Influence of positive and negative affect on self-management among patients with early chronic kidney disease during the COVID-19 pandemic: The mediating and suppressing effect of ego depletion

Cui, Yi; Li, Rong; Yang, Tianqi; Wang, Hua; Jin, Shasha; Liu, Na; Liu, Hongbao; Zhang, Yinling

doi:10.3389/fpsyt.2022.992404

Cited by 4 publications

(4 citation statements)

References 49 publications

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“…Patient satisfaction is particularly vulnerable to social psychological factors because of the inherent information asymmetry, unequal power dynamics, and frequent interactions between doctors and patients, which make it distinct from traditional customer satisfaction metrics ( Croker et al, 2013 ; Xesfingi and Vozikis, 2016 ). Our mediating effects analysis indicated that the direct and indirect effects of the social cognition of the medical environment on patient satisfaction are contradictory, likely due to the suppressive effect of social desirability bias on this relationship ( Cui et al, 2022 ). To address these complexities, it is essential to acknowledge the influence of social desirability bias when evaluating patient satisfaction.…”

Section: Discussionmentioning

confidence: 97%

Bounded rationality in healthcare: unraveling the psychological factors behind patient satisfaction in China

Qian,

Wang,

Huang

et al. 2024

Front. Psychol.

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IntroductionPatient satisfaction is a crucial metric to gauge the quality of medical services, but the psychological factors influencing patient satisfaction remain insufficiently explored.MethodsThis study examines these psychological factors by applying the theory of bounded rationality to 1,442 inpatients in Hangzhou, China, whose data were collected using a questionnaire. One-way ANOVA, correlation analysis, and hierarchical regression were used to analyze patient satisfaction and its associated factors. Additionally, the path analysis of the structural equation model revealed the mechanisms behind the key psychological factors that influenced patient satisfaction.ResultsMedical risk perception, the social cognition of the medical environment, and social desirability bias had significant positive impacts on patient satisfaction. By contrast, negative emotions had a significant negative impact on patient satisfaction. Notably, patients’ negative emotions had both a suppressive effect and a positive moderating effect on the relationship between medical risk perception and patient satisfaction. Similarly, social desirability bias had a suppressive effect on the correlation between the social cognition of the medical environment and patient satisfaction, albeit with a negative moderating effect.DiscussionThese results suggest that when evaluating and improving patient satisfaction, accounting only for the factors that directly influence medical service quality is insufficient, as the indirect and moderating effects of patients’ negative emotions and the social cognition of the medical environment must also be considered. Medical service providers should thus address patients’ negative emotions, establish good doctor–patient relationships, optimize service environments, provide managers with medical risk education and training on negative emotions, and prioritize patient-centered care. Additionally, the government and relevant health departments should optimize medical policies, enhance fairness and accessibility, and create a positive social cognitive environment through public education and awareness campaigns.

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Section: Discussionmentioning

confidence: 97%

Bounded rationality in healthcare: unraveling the psychological factors behind patient satisfaction in China

Qian,

Wang,

Huang

et al. 2024

Front. Psychol.

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“…There are several plausible explanations. First, the results may be influenced by different research periods, contexts, and populations, especially regarding the type and extent of negative effects ( 58 ). Second, the descriptive statistics showed that over 95% of Chinese university students in our final sample had AP-SRTm (i.e., entertainment and lifestyle information), which is much higher than their AP for other types.…”

Section: Discussionmentioning

confidence: 99%

Absolute and relative preferences for mobile phone internet content, mobile phone dependence, and depressive symptoms: a study of Chinese university students in the post-pandemic era

Yang,

Wang,

Jiang

et al. 2023

Front. Public Health

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BackgroundDue to the COVID-19 pandemic, Chinese university students may have increased mobile phone dependence, a habitual behavior in the student population and a risk factor for depressive symptoms. Therefore, this study explored the association between mobile phone dependence and depressive symptoms in Chinese university students in the post-pandemic era. It also investigated the effects of different types and categories of mobile phone Internet content preferences. In particular, this study examined whether mobile phone dependence mediates the relationship between absolute preference (AP) for mobile phone Internet content and depressive symptoms, and whether relative preference (RP) for mobile phone Internet content moderates the association between mobile phone dependence and depressive symptoms.MethodsA cross-sectional study of Chinese university students recruited through Credamo was conducted in February–March, 2023. Participants completed the Mobile Phone Internet Content Preference Questionnaire, Self-rating Questionnaire for Adolescent Problematic Mobile Phone Use, and Center for Epidemiological Survey, Depression Scale. Statistical analyses included descriptive statistics, correlation, regression, and analyses of mediation and moderation effects. The final sample comprised 1,602 students (709 males).ResultsWe found a positive association between mobile phone dependence and depressive symptoms. The mediating role of mobile phone dependence between AP for mobile phone Internet content and depressive symptoms differed according to the type and category of content. Meanwhile, different types and categories of RP for mobile phone Internet content moderated the association between mobile phone dependence and depressive symptoms in opposite directions.ConclusionOur results highlight the interrelationships among mobile phone Internet content preferences, mobile phone dependence, and depressive symptoms in Chinese university students. For different types and categories of mobile phone Internet content preferences, we propose distinct preventive measures to alleviate students’ depressive symptoms.

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“…When taking into account all variables (including covariates), the results of mediating analysis suggest that all of the fit indexes were within the acceptable range, specifically the chi-square test ðχ 2 Þ = 261:516, degree of freedom ðdf Þ = 130, χ 2 /df = 2:01 < 4, root mean square error of approximation ðRMSEAÞ = 0:058 < 0:08, comparative fit index ðCFIÞ = 0:961 > 0:95, Tucker-Lewis index ðTLIÞ = 0:952 > 0:95, CFI/TLI = 1:01 > 0:9, and standardized root mean square residual ðSRMRÞ = 0:066 < 0:08 [46]. Table 5 shows the 95% CI of each path, and Figure 3 presents the structural equation model.…”

Section: Mediating Analysismentioning

confidence: 99%

The Relationship between Trait Impulsivity and Everyday Executive Functions among Patients with Type 2 Diabetes Mellitus: The Mediating Effect of Negative Emotions

Liu,

Heng,

Cui

et al. 2023

Journal of Diabetes Research

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Background. In recent years, the incidence of type 2 diabetes mellitus (T2DM) has dramatically increased, imposing a heavy financial burden on society and individuals. The most cost-effective way to control diabetes is diabetes self-management, which depends on patients’ executive functions (EFs). However, the level of EFs among patients with T2DM varies greatly. In addition to diabetes-related factors contributing to a decline in EFs, trait impulsivity as a relatively stable personality trait may explicate individual differences in EFs. The objective of this study was to verify the mediating effect of negative emotions on the relationship between trait impulsivity and EFs among patients with T2DM in China. Methods. A total of 305 patients with T2DM were enrolled consecutively from the endocrinology departments of three tertiary hospitals in China using convenience sampling. The participants completed the Sociodemographic Questionnaire, Mini-Mental State Examination (MMSE), Barratt Impulsiveness Scale-Brief (BIS-Brief), Depression Anxiety and Stress Scales with 21 items (DASS-21), and Behavior Rating Inventory of Executive Function-Adult (BRIEF-A) version. A structural equation modeling was used to verify the mediating effect of negative emotions on the relationship between trait impulsivity and EFs. Results. A total of 32.46% of the participants experienced at least one aspect of daily EF decline. The mediating effect of trait impulsivity on the Behavioral Regulation Index (BRI) of EFs through negative emotions was significant, accounting for 29.57% of the total effect. The mediating effect of trait impulsivity on the Metacognitive Index (MI) of EFs through negative emotions was significant, accounting for 31.67% of the total effect. Conclusions. Trait impulsivity can positively predict EF decline, which can be alleviated by improving the negative emotions of patients with T2DM. Future research exploring interventions to improve the EFs of patients with T2DM should therefore consider their trait impulsivity and negative emotions.

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Influence of positive and negative affect on self-management among patients with early chronic kidney disease during the COVID-19 pandemic: The mediating and suppressing effect of ego depletion

Cited by 4 publications

References 49 publications

Bounded rationality in healthcare: unraveling the psychological factors behind patient satisfaction in China

Bounded rationality in healthcare: unraveling the psychological factors behind patient satisfaction in China

Absolute and relative preferences for mobile phone internet content, mobile phone dependence, and depressive symptoms: a study of Chinese university students in the post-pandemic era

The Relationship between Trait Impulsivity and Everyday Executive Functions among Patients with Type 2 Diabetes Mellitus: The Mediating Effect of Negative Emotions

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