{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T05:00:38Z","timestamp":1787029238289,"version":"build-2736575974"},"reference-count":46,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2025,4,30]],"date-time":"2025-04-30T00:00:00Z","timestamp":1745971200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nursing Reports"],"abstract":"<jats:p>Background: Chronic kidney disease (CKD) has a significant impact on patients\u2019 physical, psychological, and social well-being. Emotional disorders are common and contribute to a higher prevalence of symptoms compared to that in the general population. This study aimed to analyze the relationship between the emotional profiles and symptomatology in patients undergoing hemodialysis (HD). Methods: A multicenter, cross-sectional, observational\/analytical study was developed in seven centers of the Spanish Renal Foundation in the Community of Madrid (Spain). The study protocol was reviewed and approved by the Clinical Research Ethics Committee of Hospital Cl\u00ednico San Carlos, Madrid (C.I. 20\/685-E). In the study, two validated measurement scales were used: the Mood Rating Scale (EVEA) to assess the \u201cemotional profile\u201d and the Palliative care Outcome Scale, Renal Symptoms (POS-S Renal) to evaluate \u201csymptomatology\u201d. Results: The sample (245 patients) was predominantly male (65.7%; n = 161), with a mean age of 63.52 years (SD = 14.99) and an average HD treatment duration of 81.44 months (SD = 96.62). The analysis of the symptom\u2013emotion relationships revealed that patients with a sadness\u2013depression profile had a higher probability of experiencing weakness or a lack of energy (OR = 1.741; CI 95% 1.01\u20133.00) and feelings of depression (OR = 3.236; CI 95% 1.98\u20135.30). Additionally, patients with an anger\u2013hostility profile exhibited a significant association with pain (OR = 3.463; CI 95% 1.34\u20138.94) and excessive sleepiness (OR = 3.796; CI 95% 1.21\u201311.95), indicating that this emotional state substantially increases the likelihood of developing these symptoms. Conclusions: The emotional profiles of CKD patients undergoing HD significantly influence their symptomatology. While positive emotions may play a protective role in preventing debilitating symptoms, negative emotions increase the risk of their onset. These findings highlight the importance of addressing emotional well-being as part of comprehensive care for HD patients.<\/jats:p>","DOI":"10.3390\/nursrep15050152","type":"journal-article","created":{"date-parts":[[2025,4,30]],"date-time":"2025-04-30T05:05:57Z","timestamp":1745989557000},"page":"152","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Hemodialysis Patients\u2019 Emotional Profiles and Associated Symptomatology: A Cross-Sectional Multicenter Study"],"prefix":"10.3390","volume":"15","author":[{"given":"Ana","family":"Casaux-Huertas","sequence":"first","affiliation":[{"name":"Fundaci\u00f3n Renal Espa\u00f1ola, C\/ Jos\u00e9 Abascal 42, 28003 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4927-7129","authenticated-orcid":false,"given":"Pilar","family":"Mori Vara","sequence":"additional","affiliation":[{"name":"Department of Nursing, Faculty of Nursing, Physiotherapy and Podiatry, Complutense University of Madrid, Pl. de Ram\u00f3n y Cajal 3, 28040 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-0270-3913","authenticated-orcid":false,"given":"Maria del Carmen","family":"Hern\u00e1ndez-Cediel","sequence":"additional","affiliation":[{"name":"Fundaci\u00f3n Jim\u00e9nez D\u00edaz School of Nursing, Autonomous University of Madrid\u2014Instituto de Investigaci\u00f3n Sanitaria FJD, Av. de los Reyes Cat\u00f3licos 2, 28040 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8235-1071","authenticated-orcid":false,"given":"David","family":"Hern\u00e1n-Gascue\u00f1a","sequence":"additional","affiliation":[{"name":"Fundaci\u00f3n Renal Espa\u00f1ola, C\/ Jos\u00e9 Abascal 42, 28003 Madrid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5581-8120","authenticated-orcid":false,"given":"Rosa M.","family":"C\u00e1rdaba-Garc\u00eda","sequence":"additional","affiliation":[{"name":"Department of Nursing, Faculty of Nursing, University of Valladolid, Av. Ram\u00f3n y Cajal 7, 47005 Valladolid, Spain"},{"name":"Nursing Care Research (GICE), Faculty of Nursing, University of Valladolid, Av. Ram\u00f3n y Cajal 7, 47005 Valladolid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4739-9760","authenticated-orcid":false,"given":"Veronica","family":"Velasco-Gonzalez","sequence":"additional","affiliation":[{"name":"Department of Nursing, Faculty of Nursing, University of Valladolid, Av. Ram\u00f3n y Cajal 7, 47005 Valladolid, Spain"},{"name":"Nursing Care Research (GICE), Faculty of Nursing, University of Valladolid, Av. Ram\u00f3n y Cajal 7, 47005 Valladolid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6031-6619","authenticated-orcid":false,"given":"Luc\u00eda","family":"P\u00e9rez-P\u00e9rez","sequence":"additional","affiliation":[{"name":"Department of Nursing, Faculty of Nursing, University of Valladolid, Av. Ram\u00f3n y Cajal 7, 47005 Valladolid, Spain"},{"name":"Nursing Care Research (GICE), Faculty of Nursing, University of Valladolid, Av. Ram\u00f3n y Cajal 7, 47005 Valladolid, Spain"},{"name":"Primary Care Management Valladolid West (SACYL), C\/Dulzaina 2, 47012 Valladolid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6837-8275","authenticated-orcid":false,"given":"Miguel","family":"Madrigal","sequence":"additional","affiliation":[{"name":"Department of Nursing, Faculty of Nursing, University of Valladolid, Av. Ram\u00f3n y Cajal 7, 47005 Valladolid, Spain"},{"name":"Nursing Care Research (GICE), Faculty of Nursing, University of Valladolid, Av. Ram\u00f3n y Cajal 7, 47005 Valladolid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Inmaculada","family":"P\u00e9rez","sequence":"additional","affiliation":[{"name":"Department of Nursing, Faculty of Nursing, University of Valladolid, Av. Ram\u00f3n y Cajal 7, 47005 Valladolid, Spain"},{"name":"IOBA (Institute of Applied Ophtalmobiology), University of Valladolid, P\u00ba Bel\u00e9n 17, 47011 Valladolid, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9388-8074","authenticated-orcid":false,"given":"Carlos","family":"Durantez-Fern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Department of Nursing, Faculty of Nursing, University of Valladolid, Av. Ram\u00f3n y Cajal 7, 47005 Valladolid, Spain"},{"name":"Nursing Care Research (GICE), Faculty of Nursing, University of Valladolid, Av. 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