{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T03:14:27Z","timestamp":1783653267388,"version":"3.55.0"},"reference-count":56,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T00:00:00Z","timestamp":1783555200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T00:00:00Z","timestamp":1783555200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Hemodialysis International"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims and Objectives<\/jats:title>\n                    <jats:p>This study examined the interdependence among dyadic coping, self\u2010efficacy, and stress in Chinese hemodialysis patients and their spouses using the actor\u2010partner interdependence model.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>End\u2010stage kidney disease creates major psychological challenges for both patients and their spouses. The systemic transactional model views coping as a shared, dyadic process between partners. However, the specific actor and partner effects of dyadic coping on illness\u2010related stress in hemodialysis couples remain understudied.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A cross\u2010sectional correlational design was used.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A convenience sample of 200 patient\u2010spouse dyads, comprising 400 individuals, was included in the analytic dataset. Participants completed the dyadic coping inventory, hemodialysis stressor scale, and general self\u2010efficacy scale. The actor\u2010partner interdependence model was applied to analyze the dyadic data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Paired tests showed significant asymmetry in coping, with spouses reporting higher dyadic coping than patients. Self\u2010efficacy was positively correlated with dyadic coping for both patients and spouses. The actor\u2010partner interdependence model analysis revealed significant actor effects: an individual's own dyadic coping predicted lower personal stress. A significant partner effect also emerged, indicating that a spouse's coping was associated with lower patient stress.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These findings confirm the interdependent nature of coping within end\u2010stage kidney disease dyads. Although spouses shoulder a greater share of the coping burden, their efforts effectively alleviate patient distress. Clinical interventions should move from patient\u2010centered to couple\u2010centered approaches that promote shared coping strategies, strengthen resilience, and reduce the risk of caregiver burnout.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to Clinical Practice<\/jats:title>\n                    <jats:p>The results support routine dyadic psychosocial assessment in hemodialysis care and the development of couple\u2010based interventions. Such programs should build dyadic coping skills and self\u2010efficacy in both partners while offering targeted support to prevent caregiver burnout.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>No Patient or Public Contribution<\/jats:title>\n                    <jats:p>This observational survey study did not include patient, caregiver, or public involvement in the design, conduct, analysis, or manuscript preparation beyond participants' completion of questionnaires.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hdi.70098","type":"journal-article","created":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T02:27:36Z","timestamp":1783650456000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Actor and Partner Effects of Dyadic Coping on Stress Among Hemodialysis Patients and Spouses"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-8820-3964","authenticated-orcid":false,"given":"Yajuan","family":"Xiao","sequence":"first","affiliation":[{"name":"School of Public Health and General Practice Medicine, School of Medicine Tongji University  Shanghai China"},{"name":"Clinical Research Center for Mental Disorders, Shanghai Pudong New Area Mental Health Center, School of Medicine Tongji University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fazhan","family":"Chen","sequence":"additional","affiliation":[{"name":"Clinical Research Center for Mental Disorders, Shanghai Pudong New Area Mental Health Center, School of Medicine Tongji University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4207-6471","authenticated-orcid":false,"given":"Yanbo","family":"Wang","sequence":"additional","affiliation":[{"name":"School of Public Health and General Practice Medicine, School of Medicine Tongji University  Shanghai China"},{"name":"Clinical Research Center for Mental Disorders, Shanghai Pudong New Area Mental Health Center, School of Medicine Tongji University  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,9]]},"reference":[{"key":"e_1_2_13_2_1","unstructured":"M. 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