referenced_works":["https://openalex.org/W1965082645","https://openalex.org/W1972487191","https://openalex.org/W1979290264","https://openalex.org/W2038570247","https://openalex.org/W2138664283","https://openalex.org/W2171045291","https://openalex.org/W2319187183","https://openalex.org/W2789315951","https://openalex.org/W2942575851","https://openalex.org/W3123636904","https://openalex.org/W3164007980","https://openalex.org/W3200223632","https://openalex.org/W4213367093","https://openalex.org/W4377263664","https://openalex.org/W4385201468","https://openalex.org/W4392816210","https://openalex.org/W4408815732","https://openalex.org/W4409976080","https://openalex.org/W4415543388","https://openalex.org/W7143485471","https://openalex.org/W7166654897"],"related_works":["https://openalex.org/W4361222314","https://openalex.org/W7024030979","https://openalex.org/W7166654897","https://openalex.org/W4394756384","https://openalex.org/W7214512734","https://openalex.org/W7222351114","https://openalex.org/W1969185469","https://openalex.org/W4402515665","https://openalex.org/W7172312215","https://openalex.org/W2352540658"],"abstract_inverted_index":{"Background:":[0],"Psychological":[1],"distress":[2],"is":[3,240],"highly":[4],"prevalent":[5],"among":[6,40,237],"patients":[7,41,90,138,239],"undergoing":[8],"maintenance":[9,43],"hemodialysis":[10],"(MHD),":[11],"yet":[12],"qualitative":[13,60],"evidence":[14,61],"on":[15,42,131],"their":[16],"mental":[17,30,51,67,211],"health":[18,31,52,68],"literacy":[19,53,69],"(MHL)":[20],"remains":[21],"scarce.":[22],"Objective:":[23],"To":[24],"explore":[25],"the":[26,47,92,96,124],"actual":[27],"level":[28],"of":[29,50,99,114,126,136,160,173,196,202,222],"literacy,":[32],"existing":[33],"challenges,":[34],"and":[35,57,74,123,148,152,164,213,224,233,248,256],"needs":[36],"for":[37,62,71,266],"psychological":[38,77],"services":[39],"hemodialysis;":[44],"to":[45,58,109,119,187],"identify":[46],"constituent":[48],"dimensions":[49],"in":[54,104],"this":[55,72,267],"population;":[56],"provide":[59],"developing":[63],"a":[64,100,134,257],"localized,":[65],"specialized":[66],"scale":[70],"group":[73],"implementing":[75],"targeted":[76],"interventions.":[78],"Methods:":[79],"Using":[80],"purposive":[81],"sampling,":[82],"semi-structured":[83],"in-depth":[84],"interviews":[85,127],"were":[86,139,142,167],"conducted":[87],"with":[88],"MHD":[89,238],"meeting":[91],"inclusion":[93],"criteria":[94],"at":[95],"Hemodialysis":[97],"Center":[98],"Grade":[101],"III-A":[102],"hospital":[103],"Ningxia":[105],"from":[106],"December":[107],"2023":[108],"February":[110],"2024.":[111],"The":[112,229],"principle":[113],"maximum":[115],"diversity":[116],"was":[117,128],"applied":[118],"ensure":[120],"sample":[121],"diversity,":[122],"number":[125],"determined":[129],"based":[130],"data":[132],"saturation;":[133],"total":[135,159],"11":[137],"interviewed.":[140],"Data":[141],"managed":[143],"using":[144,150],"NVivo":[145],"14.0":[146],"software":[147],"analyzed":[149],"Braun":[151],"Clarke's":[153],"thematic":[154],"analysis":[155],"method.":[156],"Results:":[157],"A":[158],"3":[161],"core":[162],"themes":[163],"6":[165],"subthemes":[166],"identified.":[168],"Theme":[169,176,206],"1:":[170],"Heterogeneity":[171],"Recognizing":[172],"Mental":[174,179,203],"Illness.":[175],"2:":[177],"Fragmented":[178],"Health":[180,188,204],"Knowledge.":[181],"This":[182,216],"includes:":[183,217],"2a":[184],"Polarized":[185],"Approaches":[186],"Information;":[189],"2b":[190],"Superficial":[191],"Attribution":[192],"Patterns;":[193],"2c":[194],"Polarization":[195],"Self-Regulation":[197],"Strategies;":[198],"2d":[199],"Uneven":[200],"Awareness":[201],"Resources.":[205],"3:":[207],"Ambivalent":[208],"attitudes":[209],"toward":[210],"illness":[212,244],"seeking":[214],"help.":[215],"3a":[218],"Cognitive":[219],"Attitudes:":[220,228],"Coexistence":[221],"Stigma":[223],"Normalization;":[225],"3b":[226],"Behavioral":[227],"Gap":[230],"between":[231],"Intention":[232],"Action.":[234],"Conclusion:":[235],"MHL":[236,260],"characterized":[241],"by":[242],"insufficient":[243],"recognition,":[245],"fragmented":[246],"knowledge,":[247],"pronounced":[249],"stigma-related":[250],"help-seeking":[251],"barriers.":[252],"Targeted,":[253],"tiered":[254],"psychoeducation":[255],"culturally":[258],"adapted":[259],"assessment":[261],"tool":[262],"are":[263],"urgently":[264],"needed":[265],"population.":[268]},"counts_by_year":[],"updated_date":"2026-10-29T09:56:32.521200","created_date":"2026-10-01T00:00:00"}
