ORIGINAL RESEARCH article
Front. Psychol.
Sec. Psychology for Clinical Settings
Volume 16 - 2025 | doi: 10.3389/fpsyg.2025.1550052
This article is part of the Research TopicThe Interaction between Self and Other in the Clinical Setting: The Role of Inter-Subjectivity - Volume IIView all articles
Mediating effects of psychological capital on the influencing relationship between social isolation and anxiety symptoms of maintenance hemodialysis patients
Provisionally accepted
- 1Jishou University, Jishou, China
- 2Hunan University of Medicine, Huaihua, Hunan Province, China
- 3Shanghai East Hospital, School of Medicine, Tongji University, Shanghai, Shanghai Municipality, China
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Background: Limited research has examined the direct or indirect effects of social isolation on anxiety symptoms. This study investigated the mediating effect of psychological capital (PsyCap) on social isolation and anxiety symptoms. Methods: The study included 202 maintenance hemodialysis (MHD) patients from Shanghai Hospital in China. Data collection utilized basic data, social isolation, anxiety self-assessment, and psychological capital questionnaires. Statistical analysis employed PROCESS4.1 and SPSS26.0 for univariate and correlation analyses, with Model 4 being utilized for mediation effect assessment. Results: Smoking history, heart failure, and dialysis time were identified as significant factors associated with anxiety in MHD patients. Social isolation score is positively correlated with PsyCap (r=0.442, P < 0.001), and negative correlated with anxiety symptoms (r=-0.786, P < 0.001).The mediating effect of PsyCap accounts for 7.693% of the total effect. Conclusion: PsyCap plays a partial mediating role in the relationship between social isolation and anxiety in MHD patients. It is necessary to strengthen the assessment of social isolation in MHD patients to improve PsyCap and reduce the risk of anxiety symptoms.
Keywords: MHD, Social Isolation, Anxiety symptoms, Psychological Capital, Maintenance hemodialysis
Received: 22 Dec 2024; Accepted: 21 Oct 2025.
Copyright: © 2025 Li, Zhang, Xiang and Wu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Ying Li, 1784570921@qq.com
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