Health Psychology Review最新文献_第4页

Meditation and workplace health: a systematic review and meta-analysis of mental and cardiometabolic outcomes among employees. 冥想和工作场所健康：对员工心理和心脏代谢结果的系统回顾和荟萃分析。

IF 9.7 1区心理学

Health Psychology Review Pub Date : 2026-04-16 DOI: 10.1080/17437199.2026.2652892

Mahesh Kumar Khanal, Peter Saunders, Kathy Nguyen, Moza Al Hatmi, Hind Mohammed A Asiri, Wejdan Shahin, Rebecca Millar, Leila Karimi, Barbora de Courten

{"title":"Meditation and workplace health: a systematic review and meta-analysis of mental and cardiometabolic outcomes among employees.","authors":"Mahesh Kumar Khanal, Peter Saunders, Kathy Nguyen, Moza Al Hatmi, Hind Mohammed A Asiri, Wejdan Shahin, Rebecca Millar, Leila Karimi, Barbora de Courten","doi":"10.1080/17437199.2026.2652892","DOIUrl":"https://doi.org/10.1080/17437199.2026.2652892","url":null,"abstract":"Employees are severely affected by psychological distress, poor cardiometabolic health, and reduced productivity. Meditation has emerged as a potential strategy to enhance overall health. This systematic review synthesised the effectiveness of meditation for improving employees' mental health and cardiometabolic risk (CMR) markers across 132 randomised controlled trials (145 intervention groups and 23,080 participants). Most interventions were Mindfulness and Transcendental Meditation, conducted in the USA, and targeting healthcare professionals and educators. Results showed that meditation significantly improved perceived stress (g = -0.51), distress (g = -0.49), job stress (g = -0.53), anxiety (g = -0.38), depression (g = -0.39), well-being (g = 0.41), resilience (g = 0.38), and sleep (g = -0.33), with most effects sustained within three-month follow-ups. Effects on perceived stress, distress, and well-being were sustained at long-term follow-up. Interventions did not show statistically significant differences in blood pressure, cortisol level, heart rate variability, or inflammatory markers. The findings require cautious interpretation due to moderate-to-substantial heterogeneity, high risk of bias, and limited CMR marker studies. The evidence certainty was moderate for well-being and sleep, and low to very low for the remaining outcomes.","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":" ","pages":"1-30"},"PeriodicalIF":9.7,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147692901","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

Neuropsychological assessment in non-central nervous system cancer patients: a systematic review of cognitive screening and assessment within oncology practice. 非中枢神经系统癌症患者的神经心理学评估：肿瘤实践中认知筛查和评估的系统回顾。

IF 9.8 1区心理学

Health Psychology Review Pub Date : 2026-03-01 Epub Date: 2025-07-30 DOI: 10.1080/17437199.2025.2536071

Benedetta Capetti, Lorenzo Conti, Maria Vittoria Ferrari, Veronica Coppini, Giulia Ferraris, Chiara Marzorati, Dario Monzani, Roberto Grasso, Gabriella Pravettoni

{"title":"Neuropsychological assessment in non-central nervous system cancer patients: a systematic review of cognitive screening and assessment within oncology practice.","authors":"Benedetta Capetti, Lorenzo Conti, Maria Vittoria Ferrari, Veronica Coppini, Giulia Ferraris, Chiara Marzorati, Dario Monzani, Roberto Grasso, Gabriella Pravettoni","doi":"10.1080/17437199.2025.2536071","DOIUrl":"10.1080/17437199.2025.2536071","url":null,"abstract":"Early cancer detection and innovative treatments have prolonged the lifespan of cancer patients, leading to long-term consequences, including cancer-related cognitive impairment (CRCI). In 2011, the International Cancer and Cognition Task Force (ICCTF) established guidelines for neuropsychological assessment, however many neuropsychological tests lack validity for oncological patients. This systematic review aims to identify and summarise the most commonly used neuropsychological tests for cognitive screening and assessment in non-CNS cancer patients within research contexts. A search of electronic databases (PUBMED, EMBASE, and SCOPUS) included 1) research articles using 2) neuropsychological tests 3) on non-CNS cancer patients, 4) aged between 18 and 80 years old, 5) published in the English 6) from January 2011 to October 2023. Quality assessment was assessed following the MMAT Guidelines. Eligibility criteria were met by 178 studies which adopted 151 different neuropsychological tests. The most widely used screening test was the Mini-Mental State Examination (N=41). Among the main cognitive domains analyzed, the Hopkins Verbal Learning Test-Revised (N=61) was the most commonly used to assess memory. The Controlled Oral Word Association Test (N=24) was primarily utilised for language assessment and the Trail Making Test-part A (TMT-A) (N=37) was the most frequently used to assess the attention domain. Moreover, executive functions were predominantly evaluated using the TMT-B (N=45). Among the included studies, only 42 adhered to the ICCTF guidelines. Despite the available guidelines, the wide variability of the utilised tests undermines the generalisability of results. These findings underscore the necessity of developing and implementing assessment and screening tools that are specifically tailored to cancer patients.","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":" ","pages":"46-110"},"PeriodicalIF":9.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754895","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

Maintenance of lifestyle changes following lifestyle interventions in breast cancer survivors: a systematic literature review. 乳腺癌幸存者生活方式干预后生活方式改变的维持：系统文献综述

IF 9.8 1区心理学

Health Psychology Review Pub Date : 2026-03-01 Epub Date: 2025-08-05 DOI: 10.1080/17437199.2025.2539202

Meeke Hoedjes, Sandra van Cappellen-van Maldegem, Carmen Nimtz, Zhanna van Loenen-Sarukhanyan, Lonneke van de Poll-Franse, Jaap C Seidell, Floortje Mols

{"title":"Maintenance of lifestyle changes following lifestyle interventions in breast cancer survivors: a systematic literature review.","authors":"Meeke Hoedjes, Sandra van Cappellen-van Maldegem, Carmen Nimtz, Zhanna van Loenen-Sarukhanyan, Lonneke van de Poll-Franse, Jaap C Seidell, Floortje Mols","doi":"10.1080/17437199.2025.2539202","DOIUrl":"10.1080/17437199.2025.2539202","url":null,"abstract":"To gain more insight into promising strategies to achieve sustained optimal lifestyle and body composition changes among breast cancer survivors, which may improve health-related outcomes, this systematic review aimed to synthesise scientific evidence on maintenance of intervention effects on lifestyle and body composition in breast cancer survivors and to identify, describe and synthesise methods and strategies associated with effectiveness. Four databases (PubMed, PsychINFO, CINAHL, MEDLINE) were systematically searched for papers from 2010 onwards. Randomised controlled trials assessing the effectiveness of lifestyle interventions among breast cancer survivors reporting outcomes (physical (in)activity, diet, body composition, sleep, alcohol consumption and/or smoking) at baseline, end of intervention and follow-up were included. Behaviour change techniques were coded using the Behaviour Change Technique Taxonomy. Risk of bias and reporting completeness were evaluated using the RoB2 and the CONSORT checklist. Thirty papers were included. Few studies found intervention effects at end of intervention and at follow-up: 3 out of 17 assessing physical (in)activity, 3/6 assessing dietary outcomes, 1/8 assessing body composition and 1/8 assessing sleep. The low number of effective interventions hampered the synthesis of methods and strategies associated with effectiveness. This detailed overview of current scientific evidence provides guidance for future research.","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":" ","pages":"111-150"},"PeriodicalIF":9.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144785629","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

Building and strengthening physical activity identity: a theory-informed user-guide. 建立和加强身体活动认同：基于理论的用户指南。

IF 9.8 1区心理学

Health Psychology Review Pub Date : 2026-03-01 Epub Date: 2025-08-27 DOI: 10.1080/17437199.2025.2550359

Shaelyn M Strachan, Sasha M Kullman, Ryan E Rhodes

{"title":"Building and strengthening physical activity identity: a theory-informed user-guide.","authors":"Shaelyn M Strachan, Sasha M Kullman, Ryan E Rhodes","doi":"10.1080/17437199.2025.2550359","DOIUrl":"10.1080/17437199.2025.2550359","url":null,"abstract":"Physical activity identity, or viewing oneself as a physically active person, reliably predicts physical activity. Yet, little is known about how physical activity identity can be developed or strengthened. In this critical narrative review, we conducted a comprehensive literature search to identify models of physical activity identity, health psychology, behaviour change, identity or self-related constructs in search of explanations, constructs, or insights important for physical activity identity building and strengthening. Identified models included: the physical activity self-definition model, maintain IT, M-PAC, PRIME, possible selves, and self-determination theory. Using content analysis, we identified themes around candidate antecedents of physical activity identity. Nine common physical activity identity inputs were identified that we categorised as behavioural (physical activity; self-regulation; investment), cognitive (perceived ability; imaginal experiences, rules/standards; alignment with goals or values) or social (attachment ties; social appraisals). For each candidate input, we identify which models include the input, consider relevant research, discuss how and why the input may be related to physical activity identity, and offer practical strategies for building or strengthening physical activity identity. We offer a list of theory-informed physical activity identity inputs, a working figure which represents these identity inputs, and suggestions about how they may relate to physical activity identity (directly; indirectly). We aim to support future researchers in advancing the physical activity identity literature, and help practitioners support physical activity behaviour change.","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":" ","pages":"172-196"},"PeriodicalIF":9.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974283","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

What factors are related to engagement with digital mental health interventions (DMHIs)? A meta-analysis of 117 trials. 哪些因素与数字心理健康干预（DMHIs）的参与有关？117项试验的荟萃分析。

IF 9.8 1区心理学

Health Psychology Review Pub Date : 2026-03-01 Epub Date: 2025-08-26 DOI: 10.1080/17437199.2025.2547610

Nur Hani Zainal, Vivian Wang, Benjamin Garthwaite, Joshua E Curtiss

{"title":"What factors are related to engagement with digital mental health interventions (DMHIs)? A meta-analysis of 117 trials.","authors":"Nur Hani Zainal, Vivian Wang, Benjamin Garthwaite, Joshua E Curtiss","doi":"10.1080/17437199.2025.2547610","DOIUrl":"10.1080/17437199.2025.2547610","url":null,"abstract":"Identifying correlates of engagement with digital mental health interventions (DMHIs) can guide strategies to encourage therapy skill practice in targeted subgroups, supporting precision mental health. This three-level robust variance estimation meta-analysis examined correlates of DMHI engagement across 117 studies (1698 effect sizes; 279,791 participants), classifying engagement as initial uptake, study-specific usage, and intervention completion. Women engaged more than men in both unadjusted (Cohen's d = 0.34, 95% CI [0.06, 0.62]) and adjusted models (rp = 0.05 [0.01, 0.09]). Other positive correlates were past mental health problems, guided versus self-guided modality delivery, therapeutic relationship, and positive expectancy. Meta-regressions indicated that completion was associated with older age, higher education, employment, and lower stress. Uptake was related to higher socioeconomic status, greater motivation, and lower symptom severity; usage was linked to human guidance and common mental disorders versus other conditions. Longer treatment duration amplified the effects of therapeutic relationship and guidance on engagement. Nearly half (48.7%) of studies had low risk of bias; minimal publication bias did not alter findings. Persuasive design strategies could enhance male engagement. Practitioners and policymakers should prioritize coaching that fosters productive relationships, pre-intervention materials to set realistic expectations, and methods to reduce the high risk of bias in future DMHI research.","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":" ","pages":"151-171"},"PeriodicalIF":9.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974329","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

Employing illness perceptions and mindsets in health contexts: towards an integrative framework. 在卫生环境中运用疾病观念和心态：建立一个综合框架。

IF 9.8 1区心理学

Health Psychology Review Pub Date : 2026-03-01 Epub Date: 2025-09-05 DOI: 10.1080/17437199.2025.2552244

Rachael Yielder, Alia Crum, John Weinman, Keith J Petrie

{"title":"Employing illness perceptions and mindsets in health contexts: towards an integrative framework.","authors":"Rachael Yielder, Alia Crum, John Weinman, Keith J Petrie","doi":"10.1080/17437199.2025.2552244","DOIUrl":"10.1080/17437199.2025.2552244","url":null,"abstract":"Beliefs about illness powerfully shape how people experience and respond to health conditions. The dominant theory underpinning illness perception - Leventhal's Common-Sense Model - proposes that individuals construct cognitive representations of illness based on specific beliefs about its features and likely course (e.g., symptom severity, timeline, controllability). These perceptions predict key outcomes, including functioning, quality of life, emotional distress, and treatment adherence. Mindsets are related but distinct: they are broader, more abstract beliefs about the nature and meaning of illness (e.g., viewing cancer as 'manageable' or 'a catastrophe'). While the illness perception literature is well established, mindset research in the health context is more recent, with promising findings and emerging tools for intervention. In this paper, we critically review both constructs, highlight their complementary strengths and limitations, and propose an integrative framework that unites them. We argue that combining these perspectives can sharpen measurement, deepen theoretical understanding, and enhance the impact of belief-based interventions in healthcare.","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":" ","pages":"197-222"},"PeriodicalIF":9.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145001733","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

Emphasising herd immunity in vaccine advocacy: a systematic review and meta-analysis. 在疫苗宣传中强调群体免疫：系统回顾和荟萃分析。

IF 9.8 1区心理学

Health Psychology Review Pub Date : 2026-03-01 Epub Date: 2025-09-24 DOI: 10.1080/17437199.2025.2562841

Leonhard Reiter, Martin Voracek, Cornelia Betsch, Robert Böhm

{"title":"Emphasising herd immunity in vaccine advocacy: a systematic review and meta-analysis.","authors":"Leonhard Reiter, Martin Voracek, Cornelia Betsch, Robert Böhm","doi":"10.1080/17437199.2025.2562841","DOIUrl":"10.1080/17437199.2025.2562841","url":null,"abstract":"Emphasising herd immunity in vaccine communication may affect vaccine uptake by eliciting prosocial or selfish motivations. While experimental evidence has accumulated, quantitative syntheses are lacking. We conducted a systematic review and three-level meta-analysis to estimate how emphasising herd immunity affects vaccination motivation. Literature up to April 2025 was searched across seven databases (CINAHL, Cochrane Library, Google Scholar, PsycINFO, PubMed, Scopus, Web of Science) without restrictions. Non-experimental studies or those not assessing vaccination motivation were excluded. Risk of bias was assessed using JBI checklists. From 5,862 records, 3,676 underwent title/abstract screening; 278 were assessed, yielding 43 included studies (67 effects), totalling 101,720 participants (51,725 vs. 49,995 for intervention vs. control groups). The pooled effect size (Hedges g = 0.12, 95% CI [0.08, 0.17], p < .001) indicated small, positive effects, but between-study heterogeneity was large (I² = 91.9%). Subgroup analysis showed a twice as large effect for experiential methods (e.g., virtual reality, simulations: g = 0.29, 95% CI [0.16, 0.42], p < .001). Study quality was adequate, without evidence of publication bias. These findings suggest that emphasising herd immunity increases vaccination motivation, especially when using experiential communication methods. Directions for future research and implications for public health campaigns are discussed.","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":" ","pages":"223-254"},"PeriodicalIF":9.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139091","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 role of social identity and procedural fairness in shaping the impact of police interactions on mental health: a justice-identification model. 社会认同和程序公平在塑造警察互动对心理健康的影响中的作用：一个司法认同模型。

IF 9.8 1区心理学

Health Psychology Review Pub Date : 2026-03-01 Epub Date: 2025-07-22 DOI: 10.1080/17437199.2025.2534499

Arabella Kyprianides, S Alexander Haslam, Ben Bradford, Clifford Stott

{"title":"The role of social identity and procedural fairness in shaping the impact of police interactions on mental health: a justice-identification model.","authors":"Arabella Kyprianides, S Alexander Haslam, Ben Bradford, Clifford Stott","doi":"10.1080/17437199.2025.2534499","DOIUrl":"10.1080/17437199.2025.2534499","url":null,"abstract":"Research suggests a link between people's engagement with the police and their mental health, but little is known about how police activities affect the mental health of those they interact with. This paper develops a new theoretical model, the justice-identification model (JIM), to explain the social psychological dynamics underlying this relationship. The JIM integrates two unconnected frameworks - the social identity approach to health (SIAH) and procedural justice theory (PJT). It proposes that police contact negatively impacts mental health when it is associated with procedural injustice and exclusion but enhances health when it signals procedural justice and inclusion. Situating police-citizen interactions within an environment of inequality, we highlight how procedural fairness shapes the exercise of power by police officers. Social identity and experiences of procedural justice are framed as either stressors or sources of positive psychological connection. This analysis is instantiated in seven hypotheses that are broadly supported by existing empirical evidence. The JIM identifies three pathways linking exposure to policing and mental health through procedural justice and social identification. The paper explores the practical and theoretical implications of this model for mitigating negative mental health effects of police interactions and discusses strategies and priorities for both theory and practice.","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":" ","pages":"25-45"},"PeriodicalIF":9.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692049","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

Addressing fidelity within complex health behaviour change interventions: a scoping review of fidelity frameworks and models. 在复杂的卫生行为改变干预措施中处理保真问题：对保真框架和模型的范围审查。

IF 9.8 1区心理学

Health Psychology Review Pub Date : 2026-03-01 Epub Date: 2025-07-31 DOI: 10.1080/17437199.2025.2534001

Elaine Toomey, Daphne To, Nicole Nathan, Molly Byrne, Fabianna Lorencatto, Karen Matvienko-Sikar, Nicola McCleary, Heather Colquhoun

{"title":"Addressing fidelity within complex health behaviour change interventions: a scoping review of fidelity frameworks and models.","authors":"Elaine Toomey, Daphne To, Nicole Nathan, Molly Byrne, Fabianna Lorencatto, Karen Matvienko-Sikar, Nicola McCleary, Heather Colquhoun","doi":"10.1080/17437199.2025.2534001","DOIUrl":"10.1080/17437199.2025.2534001","url":null,"abstract":"Fidelity is an important but under-addressed aspect of health behaviour change intervention research. Consensus is lacking regarding terminology, definitions, and conceptualisations. Fidelity frameworks and models can help people address fidelity in a structured way and ensure clarity and consistency of terminology, but they are underutilised to date. We aimed to identify and describe existing fidelity frameworks/models and compare these in terms of fidelity constructs included. We conducted a scoping review using a pre-specified search, dual independent screening, and data extraction. We analysed data using basic descriptive statistics and qualitative content analysis. We identified 20 fidelity frameworks/models. All frameworks/models included constructs relating to intervention delivery. All frameworks/models also included additional constructs; however, there was a lack of consensus across these, and whether they are components or moderators of fidelity. For health behaviour change researchers wishing to address fidelity, selecting a comprehensive framework/model that facilitates consideration of multiple constructs and that aligns with their intended purpose and context may be beneficial. Fidelity is a multi-faceted concept of which delivery is an important, but not the only, construct. Findings will help researchers consider fidelity in greater depth, apply and refine existing frameworks/models, and improve how fidelity is addressed in future behavioural interventions.","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":" ","pages":"1-24"},"PeriodicalIF":9.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144761800","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

Systematic review of the effects of decision fatigue in healthcare professionals on medical decision-making. 医疗保健专业人员决策疲劳对医疗决策影响的系统综述。

IF 9.8 1区心理学

Health Psychology Review Pub Date : 2025-12-01 Epub Date: 2025-07-01 DOI: 10.1080/17437199.2025.2513916

Mona Maier, Daniel Powell, Peter Murchie, Julia L Allan

{"title":"Systematic review of the effects of decision fatigue in healthcare professionals on medical decision-making.","authors":"Mona Maier, Daniel Powell, Peter Murchie, Julia L Allan","doi":"10.1080/17437199.2025.2513916","DOIUrl":"10.1080/17437199.2025.2513916","url":null,"abstract":"Decision fatigue is the tendency towards making less effortful decisions as the cumulative mental burden of effortful decision-making increases. Health professionals working long shifts may be particularly vulnerable to decision fatigue. This preregistered systematic review (Prospero ID = CRD42021260081, no external funding) aims to synthesise the empirical evidence on decision fatigue in the healthcare context. Systematic searches across eight databases identified 14,740 records. N = 82 studies (72 quantitative, 1 qualitative, 1 review, 8 expert discussions) met the inclusion criteria (health professionals/trainees; medical decisions over time; healthcare context; any design). Study quality was assessed with the MMAT or relevant JBI checklist. Narrative synthesis revealed that 45% of cases that quantitatively assessed the decision fatigue hypothesis provided evidence of significant decision fatigue effects across diagnostic, test ordering, prescribing, and therapeutic decisions. Expert discussions confirmed healthcare professionals' recognition of decision fatigue as an important phenomenon. However, decision fatigue was inconsistently defined and inadequately operationalised, reflecting limitations in current theoretical understanding of the phenomenon. To address this, we propose a new definition for greater conceptual clarity and more consistent operationalisation in future research.' Future studies should prioritise the development and testing of different theoretical explanations for decision fatigue to improve understanding and facilitate the development of appropriate interventions.","PeriodicalId":48034,"journal":{"name":"Health Psychology Review","volume":" ","pages":"717-762"},"PeriodicalIF":9.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545498","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