{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T12:29:50Z","timestamp":1787142590337,"version":"build-2736575974"},"reference-count":50,"publisher":"Elsevier BV","issue":"7","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T00:00:00Z","timestamp":1782518400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["elsevier.es","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Nefrolog\u00eda (English Edition)"],"published-print":{"date-parts":[[2026,8]]},"DOI":"10.1016\/j.nefroe.2026.501534","type":"journal-article","created":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T11:44:06Z","timestamp":1787139846000},"page":"501534","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Resilience and gender differences in patients with end-stage renal disease receiving hemodialysis: A cross-sectional study"],"prefix":"10.1016","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-8599-3226","authenticated-orcid":false,"given":"Gloria M.","family":"Zaragoza Fern\u00e1ndez","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 C.","family":"De La Flor","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ver\u00f3nica","family":"Fern\u00e1ndez Abreu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisa","family":"Iglesias Castellano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rafael Jose","family":"Esteban de la Rosa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rafael","family":"Fern\u00e1ndez Castillo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.nefroe.2026.501534_bib0255","doi-asserted-by":"crossref","first-page":"278","DOI":"10.1186\/s12882-025-04204-1","article-title":"Investigating the relationship between perceived social support and resilience in patients undergoing hemodialysis: a cross-sectional study","volume":"26","author":"Karami","year":"2025","journal-title":"BMC Nephrol"},{"key":"10.1016\/j.nefroe.2026.501534_bib0260","doi-asserted-by":"crossref","first-page":"11957","DOI":"10.3390\/ijerph182211957","article-title":"Resilience: a protective factor from depression and anxiety in Mexican dialysis patients","volume":"18","author":"Gonz\u00e1lez-Flores","year":"2021","journal-title":"Int J Environ Res Public Health"},{"key":"10.1016\/j.nefroe.2026.501534_bib0265","doi-asserted-by":"crossref","first-page":"3351","DOI":"10.1111\/ejn.12703","article-title":"Hippocampal brain-derived neurotrophic factor mediates recovery from chronic stress-induced spatial reference memory deficits","volume":"40","author":"Ortiz","year":"2014","journal-title":"Eur J Neurosci"},{"key":"10.1016\/j.nefroe.2026.501534_bib0270","doi-asserted-by":"crossref","DOI":"10.1080\/23311908.2015.1024928","article-title":"Resilience in chronic diseases: a systematic review","volume":"2","author":"Cal","year":"2015","journal-title":"Cogent Psychol"},{"key":"10.1016\/j.nefroe.2026.501534_bib0275","doi-asserted-by":"crossref","first-page":"6510","DOI":"10.1038\/s41598-024-57212-w","article-title":"Psychological resilience mediates the relationship between diabetes distress and depression among persons with diabetes in a multi-group analysis","volume":"18","author":"Wojujutari","year":"2024","journal-title":"Sci Rep"},{"key":"10.1016\/j.nefroe.2026.501534_bib0280","doi-asserted-by":"crossref","first-page":"2440","DOI":"10.1016\/S0140-6736(19)30652-X","article-title":"Gender inequality and restrictive gender norms: framing the challenges to health","volume":"393","author":"Heise","year":"2019","journal-title":"Lancet"},{"key":"10.1016\/j.nefroe.2026.501534_bib0285","doi-asserted-by":"crossref","first-page":"649","DOI":"10.1038\/s41371-023-00843-9","article-title":"Sex and gender differences in the management of chronic kidney disease and hypertension","volume":"37","author":"Mayne","year":"2023","journal-title":"J Hum Hypertens"},{"key":"10.1016\/j.nefroe.2026.501534_bib0290","article-title":"Gender difference in the association of coping styles and social support with psychological distress among patients with end-stage renal disease","volume":"8","author":"Wang","year":"2020","journal-title":"PeerJ"},{"key":"10.1016\/j.nefroe.2026.501534_bib0295","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph182413022","article-title":"Gender-specific differences in self-care, treatment-related symptoms, and quality of life in hemodialysis patients","volume":"18","author":"Lerma","year":"2021","journal-title":"Int J Environ Res Public Health"},{"issue":"Suppl. 2","key":"10.1016\/j.nefroe.2026.501534_bib0300","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1080\/10810730.2016.1201174","article-title":"Health literacy is associated with health behaviors and social factors among older adults: results from the lifelines cohort study","volume":"21","author":"Geboers","year":"2016","journal-title":"J Health Commun"},{"key":"10.1016\/j.nefroe.2026.501534_bib0305","doi-asserted-by":"crossref","first-page":"2577","DOI":"10.1007\/s11255-021-02826-6","article-title":"The impact of marital and socioeconomic status on quality of life and physical activity in patients with chronic kidney disease","volume":"53","author":"Molsted","year":"2021","journal-title":"Int Urol Nephrol"},{"key":"10.1016\/j.nefroe.2026.501534_bib0310","doi-asserted-by":"crossref","first-page":"34","DOI":"10.3390\/kidneydial5030034","article-title":"Vascular access function and psychological well-being of haemodialysis patients","volume":"5","author":"Sikora","year":"2025","journal-title":"Kidney Dial"},{"key":"10.1016\/j.nefroe.2026.501534_bib0315","doi-asserted-by":"crossref","first-page":"179","DOI":"10.3390\/jpm15050179","article-title":"Comparison of depression in hemodialysis, peritoneal dialysis, and kidney transplant patients: a systematic review with meta-analysis","volume":"15","author":"Zaragoza","year":"2025","journal-title":"J Pers Med"},{"key":"10.1016\/j.nefroe.2026.501534_bib0320","doi-asserted-by":"crossref","first-page":"12","DOI":"10.3390\/ejihpe15020012","article-title":"Fatigue in hemodialysis patients: a comparative analysis with healthy controls","volume":"15","author":"Su\u0142kowski","year":"2025","journal-title":"Eur J Investig Health Psychol Educ"},{"key":"10.1016\/j.nefroe.2026.501534_bib0325","first-page":"127","article-title":"Comparative study of resilience in hemodialysis and kidney transplant patients","volume":"27","author":"Mart\u00ednez L\u00f3pez","year":"2024","journal-title":"Nephrol Nurs"},{"key":"10.1016\/j.nefroe.2026.501534_bib0330","doi-asserted-by":"crossref","first-page":"2425","DOI":"10.3390\/jcm13082425","article-title":"Vascular access perception and quality of life of haemodialysis patients","volume":"13","author":"Sikora","year":"2024","journal-title":"J Clin Med"},{"key":"10.1016\/j.nefroe.2026.501534_bib0335","doi-asserted-by":"crossref","first-page":"358","DOI":"10.5152\/turkjnephrol.2024.23677","article-title":"Association between perceived stress, anxiety, depression and resilience in hemodialysis patients during COVID-19 pandemic","volume":"33","author":"Aydin Sunbul","year":"2024","journal-title":"Turk J Nephrol"},{"key":"10.1016\/j.nefroe.2026.501534_bib0340","first-page":"167","article-title":"Development and validation of the Resilience Scale for Kidney Transplantation (RS-KTPL)","volume":"18","author":"Chung","year":"2024","journal-title":"Asian Nurs Res (Korean Soc Nurs Sci)"},{"key":"10.1016\/j.nefroe.2026.501534_bib0345","first-page":"101","article-title":"Factors affecting postdialysis fatigue among hemodialysis patients: a multicenter study from China","volume":"24","author":"Zhang","year":"2023","journal-title":"BMC Nephrol"},{"key":"10.1016\/j.nefroe.2026.501534_bib0350","first-page":"165","article-title":"Development and psychometric evaluation of the Resilience Scale","volume":"1","author":"Wagnild","year":"1993","journal-title":"J Nurs Meas"},{"key":"10.1016\/j.nefroe.2026.501534_bib0355","first-page":"103","article-title":"14-Item resilience scale (RS-14): psychometric properties of the Spanish version","volume":"1","author":"S\u00e1nchez-Teruel","year":"2015","journal-title":"Rev Iber Diagn Eval Psicol"},{"key":"10.1016\/j.nefroe.2026.501534_bib0360","doi-asserted-by":"crossref","first-page":"2191","DOI":"10.1001\/jama.2013.281053","article-title":"World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects","volume":"310","year":"2013","journal-title":"JAMA"},{"key":"10.1016\/j.nefroe.2026.501534_bib0365","unstructured":"Spain. Law 14\/2007, of 3 July, on Biomedical Research. Official State Gazette No. 159, 4 July 2007, p. 28826\u201328848. Available from: https:\/\/www.boe.es\/eli\/es\/l\/2007\/07\/03\/14. [Accessed 31 October 2025]."},{"key":"10.1016\/j.nefroe.2026.501534_bib0370","first-page":"e2786","article-title":"Fatores sociodemogr\u00e1ficos e condicionantes de sa\u00fade associados \u00e0 resili\u00eancia de pessoas com doen\u00e7as cr\u00f4nicas: um estudo transversal","volume":"24","author":"B\u00f6ell","year":"2016","journal-title":"Rev Lat Am Enfermagem"},{"key":"10.1016\/j.nefroe.2026.501534_bib0375","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1186\/s12955-020-01486-x","article-title":"The mediating effect of resilience between family functioning and mental well-being in hemodialysis patients in Japan: a cross-sectional design","volume":"18","author":"Kukihara","year":"2020","journal-title":"Heal Qual Life Outcomes"},{"key":"10.1016\/j.nefroe.2026.501534_bib0380","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph18073544","article-title":"Influence of depression and anxiety on hemodialysis patients: the value of multidisciplinary care","volume":"18","author":"Delgado-Dom\u00ednguez","year":"2021","journal-title":"Int J Environ Res Public Health"},{"key":"10.1016\/j.nefroe.2026.501534_bib0385","doi-asserted-by":"crossref","DOI":"10.3389\/fmed.2023.1176975","article-title":"Access to treatment in chronic kidney disease, dialysis and transplantation: is there gender equality?","volume":"10","author":"Sleiman","year":"2023","journal-title":"Front Med"},{"key":"10.1016\/j.nefroe.2026.501534_bib0390","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph16060993","article-title":"Perceived needs of family caregivers in a Mediterranean setting: a qualitative study","volume":"16","author":"Moreno-C\u00e1mara","year":"2019","journal-title":"Int J Environ Res Public Health"},{"key":"10.1016\/j.nefroe.2026.501534_bib0395","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph18147332","article-title":"Health, work, and social problems in spanish informal caregivers: does gender matter?","volume":"18","author":"Pe\u00f1a-Longobardo","year":"2021","journal-title":"Int J Environ Res Public Health"},{"key":"10.1016\/j.nefroe.2026.501534_bib0400","doi-asserted-by":"crossref","DOI":"10.1093\/ckj\/sfae300","article-title":"Informal caregiver burden in dialysis care and how it relates to patients\u2019 health-related quality of life and symptoms","volume":"17","author":"Driehuis","year":"2024","journal-title":"Clin Kidney J"},{"key":"10.1016\/j.nefroe.2026.501534_bib0405","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1186\/s12882-024-03520-2","article-title":"The mediating effect of family resilience between coping styles and caregiver burden in maintenance hemodialysis patients: a cross-sectional study","volume":"25","author":"Zhang","year":"2024","journal-title":"BMC Nephrol"},{"key":"10.1016\/j.nefroe.2026.501534_bib0410","doi-asserted-by":"crossref","first-page":"768","DOI":"10.1186\/s12882-024-03768-8","article-title":"Predictive role of spiritual health, resilience, and mental well-being in treatment adherence among hemodialysis patients","volume":"25","author":"Saedi","year":"2024","journal-title":"BMC Nephrol"},{"key":"10.1016\/j.nefroe.2026.501534_bib0415","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1186\/s12882-025-04008-3","article-title":"Factors associated with resilience among patients with end-stage kidney disease receiving hemodialysis in a teaching hospital: a cross-sectional study","volume":"23","author":"Poudel","year":"2025","journal-title":"BMC Nephrol"},{"key":"10.1016\/j.nefroe.2026.501534_bib0420","doi-asserted-by":"crossref","first-page":"2111","DOI":"10.15452\/cejnm.2025.16.0006","article-title":"Resilience, pain self-efficacy and health-related quality of life of people on hemodialysis: a cross-sectional study","volume":"16","author":"Tsanasidis","year":"2025","journal-title":"Cent Eur J Nurs Midw"},{"key":"10.1016\/j.nefroe.2026.501534_bib0425","doi-asserted-by":"crossref","first-page":"2562","DOI":"10.3390\/healthcare12242562","article-title":"Acceptance of illness and health behaviours of patients with end-stage renal disease treated with haemodialysis: a single-centre study","volume":"12","author":"Hre\u0144czuk","year":"2024","journal-title":"Healthcare (Basel)"},{"key":"10.1016\/j.nefroe.2026.501534_bib0430","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1186\/s12882-024-03617-8","article-title":"Educational level and gender are associated with emotional well-being in a cohort of Dutch dialysis patients","volume":"25","author":"Bakker","year":"2024","journal-title":"BMC Nephrol"},{"key":"10.1016\/j.nefroe.2026.501534_bib0435","doi-asserted-by":"crossref","DOI":"10.3389\/fpsyt.2021.723344","article-title":"The role of socioeconomic status, family resilience, and social support in predicting psychological resilience among Chinese maintenance hemodialysis patients","volume":"12","author":"Qiu","year":"2021","journal-title":"Front Psychiatry"},{"key":"10.1016\/j.nefroe.2026.501534_bib0440","doi-asserted-by":"crossref","first-page":"1905","DOI":"10.1111\/aphw.12569","article-title":"Social support and family resilience among Chinese people receiving maintenance hemodialysis: a polynomial regression and response surface analysis explaining psychological resilience","volume":"16","author":"Xu","year":"2024","journal-title":"Appl Psychol Health Well-Being"},{"key":"10.1016\/j.nefroe.2026.501534_bib0445","doi-asserted-by":"crossref","first-page":"200","DOI":"10.1186\/s13690-025-01686-1","article-title":"Gender differences in self-management activation among patients with multiple chronic diseases: a qualitative study","volume":"83","author":"Llubes-Arri\u00e0","year":"2025","journal-title":"Arch Public Health"},{"key":"10.1016\/j.nefroe.2026.501534_bib0450","doi-asserted-by":"crossref","first-page":"394","DOI":"10.1080\/08870446.2023.2231007","article-title":"An exploration of successful psychosocial adjustment to long-term in-centre haemodialysis","volume":"40","author":"Kapadi","year":"2025","journal-title":"Psychol Health"},{"key":"10.1016\/j.nefroe.2026.501534_bib0455","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1186\/s12888-024-05526-4","article-title":"Social support, family resilience and psychological resilience among maintenance hemodialysis patients: a longitudinal study","volume":"24","author":"Wang","year":"2024","journal-title":"BMC Psychiatry"},{"key":"10.1016\/j.nefroe.2026.501534_bib0460","doi-asserted-by":"crossref","first-page":"709","DOI":"10.1093\/ndt\/gfq382","article-title":"A psychological intervention to improve quality of life and reduce psychological distress in adults awaiting kidney transplantation","volume":"26","author":"Rodrigue","year":"2011","journal-title":"Nephrol Dial Transplant"},{"key":"10.1016\/j.nefroe.2026.501534_bib0465","doi-asserted-by":"crossref","first-page":"65","DOI":"10.4103\/jehp.jehp_148_18","article-title":"Effect of educational intervention on promoting self-care in hemodialysis patients: applying the self-efficacy theory","volume":"8","author":"Ramezani","year":"2019","journal-title":"J Educ Health Promot"},{"key":"10.1016\/j.nefroe.2026.501534_bib0470","doi-asserted-by":"crossref","first-page":"3398","DOI":"10.1186\/s12889-024-20906-x","article-title":"The influence of family health on self-efficacy in patients with chronic diseases: the mediating role of perceived social support and the moderating role of health literacy","volume":"24","author":"Luo","year":"2024","journal-title":"BMC Public Health"},{"issue":"Suppl. 1","key":"10.1016\/j.nefroe.2026.501534_bib0475","article-title":"Self-efficacy, social support and hemodiafiltration are independently associated with better self-reported health status over time","volume":"39","author":"Cromm","year":"2024","journal-title":"Nephrol Dial Transplant"},{"key":"10.1016\/j.nefroe.2026.501534_bib0480","doi-asserted-by":"crossref","first-page":"278730","DOI":"10.5402\/2012\/278730","article-title":"Religion, spirituality, and health: the research and clinical implications","volume":"2012","author":"Koenig","year":"2012","journal-title":"ISRN Psychiatry"},{"key":"10.1016\/j.nefroe.2026.501534_bib0485","doi-asserted-by":"crossref","first-page":"e104490","DOI":"10.5812\/ijpbs.104490","article-title":"The effect of resilience training on stress, anxiety, depression, and quality of life of hemodialysis patients: a randomized controlled clinical trial","volume":"15","author":"Amirkhani","year":"2021","journal-title":"Iran J Psychiatry Behav Sci"},{"key":"10.1016\/j.nefroe.2026.501534_bib0490","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1186\/s12882-024-03629-4","article-title":"The association between self-efficacy, perceived social support, and family resilience in patients undergoing hemodialysis: a cross-sectional study","volume":"25","author":"Safi","year":"2024","journal-title":"BMC Nephrol"},{"key":"10.1016\/j.nefroe.2026.501534_bib0495","first-page":"418","article-title":"What place for therapeutic education in nephrology?","volume":"14","author":"Dufey-Teso","year":"2018","journal-title":"Rev Med Suisse"},{"key":"10.1016\/j.nefroe.2026.501534_bib0500","article-title":"Education programmes for people with chronic kidney disease and diabetes","volume":"8","author":"Cashmore","year":"2024","journal-title":"Cochrane Database Syst."}],"container-title":["Nefrolog\u00eda (English Edition)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2013251426001525?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2013251426001525?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T11:44:18Z","timestamp":1787139858000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2013251426001525"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":50,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["S2013251426001525"],"URL":"https:\/\/doi.org\/10.1016\/j.nefroe.2026.501534","relation":{},"ISSN":["2013-2514"],"issn-type":[{"value":"2013-2514","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Resilience and gender differences in patients with end-stage renal disease receiving hemodialysis: A cross-sectional study","name":"articletitle","label":"Article Title"},{"value":"Nefrolog\u00eda (English Edition)","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.nefroe.2026.501534","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Sociedad Espa\u00f1ola de Nefrolog\u00eda. Published by Elsevier Espa\u00f1a, S.L.U.","name":"copyright","label":"Copyright"}],"article-number":"501534"}}