Psychology Health & Medicine最新文献

{"title":"The mediating roles of depression and demoralization daily hassles and behavioral inhibition as predictors of post-MI self-care: the distinct pathways of depression and demoralization.","authors":"Wafaa Sowan, Sabaa Masarwe, Athar Qais-Rabea, Romain Jammal Abboud, Nosaiba Rayan-Gharra, Svetlana Baziliansky, Liza Grosman-Rimon","doi":"10.1080/13548506.2026.2747941","DOIUrl":"https://doi.org/10.1080/13548506.2026.2747941","url":null,"abstract":"<p><p>Effective self-care after myocardial infarction (MI) is essential for secondary prevention, yet many individuals struggle to maintain recommended health behaviors. Daily hassles and psychological distress may interfere with self-care, but the roles of depressive symptoms and demoralization have not been sufficiently examined simultaneously. Although these forms of distress may co-occur, they reflect distinct psychological experiences. Depression is characterized by depressed mood, anhedonia, and related cognitive and motivational symptoms, whereas demoralization centers on perceived inability to cope, helplessness, and loss of meaning or purpose. This cross-sectional study examined the associations of daily hassles and behavioral inhibition (BI) with self-care behaviors after MI and tested whether depressive symptoms and demoralization statistically mediated these associations. Participants were 175 individuals who had experienced MI (mean age = 54.42 years, SD = 12.03; 58% male; 79% married) completed self-report questionnaires assessing self-care behaviors, daily hassles, BI, depressive symptoms, and demoralization. The mean time since MI was 12.08 months (SD = 4.26; range = 6-19 months). Structural equation modeling examined the hypothesized associations and indirect effects. Self-care behaviors were negatively associated with daily hassles, BI, depressive symptoms, and demoralization. Participants generally reported adequate dietary adherence and medication management but lower levels of physical activity. The model showed good fit to the data (CFI = .98, TLI = .95, RMSEA = .08). Depressive symptoms significantly mediated the associations of daily hassles and BI with self-care behaviors (indirect βs = -.09 to -.10, <i>p</i> < .05), while demoralization showed a significant indirect effect (indirect β = -.08, <i>p</i> < .05). Overall, depressive symptoms and demoralization showed distinct indirect associations with poorer post-MI self-care. The findings highlight the relevance of considering multiple dimensions of psychological distress in psychosocial approaches to secondary prevention.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-22"},"PeriodicalIF":2.2,"publicationDate":"2026-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149247421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mindfulness-based perioperative care, sleep architecture, autonomic regulation, and early atrial tachyarrhythmia recurrence after radiofrequency catheter ablation for atrial fibrillation: a prospective observational cohort study.","authors":"Juanjuan Wang, Danping Wu","doi":"10.1080/13548506.2026.2746784","DOIUrl":"https://doi.org/10.1080/13548506.2026.2746784","url":null,"abstract":"<p><p>This study aimed to examine the relationship between perioperative care by mindfulness and sleep quality, autonomic regulation, inflammatory activity, and early recurrence of atrial tachyarrhythmia (AT) following radiofrequency catheter ablation (RFCA) for atrial fibrillation (AF). This was a prospective assessor-blinded observational cohort study involving 124 patients with AF who underwent their initial radiofrequency catheter ablation from April 2023 to December 2025. Conventional perioperative care was provided to one group (n=62), while the other group (n=62) received mindfulness-based perioperative care. To reduce baseline imbalance, propensity score overlap weighting was implemented. Objective sleep architecture was assessed by overnight polysomnography and autonomic function was examined by HRV analysis. hs-CRP, IL-6, TNF-α, IL-1β, and MCP-1 were analyzed by enzyme-linked immunosorbent assays. Health related quality of life was determined based on the SF-36 questionnaire. Compared with conventional care, mindfulness-based perioperative care was associated with greater observed changes in total sleep time (389.4 ± 43.8 vs. 365.7 ± 45.2 min, P=0.012), sleep efficiency (77.4 ± 7.2% vs. 71.2 ± 7.8%, P=0.004), sleep onset latency (27.1 ± 8.8 vs. 34.8 ± 10.5 min, P=0.009), and PSQI scores (7.2 ± 2.5 vs. 9.3 ± 2.9, P=0.006). The mindfulness group also showed lower inflammatory biomarker levels and differences in short-term autonomic indices, including a lower LF/HF ratio (1.39 ± 0.41 vs. 1.66 ± 0.54, P=0.005). Early atrial tachyarrhythmia recurrence occurred in 6 patients (9.7%) in the mindfulness-based perioperative care group and in 11 patients (17.7%) in the conventional care group, corresponding to a crude risk ratio of 0.55 (95% CI: 0.22-1.38). Mindfulness-based perioperative care was associated with improved objective and subjective sleep quality, more favorable autonomic and inflammatory biomarker profiles, better postoperative quality of life, and a lower observed rate of early atrial tachyarrhythmia recurrence after radiofrequency catheter ablation for AF.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-29"},"PeriodicalIF":2.2,"publicationDate":"2026-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149247566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and determinants of the prenatal depression and anxiety symptoms in the last trimester of pregnancy: a Moroccan cross-sectional study.","authors":"Maroua Guerroumi, Amina Aquil, Noura Dahbi, Ouassil El Kherchi, Salma Ait Bouighoulidne, Oussama Raouani, Oussama Cherkaoui Rhazouani, Meryam Belhaj Haddou, Abdeljalil Elgot","doi":"10.1080/13548506.2026.2746783","DOIUrl":"https://doi.org/10.1080/13548506.2026.2746783","url":null,"abstract":"<p><p>The third trimester of pregnancy is a stressful period that could express fear of childbirth, body image disturbance, lower self-esteem, and some other mental health disturbances. Family and social supports can relieve symptoms and make the childbirth experience pleasant. The main objective of this study was to assess prenatal anxiety and depression and reveal their predictive factors during the last trimester of pregnancy. A cross-sectional study was carried out with pregnant women (<i>n</i> = 178) during their third trimester of pregnancy in health facilities within the province of Marrakech. A questionnaire and six standardized scales were used. These were the Hospital Anxiety and Depression Scale, the Multidimensional Scale of Perceived Social Support, the Perceived Stress Scale, Rosenberg's Self-Esteem Scale, the Body Image Satisfaction Scale, and the Assessment of Fear of Childbirth. Our data revealed that 60.11% of participants presented anxiety symptoms, while 44.38% presented depressive symptoms during the third trimester of pregnancy. A correlation between these two mental disorders and the pregnancy planning, and premenstrual dysphoria was found (<i>p</i>-value < 0.05). Stressful life events, body dissatisfaction, and fear of childbirth were significantly associated with anxiety and depressive symptoms during the third trimester (<i>p</i> < 0.01), whereas perceived social support was not significantly associated with either outcome (<i>p</i> > 0.05). Anxiety and depressive symptoms are common during late pregnancy and may adversely affect maternal and fetal well-being. Therefore, early identification of women experiencing these symptoms and timely psychosocial support may help reduce potential adverse outcomes.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-20"},"PeriodicalIF":2.2,"publicationDate":"2026-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149240334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Midwives' awareness of climate change and sustainability.","authors":"Aysel Bülez, Ayşe Kürklü, Sevil Güner","doi":"10.1080/13548506.2026.2747162","DOIUrl":"https://doi.org/10.1080/13548506.2026.2747162","url":null,"abstract":"<p><p>This cross-sectional study examined climate-change awareness and sustainability consciousness among midwives and the association between the two scale scores. From September to October 2023, 100 midwives working in maternity units at two hospitals in southern Türkiye completed an online Demographic Information Form, the Climate Change Awareness Scale (CCAS), and the Sustainability Consciousness Questionnaire (SCQ). The CCAS covers awareness, problem perception, concern, and behaviours and policy expectations, whereas the SCQ covers sustainability knowledge, attitudes, and behaviours. Because these domains overlap, the total scores were interpreted as related multidimensional orientations rather than as distinct measures of awareness and knowledge. Participants had high mean CCAS and SCQ scores, and the total scores were positively correlated (<i>r</i> = .637, <i>p</i> < .001). CCAS scores differed by age group, and SCQ scores differed by educational level. These cross-sectional associations do not establish direction, mechanism, competence, or actual sustainable clinical practice. The findings identify an association between two partly overlapping constructs and show that media was the most frequently reported source of climate-change information. They support further investigation of climate literacy and education in midwifery, but should not be interpreted as evidence that awareness causes sustainable behaviour. The study is distinctive in examining the relationship between CCAS and SCQ scores specifically among practising midwives.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-14"},"PeriodicalIF":2.2,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neurodivergence and occupational well-being: a systematic and integrative review.","authors":"Jan van Rijswijk, Petru Lucian Curseu","doi":"10.1080/13548506.2026.2743437","DOIUrl":"https://doi.org/10.1080/13548506.2026.2743437","url":null,"abstract":"<p><p>Despite growing recognition of neurodiversity, many workplaces remain designed around neurotypical norms, creating challenges for the occupational well-being of neurodivergent employees. Drawing on a systematic literature review of 34 studies that examined neurodivergence in relation to well-being at work, we synthesize empirical and conceptual evidence showing that neurodivergent employees experience elevated stress, burnout, anxiety, and depression in workplaces designed around neurotypical norms and expectations. We further identify contextual factors and workplace interventions that moderate these relationships. To integrate these findings, we build on person-environment fit theory and an appraisal-coping model to explain how person-environment misfit activates cognitive and affective appraisal processes that shape task-related and interpersonal coping. Building on this framework, we move beyond individualized accommodations to propose a holistic approach to neuro-inclusive interventions that integrates five interconnected relationship- and task-focused building blocks to advance an empowerment-oriented perspective that embeds neuro-inclusion by design. Together, these contributions extend psychological theory on self-regulation and occupational well-being and provide evidence-based guidance for developing sustainable, (neuro)inclusive workplaces.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-32"},"PeriodicalIF":2.2,"publicationDate":"2026-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149186081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Endoscopic thoracic sympathectomy for primary palmar hyperhidrosis: ten-year clinical outcomes and a phenomenology-informed interpretation of body experience.","authors":"Ufuk Cobanoglu, Duygu Mergan Iliklerden, Fuat Sayir","doi":"10.1080/13548506.2026.2746787","DOIUrl":"https://doi.org/10.1080/13548506.2026.2746787","url":null,"abstract":"<p><p>Primary focal hyperhidrosis (PFH) is a chronic condition of excessive sweating disproportionate to thermoregulatory need, with substantial social and occupational burden. We evaluated outcomes of endoscopic thoracic sympathectomy (ETS)-symptom severity, quality of life, satisfaction, compensatory hyperhidrosis (CH), and recurrence-and interpreted dissatisfaction among patients who developed CH through a phenomenological lens. This retrospective single-centre cohort study included 72 patients who underwent ETS for PFH between January 2013 and December 2021, assessed preoperatively and at years one and five using the HDSS, DLQI, and Gillespie satisfaction scale. Sympathectomy level, technique, CH, recurrence, and psychosocial avoidance behaviours were recorded. Normality was rejected on Shapiro-Wilk testing; Wilcoxon signed-rank, Mann-Whitney U, chi-square, and Fisher's exact tests were applied, with effect sizes as rank-biserial correlation (r) and Cramér's V. The study received ethics approval (3 June 2026-39804) and adheres to the STROBE checklist. The cohort comprised 72 patients (44 male/28 female; mean age 22.8 ± 5.2 years; disease duration 7.3 ± 2.8 years). Palmar localisation predominated (63.9%); 90.3% avoided handshaking preoperatively. Mean HDSS declined from 3.29 ± 0.74 to 1.65 ± 0.96 at year five (<i>p</i><0.001;<i>r</i> = 0.83); 61.5% reached HDSS = 1. Mean DLQI fell from 3.83 ± 0.67 to 1.94 ± 1.07 (<i>p</i><0.001;<i>r</i> = 0.84); DLQI≥4 dropped from 68.1% to 7.7%. Five-year satisfaction was 76.6%. CH developed in 13 patients (18.1%), graded by level-T2 72.7%, T3 10.4%, T3-T4 0%(χ² = 26.98;<i>p</i><0.001; V = 0.61). Five-year DLQI was 3.23 ± 1.17 with CH versus 1.62 ± 0.77 without (<i>p</i><0.001;<i>r</i> = 0.73); 84.6% of CH patients were undecided or regretful versus 7.8% without (p<0.001). Recurrence was 5.6%. ETS achieves durable symptom control and well-preserved long-term satisfaction in PFH. Marked dissatisfaction among patients who develop CH indicates that body-related awareness and social functioning are, for a meaningful subset, as decisive as physiological control. T2 sympathectomy should be reserved for clear anatomical indications, and informed consent should address the lived significance of CH beyond statistical risk disclosure.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-21"},"PeriodicalIF":2.2,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149172080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of mindfulness-based counseling on shame in women with human papillomavirus.","authors":"Sara Hosseini, Azam Maleki, Omid Saed, Hamideh Gholami","doi":"10.1080/13548506.2026.2746782","DOIUrl":"https://doi.org/10.1080/13548506.2026.2746782","url":null,"abstract":"<p><p>This study evaluated the impact of mindfulness-based counseling on shame in women with Human Papillomavirus (HPV), addressing the gap in standardized mental health support and the often-overlooked emotional distress in HPV care. This randomized controlled trial was conducted in 2024 at Ayatollah Mousavi Hospital in Zanjan, Iran. Participants were recruited during routine visits and randomly assigned to intervention or control groups (70 per group) using block randomization. The intervention group received standard care plus eight weekly 90-minute mindfulness-based group counseling sessions (one in-person, seven virtual). The control group received standard medical care and health education. External shame was measured using Goss et al.'s Questionnaire. Data were analysed using independent- and paired-samples t-tests and baseline-adjusted ANCOVA, with <i>p</i> < 0.05 considered statistically significant. No significant baseline difference was observed between groups. After adjustment for baseline external shame, ANCOVA showed significantly lower post-intervention scores in the intervention group than in the control group (F = 56.03, <i>p</i> < 0.001, partial η² = 0.292). Paired-samples t-tests showed significant within-group reductions in both the intervention (<i>p</i> < 0.001) and control (<i>p</i> = 0.011) groups (<i>p</i> < 0.001). These findings suggest that mindfulness-based counseling may have potential as a supportive psychosocial component of HPV care. Further research with longer follow-up periods and culturally sensitive approaches is needed to examine the durability of these findings and their applicability across diverse healthcare settings.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-13"},"PeriodicalIF":2.2,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149170890","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preliminary effectiveness of a culturally adapted Acceptance and Commitment Group Therapy (ACT-G) on weight-related struggles among Malaysian women with overweight or obesity: A randomized controlled trial.","authors":"Shubashini Mathialagan, Poh Li Lau, Amos En Zhe Lian","doi":"10.1080/13548506.2026.2746781","DOIUrl":"https://doi.org/10.1080/13548506.2026.2746781","url":null,"abstract":"<p><p>The prevalence of overweight and obesity, particularly among women, has risen significantly, leading to a global epidemic. Acceptance and Commitment Therapy (ACT) has proven effective in addressing weight-related psychological struggles, reducing weight self-stigma (WSS), and enhancing well-being. This study aims to evaluate the effectiveness of a culturally adapted Acceptance and Commitment Group Therapy (ACT-G) in reducing WSS, experiential avoidance (EA), and body mass index (BMI) among Malaysian women with overweight and obesity. The study employed a randomised controlled trial, including pre-test, post-test, and follow-up test assessments. Sixty-five Malaysian women with a BMI of 23 kg/m² or above were recruited and randomly assigned to either the experimental group, which received the ACT-G intervention, or the waitlist control group. Non-parametric tests such as the Friedman test, Wilcoxon Signed-Rank test, and Mann-Whitney U test were employed to compare the outcomes of the experimental group with those of the control group. The findings revealed that ACT-G significantly outperformed the waitlist control group in both short-term and long-term measures. Specifically, participants in the ACT-G group experienced greater reductions in WSS, EA, and BMI. To summarize, this study generated positive findings supporting the viability of culturally adapted ACT-G as an effective approach to address weight-related struggles in Malaysia. The intervention aligns with Malaysian values and beliefs and shows promising preliminary efficacy; thus, this is a proof of concept and warrants further study.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-15"},"PeriodicalIF":2.2,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149171548","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Negotiating social presence and relational support after total laryngectomy: a qualitative study.","authors":"Wanjiku Gatonga, Caroline Vafeas, Esther Adama, Joanna Camilleri, Lisa Majteles, Amanda Towell-Barnard","doi":"10.1080/13548506.2026.2746785","DOIUrl":"https://doi.org/10.1080/13548506.2026.2746785","url":null,"abstract":"<p><p>Total laryngectomy is a relatively uncommon procedure, yet it significantly affects individuals' overall well-being. Awareness of the procedure remains low, and support for these individuals is limited, shaping how individuals perceive their visibility and support in everyday social interactions. This study aimed to explore how individuals with a total laryngectomy perceive their visibility in social interactions, and the support they receive from family and the wider community. This narrative inquiry study collected data from six participants through interviews and written stories. The data was then analysed through narrative thematic analysis, restoring each narrative and identifying themes using Braun and Clarke (2019) reflexive thematic analysis. Two themes were developed from the data; 'Visible but invisible' and 'Who really cares?' The theme 'Visible but invisible' highlighted that these individuals feel ignored, labelled and stigmatised, live with embarrassment and encounter public unfamiliarity of total laryngectomy. The theme 'Who really cares?' highlighted challenges surrounding family and gaps in total laryngectomy peer support. Total laryngectomy remains a rare and unfamiliar procedure, and individuals continue to face challenges following the procedure. The significant social and psychological impact of post-laryngectomy experiences suggests a need for increased awareness and support for this marginalised population.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-17"},"PeriodicalIF":2.2,"publicationDate":"2026-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149170244","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medical errors among nurses: understanding the impact of work-family conflict and burnout.","authors":"Anthony Gbenro Balogun","doi":"10.1080/13548506.2026.2747164","DOIUrl":"https://doi.org/10.1080/13548506.2026.2747164","url":null,"abstract":"<p><p>Medical errors remained a persistent challenge to patient safety and healthcare quality worldwide. This study examined the psychological predictors and underlying mechanisms associated with medical errors among nurses, focusing specifically on the effects of work-family conflict, work interference with family (WIF) and family interference with work (FIW), and the mediating role of burnout. A cross-sectional survey design was employed. Participants were 251 nurses (81 men, 170 women) working in public hospitals in Ondo State, Nigeria, aged between 31 and 52 years (<i>M</i> = 41.28, SD = 6.31). Data were analyzed using Hayes' PROCESS macro with 5,000 bootstrap samples to test the hypothesized mediation model. Higher levels of both WIF and FIW were significantly associated with increased medical errors. Burnout significantly mediated the relationships between work-family conflict dimensions and medical errors, indicating that work-family conflict contributes to elevated error rates indirectly through heightened burnout. Work-family conflict constitutes a significant psychosocial risk factor for medical errors, with burnout serving as a key explanatory mechanism. Interventions aimed at mitigating burnout may reduce the negative impact of work-family conflict on patient safety outcomes. Healthcare administrators and nurse managers should prioritize strategies to reduce work-family conflict and burnout, such as optimizing job demands and implementing flexible scheduling, family-supportive workplace policies, and manageable workload structures. Addressing these psychosocial stressors may enhance nurse well-being and contribute to improved patient safety.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-21"},"PeriodicalIF":2.2,"publicationDate":"2026-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149148238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}