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Defining open goals for the promotion of health behaviours: a critical conceptual review. 确定促进健康行为的开放性目标:一项重要的概念审查。
IF 6.6 1区 心理学
Health Psychology Review Pub Date : 2025-06-01 Epub Date: 2025-03-09 DOI: 10.1080/17437199.2025.2467695
Christian Swann, Scott G Goddard, Matthew J Schweickle, Rebecca M Hawkins, Ollie Williamson, Davide Gargioli, Melanie M Clarke, Patricia C Jackman, Stewart A Vella
{"title":"Defining open goals for the promotion of health behaviours: a critical conceptual review.","authors":"Christian Swann, Scott G Goddard, Matthew J Schweickle, Rebecca M Hawkins, Ollie Williamson, Davide Gargioli, Melanie M Clarke, Patricia C Jackman, Stewart A Vella","doi":"10.1080/17437199.2025.2467695","DOIUrl":"10.1080/17437199.2025.2467695","url":null,"abstract":"<p><p>Recently there have been calls in health psychology to re-examine the assumption that goals must be specific to be most effective, and to understand when and why nonspecific goals may produce comparable effects to specific goals. In particular, open goals have received increasing attention from both research and applied perspectives. However, there has not yet been a clear and robust definition of open goals, without which there is a risk of inaccurate or inconsistent research and implementation. Therefore, our primary aim was to develop a conceptual definition of open goals by examining necessary (i.e., essential) and sufficient (i.e., unique) attributes. The resulting definition identifies that open goals are nonspecific and phrased in an exploratory way, with measurable parameters, producing graded outcomes. A secondary aim was to critically review the initial evidence on open goals and highlight key priorities for future research. Five databases were searched, identifying 16 studies reporting empirical data on open goals, which were assessed using the mixed methods appraisal tool. A critical appraisal is provided, and priorities for future research are highlighted. In turn, this definition and review may help guide research and practice in the use of open goals as a strategy to promote health behaviours.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":" ","pages":"344-367"},"PeriodicalIF":6.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
The prevalence of posttraumatic stress disorder symptomatology and diagnosis in burn survivors: a systematic review and meta-analysis. 烧伤幸存者中创伤后应激障碍症状和诊断的流行率:系统回顾和荟萃分析。
IF 6.6 1区 心理学
Health Psychology Review Pub Date : 2025-06-01 Epub Date: 2024-11-07 DOI: 10.1080/17437199.2024.2423725
Elise Boersma-van Dam, Laura Shepherd, Rens van de Schoot, Iris M Engelhard, Nancy E E Van Loey
{"title":"The prevalence of posttraumatic stress disorder symptomatology and diagnosis in burn survivors: a systematic review and meta-analysis.","authors":"Elise Boersma-van Dam, Laura Shepherd, Rens van de Schoot, Iris M Engelhard, Nancy E E Van Loey","doi":"10.1080/17437199.2024.2423725","DOIUrl":"10.1080/17437199.2024.2423725","url":null,"abstract":"<p><p>Great disparity is observed among studies investigating the prevalence of PTSD after burns. This systematic review and meta-analysis aimed to explore the pooled prevalence of PTSD in adult burn survivors over the first two years post-burn. Five electronic databases were searched for observational studies assessing the prevalence of PTSD symptoms after burns. Meta-analysis was performed using an auto-correlation and hierarchical effects model to estimate the course of PTSD prevalence rates over time and to establish point-prevalences. The effect of different moderators over time was tested with meta-regression. Thirty-two studies were included in the meta-analysis. The overall pooled prevalence of PTSD was 20.5% (95% CI 16.4-24.6) and the prevalence significantly decreased by about 0.37% per month post-burn over time. Questionnaire-based studies, and studies published from 2000 onwards, were more likely to show a decrease in PTSD prevalence over time compared to diagnostic studies and studies before 2000. A qualitative comparison revealed that inter-continental differences are likely to be complex and multi-factorial. PTSD affects about one in five burn survivors, with moderately decreasing rates from six months post-burn onwards. Early screening and identification of burn survivors who require specialist psychological care are vital for burns services.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":" ","pages":"278-304"},"PeriodicalIF":6.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606929","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Promoting self-management in chronic disease: a systematic review and meta-analysis of behaviour change interventions for patients on dialysis. 促进慢性疾病的自我管理:透析患者行为改变干预的系统回顾和荟萃分析。
IF 6.6 1区 心理学
Health Psychology Review Pub Date : 2025-06-01 Epub Date: 2025-03-04 DOI: 10.1080/17437199.2025.2471775
Olayinka Farris, Sheina Orbell, Veronica M Lamarche, Richard Smith
{"title":"Promoting self-management in chronic disease: a systematic review and meta-analysis of behaviour change interventions for patients on dialysis.","authors":"Olayinka Farris, Sheina Orbell, Veronica M Lamarche, Richard Smith","doi":"10.1080/17437199.2025.2471775","DOIUrl":"10.1080/17437199.2025.2471775","url":null,"abstract":"<p><p>Given the importance of patients' ability to effectively self-manage their kidney disease, researchers have developed interventions focused on improving self-management for patients on dialysis. The review and meta-analysis aimed to evaluate the efficacy of these interventions and identify the characteristics of more effective interventions in this domain. A meta-analysis of randomised controlled trials to promote self-management in patients on dialysis (N = 4201, k = 45) evaluated: the effect of the interventions on psychological, behavioural, and physiological outcomes; the relationships between changes in outcomes; the moderation of outcomes by behaviour change techniques employed in the interventions; and intervention duration. The meta-analysis obtained moderate effect sizes, demonstrating improvement in behavioural (<i>g</i> = 0.50 to 0.65) and physiological health outcomes (<i>g</i> = -0.32 to -0.57). Fewer studies assessed psychological intervention targets, but large effects were obtained for knowledge change and quality of life (<i>g</i> = 0.65 and 1.17, respectively). Improved knowledge was positively associated with improved medication adherence, which in turn was associated with one physiological outcome. Interventions incorporating psychotherapeutic techniques such as CBT or rational emotive therapy achieved superior physiological outcomes, particularly when used in isolation. The findings support the interpretation that intervention strategies to enhance emotional self-management are effective in optimising outcomes for patients on dialysis.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":" ","pages":"368-408"},"PeriodicalIF":6.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Analytical decisions pose moral questions. 分析性决策会提出道德问题。
IF 6.6 1区 心理学
Health Psychology Review Pub Date : 2025-06-01 Epub Date: 2024-11-06 DOI: 10.1080/17437199.2024.2425689
Mirela Zaneva
{"title":"Analytical decisions pose moral questions.","authors":"Mirela Zaneva","doi":"10.1080/17437199.2024.2425689","DOIUrl":"10.1080/17437199.2024.2425689","url":null,"abstract":"<p><p>How often do we reflect on the potential moral or value implications - what is right, wrong, has value and is (in)appropriate - of seemingly trivial analytical decisions, such as how to dichotomise a variable? I argue that analytical choices relate to multifaceted and oftentimes challenging moral issues that scientists should take into deeper consideration. Here, I illustrate a variety of potential considerations about moral values, including issues like exclusion, marginalisation, autonomy, responsibility, non-maleficence in relation to various common analytical choices and practices, such as the use of thresholds for disease diagnosis or population definition, the use of composite measures in the context of clarifying effects, classification practices, decisions on variable selection, as well as decisions relating to (dis)aggregation of data. I discuss these examples in the context of reasonable theoretical or statistical reservations. I advocate for deeper engagement with the difficult moral implications of analytical decisions, and for a principled and pluralistic science, that is also a more robust science. Such a science can include diverse moral views through a coupled ethical-epistemic approach, sensitivity tests, multiverse analysis, as well as stronger commitments to participatory and mutual learning practices.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":" ","pages":"305-314"},"PeriodicalIF":6.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142592014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Family wealth and adolescent physical health. 家庭财富与青少年身体健康。
IF 6.6 1区 心理学
Health Psychology Review Pub Date : 2025-06-01 Epub Date: 2025-01-13 DOI: 10.1080/17437199.2025.2451232
Emily J Jones, Portia Miller, Christina M Gibson-Davis, Jamie L Hanson, Elizabeth Votruba-Drzal
{"title":"Family wealth and adolescent physical health.","authors":"Emily J Jones, Portia Miller, Christina M Gibson-Davis, Jamie L Hanson, Elizabeth Votruba-Drzal","doi":"10.1080/17437199.2025.2451232","DOIUrl":"10.1080/17437199.2025.2451232","url":null,"abstract":"<p><p>Inequalities in the distribution of wealth among families with children may have deleterious health consequences, especially for adolescent children. Marked by significant psychosocial and physiological changes, adolescence is a period when socioeconomic differences in chronic disease risk factors are observed. Unfortunately, research on socioeconomic inequalities in adolescent health has overlooked wealth, focusing instead on differences in health based on household income and parental educational attainment. Expanding our knowledge of wealth's role in shaping adolescents' current and long-term health is of critical public health concern, especially as wealth is more unequally distributed than income. This review discusses what is known about wealth-related inequalities in adolescent physical health and proposes four psychosocial mechanisms that may explain how wealth shapes adolescent physical health including (1) serving as a stress-buffer; (2) enabling parents to invest in opportunities to support adolescent healthy development; (3) increasing families' access to social and cultural capital resources that may promote salutary health behaviours while mitigating experiences of social-class discrimination; (4) and supporting adolescents' future expectations. We end with a discussion of existing questions and suggestions for future research to add to our understanding of wealth-related inequalities in adolescent physical health, which could be used to inform health equity interventions.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":" ","pages":"315-343"},"PeriodicalIF":6.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142972783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
The effectiveness of behavioral modification interventions for managing weight gain in pregnant women with overweight or obesity: a systematic review and Bayesian network meta-analysis. 行为矫正干预对超重或肥胖孕妇体重增加管理的有效性:系统综述和贝叶斯网络荟萃分析。
IF 6.6 1区 心理学
Health Psychology Review Pub Date : 2025-06-01 Epub Date: 2025-03-05 DOI: 10.1080/17437199.2025.2474023
Hongli Yu, Mingmao Li, Guoping Qian, Gang Xu, Zbigniew Ossowski, Anna Szumilewicz
{"title":"The effectiveness of behavioral modification interventions for managing weight gain in pregnant women with overweight or obesity: a systematic review and Bayesian network meta-analysis.","authors":"Hongli Yu, Mingmao Li, Guoping Qian, Gang Xu, Zbigniew Ossowski, Anna Szumilewicz","doi":"10.1080/17437199.2025.2474023","DOIUrl":"10.1080/17437199.2025.2474023","url":null,"abstract":"<p><strong>Background: </strong>Global obesity prevalence among pregnant women is associated with adverse health outcomes for both the mother and the infant.</p><p><strong>Objective: </strong>This study aims to evaluate the efficacy of a behavioural intervention management model for controlling gestational weight gain (GWG) in pregnant women with overweight or obesity.</p><p><strong>Methods: </strong>The quality of the evidence was assessed using the Confidence In Network Meta-Analysis technique. Moreover, a Bayesian network meta-analysis summarised the comparative efficacy of various intervention methods on GWG outcomes.</p><p><strong>Results: </strong>The analysis included 24 trials with 11,008 participants across three different management models: in-person, remote (electronic health (eHealth) or mobile health (mHealth)), and mixed. Evidence quality ranged from very low to high. The multi-behavioural intervention delivered via a blended in-person and mHealth model demonstrated the highest likelihood of being in the top ranks of intervention effectiveness compared to the other interventions included in the analysis, scoring 85.9%.</p><p><strong>Conclusions: </strong>The multi-behavioural intervention delivered via a blended in-person and mHealth administration mode ranked highest in effectiveness for reducing GWG in pregnant women with overweight or obesity compared to the other interventions included in the analysis. Future studies may focus on addressing evidence gaps through more rigorous and direct comparative analyses.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":" ","pages":"448-462"},"PeriodicalIF":6.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Yoga as an intervention for stress: a meta-analysis. 瑜伽作为压力干预措施:一项荟萃分析。
IF 6.6 1区 心理学
Health Psychology Review Pub Date : 2025-06-01 Epub Date: 2024-11-07 DOI: 10.1080/17437199.2024.2420974
Michael C Rhoads, Madison E Barber, Nels Grevstad, Rena A Kirkland, Shannon Myers, Katherine A Gruidel, Ethan Greenwood
{"title":"Yoga as an intervention for stress: a meta-analysis.","authors":"Michael C Rhoads, Madison E Barber, Nels Grevstad, Rena A Kirkland, Shannon Myers, Katherine A Gruidel, Ethan Greenwood","doi":"10.1080/17437199.2024.2420974","DOIUrl":"10.1080/17437199.2024.2420974","url":null,"abstract":"<p><p>The escalating stress epidemic in modern society has raised concerns about its impact on physical and mental health, prompting the need for effective interventions. Yoga, a multifaceted mind-body practice, has gained recognition for its potential in mitigating perceived stress. Our meta-analysis aimed to estimate yoga's impact on lowering perceived stress as measured by the Perceived Stress Scale. We identified 36 studies meeting inclusion criteria and found a statistically significant moderate effect of yoga on reducing perceived stress (<i>g</i> = 0.48, 95% CI = 0.29-0.66). Our analysis uncovered substantial heterogeneity (<i>Q</i> = 117.33, <i>p</i> < .001), with 74.90% of the variation in effect sizes attributed to study characteristics. In planned moderator analyses, we hypothesised that yoga with breathwork, relaxation, high stress symptoms, greater number of hours practiced, and studies conducted in India would yield larger effects. Stress severity was shown to be statistically significant. However, the remaining hypotheses were not supported. Additionally, we examined five exploratory moderator variables, which did not yield significant results. Further research is needed to elucidate the source of heterogeneity across studies and reveal recommendations for specific populations.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":" ","pages":"257-277"},"PeriodicalIF":6.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
A scoping review of placebo and nocebo responses and effects: insights for clinical trials and practice. 安慰剂和反安慰剂反应和效果的范围综述:对临床试验和实践的见解。
IF 6.6 1区 心理学
Health Psychology Review Pub Date : 2025-06-01 Epub Date: 2025-03-03 DOI: 10.1080/17437199.2025.2471792
Arianna Bagnis, Stefanie H Meeuwis, Julia W Haas, Mary O'Keeffe, Elzbieta Anita Bajcar, Przemyslaw Babel, Andrea W M Evers, Eveliina Glogan, Marek Oleszczyk, Antonio Portoles, Johan W S Vlaeyen, Katia Mattarozzi
{"title":"A scoping review of placebo and nocebo responses and effects: insights for clinical trials and practice.","authors":"Arianna Bagnis, Stefanie H Meeuwis, Julia W Haas, Mary O'Keeffe, Elzbieta Anita Bajcar, Przemyslaw Babel, Andrea W M Evers, Eveliina Glogan, Marek Oleszczyk, Antonio Portoles, Johan W S Vlaeyen, Katia Mattarozzi","doi":"10.1080/17437199.2025.2471792","DOIUrl":"10.1080/17437199.2025.2471792","url":null,"abstract":"<p><p>Placebo and nocebo responses and effects influence treatment outcomes across a variety of conditions. The current scoping review aims to synthesise evidence from systematic reviews and meta-analyses in both clinical and healthy populations, elucidating key determinants of placebo and nocebo responses and effects, including individual, clinical, psychological and contextual factors. Among the 306 publications identified, 83% were meta-analyses and 17% systematic reviews, with a predominance of research in medical specialties (81.7%) such as psychiatry and neurology. Placebo responses were significantly more studied than nocebo responses. Individual determinants (e.g., age), clinical determinants (e.g., baseline symptom severity) and psychological determinants (e.g., expectations) were found to influence placebo and nocebo outcomes. Contextual determinants, including trial design and the method of treatment administration, also played critical roles. Several key underinvestigated areas in the current body of systematic reviews and meta-analyses were also identified. This scoping review highlights valuable insights into the determinants of placebo and nocebo responses and effects on a group level, potentially offering practical implications for optimising clinical trial designs and enhancing patient care strategies in clinical practice. However, to fully leverage these benefits, it is crucial to address the underexplored topics through more rigorous investigations using a person-centred perspective.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":" ","pages":"409-447"},"PeriodicalIF":6.6,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Experiences of women who self-report Breast Implant Illness (BII): a qualitative evidence synthesis. 自我报告乳房植入疾病(BII)的妇女的经历:定性证据综合。
IF 6.6 1区 心理学
Health Psychology Review Pub Date : 2025-05-19 DOI: 10.1080/17437199.2025.2503743
Christina April Kent, Patricia Holch, Brendan Gough, Lynda Wyld, Georgina L Jones
{"title":"Experiences of women who self-report Breast Implant Illness (BII): a qualitative evidence synthesis.","authors":"Christina April Kent, Patricia Holch, Brendan Gough, Lynda Wyld, Georgina L Jones","doi":"10.1080/17437199.2025.2503743","DOIUrl":"10.1080/17437199.2025.2503743","url":null,"abstract":"<p><p>It has been postulated, but not empirically validated, that breast implants may cause a range of systemic symptoms, recently aggregated into a syndrome termed Breast Implant Illness (BII). Research literature has focused on exploring these symptoms and possible aetiologies, however, it has not been formally recognised as a medical condition. The psychosocial experience of women who self-report BII is not well understood. This review aimed to synthesise findings from qualitative literature relating to BII. A systematic review and evidence synthesis of qualitative research was conducted and analysed using thematic synthesis. Searches were conducted in MEDLINE, CINHAL, Scopus, PsycINFO and secondary sources. Findings from nine studies were included, representing the experiences of women who had breast implants for reconstructive and cosmetic reasons. Four themes were identified: the decline in women's psychosocial wellbeing, the search for answers to their ill health, a lack of solicitude from healthcare professionals and industry, and surgery viewed as both the problem and solution. Women reported an array of distressing challenges that affected their overall quality of life. Findings highlight the need for psychosocial support and enhancing the integration of patient-entered perspectives. Further research is warranted to understand how these women can be better supported.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":" ","pages":"1-30"},"PeriodicalIF":6.6,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144102886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Insights into the complexities of symptom management for hemodialysis patients: a systematic review of qualitative studies. 洞察血液透析患者症状管理的复杂性:定性研究的系统回顾。
IF 6.6 1区 心理学
Health Psychology Review Pub Date : 2025-05-02 DOI: 10.1080/17437199.2025.2496230
Xutong Zheng, Zhen Yang, Linyu Xu, Aiping Wang
{"title":"Insights into the complexities of symptom management for hemodialysis patients: a systematic review of qualitative studies.","authors":"Xutong Zheng, Zhen Yang, Linyu Xu, Aiping Wang","doi":"10.1080/17437199.2025.2496230","DOIUrl":"https://doi.org/10.1080/17437199.2025.2496230","url":null,"abstract":"<p><p>Patients undergoing hemodialysis experience a broad spectrum of symptoms that impact their physical, psychological, and social well-being. Traditional qualitative studies often focus on isolated aspects of patient experiences and offer limited insights into the interconnected nature of symptom management. This systematic review and meta-ethnography aims to synthesise qualitative studies and develop a comprehensive model that elucidates interrelations between patient experiences and symptom management practices in hemodialysis. Our analysis integrated findings from 30 qualitative studies using a meta-ethnographic approach. The results revealed critical psychological and social dynamics influencing symptom management. The model highlights how supportive factors, such as family involvement and effective healthcare interactions, enhance coping mechanisms, improving emotional resilience and treatment adherence. Conversely, it identifies significant barriers, including chronic self-regulatory burnout and systemic inefficiencies, that hinder symptom management and exacerbate psychological distress. By integrating diverse qualitative findings, this study proposes a shift towards patient-centred, culturally sensitive care strategies that prioritise psychological support. This shift aims to transform hemodialysis care by addressing the complex interplay of medical, psychological, and social factors. The developed framework not only facilitates deeper understanding of the psychological impacts of symptom management and offers a structured approach for future research and interventions in this domain[Q1].</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":" ","pages":"1-44"},"PeriodicalIF":6.6,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144018909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
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