{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T04:46:35Z","timestamp":1785818795218,"version":"3.56.0"},"reference-count":42,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T00:00:00Z","timestamp":1785801600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"\n Background<\/jats:title>\n This study aimed to examine the association between emotional intelligence and symptom distress among patients undergoing peritoneal dialysis (PD) based on the Common-Sense Model, and to explore whether illness perception statistically accounts for this association.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A cross-sectional survey was conducted among 198 patients undergoing peritoneal dialysis in three tertiary hospitals in Chengdu, China. Emotional intelligence, illness perception, and symptom distress were assessed using validated questionnaires. Correlation and mediation analyses were performed to examine the associations among these variables.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The mean scores for the main variables were 79.22\u202f\u00b1\u202f13.82 for emotional intelligence, 43.53\u202f\u00b1\u202f7.88 for illness perception, and 24.04\u202f\u00b1\u202f18.22 for symptom distress. Correlation analysis showed that emotional intelligence was significantly negatively related to both illness perception (\n r<\/jats:italic>\n =\u202f\u22120.229,\n p<\/jats:italic>\n &lt;\u202f0.001) and symptom distress (\n r<\/jats:italic>\n =\u202f\u22120.234,\n p<\/jats:italic>\n &lt;\u202f0.001). Illness perception was significantly positively related to symptom distress (\n r<\/jats:italic>\n =\u202f0.461,\n p<\/jats:italic>\n &lt;\u202f0.001). Symptom distress differed significantly according to sex, employment status, monthly income, dialysis vintage, and the number of comorbidities. The total association between emotional intelligence and symptom distress was significant (\n \u03b2<\/jats:italic>\n =\u202f\u22120.145, 95% CI [\u22120.285, \u22120.005]). After illness perception was included, the direct association was not significant (\n \u03b2<\/jats:italic>\n =\u202f\u22120.079, 95% CI [\u22120.211, 0.053]), whereas the indirect association through illness perception was significant (\n \u03b2<\/jats:italic>\n =\u202f\u22120.066, 95% bootstrap CI [\u22120.134, \u22120.007]). These findings suggest an indirect association within the cross-sectional statistical model rather than evidence of a causal pathway.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Illness perception may be an important psychological correlate linking emotional intelligence with symptom distress in patients undergoing peritoneal dialysis. These findings highlight the potential value of integrating illness perception assessment and emotional regulation support into routine symptom management, although longitudinal and intervention studies are needed to clarify temporal relationships and evaluate clinical effectiveness.<\/jats:p>\n <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1885588","type":"journal-article","created":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T04:26:38Z","timestamp":1785817598000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Illness perception mediates the association between emotional intelligence and symptom distress among patients undergoing peritoneal dialysis: a Common-Sense Model approach"],"prefix":"10.3389","volume":"14","author":[{"given":"Rong","family":"Zeng","sequence":"first","affiliation":[{"name":"School of Nursing, Chengdu Medical College","place":["Chengdu, Sichuan, China"]},{"name":"Department of Nephrology, The First Affiliated Hospital of Chengdu Medical College","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoxia","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Nephrology, The First Affiliated Hospital of Chengdu Medical College","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xueqin","family":"Gan","sequence":"additional","affiliation":[{"name":"School of Nursing, Chengdu Medical College","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ting","family":"Luo","sequence":"additional","affiliation":[{"name":"School of Nursing, Chengdu Medical College","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Min","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Nursing, The Third People's Hospital of Sichuan Province","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuhang","family":"Chen","sequence":"additional","affiliation":[{"name":"School of Nursing, Chengdu Medical College","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qian","family":"Yang","sequence":"additional","affiliation":[{"name":"School of Nursing, Chengdu Medical College","place":["Chengdu, Sichuan, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,8,4]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"sfae 180","DOI":"10.1093\/ckj\/sfae180","article-title":"Home dialysis: advantages and limitations","volume":"17","author":"Ferreira","year":"2024","journal-title":"Clin Kidney J"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"i3","DOI":"10.1093\/ckj\/sfae082","article-title":"Towards a better uptake of home dialysis in Europe: understanding the present and looking to the future","volume":"17","author":"Brown","year":"2024","journal-title":"Clin Kidney J"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"441","DOI":"10.1016\/j.kint.2023.05.019","article-title":"Managing the symptom burden associated with maintenance dialysis: conclusions from a kidney disease: improving global outcomes KDIGO controversies conference","volume":"104","author":"Mehrotra","year":"2023","journal-title":"Kidney Int"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"185","DOI":"10.1038\/s41581-021-00518-z","article-title":"Patient-centred approaches for the management of unpleasant symptoms in kidney disease","volume":"18","author":"Kalantar-Zadeh","year":"2022","journal-title":"Nat Rev Nephrol"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"e1003954","DOI":"10.1371\/journal.pmed.1003954","article-title":"Symptom burden and health-related quality of life in chronic kidney disease: a global systematic review and meta-analysis","volume":"19","author":"Fletcher","year":"2022","journal-title":"PLoS Med"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"2458763","DOI":"10.1080\/0886022X.2025.2458763","article-title":"Anxiety as a mediator between symptom distress and quality of life in peritoneal dialysis patients: insights from mediation analysis and nonlinear models","volume":"47","author":"Chen","year":"2025","journal-title":"Ren Fail"},{"key":"ref7","doi-asserted-by":"publisher","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-Fern\u00e1ndez","year":"2025","journal-title":"J Pers Med"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"2382314","DOI":"10.1080\/0886022X.2024.2382314","article-title":"Correlates of symptom burden in renal dialysis patients: a systematic review and 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Behav Med"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"347","DOI":"10.1080\/17437199.2021.1878050","article-title":"The common sense model of illness self-regulation: a conceptual review and proposed extended model","volume":"16","author":"Hagger","year":"2022","journal-title":"Health Psychol Rev"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"e0323814","DOI":"10.1371\/journal.pone.0323814","article-title":"Trajectories of illness perceptions in patients with kidney disease receiving dialysis: relationship with psychological and physical symptoms","volume":"20","author":"Keskindag","year":"2025","journal-title":"PLoS One"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"35834","DOI":"10.1038\/s41598-025-19881-z","article-title":"Towards better illness perception in advanced chronic kidney disease: clinical, psychological and cognitive factors to address","volume":"15","author":"Tamarit","year":"2025","journal-title":"Sci 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Nurs"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"115","DOI":"10.1186\/s12982-025-00499-5","article-title":"Reformulating the common-sense model of self-regulation for hemoglobinopathies primary prevention","volume":"22","author":"Maaoui","year":"2025","journal-title":"Discov Public Health"},{"key":"ref22","volume-title":"Sample Size Determination in Health Studies: A Practical Manual","author":"Lwanga","year":"1991"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"226","DOI":"10.1016\/j.jpainsymman.2003.07.004","article-title":"Development of a symptom assessment instrument for chronic hemodialysis patients: the dialysis symptom index","volume":"27","author":"Weisbord","year":"2004","journal-title":"J Pain Symptom Manag"},{"key":"ref24","volume-title":"Symptom Clusters, Symptom Burden and their Associations with Quality of Life in Maintenance Hemodialysis Patients","author":"Zhou","year":"2013"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"40","DOI":"10.3870\/j.issn.1001-4152.2018.06.040","article-title":"Development and reliability and validity test of the peritoneal Dialysis symptom distress scale","volume":"33","author":"Wang","year":"2018","journal-title":"J Nurs Sci"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"243","DOI":"10.1016\/S1048-9843(02)00099-1","article-title":"The effects of leader and follower emotional intelligence on performance and attitude: an exploratory study","volume":"13","author":"Wong","year":"2002","journal-title":"Leadersh Q"},{"key":"ref27","volume-title":"Reliability and Validity of the Chinese Version of the Emotional Intelligence Scale","author":"Wang","year":"2010"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"631","DOI":"10.1016\/j.jpsychores.2005.10.020","article-title":"The brief illness perception 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Approach","author":"Hayes","year":"2022"},{"key":"ref32","doi-asserted-by":"publisher","first-page":"489","DOI":"10.1053\/j.ajkd.2021.02.327","article-title":"Burden of kidney disease, health-related quality of life, and employment among patients receiving peritonealdialysis and in-center hemodialysis: findings from the DOPPS program","volume":"78","author":"Brown","year":"2021","journal-title":"Am J Kidney Dis"},{"key":"ref33","doi-asserted-by":"publisher","first-page":"e1196","DOI":"10.34067\/KID.0000000000000256","article-title":"Centering symptom burden in patient-oriented clinical trials in kidney disease","volume":"4","author":"Nair","year":"2023","journal-title":"Kidney360"},{"key":"ref34","doi-asserted-by":"publisher","first-page":"1963","DOI":"10.1080\/13548506.2023.2179644","article-title":"Impact of chronic kidney disease on illness perceptions, coping, self-efficacy, psychological distress and quality of 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Res"},{"key":"ref38","doi-asserted-by":"publisher","first-page":"e70226","DOI":"10.1111\/nhs.70226","article-title":"Dialysis vintage and symptom burden in hemodialysis: a comprehensive analysis","volume":"27","author":"Yan","year":"2025","journal-title":"Nurs Health Sci"},{"key":"ref39","doi-asserted-by":"publisher","first-page":"2979","DOI":"10.1007\/s11255-025-04472-8","article-title":"Health literacy, illness perception, and their association with medication adherence in end-stage renal disease","volume":"57","author":"Hamza","year":"2025","journal-title":"Int Urol Nephrol"},{"key":"ref40","doi-asserted-by":"publisher","first-page":"3560","DOI":"10.1111\/jocn.17827","article-title":"eHealth solutions for symptom assessment and monitoring in adults with chronic kidney disease: a systematic review","volume":"34","author":"Bui","year":"2025","journal-title":"J Clin 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