Psychosocial pathways linking family support to sleep disorders in maintenance hemodialysis: the chain mediating role of depression and fatigue.

ABSTRACT: Sleep disorders are prevalent in maintenance hemodialysis (MHD) patients and contribute to reduced quality of life, cardiovascular risk, and mortality. While psychosocial factors influence sleep quality, the pathways linking family support to sleep outcomes in this population remain unclear. This cross-sectional study aimed to examine whether depression and fatigue mediate the association between family support and sleep disorders among MHD patients using a chain mediation model. A total of 308 patients from two tertiary hospitals in Xinjiang, China (December 2024-March 2025) completed the Perceived Social Support from Family Scale, Self-Rating Depression Scale, Functional Assessment of Chronic Illness Therapy-Fatigue, and Pittsburgh Sleep Quality Index. Spearman correlation and structural

SUBMITTER: Tan H 

PROVIDER: S-EPMC12777831 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature