{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T19:59:23Z","timestamp":1773950363162,"version":"3.50.1"},"reference-count":35,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2019,10,1]],"date-time":"2019-10-01T00:00:00Z","timestamp":1569888000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>Depressive symptoms are common among kidney transplantation recipients. Previous studies have reported that fatigue and rumination are risk factors for depressive symptoms. To date, the underlying mechanisms of fatigue, rumination, and depressive symptoms among kidney transplantation recipients remain unclear. This study aimed to assess the prevalence of depressive symptoms and investigate whether rumination mediates the association between fatigue and depressive symptoms among kidney transplantation recipients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cross\u2010sectional study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The study of 207 kidney transplantation recipients with an average age of 44.5\u00a0years was conducted from January 2017\u2013July 2017. Sociodemographic and clinical characteristics, fatigue, rumination, and depressive symptoms data were collected. For the descriptive analysis, Pearson correlations and mediation analysis based on the PROCESS macro were used.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The prevalence of depressive symptoms among kidney transplantation recipients was 21.7%. Rumination mediated the association between fatigue and depressive symptoms and the indirect effect was 0.19 (95% confidence interval: 0.10\u20130.28).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Depressive symptoms were highly prevalent among kidney transplantation recipients. Rumination exerts a mediating role between fatigue and depressive symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impact<\/jats:title>\n                    <jats:p>This study alerts physicians and nurses for the importance of considering the mental health of these patients and contributes to the development of effective depression management interventions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jan.14200","type":"journal-article","created":{"date-parts":[[2019,9,18]],"date-time":"2019-09-18T07:37:10Z","timestamp":1568792230000},"page":"3602-3608","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Association between fatigue and depressive symptoms among kidney transplantation recipients: The mediating role of rumination"],"prefix":"10.1111","volume":"75","author":[{"given":"Rongmei","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Transplantation No. 2 of Affiliated Hospital of Shandong University Jinan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jihui","family":"Jia","sequence":"additional","affiliation":[{"name":"School of Nursing Shandong University Jinan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2247-5141","authenticated-orcid":false,"given":"Dan","family":"Zhang","sequence":"additional","affiliation":[{"name":"School of Nursing Shandong University Jinan China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8742-5244","authenticated-orcid":false,"given":"Xia","family":"Zhao","sequence":"additional","affiliation":[{"name":"School of Nursing Shandong University Jinan China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,10]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-0012.2005.00478.x"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1969.01740210117018"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/TP.0b013e3182a2e88b"},{"issue":"6","key":"e_1_2_9_5_1","first-page":"1200","article-title":"Violent exposure and social anxiety of college students: Mediating of ruminative responses","volume":"26","author":"Chen N.","year":"2018","journal-title":"Chinese Journal of Clinical Psychology"},{"issue":"10","key":"e_1_2_9_6_1","first-page":"713","article-title":"Study on the relationship between fatigue and anxiety, depression in liver transplant recipients","volume":"17","author":"Du C.","year":"2017","journal-title":"Journal of Nursing Administration"},{"issue":"8","key":"e_1_2_9_7_1","first-page":"711","article-title":"Evaluation and nursing care of anxiety and depression in renal transplant recipients","volume":"21","author":"Du H.","year":"2006","journal-title":"Journal of Nurse Training"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0137176"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1037\/emo0000058"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.2215\/CJN.02450218"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10942-017-0272-4"},{"key":"e_1_2_9_12_1","volume-title":"Introduction to mediation, moderation and conditional process analysis: A regression\u2010based approach","author":"Hayes A. F.","year":"2013"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejon.2018.11.007"},{"issue":"1","key":"e_1_2_9_14_1","first-page":"1","article-title":"The influence of perfectionism on depression in college students: The mediating role of rumination","author":"Huang C.","year":"2018","journal-title":"Da Dong Fang"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2008.05.005"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.5271\/sjweh.3263"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.2001.016009606.x"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychores.2018.06.004"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1037\/0033-2909.101.2.259"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022-3514.61.1.115"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijpsycho.2014.08.900"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0028552"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3999(94)00125-O"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/NMD.0000000000000722"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.transproceed.2018.12.034"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2019.00397"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1023\/A:1023910315561"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1159\/000095757"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfy103"},{"key":"e_1_2_9_30_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0198594"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.transproceed.2018.07.029"},{"issue":"4","key":"e_1_2_9_32_1","first-page":"635","article-title":"Rumination: A new perspective of depression research","volume":"24","author":"Wang Y.","year":"2016","journal-title":"Chinese Journal of Health Psychology"},{"issue":"4","key":"e_1_2_9_33_1","first-page":"665","article-title":"The Relationship between childhood psychological maltreatment and trait depression: A chain mediating effect of rumination and post\u2010traumatic cognitive changes","volume":"23","author":"Zeng Q.","year":"2015","journal-title":"Chinese Journal of Clinical Psychology"},{"issue":"7","key":"e_1_2_9_34_1","first-page":"618","article-title":"Investigation and analysis of the psychological state of renal transplant patients","volume":"41","author":"Zhang P.","year":"2006","journal-title":"Chinese Journal of Nursing"},{"issue":"12","key":"e_1_2_9_35_1","first-page":"2659","article-title":"Status of fatigue in the receptor after renal transplantation and its related factors","volume":"37","author":"Zhang Q.","year":"2017","journal-title":"Journal of Clinical and Pathology Research"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rasd.2013.07.008"}],"container-title":["Journal of Advanced Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjan.14200","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jan.14200","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jan.14200","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jan.14200","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,5]],"date-time":"2023-09-05T22:57:45Z","timestamp":1693954665000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jan.14200"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,10]]},"references-count":35,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2019,12]]}},"alternative-id":["10.1111\/jan.14200"],"URL":"https:\/\/doi.org\/10.1111\/jan.14200","archive":["Portico"],"relation":{"has-review":[{"id-type":"doi","id":"10.1111\/JAN.14200\/v1\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.14200\/v1\/review3","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.14200\/v1\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.14200\/v1\/review2","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.14200\/v2\/response1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JAN.14200\/v2\/decision1","asserted-by":"object"}]},"ISSN":["0309-2402","1365-2648"],"issn-type":[{"value":"0309-2402","type":"print"},{"value":"1365-2648","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,10]]},"assertion":[{"value":"2019-04-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-09-04","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-10-01","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}