Psychol Res Behav Manag. 2026 Jul 21;19:620815. doi: 10.2147/PRBM.S620815. eCollection 2026.
ABSTRACT
BACKGROUND: Continuous ambulatory peritoneal dialysis (CAPD) requires patients to perform complex self-management tasks at home. Fear of progression and coping styles may influence self-management, but their dimension-level relationships remain poorly understood.
OBJECTIVE: To investigate the network structure linking fear of progression, coping styles, and self-management among CAPD patients and identify central and bridging dimensions that may be relevant for nursing assessment and intervention planning.
METHODS: A cross-sectional study was conducted among 328 CAPD patients in a tertiary hospital in Sichuan, China. Fear of progression, coping styles, and CAPD self-management were assessed using validated questionnaires. A psychometric network was estimated at the dimension level, and centrality, bridge centrality, and network stability were evaluated.
RESULTS: The strongest edge was observed between physical health-related and social/family-related fear of progression (edge weight = 0.663). Confrontation coping exhibited the highest strength and expected influence and showed the strongest cross-community connectivity, with bridge strength and bridge expected influence z-scores of 2.57 and 2.60, respectively. The strongest cross-community edge was identified between confrontation coping and diet management (edge weight = 0.264). Centrality and bridge centrality analyses demonstrated acceptable-to-good stability.
CONCLUSION: Confrontation coping emerged as a central and bridging dimension linking psychological responses and self-management behaviours in CAPD patients. These findings reflect statistical connectivity rather than causal relationships and may help identify priorities for nursing assessment and future intervention research.
PMID:42502848 | PMC:PMC13401381 | DOI:10.2147/PRBM.S620815
