The mediating role of positive psychological resources in the relationship between social support and sleep quality among kidney transplant recipients: A cross-sectional study

The mediating role of positive psychological resources in the relationship between social support and sleep quality among kidney transplant recipients: A cross-sectional study | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article The mediating role of positive psychological resources in the relationship between social support and sleep quality among kidney transplant recipients: A cross-sectional study JIAXIN ZHU, ZHUORUI LI, XU LIU, LING DENG, MAO YE, XIAOFEI LI This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-7701307/v1 This work is licensed under a CC BY 4.0 License Status: Posted Version 1 posted You are reading this latest preprint version Abstract Objective To examine the mediating role of positive psychological resources in the relationship between social support and sleep quality among kidney transplant recipients, and to provide evidence for the development of targeted sleep quality interventions. Methods A convenience sample of 343 stable kidney transplant recipients, including both inpatients and outpatients, was recruited from a tertiary hospital in Shenyang, Liaoning Province, China, between December 2024 and June 2025. Data were collected using a general information questionnaire, the Pittsburgh Sleep Quality Index (PSQI), the Social Support Rating Scale(SSRS), the Connor-Davidson Resilience Scale(CD-RISC), and the General Self-Efficacy Scale(GSES). Statistical analyses and path modeling were performed with SPSS 29.0 and AMOS 24.0. Results The prevalence of sleep disorders among kidney transplant recipients was 34.7%. Correlation analyses revealed that PSQI scores were negatively associated with social support, self-efficacy, and resilience (p < 0.01). Social support was positively correlated with self-efficacy and resilience (p < 0.01), and self-efficacy was positively correlated with resilience (p < 0.01). Path analysis showed that self-efficacy and resilience partially mediated the association between social support and sleep quality. The mediating effect of self-efficacy accounted for 51.5% of the total effect, while the mediating effect of resilience accounted for 52.4%. Conclusion Positive psychological resources, particularly self-efficacy and resilience, play a partial mediating role in the relationship between social support and sleep quality in kidney transplant recipients. These findings underscore the importance of incorporating psychological resource enhancement into clinical interventions to improve sleep outcomes in this population. Kidney transplant recipients Sleep quality Social support Self-efficacy Resilience Full Text Additional Declarations No competing interests reported. Cite Share Download PDF Status: Posted Version 1 posted You are reading this latest preprint version Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. Our growing team is made up of researchers and industry professionals working together to solve the most critical problems facing scientific publishing. Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-7701307","acceptedTermsAndConditions":true,"allowDirectSubmit":true,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":542569581,"identity":"f49af1e2-1df5-4b81-a5d7-86235e710a89","order_by":0,"name":"JIAXIN ZHU","email":"","orcid":"","institution":"China Medical University","correspondingAuthor":false,"prefix":"","firstName":"JIAXIN","middleName":"","lastName":"ZHU","suffix":""},{"id":542569584,"identity":"808ce178-0f3a-4e0b-b4f9-aa217de839f7","order_by":1,"name":"ZHUORUI LI","email":"","orcid":"","institution":"China Medical 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study","fulltext":[],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":false,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":true,"highlight":"","institution":"","isAcceptedByJournal":false,"isAuthorSuppliedPdf":true,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":true,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true},"keywords":"Kidney transplant recipients, Sleep quality, Social support, Self-efficacy, Resilience","lastPublishedDoi":"10.21203/rs.3.rs-7701307/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-7701307/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003ch2\u003eObjective\u003c/h2\u003e\u003cp\u003eTo examine the mediating role of positive psychological resources in the relationship between social support and sleep quality among kidney transplant recipients, and to provide evidence for the development of targeted sleep quality interventions.\u003c/p\u003e\u003ch2\u003eMethods\u003c/h2\u003e\u003cp\u003eA convenience sample of 343 stable kidney transplant recipients, including both inpatients and outpatients, was recruited from a tertiary hospital in Shenyang, Liaoning Province, China, between December 2024 and June 2025. Data were collected using a general information questionnaire, the Pittsburgh Sleep Quality Index (PSQI), the Social Support Rating Scale(SSRS), the Connor-Davidson Resilience Scale(CD-RISC), and the General Self-Efficacy Scale(GSES). Statistical analyses and path modeling were performed with SPSS 29.0 and AMOS 24.0.\u003c/p\u003e\u003ch2\u003eResults\u003c/h2\u003e\u003cp\u003eThe prevalence of sleep disorders among kidney transplant recipients was 34.7%. Correlation analyses revealed that PSQI scores were negatively associated with social support, self-efficacy, and resilience (p\u0026thinsp;\u0026lt;\u0026thinsp;0.01). Social support was positively correlated with self-efficacy and resilience (p\u0026thinsp;\u0026lt;\u0026thinsp;0.01), and self-efficacy was positively correlated with resilience (p\u0026thinsp;\u0026lt;\u0026thinsp;0.01). Path analysis showed that self-efficacy and resilience partially mediated the association between social support and sleep quality. The mediating effect of self-efficacy accounted for 51.5% of the total effect, while the mediating effect of resilience accounted for 52.4%.\u003c/p\u003e\u003ch2\u003eConclusion\u003c/h2\u003e\u003cp\u003ePositive psychological resources, particularly self-efficacy and resilience, play a partial mediating role in the relationship between social support and sleep quality in kidney transplant recipients. These findings underscore the importance of incorporating psychological resource enhancement into clinical interventions to improve sleep outcomes in this population.\u003c/p\u003e","manuscriptTitle":"The mediating role of positive psychological resources in the relationship between social support and sleep quality among kidney transplant recipients: A cross-sectional study","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2025-11-11 23:23:52","doi":"10.21203/rs.3.rs-7701307/v1","editorialEvents":[{"type":"communityComments","content":0}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"311d5d84-f88d-4eea-b17b-dcbc51fbb262","owner":[],"postedDate":"November 11th, 2025","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"posted","subjectAreas":[],"tags":[],"updatedAt":"2026-03-06T06:56:40+00:00","versionOfRecord":[],"versionCreatedAt":"2025-11-11 23:23:52","video":"","vorDoi":"","vorDoiUrl":"","workflowStages":[]},"version":"v1","identity":"rs-7701307","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-7701307","identity":"rs-7701307","version":["v1"]},"buildId":"8U1c8b4HqxoKbykW_rLl7","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}