Sofia Silva-Ribeiro, Cristina A Godinho, Cláudia Camilo, Marta Moreira Marques, Cláudia Chisari, Úrsula Segura, Sónia F Bernardes
{"title":"Psychological, social and behavioural factors associated with disease/illness activity and adjustment to Lupus: a systematic review and meta-analysis.","authors":"Sofia Silva-Ribeiro, Cristina A Godinho, Cláudia Camilo, Marta Moreira Marques, Cláudia Chisari, Úrsula Segura, Sónia F Bernardes","doi":"10.1080/17437199.2025.2478877","DOIUrl":"https://doi.org/10.1080/17437199.2025.2478877","url":null,"abstract":"<p><p>Systemic Lupus Erythematosus (SLE) bears a heavy toll on individuals' psychological wellbeing and quality of life. Despite vital to the development of effective interventions, systematic and quantifiable knowledge on modifiable factors associated with adult SLE adjustment and disease/illness activity is currently lacking. This systematic review with meta-analysis aimed to bridge this gap, by examining the effects of modifiable psychological, social, and behavioural factors associated with SLE adjustment and disease/illness activity. Eight databases were searched for quantitative studies, using Boolean combinations of keywords on SLE adjustment, disease/illness activity and psychological, social, or behavioural correlates/predictors. Ninety studies were included in the narrative review, and fifty-four in the meta-analysis. The psychological factors more strongly associated with SLE adjustment and disease/illness activity were illness- and treatment-related illness- and treatment-related beliefs, self-perceptions, resilience-related factors, and perceived stress. Avoiding sedentary behaviour showed a consistent, albeit small association with better outcomes. Social factors were largely under investigated, but better perceived social support showed moderate associations with better outcomes. The meta-analysis findings, which should be considered with caution due to high risk of bias, uncovered several potentially fruitful avenues for future research and highlight potentially relevant targets for psychosocial and behavioural interventions to improve quality of life of individuals with SLE.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":" ","pages":"1-35"},"PeriodicalIF":6.6,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721907","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}
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":"https://doi.org/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":"1-24"},"PeriodicalIF":6.6,"publicationDate":"2025-03-09","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}
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":"https://doi.org/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":"1-15"},"PeriodicalIF":6.6,"publicationDate":"2025-03-05","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}
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":"1-41"},"PeriodicalIF":6.6,"publicationDate":"2025-03-04","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}
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":"https://doi.org/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":"1-39"},"PeriodicalIF":6.6,"publicationDate":"2025-03-03","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}
Health Psychology ReviewPub Date : 2025-03-01Epub Date: 2024-10-13DOI: 10.1080/17437199.2024.2410018
Lauren H Iannazzo, Melissa J Hayden, Natalia S Lawrence, Naomi Kakoschke, Laura K Hughes, Kelly Van Egmond, Jarrad Lum, Petra K Staiger
{"title":"Inhibitory control training to reduce appetitive behaviour: a meta-analytic investigation of effectiveness, potential moderators, and underlying mechanisms of change.","authors":"Lauren H Iannazzo, Melissa J Hayden, Natalia S Lawrence, Naomi Kakoschke, Laura K Hughes, Kelly Van Egmond, Jarrad Lum, Petra K Staiger","doi":"10.1080/17437199.2024.2410018","DOIUrl":"10.1080/17437199.2024.2410018","url":null,"abstract":"<p><strong>Background/aims: </strong>Inhibitory control training (ICT) is a cognitive intervention that has been suggested to reduce problematic appetitive behaviours, such as unhealthy eating and excessive alcohol consumption. We conducted a meta-analytic review of ICT for reducing appetitive behaviours.</p><p><strong>Methods: </strong>Two meta-analyses were conducted for behavioural (objective) outcomes and self-report outcomes, along with 14 moderator analyses, and two secondary analyses investigating changes in cue-devaluation and inhibitory control.</p><p><strong>Results: </strong>The review included 46 articles (67 effect sizes and 4231 participants) and four appetitive health behaviours (eating, drinking, smoking, gambling). A significant effect of ICT on behavioural outcomes was found (SMD = 0.241, <i>p</i> .001). The self-report outcomes meta-analysis was not significant (<i>p</i> > .05). Secondary analyses also demonstrated greater inhibitory control (<i>p</i> < .05) and cue devaluation (<i>p</i> < .05) following ICT.</p><p><strong>Conclusions: </strong>This meta-analytic review is the largest synthesis of ICT interventions for appetitive behaviours. ICT significantly reduced problematic eating behaviours when adopting behavioural outcomes, but this was not found for other appetitive behaviours. ICT also significantly improved inhibitory control and reduced cue evaluations. Further studies are required before drawing any conclusions regarding impacts on other appetitive behaviours.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":" ","pages":"66-96"},"PeriodicalIF":6.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477821","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}
Health Psychology ReviewPub Date : 2025-03-01Epub Date: 2024-10-09DOI: 10.1080/17437199.2024.2412630
Hanna Zaleskiewicz, Maria Siwa, Anna Banik, Zofia Szczuka, Ewa Kulis, Francesca Grossi, Polymeros Chrysochou, Bjørn Tore Nystrand, Toula Perrea, Antonella Samoggia, Arlind Xhelili, Athanasios Krystallis, Aleksandra Luszczynska
{"title":"Psychosocial determinants of alternative protein choices: a meta-review.","authors":"Hanna Zaleskiewicz, Maria Siwa, Anna Banik, Zofia Szczuka, Ewa Kulis, Francesca Grossi, Polymeros Chrysochou, Bjørn Tore Nystrand, Toula Perrea, Antonella Samoggia, Arlind Xhelili, Athanasios Krystallis, Aleksandra Luszczynska","doi":"10.1080/17437199.2024.2412630","DOIUrl":"10.1080/17437199.2024.2412630","url":null,"abstract":"<p><p>This meta-review synthesises evidence concerning individual-level psychosocial characteristics associated with alternative protein food (APF) choices. We investigated the associations between: (i) individual-level determinants based on the COM-B model (capabilities, perceived opportunities, motivation), sociodemographic factors, and (ii) indicators of APF choices (e.g., intention to eat, buy, pay, acceptance, intake). Differences in characteristics of APF made from plants, insects, mushrooms, and other APF sources were explored. Thirteen databases were searched in this pre-registered (CRD42023388694) meta-review and 28 reviews were included. The risk of bias was assessed using the ROBIS tool. For <i>plant-based APF</i> choices, consistent support was obtained for associations with (i) capabilities, including cooking skills, exposure to/familiarity with APF; (ii) motivations, including perceived health-related, pro-environmental, and sustainability benefits, and animal welfare; (iii) younger age and higher education. For <i>insect-based APF</i> choices, consistent support was obtained for (i) capabilities, including formal knowledge about APF, exposure to/familiarity with APF; (ii) perceived opportunities, encompassing positive social and cultural norms, distrust in technology; (iii) motivations, including perceived health benefits, pro-environmental and sustainability benefits, perceived health risks, being adventurous/daring, curiosity, neophilia, disgust; (iv) male gender and younger age. Recognising differences in potential determinants across various APF sources is essential for designing interventions aimed at promoting APF uptake.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":" ","pages":"97-122"},"PeriodicalIF":6.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394295","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}
Health Psychology ReviewPub Date : 2025-03-01Epub Date: 2024-10-17DOI: 10.1080/17437199.2024.2412996
Ryan E Rhodes, Colin M Wierts, Sasha Kullman, Emily Magel, Shaelyn Strachan
{"title":"Intervention effects on physical activity identity: a systematic review and meta-analysis.","authors":"Ryan E Rhodes, Colin M Wierts, Sasha Kullman, Emily Magel, Shaelyn Strachan","doi":"10.1080/17437199.2024.2412996","DOIUrl":"https://doi.org/10.1080/17437199.2024.2412996","url":null,"abstract":"<p><p>Physical activity (PA) identity (i.e., categorisation of oneself in a particular role) has been linked to PA behaviour in observational research, yet experimental research has seen less attention. The purpose of this meta-analysis was to examine the effectiveness of interventions to change identity and subsequent PA. Eligible studies were published in a peer-reviewed journal in English, included an experimental or quasi-experimental design in the PA domain with a measure of identity as the dependent variable, among an adult (>18 yrs.) sample. A literature search was completed in March 2024 using five common databases. The search yielded 40 independent effect sizes, representing 4939 participants. Random-effects meta-analysis showed positive changes in identity favouring the intervention over the control group <i>g</i> = 0.18 (95% CI = 0.11-0.24) and positive changes in a sub-sample (k = 30) of these studies that also measured PA <i>g </i>= 0.61 (95% CI = 0.41-0.81). Changes in identity did not have significant (Q = 43.08, <i>p</i> = 0.30) heterogeneity, yet changes in PA showed heterogeneity (Q = 204.62, <i>p</i> < .001) and follow-up moderator analyses found potential publication bias, and differences by methods (comparison group, length of intervention) and theoretical approach. Overall, PA identity can change as a result of interventions, but the effect may be smaller than changes in behaviour in these interventions.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":"19 1","pages":"123-144"},"PeriodicalIF":6.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143504934","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}
Health Psychology ReviewPub Date : 2025-03-01Epub Date: 2024-10-28DOI: 10.1080/17437199.2024.2413871
Carolina C Silva, Justin Presseau, Zack van Allen, John Dinsmore, Paulina Schenk, Maiara Moreto, Marta M Marques
{"title":"Components of multiple health behaviour change interventions for patients with chronic conditions: a systematic review and meta-regression of randomized trials.","authors":"Carolina C Silva, Justin Presseau, Zack van Allen, John Dinsmore, Paulina Schenk, Maiara Moreto, Marta M Marques","doi":"10.1080/17437199.2024.2413871","DOIUrl":"10.1080/17437199.2024.2413871","url":null,"abstract":"<p><p>Interventions addressing more than one health behaviour at a time could be an efficient way of intervening to manage chronic conditions. Within a systematic review of multiple health behaviour change (MBHC) interventions, we identified key components of interventions in patients with chronic conditions, assessed how they are linked to theory, behaviour change techniques implemented, and evaluated their impact on intervention effectiveness. Studies were identified by systematically searching five electronic databases. Subgroup analyses and meta-regressions were conducted to analyse the association between intervention components and behavioural changes. In total, 61 studies were included spanning different chronic conditions (e.g., cardiovascular conditions, type 2 diabetes). Most interventions sought to change behaviours simultaneously (72%), often targeting the 'physical activity, diet and smoking' cluster of behaviours (33%), and were not theory informed (55%). A total of 36 behaviour change techniques were identified, most commonly <i>goal setting behaviour</i> and <i>self-monitoring of behaviour</i>. Subgroup analyses indicated that MHBC interventions delivered entirely face-to-face might not be as effective for physical activity outcomes, and not using <i>goal setting (behaviour)</i> might be more effective for smoking cessation outcomes. Meta-regressions indicated that a longer intervention duration may work best to achieve better physical activity outcomes. This review provides a comprehensive understanding of interventions and contributes to the field of MHBC by facilitating data-driven insights for future optimisation and dissemination.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":" ","pages":"200-255"},"PeriodicalIF":6.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510486","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}
Health Psychology ReviewPub Date : 2025-03-01Epub Date: 2024-10-22DOI: 10.1080/17437199.2024.2415950
Sara Tasnim, Phoebe Xin Hui Lim, Konstadina Griva, Joanne Ngeow
{"title":"Identifying the psychosocial barriers and facilitators associated with the uptake of genetic services for hereditary cancer syndromes: a systematic review of qualitative studies.","authors":"Sara Tasnim, Phoebe Xin Hui Lim, Konstadina Griva, Joanne Ngeow","doi":"10.1080/17437199.2024.2415950","DOIUrl":"10.1080/17437199.2024.2415950","url":null,"abstract":"<p><p>Despite evidence supporting genetic testing's utility in hereditary cancer risk management, uptake remains low among at-risk relatives of a hereditary cancer patient. The qualitative systematic review aims to identify the psychosocial barriers and facilitators associated with the uptake of genetic counselling services and/or genetic testing (GC/GT). A systematic literature search was performed across six databases in June 2023, limited to studies published in English from 2010 onwards. Qualitative studies interviewing hereditary cancer patients, their relatives, and/or healthcare providers to identify the psychosocial barriers and facilitators associated with the uptake of genetic testing for hereditary cancer syndrome were eligible for inclusion. A thematic analysis was conducted on the extracted data from 41 eligible qualitative studies. 54% of the studies were from the United States and 75% of the participants were female. 14 psychosocial barriers and nine facilitators to the uptake of genetic testing services were identified. The most frequently cited psychosocial barriers to genetic testing uptake were 'emotional roller coaster', 'threat of genetic discrimination', and 'no perceived benefit of genetic testing'. In contrast, the most common facilitators were 'concern for family', 'easing personal worries', and 'knowledge is empowering'. Our findings reveal complex factors affecting GC/GT service uptake, some with dual effects.</p>","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":" ","pages":"172-199"},"PeriodicalIF":6.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477820","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}