Psychology Health & Medicine最新文献_第5页

Necessity and concern beliefs about medication in patients with Parkinson disease- A cross-section study from North India. 帕金森氏病患者用药的必要性和担忧信念——来自北印度的横断面研究。

IF 2.2 3区医学

Psychology Health & Medicine Pub Date : 2026-09-23 DOI: 10.1080/13548506.2026.2736865

Somya Jain, Birinder Singh Paul, Sidak Bir Singh, Aayush Jain, Gunchan Paul

{"title":"Necessity and concern beliefs about medication in patients with Parkinson disease- A cross-section study from North India.","authors":"Somya Jain, Birinder Singh Paul, Sidak Bir Singh, Aayush Jain, Gunchan Paul","doi":"10.1080/13548506.2026.2736865","DOIUrl":"https://doi.org/10.1080/13548506.2026.2736865","url":null,"abstract":"Parkinson's disease (PD) is a common neurodegenerative disease requiring long-term pharmacological management. Patients' beliefs about medications represent important psychological factors that may influence their engagement with treatment. The present study examined medication beliefs and their associated factors in patients with Parkinson. A cross-sectional study was conducted with 120 PD patients (aged ≥ 20 years) on antiparkinson drugs for >1 year, using purposive sampling. Medication beliefs were assessed using Beliefs about Medicines Questionnaire (BMQ); disease severity was measured with the Hoehn & Yahr (H&Y) stage and MDS-UPDRS scale. Statistical analysis included descriptive statistics, independent t-test, ANOVA, Pearson's correlation and multiple linear regression, with significance level p < 0.05. Necessity (17.12) and Concern (14.71) scores declined with age, longer disease duration, higher H&Y stage, and higher MDS-UPDRS total scores, whereas higher daily pill burden and increased LEDD were associated with higher Necessity and Concern scores (p < 0.05). Female patients reported significantly higher concern scores compared to males. In multivariate analyses, illness duration and LEDD emerged as independent predictors of both necessity and concern beliefs. These findings suggest that medication beliefs in Parkinson's change with illness progression and treatment complexity. Assessing these beliefs may help identify patients at risk for suboptimal treatment engagement and guide the development of targeted, belief-focused interventions to improve long-term treatment outcomes.","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-13"},"PeriodicalIF":2.2,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149026413","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}

引用次数: 0

Sense of coherence, experiential avoidance, and internalising and externalising behaviours among adolescents: a two-wave study. 青少年的连贯感、经验回避、内化和外化行为：一项两波研究。

IF 2.2 3区医学

Psychology Health & Medicine Pub Date : 2026-09-22 DOI: 10.1080/13548506.2026.2737837

Bilal Kaya, Sezen Ateş Yaman

{"title":"Sense of coherence, experiential avoidance, and internalising and externalising behaviours among adolescents: a two-wave study.","authors":"Bilal Kaya, Sezen Ateş Yaman","doi":"10.1080/13548506.2026.2737837","DOIUrl":"10.1080/13548506.2026.2737837","url":null,"abstract":"Sense of coherence is regarded as a key psychological resource for adolescents' behavioural adjustment, enabling them to perceive stressors as comprehensible, manageable, and meaningful. However, the role of experiential avoidance in the association between sense of coherence and internalising and externalising behaviours remains underexplored. Drawing on salutogenic theory and acceptance and commitment therapy, this study examines the associations of sense of coherence with experiential avoidance and internalising and externalising behaviours, as well as the indirect associations between sense of coherence and these behavioural outcomes through experiential avoidance. Data were collected across two waves from 377 adolescents aged 14 to 18 years. Structural equation modelling was employed to test the mediation model. The results indicate that sense of coherence predicts lower experiential avoidance and fewer internalising and externalising behaviours, with significant concurrent indirect associations through experiential avoidance. These findings suggest that lower experiential avoidance may represent one pathway through which sense of coherence is associated with fewer internalising and externalising behaviours among adolescents. The results may inform the development of theoretically grounded strategies that integrate salutogenic theory and acceptance and commitment therapy principles to address internalising and externalising behaviours in adolescents.","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-17"},"PeriodicalIF":2.2,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149018885","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}

引用次数: 0

Depressive and anxiety symptoms and their association with eating behaviours in individuals with Diabetes mellitus. 糖尿病患者抑郁、焦虑症状及其与饮食行为的关系

IF 2.2 3区医学

Psychology Health & Medicine Pub Date : 2026-09-20 DOI: 10.1080/13548506.2026.2734952

Ana Carolina Hoepers Naspolini, Micaela Rabelo Quadra, Fernanda Oliveira Meller, Antônio Augusto Schäfer, Sofia Steiner Back, Taísa Dimer Hendler, Renato Canevari Dutra da Silva, Emilio Luiz Streck

{"title":"Depressive and anxiety symptoms and their association with eating behaviours in individuals with Diabetes mellitus.","authors":"Ana Carolina Hoepers Naspolini, Micaela Rabelo Quadra, Fernanda Oliveira Meller, Antônio Augusto Schäfer, Sofia Steiner Back, Taísa Dimer Hendler, Renato Canevari Dutra da Silva, Emilio Luiz Streck","doi":"10.1080/13548506.2026.2734952","DOIUrl":"https://doi.org/10.1080/13548506.2026.2734952","url":null,"abstract":"This study aimed to analyse the association of depressive and anxiety symptoms with eating behaviours in individuals with Diabetes mellitus (DM). A cross-sectional study was conducted between March and August 2023 at a university clinic in southern Brazil, with DM aged 18 years or older. Eating behaviours were assessed using the Three-Factor Eating Questionnaire-21 (uncontrolled eating, cognitive restraint, emotional eating). Depressive and anxiety symptoms were evaluated through the Patient Health Questionnaire-9 and the Generalized Anxiety Disorder scale. Crude and adjusted linear regression were performed to analyse the associations. A total of 365 individuals were evaluated, of whom 48.9% and 39.1% presented depressive and anxiety symptoms, respectively. Higher scores were observed for emotional eating (mean: 62.4), followed by uncontrolled eating (mean: 57.9) and cognitive restraint (mean: 41.2). Depressive and anxiety symptoms were associated with uncontrolled eating and emotional eating in the crude analysis. These associations remained significant after adjustment. Individuals with depressive symptoms showed scores 7.50 points lower for uncontrolled eating and 9.79 points lower for emotional eating, whereas those with anxiety symptoms showed scores 6.77 points lower for uncontrolled eating and 4.75 points lower for emotional eating. In conclusion, depressive and anxiety symptoms were associated with uncontrolled eating and emotional eating, highlighting the need for integrated nutritional strategies that consider emotional factors for the management of Diabetes mellitus, as well as for promoting treatment adherence and quality of life.","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-19"},"PeriodicalIF":2.2,"publicationDate":"2026-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149013227","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}

引用次数: 0

Accessible Psychological First Aid (PFA) training for disaster preparedness: effects on coping strategies among deaf adults in India. 无障碍心理急救（PFA）备灾训练：对印度聋成人应对策略的影响。

IF 2.2 3区医学

Psychology Health & Medicine Pub Date : 2026-09-20 DOI: 10.1080/13548506.2026.2736150

Pallavi Kulshrestha, Sonia Malik

{"title":"Accessible Psychological First Aid (PFA) training for disaster preparedness: effects on coping strategies among deaf adults in India.","authors":"Pallavi Kulshrestha, Sonia Malik","doi":"10.1080/13548506.2026.2736150","DOIUrl":"https://doi.org/10.1080/13548506.2026.2736150","url":null,"abstract":"Deaf individuals are often disproportionately vulnerable during disasters due to communication barriers, limited access to early warning systems, and reduced inclusion in emergency response mechanisms. Strengthening psychosocial preparedness and coping capacities within Deaf communities is therefore critical for inclusive disaster risk reduction. Psychological First Aid (PFA) is a widely used approach in disaster and emergency contexts that aims to promote safety, emotional stabilization, and adaptive coping. However, limited empirical research has examined the effectiveness of accessible PFA interventions for Deaf populations. The present study examined the impact of an Indian Sign Language (ISL)-adapted PFA training on coping strategies among Deaf adults in India. A quasi-experimental pretest-posttest control group design was employed with 102 participants (experimental n = 51; control n = 51) across two regions (Telangana and Delhi). Coping strategies were assessed using the Brief COPE and categorized into problem-focused, emotion-focused, and avoidant coping domains. Results indicated that participants in the experimental group demonstrated significantly greater increases in problem-focused and emotion-focused coping compared to the control group, while no significant differences were observed in avoidant coping. These findings suggest that accessible PFA training can enhance adaptive coping capacities that are critical for disaster preparedness and psychosocial resilience among Deaf individuals. The study underscores the importance of designing inclusive, linguistically accessible psychosocial interventions to strengthen disaster readiness and reduce vulnerability among Deaf communities.","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-13"},"PeriodicalIF":2.2,"publicationDate":"2026-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149013202","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}

引用次数: 0

Self-appraisal of body appreciation and health identity among adults with Osteogenesis Imperfecta. 成骨不全症成人身体欣赏与健康认同的自我评价。

IF 2.2 3区医学

Psychology Health & Medicine Pub Date : 2026-09-20 DOI: 10.1080/13548506.2026.2734954

Shae-Marie R Stafford-Trujillo, Ryan J McCarty, Danqi Li, Gianna M Colombo, Sarah J Sadek, Michelle Fynan, Jocelyn Gomez, Whitney S Shepherd, Dianne Nguyen, Chaya N Murali, Marie-Eve Robinson, Brendan Lee, V Reid Sutton, Andrew D Wiese, Eric A Storch

{"title":"Self-appraisal of body appreciation and health identity among adults with Osteogenesis Imperfecta.","authors":"Shae-Marie R Stafford-Trujillo, Ryan J McCarty, Danqi Li, Gianna M Colombo, Sarah J Sadek, Michelle Fynan, Jocelyn Gomez, Whitney S Shepherd, Dianne Nguyen, Chaya N Murali, Marie-Eve Robinson, Brendan Lee, V Reid Sutton, Andrew D Wiese, Eric A Storch","doi":"10.1080/13548506.2026.2734954","DOIUrl":"https://doi.org/10.1080/13548506.2026.2734954","url":null,"abstract":"Adults with Osteogenesis Imperfecta (OI) often experience challenges related to not only physical health, but also to psychosocial well-being. This study examined the relationships between body appreciation, illness identity, fear of negative evaluation and psychological distress in adults with OI. Three hundred adults with OI were recruited to complete a cross-sectional survey. Self-report measures including the Body Appreciation Scale-2, Illness Identity Questionnaire, Brief Fear of Negative Evaluation Scale, and Patient Health Questionnaire-Anxiety and Depression Scale. Understanding these relationships may provide further insight into the interpersonal and intrapersonal factors associated with psychological functioning and overall quality of life in individuals with OI. Results showed positive correlations were observed between body appreciation, illness acceptance, and illness enrichment, which were negatively associated with illness rejection and engulfment. Regression analyses indicated that body appreciation was the strongest negative predictor of fear of negative evaluation, while illness engulfment was the strongest positive predictor of psychological distress. Findings suggest that more positive body appreciation and illness acceptance may be associated with improved psychological adjustment in adults with OI. Overall, body appreciation and illness identity appear to meaningfully contribute to the psychological adjustment of adults with OI and may be fruitful candidate targets for intervention efforts.","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-17"},"PeriodicalIF":2.2,"publicationDate":"2026-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149013183","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}

引用次数: 0

Perceived stress and psychological well-being among Italian midwives: hospital versus community setting. 意大利助产士的感知压力和心理健康：医院与社区环境。

IF 2.2 3区医学

Psychology Health & Medicine Pub Date : 2026-09-20 DOI: 10.1080/13548506.2026.2736867

Simona Bulla, Francesco Domenico Di Blasi, Santina Città, Serafino Buono, Lucia Spicuzza, Marinella Zingale

{"title":"Perceived stress and psychological well-being among Italian midwives: hospital versus community setting.","authors":"Simona Bulla, Francesco Domenico Di Blasi, Santina Città, Serafino Buono, Lucia Spicuzza, Marinella Zingale","doi":"10.1080/13548506.2026.2736867","DOIUrl":"https://doi.org/10.1080/13548506.2026.2736867","url":null,"abstract":"Work-related stress is a growing concern among healthcare professionals, with potential adverse effects on psychological well-being and quality of care. Midwifery practice, characterised by high emotional demands and frequent exposure to critical events, may increase vulnerability to occupational stress and psychological distress. This study aimed to evaluate perceived stress and psychological well-being among italian midwives and to compare hospital-based and community-based settings. We conducted a cross-sectional multicentric observational study on 175 midwives (140 hospital-based; 35 community-based). Perceived stress was assessed using the 10-item Perceived Stress Scale (PSS-10), and psychological well-being was evaluated with the Psychological General Well-Being Index (PGWBI). Hospital-based midwives reported significantly higher perceived stress than community-based midwives. A significant negative correlation between perceived stress and psychological well-being was found in both groups, with a stronger association observed in the hospital setting. The work setting significantly influences midwives' mental health, with hospital practice associated with higher stress and lower psychological well-being. These findings emphasize the urgent need for tailored organizational support, structural interventions, and policy initiatives to safeguard midwives' psychological health and enhance workforce retention.","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-15"},"PeriodicalIF":2.2,"publicationDate":"2026-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149013195","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}

引用次数: 0

Comparison of first-time and repeated self-poisoning attempts: a cross-sectional study of the associated factors in central Iran. 第一次和重复的自我中毒尝试的比较：伊朗中部相关因素的横断面研究。

IF 2.2 3区医学

Psychology Health & Medicine Pub Date : 2026-09-20 DOI: 10.1080/13548506.2026.2734038

Rokhsareh Meamar, Hussein Al-Hajj Ahmed, Ahmad Asadi Pooya, Awat Feizi, Amirreza Namvar, Gholamali Dorooshi, Nastaran Eizadi-Mood

{"title":"Comparison of first-time and repeated self-poisoning attempts: a cross-sectional study of the associated factors in central Iran.","authors":"Rokhsareh Meamar, Hussein Al-Hajj Ahmed, Ahmad Asadi Pooya, Awat Feizi, Amirreza Namvar, Gholamali Dorooshi, Nastaran Eizadi-Mood","doi":"10.1080/13548506.2026.2734038","DOIUrl":"https://doi.org/10.1080/13548506.2026.2734038","url":null,"abstract":"This study aims to identify determinants of repeated self-poisoning compared to first‑time self-poisoning at a referral poisoning center in Iran. A cross-sectional study was conducted at a referral poisoning center in Iran from January 2015 to December 2019. Demographic characteristics, toxicological data, and self-reported histories of self-poisoning behavior, self-harm, psychiatric disorders, and family history of self-poisoning were extracted from medical records. Univariable and multivariable logistic regression analyses were performed to identify factors associated with repeated self-poisoning. Out of 4256 patients, 936 (21.99%) had a history of previous self-poisoning. Females had more repeated attempts (61.2%) and fewer first-time attempts (54.5%) than males (38.8% and 45.5%, respectively) (p < 0.001). Pharmaceutical drugs accounted for the most common cause of acute poisoning (N = 666, 71.2%). Multivariable logistic regression showed that female sex (OR: 1.44, 95% CI: 1.08-1.92; p = 0.01), psychiatric disease history (OR: 3.85, 95% CI: 2.95-5.01; p<0.001), self-harm history (OR: 5.35, 95% CI: 3.70-7.77; p < 0.001), and suicide family history (OR: 2.17, 95% CI: 1.41-3.32; p < 0.001) were independent predictors of repeated self-poisoning. In this hospital-based sample of patients, it was found that female patients, having a history of psychiatric disease, self-harm and a family history of self-poisoning were predictors of repeated self-poisoning. Interventions to decrease recurrence rates for self‑poisoning should be directed towards these specific factors. However, self-poisoning that occurs in the community may be under‑represented in the data. Gender differences in self-poisoning may reflect variations in help-seeking behavior or reporting rather than true differences in recurrence risk.","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-15"},"PeriodicalIF":2.2,"publicationDate":"2026-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149013190","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}

引用次数: 0

Cognitive reserve and memory in temporal lobe epilepsy and caregivers: a comparative pilot study. 颞叶癫痫和照顾者的认知储备和记忆：一项比较试点研究。

IF 2.2 3区医学

Psychology Health & Medicine Pub Date : 2026-09-20 DOI: 10.1080/13548506.2026.2734040

Raquel Ferrer-Ricart, Irene Cano-López, Judit Catalán-Aguilar, Kevin G Hampel, Paula Tormos-Pons, Teresa Vicente-Hernández, Vicente Villanueva, Esperanza González-Bono

{"title":"Cognitive reserve and memory in temporal lobe epilepsy and caregivers: a comparative pilot study.","authors":"Raquel Ferrer-Ricart, Irene Cano-López, Judit Catalán-Aguilar, Kevin G Hampel, Paula Tormos-Pons, Teresa Vicente-Hernández, Vicente Villanueva, Esperanza González-Bono","doi":"10.1080/13548506.2026.2734040","DOIUrl":"https://doi.org/10.1080/13548506.2026.2734040","url":null,"abstract":"This pilot study analysed differences in cognitive reserve and memory between patients with temporal lobe epilepsy (TLE) and another chronically stressed population - caregivers of patients with epilepsy - and explored the relationships between these variables. In this cross-sectional study, 40 adults (20 patients with left TLE and 20 caregivers; mean age: 48.43 ± 8.86 years) underwent a neuropsychological assessment that examined cognitive reserve proxies (i.e. years of education, total intelligence quotient, and scores in the information subtest of the Wechsler Adult Intelligence Scale) and memory. Results showed no differences between groups in cognitive reserve, but patients with TLE had poorer immediate and delayed memory (i.e. verbal and visual) (for all, p < 0.05). The group (epilepsy vs. caregiver) moderated the relationship between total intelligence quotient and immediate and delayed memory indices, and between information subtest scores and delayed memory (B = 5.40, SE = 1.93, p = 0.008, 95% CI [1.49, 9.31]), with higher cognitive reserve scores being associated with better memory functioning in patients with epilepsy (for all, p < 0.01), but not in caregivers (for all, p > 0.21). Hours of caregiving and related limitations were associated with poorer memory in caregivers (for all, p < 0.05). In conclusion, cognitive reserve was associated with memory in TLE but not in caregivers, a pattern consistent with the hypothesis that reserve contributes to compensatory processes in neurological conditions. Given the cross-sectional design and small sample size, these results should be interpreted as preliminary and exploratory.","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-26"},"PeriodicalIF":2.2,"publicationDate":"2026-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149013160","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}

引用次数: 0

Hospital anxiety and depression as mediators between decisional conflict and decision regret in diabetic foot amputation patients. 医院焦虑和抑郁在糖尿病足截肢患者决策冲突与决策后悔之间起中介作用。

IF 2.2 3区医学

Psychology Health & Medicine Pub Date : 2026-09-15 DOI: 10.1080/13548506.2026.2734035

Yanmei Wang, Li Wei, Cancan Cao, Qianwen Chai, Minghui Lu

{"title":"Hospital anxiety and depression as mediators between decisional conflict and decision regret in diabetic foot amputation patients.","authors":"Yanmei Wang, Li Wei, Cancan Cao, Qianwen Chai, Minghui Lu","doi":"10.1080/13548506.2026.2734035","DOIUrl":"https://doi.org/10.1080/13548506.2026.2734035","url":null,"abstract":"The aim of this study was to investigate the mediating role of hospital anxiety and depression in the decision-making conflict and regret experienced by patients with diabetic foot amputation. Data were collected from July 2023 to February 2024 in two tertiary grade A hospitals in Tianjin, China, with a convenience sample of 215 diabetic foot amputation patients. Data on general information, decisional conflict, decision regret and the hospital anxiety and depression status were collected through questionnaires, Data were analyzed by Pearson correlation analysis and Process macro was used in an SPSS program to analyze the mediator variable effect. Decision regret score of diabetic foot amputation patients was (37.74 ± 17.59); The correlation between decision regret and decisional conflict (p < 0.01), as well as hospital anxiety and depression (p < 0.01), was found to be positive. Additionally, there was a positive correlation between hospital anxiety depression and decision regret (p < 0.01). The mediation model indicates that hospital anxiety and depression play a partial mediating role in the relationship between decisional conflict and decision regret (β = 0.144,p < 0.01), accounting for 24.66% of the overall effect. Hospital anxiety and depression have a mediating effect between decisional conflict and decision regret.","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-14"},"PeriodicalIF":2.2,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148972371","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}

引用次数: 0

Psychological flexibility and psychological distress among nurses: a longitudinal study of the mediating role of second victim experience and the moderating role of self-compassion. 护士心理弹性与心理困扰：第二受害者经历的中介作用和自我同情的调节作用的纵向研究

IF 2.2 3区医学

Psychology Health & Medicine Pub Date : 2026-09-12 DOI: 10.1080/13548506.2026.2729846

Abbas Abdollahi, Soolmaz Dehghanidowlatabadi, Mansor Abu Talib, Ika Rahma Susilawati

{"title":"Psychological flexibility and psychological distress among nurses: a longitudinal study of the mediating role of second victim experience and the moderating role of self-compassion.","authors":"Abbas Abdollahi, Soolmaz Dehghanidowlatabadi, Mansor Abu Talib, Ika Rahma Susilawati","doi":"10.1080/13548506.2026.2729846","DOIUrl":"https://doi.org/10.1080/13548506.2026.2729846","url":null,"abstract":"Due to the constant exposure of nurses to clinical errors and their ethical and professional consequences, this group is exposed to the experience of second victim, which could affect their mental health. The aim of this study was to investigate the longitudinal relationships between psychological flexibility and psychological distress, considering the mediating role of the second victim experience and the moderating role of self-compassion. This longitudinal study was conducted with two waves of data from 270 nurses in six private hospitals in Tehran (mean age 25.22 years, SD=± 6.78). Data were collected with standardized questionnaires and analyzed using structural equation modeling and cross-sectional panel analysis. The results showed that psychological flexibility and self-compassion negatively predicted psychological distress, while the secondvictim experience positively predicted psychological distress. Mediation analysis showed that low levels of psychological flexibility in the first wave predicted the second victim experience in the second wave, which may contribute to increased psychological distress. Also, self-compassion significantly attenuated the relationship between the second victim experience and psychological distress. The findings suggest that lower levels of psychological flexibility could lead to increased psychological distress in nurses through the second victim experience, while self-compassion plays an important protective role in this relationship.","PeriodicalId":54535,"journal":{"name":"Psychology Health & Medicine","volume":" ","pages":"1-19"},"PeriodicalIF":2.2,"publicationDate":"2026-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148957443","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}

引用次数: 0