Illness perception and insomnia among patients with maintenance hemodialysis: a moderated mediation model of fear of progression and self-compassion.

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中文解读

中文解读待补充：本站会优先为失眠研究、睡眠质量改善、昼夜节律等高价值睡眠研究添加中文说明。

Original abstract

This research examined the impact of illness perception, fear of progression, and self-compassion on insomnia among maintenance hemodialysis patients in China. A cross-sectional study was conducted in Chongqing from January 2025 to May 2025. The Brief Illness Perception Questionnaire, Athens Insomnia Scale, Fear of Progression Questionnaire-Short Form, and Self-Compassion Scale-Short Form were evaluated in 332 maintenance hemodialysis patients. This research found that 55.72% of the patients suffered from insomnia. Insomnia showed a positive relationship with illness perception (<i>r</i> = 0.629, <i>p</i> < 0.01) and fear of progression (<i>r</i> = 0.479, <i>p</i> < 0.01), but a negative relationship with self-compassion (<i>r</i> = -0.451, <i>p</i> < 0.01). The mediating role of fear of progression in the relationship between illness perception and insomnia accounted for 17.5% of the total impact. Analysis of simple slopes revealed that illness perception was a significant predictor of fear of progression at both low (<i>B</i> = 0.477, <i>t</i> = 5.131, and <i>p</i> < 0.001) and high (<i>B</i> = 0.732, <i>t</i> = 8.187, and <i>p</i> < 0.001) self-compassion levels. Our study's findings contribute to the understanding of factors affecting insomnia among maintenance hemodialysis patients and offer a theoretical foundation and practical advice for improving their sleep quality.

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