{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T14:07:33Z","timestamp":1789222053517,"version":"build-2803163510"},"reference-count":34,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T00:00:00Z","timestamp":1786492800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"This study was supported by a grant from Mackay Medical University","award":["MMU-RD-114-1A-P001"],"award-info":[{"award-number":["MMU-RD-114-1A-P001"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Chronic Illness"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Patients on hemodialysis commonly experience poor sleep quality, fatigue, and depression. Chronotype may influence these outcomes, but its role in this population remains unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study examined associations among chronotype, sleep quality, fatigue, and depression, and tested the mediating role of sleep quality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this cross-sectional study of 157 patients on hemodialysis (mean age, 63.99 years; 58.6% male), chronotype (Morningness\u2013Eveningness Questionnaire), sleep quality (Pittsburgh Sleep Quality Index [PSQI]), fatigue (Fatigue Severity Scale [FSS]), and depression (Beck Depression Inventory [BDI]-II) were assessed. Correlation and mediation analyses were used to examine these relationships.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Evening types (38.2%) had significantly poorer mean \u00b1 standard deviation PSQI scores (12.57\u2009\u00b1\u20093.37) than neither types (53.5%; 9.73\u2009\u00b1\u20094.23, p\u2009&lt;\u20090.001) and morning types (8.3%; 8.23\u2009\u00b1\u20094.36, p\u2009=\u20090.001), particularly in terms of sleep duration, efficiency, and medication use. Fatigue (FSS score=4.63\u2009\u00b1\u20091.17) and depression (BDI-II score=9.07\u2009\u00b1\u20097.81) did not differ according to chronotype.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Evening chronotype was associated with poorer sleep quality, which in turn was linked to increased fatigue and depression. Targeted sleep interventions for evening types may improve outcomes by correcting circadian misalignment and enhancing sleep efficiency. Sleep hygiene education and timed light exposure may offer clinically meaningful benefits in terms of sleep and psychological well-being.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/17423953261470328","type":"journal-article","created":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T18:27:44Z","timestamp":1786559264000},"page":"205-214","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The association of chronotype with sleep quality and mental health in dialysis patients: A cross-sectional study"],"prefix":"10.1177","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6506-5911","authenticated-orcid":false,"given":"Mei-Yu","family":"Lin","sequence":"first","affiliation":[{"name":"School of Nursing, College of Nursing, MacKay Medical University, New Taipei City, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pao-Chin","family":"Lai","sequence":"additional","affiliation":[{"name":"Lo-Hsu Medical Foundation, Lotung Poh-Ai Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,12]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0158765"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1003954"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2026.1770352"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eujim.2021.102097"},{"key":"e_1_3_3_6_2","first-page":"1","article-title":"Chronotype and cognition: Comparison of executive functions, sleepiness, and fatigue according to circadian rhythm preference","volume":"12","author":"Demirci H","year":"2025","unstructured":"Demirci H, Bilge Y, \u015eirin M, et al. Chronotype and cognition: Comparison of executive functions, sleepiness, and fatigue according to circadian rhythm preference. J Turk Sleep Med 2025; 12: 1\u201311. https:\/\/doi.org\/10.4274\/jtsm.galenos.2024.26214","journal-title":"J Turk Sleep Med"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.3389\/fnins.2022.811771"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1172\/JCI148286"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.3109\/07420528.2012.719971"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.3390\/brainsci14101020"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2024.01.188"},{"key":"e_1_3_3_12_2","article-title":"Chronotypes and their association with sleep quality among Chinese college students of Anhui Province: a cross-sectional study","volume":"13","author":"Tong X","unstructured":"Tong X, Gao MM, Zhang L, et al. Chronotypes and their association with sleep quality among Chinese college students of Anhui Province: a cross-sectional study. BMJ Open 2023, Nov 19; 13: e076782.","journal-title":"BMJ Open"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41581-024-00848-8"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/0165-1781(89)90047-4"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2023-074025"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1590\/1516-3180.2022.0127.r1.01122022"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1038\/ki.2014.86"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12882-021-02349-3"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1111\/bjhp.12136"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2022.1074424"},{"key":"e_1_3_3_21_2","volume-title":"Statistical Power Analysis for the Behavioral Sciences","author":"Cohen J","year":"1988","unstructured":"Cohen J. Statistical Power Analysis for the Behavioral Sciences. 2nd ed. Hillsdale, NJ: Routledge, 1988.","edition":"2"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-005-4346-x"},{"key":"e_1_3_3_23_2","first-page":"97","article-title":"A self-assessment questionnaire to determine morningness-eveningness in human circadian rhythms","volume":"4","author":"Horne JA","year":"1976","unstructured":"Horne JA, Ostberg O. A self-assessment questionnaire to determine morningness-eveningness in human circadian rhythms. Int J Chronobiol 1976; 4: 97\u2013110.","journal-title":"Int J Chronobiol"},{"key":"e_1_3_3_24_2","first-page":"197","article-title":"Chinese Version of the owl and lark questionnaire: paper-pencil and internet administration","volume":"59","author":"Hsiao FC","year":"2017","unstructured":"Hsiao FC, Tsai LL. Chinese Version of the owl and lark questionnaire: paper-pencil and internet administration. Chin J Psychology 2017; 59: 197\u2013212.","journal-title":"Chin J Psychology"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.1989.00520460115022"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12955-019-1141-x"},{"key":"e_1_3_3_27_2","volume-title":"Manual for the Beck Depression Inventory-II","author":"Beck AT","year":"1996","unstructured":"Beck AT, Steer RA , Brown GK. Manual for the Beck Depression Inventory-II, 1996."},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.nsa.2025.105521"},{"key":"e_1_3_3_29_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11325-015-1240-9"},{"key":"e_1_3_3_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.sleep.2023.07.030"},{"key":"e_1_3_3_31_2","doi-asserted-by":"publisher","DOI":"10.1093\/sleepadvances\/zpac028"},{"key":"e_1_3_3_32_2","article-title":"Effect of sleep and biobehavioral patterns on multidimensional cognitive performance: longitudinal, in-the-wild study","volume":"23","author":"Kalanadhabhatta M","unstructured":"Kalanadhabhatta M, Rahman T, Ganesan D. Effect of sleep and biobehavioral patterns on multidimensional cognitive performance: longitudinal, in-the-wild study. J Med Internet Res 2021, Feb 18; 23: e23936.","journal-title":"J Med Internet Res"},{"key":"e_1_3_3_33_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2024.12.010"},{"key":"e_1_3_3_34_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12883-021-02174-z"},{"key":"e_1_3_3_35_2","doi-asserted-by":"publisher","DOI":"10.1111\/nuf.12659"}],"container-title":["Chronic Illness"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17423953261470328","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/17423953261470328","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17423953261470328","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T13:46:37Z","timestamp":1789220797000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/17423953261470328"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,12]]},"references-count":34,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1177\/17423953261470328"],"URL":"https:\/\/doi.org\/10.1177\/17423953261470328","relation":{},"ISSN":["1742-3953","1745-9206"],"issn-type":[{"value":"1742-3953","type":"print"},{"value":"1745-9206","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,12]]}}}