Psychology Health & Medicine最新文献

{"title":"Associations between distant and proximal negative life events and sleep quality in pregnant women: independent, cumulative and interaction effects.","authors":"Pu Yang, Yifei Pei, Yongqi Huang, Dandan Ma, Xuan Zhang, Fenglin Cao","doi":"10.1080/13548506.2025.2541301","DOIUrl":"10.1080/13548506.2025.2541301","url":null,"abstract":"<p><strong>Background: </strong>Poor sleep quality is a common yet often overlooked complaints among pregnant women. The relationship between adverse childhood experiences (including dimensions of abuse, neglect, and family dysfunction), negative life events during pregnancy (categorized as distant and proximal negative life events respectively), and sleep quality remains ambiguous. This study explores the independent, cumulative, and interaction effects of these factors from a life course perspective, utilizing the cumulative risk model, stress-sensitization and stress-inoculation models.</p><p><strong>Methods: </strong>We recruited 736 pregnant women from a prenatal clinic in Shandong province. Data on childhood adversity, negative life events during pregnancy, and sleep quality were collected through self-reported questionnaires. The study employed the eXtreme Gradient Boosting, linear regression model and hierarchical regression analysis to examine the relationship between the distant and proximal negative life events on sleep quality.</p><p><strong>Results: </strong>Emotional abuse (gain = 0.184) and changed sleep, diet, or clothing habits (gain = 0.103) were the most strongly associated distant and proximal negative life events related to poor sleep quality respectively. Cumulative scores of distant (<i>β</i> = 0.421, 95%<i>CI</i>, 0.172-0.670) and proximal (<i>β</i> = 0.383, 95%<i>CI</i>, 0.299-0.467) negative life events demonstrated a significant positive correlation with poor sleep quality. The interaction effects of distant (abuse dimension) and proximal negative life events on sleep quality aligned with the stress-sensitization model.</p><p><strong>Conclusion: </strong>Distant and proximal negative life events play an important role in sleep quality among pregnant women. Healthcare professionals should consider these factors when providing recommendations and interventions.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"889-908"},"PeriodicalIF":1.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144796129","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":"Network analysis and comparison of psychological distress among women with miscarriage experience.","authors":"Martin Robinson, Martina Galeotti, Gary Mitchell, Mark Tomlinson, Áine Aventin","doi":"10.1080/13548506.2025.2587261","DOIUrl":"10.1080/13548506.2025.2587261","url":null,"abstract":"<p><p>As many as 15.3% of pregnancies do not end in a live birth meaning miscarriage is among the most common pregnancy complications. This experience is robustly evidenced to be associated with adverse health and well-being outcomes for mothers, however, much existing evidence focuses on psychopathology outcomes such as depression and anxiety disorders. Adopting a holistic approach inclusive of more nuanced mental health outcomes of pregnancy loss, this study sought to assess and compare distress among women experiencing miscarriage at home or in hospital. The current study applied Network Analysis to examine associations between indicators of psychological distress (e.g. feelings of loss, isolation, and devastation) in a sample of 839 women. Networks were assessed to identify the most influential indicators for the total sample of women who experienced miscarriage in the previous 5 years (<i>N</i> = 839), and for subsamples who reported experiencing management of their miscarriage at home (<i>n</i> = 493), or in hospital (<i>n</i> = 273). Results highlighted the most influential distress indicators in the network to be: '<i>feelings of a person lost</i>', '<i>destroyed zest for life</i>', and '<i>feelings of isolation</i>'. Comparison between subgroups, those who experienced miscarriage at home and in hospital, revealed similar network structures. Those who experienced miscarriage at home displayed greater global association between nodes in the network, i.e. stronger connections between distress indicators suggesting these have greater influence on each other a potentially exacerbate distress. The most influential distress indicators are highlighted as important targets for screening psychological distress, and as potentially viable intervention targets to promote greater well-being among women experiencing miscarriage, regardless of setting. These findings provide a novel understanding of psychological distress following miscarriage as a system of connected symptoms, further research is called for to examine broader influences of the impact of miscarriage network.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1011-1029"},"PeriodicalIF":1.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145589942","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 infertility-related stress on fertility-related quality of life in reproductive-age married women with endometriosis: the mediating role of family resilience.","authors":"Guifang Bai, Fang Fang, Jiaqi Wu, Yujie Gan, Xiaowan Luo, Cuimei Luo, Ping Zhou, Caixia Xu, Yixin Luo","doi":"10.1080/13548506.2025.2584368","DOIUrl":"10.1080/13548506.2025.2584368","url":null,"abstract":"<p><p>This study investigated fertility-related quality of life among married women of reproductive age (20-45 years) with endometriosis-associated infertility, focusing on the mediating role of family resilience between infertility-related stress and fertility-related quality of life. A cross-sectional survey was conducted between January 2024 and April 2025 at a tertiary hospital gynecology and reproductive center in Guangdong Province, China. Data were collected via structured questionnaires and analyzed using IBM SPSS Statistics 25.0 and AMOS 26.0. Results indicated moderate levels of fertility-related stress (<i>M</i> = 70.92, SD = 13.98). Pearson correlation analysis revealed a significant negative association between fertility-related stress and fertility-related quality of life (<i>r</i> = -0.435, <i>p</i> < 0.01), while family resilience showed a positive correlation with fertility-related quality of life (<i>r</i> = 0.377, <i>p</i> < 0.01). Mediation analysis demonstrated that family resilience partially mitigated the negative impact of stress on fertility-related quality of life (standardized indirect effect = -0.11, 95% CI [-0.18, -0.06], <i>p</i> < 0.001). The findings suggest that while fertility-related stress directly impairs fertility-related quality of life in this population, family resilience serves as a protective buffer. Clinically, interventions aimed at strengthening family support and adaptive capacity may help reduce stress and improve well-being in women with endometriosis-associated infertility.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"995-1010"},"PeriodicalIF":1.9,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145535080","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":"A qualitative case study on the resilience of leprosy patients facing community stigma in Sikka Regency, Indonesia.","authors":"Lusia Enjel Ros Gudipun, Ribka Limbu, Christina Rony Nayoan","doi":"10.1080/13548506.2026.2649147","DOIUrl":"https://doi.org/10.1080/13548506.2026.2649147","url":null,"abstract":"<p><p>Stigmatization of leprosy remains a major obstacle in the recovery process leading to isolation, discrimination and adversely affecting their mental and emotional health. This study aims to explore how leprosy patients in the Palue Health Center working area build resilience in the face of such stigma. Qualitative with a case study design, involving leprosy patients who have achieved resilience referring to The Resilience Scale. Data were collected through in-depth interviews and analyzed using thematic analysis techniques according to Braun & Clarke's frameworks. Three main themes were identified from the experiences of leprosy patients: (1) forms of stigma against leprosy patients; (2) stages of achieving resilience, and (3) aspects that support the development of resilience. Resilience is the key that helps leprosy patients overcome psychological and social stress, maintain mental health, and improve quality of life. Physical rehabilitation alone is not enough; a holistic approach must be applied, which includes psychological support to help leprosy patients deal with the emotional and social stress of stigma. Social support from family, community and health workers is essential in strengthening the support system for leprosy patients and reducing feelings of isolation. Public education about leprosy needs to be improved to reduce stigma and discrimination, so that people with leprosy can more easily reintegrate into society. The involvement of families and health workers in the rehabilitation process plays an important role in helping leprosy patients build resilience, so that they can better cope with stigma and life challenges. This study is quite limited in capturing resilience and can only offers a snapshot of resilience at a single time point and recommend future longitudinal research to better capture its development over time.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-21"},"PeriodicalIF":1.9,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147516848","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":"General practitioner training in youth suicide prevention: a systematic review.","authors":"Valerie Burke, Ciara Hudson, Finiki Nearchou","doi":"10.1080/13548506.2026.2645954","DOIUrl":"https://doi.org/10.1080/13548506.2026.2645954","url":null,"abstract":"<p><p>Youth suicidality is the second-leading cause of death among youth globally. General Practitioners (GP) are established gatekeepers for the early identification and intervention of youth suicidal behaviours, therefore training GPs in youth suicide prevention is essential. Increasing youth-specific suicide prevention training which is sensitive to youths' unique developmental needs and risk factors is vital. The present systematic review synthesised available evidence on the youth-specific suicide prevention training received by GPs in line with PRISMA recommendations and provides a quality evaluation of the included studies. Nine quantitative studies were included. Search strategy and keywords are outlined in detail to enhance reproducibility. Covidence software was employed to screen and extract data, and a narrative synthesis was applied. Two reviewers screened all studies reaching 96% inter-rater agreement. Quality appraisal was guided by the Mixed Methods Appraisal Tool (MMAT). GP training in youth suicide prevention increased GP knowledge, confidence and detection rates of youth suicide. Mean training length was 6.2 hours (range 10 min to 3 days). Interactive and applied learning methods were most rated as useful. GP training and education programs in youth suicide prevention are being rolled out on a global basis, however limited research is evaluating the efficacy of these training programs, which limits the ability of trainers and researchers to monitor and revise GP training programs. Future research should include designs such as randomised controlled trials and qualitative studies.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-27"},"PeriodicalIF":1.9,"publicationDate":"2026-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147505794","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":"Reevaluating the role of vaccine myths in understanding COVID-19 vaccination readiness.","authors":"Allegra Opiela, Mark L Robbins, Kathleen Monahan, Autumn Tamlyn, Hayley Lindsey, Andrea L Paiva","doi":"10.1080/13548506.2026.2649149","DOIUrl":"https://doi.org/10.1080/13548506.2026.2649149","url":null,"abstract":"<p><p>Public hesitancy toward COVID-19 vaccination has often been linked to persistent myths surrounding vaccine safety and efficacy. Yet, evidence from myth-correction interventions has been inconsistent, raising questions about the extent to which such beliefs influence vaccination behavior. Accordingly, the present study evaluated whether myths about COVID-19 vaccination offer unique explanatory value for vaccination behavior beyond Decisional Balance and Self-efficacy as outlined in the Transtheoretical Model (TTM). Researchers conducted a secondary analysis of data from a prior COVID-19 vaccination readiness measure development study. Data were collected between February-March 2022 through Prolific (www.prolific.com). Participants were eligible if they were at least 18 years old, maintained the autonomy to get vaccinated, and resided in the US. The final sample included 528 US adults aged 18 to 75. Participants had completed questionnaires assessing Demographics, Stage of Change, Decisional Balance (Health & Safety Pros, Health & Safety Cons, and Social Cons), Self-efficacy (General and Mistrust Self-efficacy), and Myths related to COVID-19 vaccination. Chi-square tests and logistic regression were used to explore relationships between resultant Decisional Balance and Self-efficacy subconstructs, Myths, and vaccination behavior. While significantly correlated with Decisional Balance and Self-efficacy subconstructs and vaccination behavior, Myths were not significant contributors to behavior beyond Health & Safety Pros, Health & Safety Cons, and Social Cons in multivariate analysis. Similarly, Self-efficacy was not a significant predictor in the full model. Thus, myths about the COVID-19 vaccine may not offer additional value in explaining vaccination behavior beyond established Decisional Balance measures. Intervention efforts may be better directed at addressing perceived health and safety-related pros and cons of vaccination rather than focusing solely on debunking myths.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-16"},"PeriodicalIF":1.9,"publicationDate":"2026-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147500724","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":"Therapeutic communication and stress coping behaviors as predictors of pediatric nursing competencies in nursing students: a cross-sectional study.","authors":"Aysel Topan, Özlem Öztürk, Yeliz Taşdelen","doi":"10.1080/13548506.2026.2649148","DOIUrl":"https://doi.org/10.1080/13548506.2026.2649148","url":null,"abstract":"<p><p>In light of the World Health Organization's acknowledgment of new graduate nurses as a significant group influencing the health of future populations, it is essential for these professionals, particularly those specializing in pediatric care, to acquire the necessary competencies during their student years. This study evaluates the effect of nursing students' therapeutic communication skills and stress-coping behaviors on their competencies in pediatric nursing. A descriptive and cross-sectional study was conducted with data collected from 400 nursing students using the Therapeutic Communication Skills Scale for Nursing Students (TCS), specifically TCS-1 and TCS-2 subdimensions, Coping Behaviors of Stress Scales for Nursing Students (CBSS), and Pediatric Nursing Competency Scale for Nursing Students (PNCS). A positive correlation was found between PNCS and TCS-2 scores, while a weak negative relationship was observed between PNCS scores and certain CBSS subdimensions. Problem-solving behaviors, gender, average TCS-2 scores, and avoidance behaviors significantly predicted the total PNCS score. The grand point average, knowledge of therapeutic/non-therapeutic communication concepts, frequency of using therapeutic communication methods, and PNCS score significantly predicted the TCS-2 total score. The frequency of using therapeutic communication methods, knowledge of therapeutic/non-therapeutic communication concepts, and desire to take related courses significantly predicted the TCS-1 score. The study demonstrates that higher utilization of therapeutic communication skills positively influences nursing students' competency in pediatric nursing. Additionally, lesser use of problem-solving and avoidance coping strategies is associated with increased competency in pediatric nursing.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-13"},"PeriodicalIF":1.9,"publicationDate":"2026-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147488329","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":"Postpartum depression, perceived social support, and quality of life in mothers of preterm infants: a cross-sectional correlational study.","authors":"Melda Erdoğdu, Nesrin İlhan","doi":"10.1080/13548506.2026.2635750","DOIUrl":"https://doi.org/10.1080/13548506.2026.2635750","url":null,"abstract":"<p><p>Preterm birth poses significant challenges for both infants and their mothers, affecting maternal mental health and overall quality of life. This study aimed to examine the relationship between postpartum depression (PPD), perceived social support and quality of life in mothers of preterm infants in the neonatal intensive care unit (NICU). This cross-sectional, and correlational study was conducted with 90 mothers of preterm infants receiving treatment in the NICU of a hospital in Istanbul/Turkey. Data were collected using the Mother and Infant Information Form, the Edinburgh Postnatal Depression Scale (EPDS), the Multidimensional Scale of Perceived Social Support (MSPSS), and the World Health Organization Quality of Life Scale-BREF (WHOQOL-BREF). The mean age of the mothers was 31.2 ± 6.3 years, with 36.7% having completed high school. The mean EPDS score was 10.52 ± 4.80, the mean MSPSS general score was 62.14 ± 14.66, and the mean WHOQOL-BREF general quality of life score was 73.87 ± 9.28, It was found that 31.1% of the mothers were at risk for depression. Both PPD and perceived social support were significantly associated with overall quality of life and its dimensions (<i>p</i> < 0.001). The study found that higher levels of PPD were related to lower quality of life, whereas higher perceived social support was related to better quality of life. To improve the quality of life of mothers of preterm infants, it is important to develop strategies for the prevention, early detection, and treatment of PPD, and to increase awareness and strengthening of social support resources.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-15"},"PeriodicalIF":1.9,"publicationDate":"2026-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147488378","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":"Psychological disorders associated with allergic diseases in children: a systematic review and meta-analysis.","authors":"Muhammad Imran Arif, Yanan Wang, Liang Ru","doi":"10.1080/13548506.2026.2645952","DOIUrl":"https://doi.org/10.1080/13548506.2026.2645952","url":null,"abstract":"<p><p>In children with allergies, psychological issues are becoming more frequent and complicated. To quantify the prevalence and allergens' link to childhood psychological disorders. PubMed, ScienceDirect, Cochrane Library, Google Scholar, and Scopus, were searched until December 2024 using suitable keywords. Studies encompassing children < 18 years diagnosed with allergic diseases and reported with any psychological disorders were selected. The pooled effect size was calculated using random effect models utilizing RevMan 5.4, which produced odds ratios (OR) with 95% CI, and Jamovi software assessed the prevalence of allergic illnesses with psychological disorders. Heterogeneity among studies was assessed using I² statistics, and methodological quality was assessed using the risk of bias for Non-Randomized Studies- Exposure (ROBINS-E). For publication bias, a funnel plot was constructed. The Grading for Recommendations Assessment, Development and Evaluation (GRADE) framework was used for the assessment of the certainty of the evidence. All 24 studies involving children with allergies and psychological disorders were included. A meta-analysis showed that the prevalence of psychological disorders among children with allergies was significantly (<i>p</i> < 0.01) higher. For asthma, it was 33% (95% CI: 22 to 44, I2 = 99.46%), allergic rhinitis 47% (95% CI: 30 to 64, I2 = 98), atopic dermatitis 14% (95% CI: -0.00 to 29, I2 = 99.74%, food allergy 17% (95% CI: 0.03-0.31, I2 = 99.74%), and combined allergies 57% (95% CI: 0.23-0.90, I2 = 99.98%). While eczema had a non-significant (<i>p</i> > 0.01) prevalence with psychological disorders at 20% (95% CI: 0.15-0.24, I2 = 0%). Furthermore, the pooled OR was 6 (95% CI, 3.69-9.74, I2 = 93%), indicating that allergic illnesses considerably (<i>p</i> < 0.01) enhanced psychological disorder risk. Meta-regression indicated a non-significant association of covariates with source of heterogeneity. Egger's test indicated a potential source of publication bias. Children with allergies are at higher risk of developing psychological disorders. It emphasizes the need for integrated care to address physical and mental health problems.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-23"},"PeriodicalIF":1.9,"publicationDate":"2026-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147482175","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":"Sources of meaning in life of patients and their relatives in early cancer survivorship.","authors":"Anna Maria Wolf, Annekathrin Sender, Jochen Ernst, Anja Mehnert-Theuerkauf, Franziska Springer","doi":"10.1080/13548506.2026.2645957","DOIUrl":"https://doi.org/10.1080/13548506.2026.2645957","url":null,"abstract":"<p><p>Meaning in life is an important resource for coping with cancer-related distress. Little is known about which areas of life contribute to meaning in life of patients with cancer and their relatives, and how these change over time. In this prospective observational study, patients with solid tumours and their relatives were surveyed two (T1) and twelve months (T2) after diagnosis using the validated Schedule for Meaning in Life Evaluation (SMiLE) and other validated questionnaires. Published data from a representative sample of the German population was used as comparative data. Participants reported meaningful life areas and rated their satisfaction and importance; corresponding indices were calculated. The indices, frequency, satisfaction and importance of life areas were compared between patients, relatives and a representative sample. Multiple linear regression analyses explored sociodemographic, medical and psychological factors influencing global meaning. At T1 433 patients (55% men, mean age 62 years) and 193 relatives (69% women, mean age 58 years) participated; at T2, 445 patients and 91 relatives. Global meaning, satisfaction and weighting indices were lower in patients and relatives than in the representative sample (<i>p</i> = 0.003). The most frequently mentioned areas were 'Family' (patients: 82%; relatives: 88%), 'Leisure time' (patients: 57%; relatives: 61%) and 'Social relations' (patients: 55%; relatives: 59%). Compared to the representative sample, patients more often reported 'Leisure time', 'Social relations' and 'Home/Garden' (<i>p</i> = 0.01), while 'Occupation/Work' was less frequent (<i>p</i> = 0.01). No changes were observed between T1 and T2. Depression was significantly associated with lower global meaning. Meaning in life is significantly reduced in patients with cancer and their relatives during early survivorship, despite largely similar meaningful life areas in both groups. Our findings underscore the need for psycho-oncological care that systematically assesses individual sources of meaning in life and targets both patients and relatives through meaning-centred interventions.</p>","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-16"},"PeriodicalIF":1.9,"publicationDate":"2026-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147488309","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}