{"id":"https://openalex.org/W7220427191","doi":"https://doi.org/10.3389/fpsyg.2026.1779503","title":"Associations among perceived negative consequences, perceived deterioration in well-being, fear of progression, and probable depression in Chinese adults with chronic kidney disease: a cross-sectional path analysis","display_name":"Associations among perceived negative consequences, perceived deterioration in well-being, fear of progression, and probable depression in Chinese adults with chronic kidney disease: a cross-sectional path analysis","publication_year":2026,"publication_date":"2026-10-05","ids":{"openalex":"https://openalex.org/W7220427191","doi":"https://doi.org/10.3389/fpsyg.2026.1779503","pmid":"https://pubmed.ncbi.nlm.nih.gov/42898516","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13677897"},"language":"en","primary_location":{"id":"doi:10.3389/fpsyg.2026.1779503","doi":"https://doi.org/10.3389/fpsyg.2026.1779503","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fpsyg.2026.1779503","pdf_url":"https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2026.1779503/pdf","source":{"id":"https://openalex.org/S9692511","display_name":"Frontiers in Psychology","issn_l":"1664-1078","issn":["1664-1078"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","erih-plus","jufo-1","ki-jl-1","norway-1","poland-70","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 Psychology","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/psychology/articles/10.3389/fpsyg.2026.1779503/pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5140098893","display_name":"Tongxu Zhang","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I27781120","display_name":"Wenzhou Medical University","ror":"https://ror.org/00rd5t069","country_code":"CN","type":"education","lineage":["https://openalex.org/I27781120"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Tongxu Zhang","raw_affiliation_strings":["The Second People\u2019s Hospital of Lishui, Wenzhou Medical University, Lishui"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Second People\u2019s Hospital of Lishui, Wenzhou Medical University, Lishui","institution_ids":["https://openalex.org/I27781120"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5157501504","display_name":"Ting Fang","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I27781120","display_name":"Wenzhou Medical University","ror":"https://ror.org/00rd5t069","country_code":"CN","type":"education","lineage":["https://openalex.org/I27781120"]}],"countries":["CN"],"is_corresponding":false,"raw_author_name":"Ting Fang","raw_affiliation_strings":["The Second People\u2019s Hospital of Lishui, Wenzhou Medical University, Lishui"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Second People\u2019s Hospital of Lishui, Wenzhou Medical University, Lishui","institution_ids":["https://openalex.org/I27781120"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101024510","display_name":"Li Xueyi","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Xueyi Li","raw_affiliation_strings":["The Third People\u2019s Hospital of Qujing, Qujing"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Third People\u2019s Hospital of Qujing, Qujing","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5101928980","display_name":"Yun Wu","orcid":"https://orcid.org/0000-0002-0080-408X","observed_orcids":["https://orcid.org/0000-0002-0080-408X"]},"institutions":[{"id":"https://openalex.org/I27781120","display_name":"Wenzhou Medical University","ror":"https://ror.org/00rd5t069","country_code":"CN","type":"education","lineage":["https://openalex.org/I27781120"]}],"countries":["CN"],"is_corresponding":true,"raw_author_name":"Yun Wu","raw_affiliation_strings":["The Second People\u2019s Hospital of Lishui, Wenzhou Medical University, Lishui"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"The Second People\u2019s Hospital of Lishui, Wenzhou Medical University, Lishui","institution_ids":["https://openalex.org/I27781120"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5101928980"],"corresponding_institution_ids":["https://openalex.org/I27781120"],"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":0.75113525,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"17","issue":null,"first_page":"1779503","last_page":"1779503"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10291","display_name":"Dialysis and Renal Disease Management","score":0.8701000213623047,"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"}},"topics":[{"id":"https://openalex.org/T10291","display_name":"Dialysis and Renal Disease Management","score":0.8701000213623047,"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"}},{"id":"https://openalex.org/T10178","display_name":"Cancer survivorship and care","score":0.02329999953508377,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"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/T10272","display_name":"Mental Health Treatment and Access","score":0.012299999594688416,"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"}}],"keywords":[{"id":"https://openalex.org/keywords/chronic-kidney-disease","display_name":"chronic kidney disease","score":1.0},{"id":"https://openalex.org/keywords/depression","display_name":"depression","score":0.7179999947547913},{"id":"https://openalex.org/keywords/fear-of-progression","display_name":"fear of progression","score":0.9710000157356262},{"id":"https://openalex.org/keywords/illness-appraisal","display_name":"illness appraisal","score":0.7260000109672546},{"id":"https://openalex.org/keywords/gender-differences","display_name":"gender differences","score":0.9269999861717224},{"id":"https://openalex.org/keywords/psychological-well-being","display_name":"psychological well-being","score":0.7670000195503235},{"id":"https://openalex.org/keywords/chinese-adults","display_name":"Chinese adults","score":0.8330000042915344}],"concepts":[{"id":"https://openalex.org/C2776867660","wikidata":"https://www.wikidata.org/wiki/Q1814941","display_name":"Depression (economics)","level":2,"score":0.7730000019073486},{"id":"https://openalex.org/C82793941","wikidata":"https://www.wikidata.org/wiki/Q1046024","display_name":"Path analysis (statistics)","level":2,"score":0.7483000159263611},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.6373000144958496},{"id":"https://openalex.org/C70410870","wikidata":"https://www.wikidata.org/wiki/Q199906","display_name":"Clinical psychology","level":1,"score":0.5422000288963318},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.4652999937534332},{"id":"https://openalex.org/C2776035688","wikidata":"https://www.wikidata.org/wiki/Q1606558","display_name":"Affect (linguistics)","level":2,"score":0.41609999537467957},{"id":"https://openalex.org/C3019858935","wikidata":"https://www.wikidata.org/wiki/Q4340209","display_name":"Depressive symptoms","level":3,"score":0.4056999981403351},{"id":"https://openalex.org/C2778653478","wikidata":"https://www.wikidata.org/wiki/Q1054718","display_name":"Kidney disease","level":2,"score":0.36329999566078186},{"id":"https://openalex.org/C2780051608","wikidata":"https://www.wikidata.org/wiki/Q42844","display_name":"Major depressive disorder","level":3,"score":0.3334999978542328},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.30489999055862427},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.3034000098705292},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.30079999566078186},{"id":"https://openalex.org/C205545832","wikidata":"https://www.wikidata.org/wiki/Q17156455","display_name":"Young adult","level":2,"score":0.2800999879837036},{"id":"https://openalex.org/C2779159551","wikidata":"https://www.wikidata.org/wiki/Q1414874","display_name":"Comorbidity","level":2,"score":0.25619998574256897},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.2540999948978424},{"id":"https://openalex.org/C142052008","wikidata":"https://www.wikidata.org/wiki/Q954027","display_name":"Cross-sectional study","level":2,"score":0.25369998812675476},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.2524000108242035}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.3389/fpsyg.2026.1779503","doi":"https://doi.org/10.3389/fpsyg.2026.1779503","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fpsyg.2026.1779503","pdf_url":"https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2026.1779503/pdf","source":{"id":"https://openalex.org/S9692511","display_name":"Frontiers in Psychology","issn_l":"1664-1078","issn":["1664-1078"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","erih-plus","jufo-1","ki-jl-1","norway-1","poland-70","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 Psychology","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13677897","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13677897/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13677897/pdf/fpsyg-17-1779503.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 Psychol","raw_type":"Text"},{"id":"pmid:42898516","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42898516","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 psychology","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:7ced36288d014d478bdeb597bedd8e89","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/7ced36288d014d478bdeb597bedd8e89","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 Psychology, Vol 17 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.3389/fpsyg.2026.1779503","doi":"https://doi.org/10.3389/fpsyg.2026.1779503","is_oa":true,"landing_page_url":"https://doi.org/10.3389/fpsyg.2026.1779503","pdf_url":"https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2026.1779503/pdf","source":{"id":"https://openalex.org/S9692511","display_name":"Frontiers in Psychology","issn_l":"1664-1078","issn":["1664-1078"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","erih-plus","jufo-1","ki-jl-1","norway-1","poland-70","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 Psychology","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7220427191.pdf","grobid_xml":"https://content.openalex.org/works/W7220427191.grobid-xml"},"referenced_works_count":54,"referenced_works":["https://openalex.org/W24973106","https://openalex.org/W1966260339","https://openalex.org/W1981487626","https://openalex.org/W1989652160","https://openalex.org/W2002208326","https://openalex.org/W2034672967","https://openalex.org/W2097624530","https://openalex.org/W2099274262","https://openalex.org/W2121746571","https://openalex.org/W2132322340","https://openalex.org/W2148640119","https://openalex.org/W2160149084","https://openalex.org/W2514442155","https://openalex.org/W2555783136","https://openalex.org/W2807834281","https://openalex.org/W2937440490","https://openalex.org/W2982761296","https://openalex.org/W2995223608","https://openalex.org/W3087274193","https://openalex.org/W3128556487","https://openalex.org/W3129353606","https://openalex.org/W3157413474","https://openalex.org/W3167662619","https://openalex.org/W3202660027","https://openalex.org/W4200599763","https://openalex.org/W4200621394","https://openalex.org/W4210935846","https://openalex.org/W4224277469","https://openalex.org/W4316661527","https://openalex.org/W4319741981","https://openalex.org/W4365816708","https://openalex.org/W4367313804","https://openalex.org/W4385973240","https://openalex.org/W4387303019","https://openalex.org/W4387389245","https://openalex.org/W4387496098","https://openalex.org/W4388822390","https://openalex.org/W4390114500","https://openalex.org/W4390571177","https://openalex.org/W4391111123","https://openalex.org/W4392886386","https://openalex.org/W4393120208","https://openalex.org/W4399802180","https://openalex.org/W4400246446","https://openalex.org/W4400773550","https://openalex.org/W4404092738","https://openalex.org/W4404593229","https://openalex.org/W4406290884","https://openalex.org/W4408615531","https://openalex.org/W4409191075","https://openalex.org/W4409915953","https://openalex.org/W4410393077","https://openalex.org/W4413400505","https://openalex.org/W4414741711"],"related_works":["https://openalex.org/W3167662619","https://openalex.org/W2983314458","https://openalex.org/W2620426481","https://openalex.org/W4413225846","https://openalex.org/W4283723204","https://openalex.org/W2000354302","https://openalex.org/W4403435894","https://openalex.org/W2946383068","https://openalex.org/W2899315834","https://openalex.org/W3000682142"],"abstract_inverted_index":{"Introduction:":[0],"Individuals":[1],"with":[2,57,129,140,178,220,229,239],"chronic":[3],"kidney":[4],"disease":[5],"(CKD)":[6],"are":[7,28,252],"vulnerable":[8],"to":[9,254],"probable":[10,45,58,116,130,141,163,179,202,207,225],"depression.":[11,46,131],"Perceived":[12],"negative":[13],"consequences":[14],"(PNC)":[15],"of":[16,25,53,80,115,135,173,213,224],"CKD,":[17],"perceived":[18],"deterioration":[19],"in":[20,31,65,152,169,198,244,266],"well-being":[21,265],"(PDW),":[22],"and":[23,44,55,68,102,122,126,138,160,176,216,249],"fear":[24],"progression":[26],"(FoP)":[27],"commonly":[29],"experienced":[30],"this":[32,75,267],"population.":[33,268],"This":[34],"cross-sectional":[35,76],"study":[36],"examined":[37],"the":[38,50,153,170,199,245],"associations":[39,52,134,172,185,234],"among":[40,188,227],"PNC,":[41,121,214],"PDW,":[42,120,215],"FoP,":[43,156,159],"It":[47],"also":[48],"tested":[49],"indirect":[51,69,133,171,233],"PNC":[54,139,157,177,205],"PDW":[56,137,154,161,175],"depression":[59,117,142,164,180,203,208,226],"through":[60,143,181,235],"FoP.":[61,182],"Additionally,":[62],"gender":[63,106,148,194],"differences":[64,149,195],"these":[66,184],"direct":[67],"pathways":[70],"were":[71,85,107,124,145,150,186,196,218,237],"explored.":[72],"Methods:":[73],"In":[74],"study,":[77],"a":[78,96,221],"total":[79],"456":[81],"Chinese":[82],"CKD":[83],"patients":[84],"recruited":[86],"using":[87,109],"convenience":[88],"sampling.":[89],"Participants":[90],"completed":[91],"standardized":[92],"self-report":[93],"questionnaires":[94],"at":[95],"single":[97],"time":[98],"point.":[99],"Path":[100],"analysis":[101,104],"multi-group":[103],"by":[105],"conducted":[108],"Mplus":[110],"8.3.":[111],"Results:":[112],"The":[113,231],"prevalence":[114],"was":[118],"37.3%.":[119],"FoP":[123,144,200,217,236,261],"positively":[125],"significantly":[127],"associated":[128,219],"Significant":[132,147],"both":[136,174],"observed.":[146],"found":[151],"\u2192":[155,158,162,201,206],"associations,":[165],"as":[166,168],"well":[167],"All":[183],"stronger":[187],"females":[189],"than":[190],"males.":[191],"No":[192],"significant":[193,232],"observed":[197],"or":[204,260],"associations.":[209],"Conclusion:":[210],"Higher":[211],"levels":[212],"greater":[222],"likelihood":[223],"individuals":[228],"CKD.":[230],"consistent":[238],"its":[240],"potential":[241],"explanatory":[242],"role":[243],"proposed":[246],"model.":[247],"Longitudinal":[248],"intervention":[250],"studies":[251],"needed":[253],"determine":[255],"whether":[256],"addressing":[257],"illness":[258],"appraisals":[259],"can":[262],"improve":[263],"psychological":[264]},"counts_by_year":[],"updated_date":"2026-10-29T09:56:32.521200","created_date":"2026-10-06T00:00:00"}
