Psychology & Health最新文献_第2页

Psychological factors influencing life satisfaction in patients with chronic diseases. 影响慢性病患者生活满意度的心理因素

IF 2 3区心理学

Psychology & Health Pub Date : 2026-10-01 Epub Date: 2025-08-12 DOI: 10.1080/08870446.2025.2546407

Stéphanie Mussel, Elisabeth Spitz, Elise Eby, Christine Rotonda, Estelle Fall

{"title":"Psychological factors influencing life satisfaction in patients with chronic diseases.","authors":"Stéphanie Mussel, Elisabeth Spitz, Elise Eby, Christine Rotonda, Estelle Fall","doi":"10.1080/08870446.2025.2546407","DOIUrl":"10.1080/08870446.2025.2546407","url":null,"abstract":"Objective: Chronic diseases often lead patients to adopt certain health behaviors. Change in daily habits can have psychological effects, and influence life satisfaction. The current study aimed to explain life satisfaction (SWL) in patients with chronic diseases, which could potentially support improved patient care.Methods and measures: 343 chronic patients (Meanage = 55.02; SD = 12.99), whose 270 with inflammatory arthritis (IA), and 73 with diabetes, completed an online questionnaire at two time points. Sociodemographic variables, life satisfaction, basic psychological need satisfaction and frustration, anxiety, depression, mindfulness skills, and beliefs about medicines were assessed. Descriptive statistics and correlations between variables were first performed. Then simple and finally multiple linear regressions were used to test predictors of SWL in patients living with chronic illness.Results: Almost all study variables were significantly correlated with life satisfaction in the expected directions. Results showed that satisfaction and frustration of autonomy need and depressive symptoms were the most significant predictors of life satisfaction in this sample of chronic patients.Conclusion: This study highlights the importance of taking an integrative approach, and considering the psychological factors associated with chronic illness. Recommendations for patient care are proposed, based on the study results.","PeriodicalId":20718,"journal":{"name":"Psychology & Health","volume":" ","pages":"1677-1697"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144837480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

From repetition to habit: how variability in daily physical activity relates to physical activity habits. 从重复到习惯：日常体力活动的可变性与体力活动习惯的关系。

IF 2 3区心理学

Psychology & Health Pub Date : 2026-10-01 Epub Date: 2025-10-02 DOI: 10.1080/08870446.2025.2567333

Jie Wen, Yujie Liu, Rui Cao, Wei Qi, Miao Miao

引用次数: 0

'I told them they had to get tested, and they did': social influence among siblings with Li-Fraumeni syndrome. “我告诉他们必须去做检查，他们也做了”：患有李-弗劳梅尼综合症的兄弟姐妹的社会影响。

IF 2 3区心理学

Psychology & Health Pub Date : 2026-10-01 Epub Date: 2025-07-23 DOI: 10.1080/08870446.2025.2534814

Chloe O Huelsnitz, Allison Werner-Lin, Ashley S Thompson, Camella J Rising, Rowan Forbes Shepherd, Jennifer L Young, Mark H Greene, Payal P Khincha

{"title":"'I told them they had to get tested, and they did': social influence among siblings with Li-Fraumeni syndrome.","authors":"Chloe O Huelsnitz, Allison Werner-Lin, Ashley S Thompson, Camella J Rising, Rowan Forbes Shepherd, Jennifer L Young, Mark H Greene, Payal P Khincha","doi":"10.1080/08870446.2025.2534814","DOIUrl":"10.1080/08870446.2025.2534814","url":null,"abstract":"Objectives: Health-related social influence refers to individual efforts to change another person's health beliefs and/or behavior. We sought to understand perspectives on social influence among adult siblings in families with an inherited cancer syndrome, Li-Fraumeni Syndrome (LFS).Design: An interprofessional team conducted 16 semi-structured interviews with sibling groups (n = 29, aged 18-66, 2-3 siblings per group) enrolled in the NCI's LFS Study.Main outcome measures: A semi-structured interview guide included questions targeting family closeness, information sharing, and perspectives on screening and cancer care. The research team collaboratively conducted thematic analysis on verbatim transcripts.Results: Participants reported attempts to influence their siblings' thoughts or behavior regarding LFS-related genetic testing and cancer screening, prevention, and treatment. Some participants expressed respect for sibling autonomy regarding risk management decisions. Others reported explicit attempts to change their siblings' perspective or behavior due to concern for their siblings' health.Conclusion: Findings suggest participants believed their influence meaningfully affected siblings' LFS risk management, indicating such influence comprises a social intervention pathway with potential to increase cascade testing and to support risk management. However, for some siblings, such efforts incurred risk of relational conflict. Future research might aim to help adult siblings balance social influence strategies with relational maintenance behaviors.","PeriodicalId":20718,"journal":{"name":"Psychology & Health","volume":" ","pages":"1634-1655"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13404146/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144691341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The mediating role of protective factors in relationship between caregiving components and psychosocial adjustment among young carers: a meta-analysis. 保护性因素在青年照顾者照顾成分与心理社会适应关系中的中介作用：一项元分析。

IF 2 3区心理学

Psychology & Health Pub Date : 2026-10-01 Epub Date: 2025-08-19 DOI: 10.1080/08870446.2025.2546409

Aylin Duzen, Giulia Landi, Zeynep Şiir Bilici, Kenneth Ian Pakenham, Frans Oort, Suzanne Jak, Francesca Agostini, Silvana Grandi, Eliana Tossani

{"title":"The mediating role of protective factors in relationship between caregiving components and psychosocial adjustment among young carers: a meta-analysis.","authors":"Aylin Duzen, Giulia Landi, Zeynep Şiir Bilici, Kenneth Ian Pakenham, Frans Oort, Suzanne Jak, Francesca Agostini, Silvana Grandi, Eliana Tossani","doi":"10.1080/08870446.2025.2546409","DOIUrl":"10.1080/08870446.2025.2546409","url":null,"abstract":"Objective: Higher youth caregiving is associated with poorer psychosocial outcomes in young carers; hence a research priority is to investigate protective factors that mitigate the adverse effects of youth caregiving. This systematic review with meta-analysis examined the relationships among youth caregiving components and young carer psychosocial adjustment and protective factors, as well as the mediating role of the protective factors in the relationship between caregiving components and psychosocial adjustment.Methods: Three electronic databases were searched until April 2024 and 10,244 unique publications were identified. Following abstract and title screening, 422 publications were subjected to full-text screening and 60 quantitative studies were included in this study.Results: Meta-analytic structural equation modeling (MASEM) results revealed positive direct effects of caregiving responsibilities and caregiving experiences on benefit finding (β = .43, 95% CI [.074, .782], p < .05) and emotion regulation (β = .72, 95% CI [.44, 1.00], p < .001), respectively. However, there was neither a significant direct effect of caregiving components on psychosocial adjustment nor a significant indirect effect of caregiving components on psychosocial adjustment through benefit finding or emotion regulation.Conclusion: Findings revealed a need for research into how caregiving contextual factors affect relations among youth caregiving, protective factors, and adjustment.","PeriodicalId":20718,"journal":{"name":"Psychology & Health","volume":" ","pages":"1744-1769"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144883544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Facilitators and barriers to care among individuals with osteogenesis imperfecta. 成骨不全症患者护理的促进因素和障碍。

IF 2 3区心理学

Psychology & Health Pub Date : 2026-10-01 Epub Date: 2025-10-10 DOI: 10.1080/08870446.2025.2571593

Selena Guo, Francesca C Gedeon, Andrew D Wiese, Justin H Qian, Julia M Morales, Whitney S Shepherd, Gianna M Colombo, Kara B Ayers, Hannah Cho, W Conor Rork, Kristin M Kostick-Quenet, Dianne Nguyen, Sophie C Schneider, Marie-Eve Robinson, Chaya N Murali, Brendan Lee, V Reid Sutton, Eric A Storch

{"title":"Facilitators and barriers to care among individuals with osteogenesis imperfecta.","authors":"Selena Guo, Francesca C Gedeon, Andrew D Wiese, Justin H Qian, Julia M Morales, Whitney S Shepherd, Gianna M Colombo, Kara B Ayers, Hannah Cho, W Conor Rork, Kristin M Kostick-Quenet, Dianne Nguyen, Sophie C Schneider, Marie-Eve Robinson, Chaya N Murali, Brendan Lee, V Reid Sutton, Eric A Storch","doi":"10.1080/08870446.2025.2571593","DOIUrl":"10.1080/08870446.2025.2571593","url":null,"abstract":"Objectives: Limited research has examined facilitators and barriers that affect patient care in osteogenesis imperfecta (OI). The present study seeks to identify (1) facilitators and (2) barriers to care as reported by medical providers and caregivers of individuals with OI, and (3) common themes between both stakeholder groups.Methods: Semi-structured interviews were conducted to assess treatment access, treatment quality, knowledge of OI, and patient mental health. Transcripts were coded, and salient themes were abstracted using thematic analysis to find themes related to barriers and facilitators to care. Theme frequencies were calculated to identify the greatest barriers and facilitators to care, according to clinicians and caregivers.Results: Four primary themes emerged: (1) access; (2) multidisciplinary care; (3) patient- provider interactions; and (4) outside resources. Perceived barriers included: insurance status, location, COVID-related restrictions, lack of mental healthcare and pain management, stigma, dismissive attitudes, not understanding patients' pain, and limited resources. Perceived facilitators included telemedicine, integration of mental healthcare, compassion, openness to patients' self-management, and online resources/scientific literature.Conclusion: There are many factors that affect OI management. Clinicians, caregivers, and patients should collaborate to improve the quality of health care that people with OI receive.","PeriodicalId":20718,"journal":{"name":"Psychology & Health","volume":" ","pages":"1618-1633"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145275679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effectiveness of physical activity intervention for depression, anxiety and comorbid symptoms during the perinatal period among Chinese primiparas. 体育活动干预对初产妇围生期抑郁、焦虑及合并症的影响

IF 2 3区心理学

Psychology & Health Pub Date : 2026-10-01 Epub Date: 2025-10-08 DOI: 10.1080/08870446.2025.2571587

Liping He, Kim Lam Soh, Aixiang Chen, Xuan Ji, Xiujuan Dong, Junfang Chen

{"title":"Effectiveness of physical activity intervention for depression, anxiety and comorbid symptoms during the perinatal period among Chinese primiparas.","authors":"Liping He, Kim Lam Soh, Aixiang Chen, Xuan Ji, Xiujuan Dong, Junfang Chen","doi":"10.1080/08870446.2025.2571587","DOIUrl":"10.1080/08870446.2025.2571587","url":null,"abstract":"Background: To examine the effectiveness of a physical activity (PA) programme incorporating partner support and enjoyment in preventing perinatal depression, anxiety, and comorbid anxiety and depression (CAD) among Chinese primiparas.Methods: A total of 120 eligible primiparas were randomised into intervention or control groups. The intervention group received the 13-week PA programme and the control group received the usual care. The outcomes were depression, anxiety, and CAD assessed at baseline, post-intervention, and 6 weeks after delivery. Differences were examined using generalised linear mixed models with intention-to-treat.Results: A significant group × time interaction was observed for depression score, anxiety score, anxiety incidence, and CAD incidence (all p < 0.05). However, no significant interaction was found for depression incidence. Compared to the control, the intervention substantially reduced the scores of depression (MD: -2.67 (-4.16 to -1.17); -2.63 (-4.15 to -1.11)) and anxiety (MD: -4.95 (-9.23 to -0.67); -7.33 (-11.85 to -2.82)), as well as the rates of depression (OR: 0.40 (0.18 to 0.85); 0.44 (0.21 to 0.93)) and CAD (OR: 0.35 (0.14 to 0.87); 0.26 (0.11 to 0.62)) at post-intervention and 6-week postpartum. Notably, anxiety incidence showed significant reduction only at 6-week postpartum (OR: 0.34 (0.16 to 0.74)) (all p < 0.05). Within the intervention group, no significant changes occurred in most outcomes from baseline to post-intervention and 6-week postpartum, except depression scores (MD:-1.60 (-2.79 to -0.41); -1.23 (-2.44 to -0.03); p < 0.05).Conclusions: The PA programme (including partner support and enjoyment) may be effective in reducing perinatal depression, anxiety and CAD among primiparas.","PeriodicalId":20718,"journal":{"name":"Psychology & Health","volume":" ","pages":"1598-1617"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145252470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Examining context stability, habits, and movement behaviors among behavioral adopters and maintainers: it's an individual vibe. 检查行为采用者和维护者之间的上下文稳定性、习惯和运动行为：这是一种个人氛围。

IF 2 3区心理学

Psychology & Health Pub Date : 2026-10-01 Epub Date: 2026-02-09 DOI: 10.1080/08870446.2025.2528925

Jaclyn P Maher, Maslyn H Behler, Nathaly Castro-Buitrago, Brynn L Hudgins, Eryn E Murray, Yeongjun Seo, Amanda L Rebar

{"title":"Examining context stability, habits, and movement behaviors among behavioral adopters and maintainers: it's an individual vibe.","authors":"Jaclyn P Maher, Maslyn H Behler, Nathaly Castro-Buitrago, Brynn L Hudgins, Eryn E Murray, Yeongjun Seo, Amanda L Rebar","doi":"10.1080/08870446.2025.2528925","DOIUrl":"10.1080/08870446.2025.2528925","url":null,"abstract":"Objectives: Determine the extent to which context stability during movement behaviours was associated with changes in habit strength, physical activity (PA) and sedentary behaviour (SB) and whether there were differences in these associations among PA and SB reduction adopters and maintainers.Methods and measures: Older adults (N = 202; 60-85 years, 71.4% female, 74.4% White) completed three data collection periods over one year. Each data collection period included PA and SB habit strength and stage of change assessments, device-based PA and SB, and a 4-day intensive ecological momentary protocol capturing contextual features of PA and SB. Context stability was calculated as a reverse entropy score (categorical variables) or an intraindividual SD(continuous variables) for each contextual feature during PA and SB.Results: Context stability was more consistently associated with changes in habit strength than behaviour. For PA, maintainers showed behaviour increases linked to stable temporal and affective contexts, while adopters showed habit gains tied to their most stable individual cue. For SB, context stability was unrelated to behaviour change, but adopters showed stronger SB habit formation with stable individual cues. Too few maintainers were available to assess SB comparisons.Conclusion: Findings support the theoretical link between context stability and habit strength, though the idiosyncratic nature of these associations should be considered.","PeriodicalId":20718,"journal":{"name":"Psychology & Health","volume":" ","pages":"1533-1554"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12893328/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146150507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Religiosity, spirituality, and cardiovascular responses to acute psychological stress. 宗教信仰、灵性和心血管对急性心理压力的反应。

IF 2 3区心理学

Psychology & Health Pub Date : 2026-09-29 DOI: 10.1080/08870446.2026.2739468

Ailbhe Dempsey, Siobhán Howard, Stephen Gallagher

{"title":"Religiosity, spirituality, and cardiovascular responses to acute psychological stress.","authors":"Ailbhe Dempsey, Siobhán Howard, Stephen Gallagher","doi":"10.1080/08870446.2026.2739468","DOIUrl":"https://doi.org/10.1080/08870446.2026.2739468","url":null,"abstract":"Objective: Religiosity and spirituality have both been associated with cardiovascular reactivity to acute psychological stress; however, findings across studies have been inconsistent, and it remains unclear whether these associations are distinct from one another. This study examined the independent relationships of religiosity and spirituality with cardiovascular responses to stress.Methods and measures: A sample of 221 healthy young adults who completed psychometric measures of religious identification and daily spiritual experiences, before undergoing a standardised stress-testing protocol. Systolic, diastolic blood pressure (SBP, DBP) and heart rate (HR) were monitored throughout. Hierarchical regressions analyses were conducted to examine association between religiosity, spirituality, and cardiovascular reactivity.Results: Daily spiritual experiences were positively associated with HR reactivity at the uncorrected level, but not with SBP or DBP reactivity. After controlling for religious identification, daily spiritual experiences were also positively associated with SBP, DBP, and HR reactivity in uncorrected analyses. However, none of these associations remained statistically significant following false discovery rate correction.Conclusion: These findings provide limited evidence for associations between daily spiritual experiences and cardiovascular reactivity, with observed effects not remaining significant following adjustment for multiple comparisons. Overall, the results do not support robust associations between spirituality and cardiovascular reactivity in this sample.","PeriodicalId":20718,"journal":{"name":"Psychology & Health","volume":" ","pages":"1-21"},"PeriodicalIF":2.0,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149075790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Towards a sequencing framework for teaching and using self-enactable behaviour change techniques: a conceptual review and proposed approach. 建立教学和使用可自行制定的行为改变技术的顺序框架：概念回顾和建议的方法。

IF 2 3区心理学

Psychology & Health Pub Date : 2026-09-28 DOI: 10.1080/08870446.2026.2737650

Alexandre Mazéas, Nikos Ntoumanis

{"title":"Towards a sequencing framework for teaching and using self-enactable behaviour change techniques: a conceptual review and proposed approach.","authors":"Alexandre Mazéas, Nikos Ntoumanis","doi":"10.1080/08870446.2026.2737650","DOIUrl":"https://doi.org/10.1080/08870446.2026.2737650","url":null,"abstract":"Objective: Self-enactable behaviour change techniques (BCTs) may help individuals initiate and sustain health behaviour change. However, existing taxonomies provide limited guidance on how such techniques should be selected, taught, combined, and sequenced over time. This perspective aimed to review previous approaches and to develop a conceptual framework for organising and sequencing self-enactable BCTs for intervention design and participant learning.Methods: A critical conceptual review was conducted to identify published approaches to BCT grouping, temporal organisation, prerequisites, and stage-specific sequencing. Literature identified through four databases was synthesised alongside the compendium of self-enactable BCTs to inform a five-step framework-development process.Results: The review showed that existing taxonomies and sequencing approaches provide useful classifications but limited guidance for progressive teaching and self-enactment. To address this gap, we proposed a framework comprising 108 self-enactable BCTs organised into nine clusters and 27 groups. We mapped prerequisite relations, classified techniques by their predominant prospective or reactive function, and sequenced their groups across the Model of Action Phases.Conclusion: Our framework provides a theory-informed structure for teaching and applying self-enactable BCTs. It is intended to guide intervention design and generate testable hypotheses about technique sequencing that need to be empirically explored in future studies.","PeriodicalId":20718,"journal":{"name":"Psychology & Health","volume":" ","pages":"1-34"},"PeriodicalIF":2.0,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149070079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

"It's between life and death": Nigerian women's experience of pregnancy and childbirth. “生与死之间”：尼日利亚妇女怀孕和分娩的经历。

IF 2 3区心理学

Psychology & Health Pub Date : 2026-09-26 DOI: 10.1080/08870446.2026.2738035

Adenike Mopa-Egbunu, Nazanin Shiraj, Barbara Stewart-Knox

{"title":"\"It's between life and death\": Nigerian women's experience of pregnancy and childbirth.","authors":"Adenike Mopa-Egbunu, Nazanin Shiraj, Barbara Stewart-Knox","doi":"10.1080/08870446.2026.2738035","DOIUrl":"https://doi.org/10.1080/08870446.2026.2738035","url":null,"abstract":"Objectives: We sought to capture Nigerian women's experiences from pregnancy to childbirth, to understand how events impacted their psychological wellbeing and to afford women a voice in determining a more positive birth experience.Methods: Mothers (N = 12) were recruited in Lagos, Kaduna, Abuja and Osun for interviews. Interviews were analysed using reflexive thematic analysis, drawing on self-determination theory (SDT) to interpret how participants' experiences shaped their wellbeing.Results: Themes of Community, communication and perceived changes in social status, Expectations of transition to motherhood vs reality, and Managing risk and uncertainty along the journey to motherhood were identified. In keeping with SDT, all themes encompassed women's drive for autonomy, relatedness and competence during transition to motherhood. While pregnant, women considered the family and community important in meeting their need for relatedness, they also perceived them as eroding their autonomy and constraining their competence. Autonomy and competence were strengthened in seeking information on what to expect during pregnancy and birth. The women were able to derive autonomy during labour by suppressing any vocal expression of pain and alluded to the sense of competence and achievement they felt if they had laboured silently. A novel finding was that birthing was located at the cusp of life and death, and amidst this uncertainty, relatedness and competence to deliver were sought in God.Conclusion: These findings imply that greater attention to women's psychological needs could retain their autonomy, competence and relatedness during pregnancy and childbirth. Women should be encouraged to become informed about pregnancy and birth but may need guidance to reliable sources. Practitioners should be aware that women need the support of significant others during labour.","PeriodicalId":20718,"journal":{"name":"Psychology & Health","volume":" ","pages":"1-33"},"PeriodicalIF":2.0,"publicationDate":"2026-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149064197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0