{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T16:39:58Z","timestamp":1790699998805,"version":"4.1.0"},"reference-count":38,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T00:00:00Z","timestamp":1764028800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psychiatric Ment Health Nurs"],"published-print":{"date-parts":[[2026,2]]},"abstract":"ABSTRACT<\/jats:title>\n \n Introduction<\/jats:title>\n Emotional blackmail is a persistent workplace stressor that can negatively influence nurses' psychological well\u2010being.<\/jats:p>\n <\/jats:sec>\n \n Aims<\/jats:title>\n The present study examined the relationship between emotional blackmail and depression among Taiwanese nurses, incorporating the Stress Process Model (SPM) to explore the mediating role of coping strategies and the moderating effect of social support.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A cross\u2010sectional survey was conducted with 297 nurses at a regional hospital in Taiwan. Self\u2010reported questionnaires were used to assess emotional blackmail, coping strategies, social support, and depressive symptoms. Data analyses included correlation, mediation, and moderation models.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Among 297 nurses, negative emotional blackmail was indirectly associated with depression through negative coping (B\u2009=\u20090.09, 95% CI [0.03, 0.16]), while positive emotional blackmail showed a direct inverse association with depression (B\u2009=\u2009\u22121.11, 95% CI [\u22122.17, \u22120.45]). Social support was directly associated with lower depression (B\u2009=\u2009\u22120.33, 95% CI [\u22120.47, \u22120.18]) and moderated the association between positive emotional blackmail and depression (B\u2009=\u20090.01, 95% CI [0.002, 0.02]). However, in the negative emotional blackmail model, social support had a marginal direct association with depression (B\u2009=\u2009\u22120.14, 95% CI [\u22120.31, 0.02]) but did not moderate the association between passive emotional blackmail and depression.<\/jats:p>\n <\/jats:sec>\n \n Discussion<\/jats:title>\n Coping strategies and social support significantly influence how emotional blackmail affects nurses' mental health. The findings partially support the SPM, suggesting its contextual relevance.<\/jats:p>\n <\/jats:sec>\n \n Limitations<\/jats:title>\n Single\u2010site design and self\u2010reported data may limit generalisability and introduce bias.<\/jats:p>\n <\/jats:sec>\n \n Implications<\/jats:title>\n Mental health interventions in nursing must consider contextual and interpersonal dynamics of stress.<\/jats:p>\n <\/jats:sec>\n \n Recommendations<\/jats:title>\n Tailored support systems and coping\u2010skills training are essential, as social support may not uniformly buffer stress.<\/jats:p>\n <\/jats:sec>\n \n Reporting Method<\/jats:title>\n The study followed STROBE guidelines for cross\u2010sectional studies.<\/jats:p>\n <\/jats:sec>\n \n Relevance Statement<\/jats:title>\n The present study addresses an underexplored workplace issue\u2014emotional blackmail\u2014and its impact on nurses' mental health. Using the Stress Process Model, it highlights how coping and social support influence outcomes. Findings support the development of targeted interventions such as coping\u2010skills training and context\u2010specific support. This research informs mental health nurses and managers on recognizing and addressing subtle interpersonal stressors that affect staff well\u2010being in clinical settings.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jpm.70067","type":"journal-article","created":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T12:30:02Z","timestamp":1764073802000},"page":"120-130","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Emotional Blackmail and Depression Among Taiwanese Nurses: A Cross\u2010Sectional Study Using the Stress Process Model With Coping Strategies as Mediator and Social Support as Moderator"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-1870-0095","authenticated-orcid":false,"given":"Mei\u2010Fang","family":"Lai","sequence":"first","affiliation":[{"name":"Nursing Department, Kaohsiung Armed Forces General Hospital Kaohsiung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2129-4242","authenticated-orcid":false,"given":"Chung\u2010Ying","family":"Lin","sequence":"additional","affiliation":[{"name":"Institute of Allied Health Sciences, College of Medicine National Cheng Kung University Tainan Taiwan"},{"name":"Biostatistics Consulting Center, National Cheng Kung University Hospital, College of Medicine National Cheng Kung University Tainan Taiwan"},{"name":"College of Nursing Kaohsiung Medical University Kaohsiung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8880-6524","authenticated-orcid":false,"given":"Mark D.","family":"Griffiths","sequence":"additional","affiliation":[{"name":"Psychology Department Nottingham Trent University Nottingham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6685-3837","authenticated-orcid":false,"given":"Wen\u2010Li","family":"Hou","sequence":"additional","affiliation":[{"name":"College of Nursing Kaohsiung Medical University Kaohsiung Taiwan"},{"name":"Department of Medical Research Kaohsiung Medical University Hospital Kaohsiung Taiwan"},{"name":"Center for Medical Education and Humanizing Health Professional Education Kaohsiung Medical University Kaohsiung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,11,25]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0247679"},{"key":"e_1_2_15_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/2156869315585388"},{"key":"e_1_2_15_4_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0288680"},{"key":"e_1_2_15_5_1","doi-asserted-by":"publisher","DOI":"10.1037\/0022\u20103514.56.2.267"},{"key":"e_1_2_15_6_1","doi-asserted-by":"publisher","DOI":"10.6147\/JHRM.2016.1601.03"},{"key":"e_1_2_15_7_1","volume-title":"Statistical Power Analysis for the Behavioral Sciences","author":"Cohen J.","year":"1988"},{"key":"e_1_2_15_8_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph20095698"},{"key":"e_1_2_15_9_1","doi-asserted-by":"publisher","DOI":"10.3233\/RNN\u2010139008"},{"key":"e_1_2_15_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/002076409604200204"},{"key":"e_1_2_15_11_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1755048310000155"},{"key":"e_1_2_15_12_1","doi-asserted-by":"publisher","DOI":"10.1891\/0889-8391.11.4.300"},{"key":"e_1_2_15_13_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare8020098"},{"key":"e_1_2_15_14_1","volume-title":"Introduction to Mediation, Moderation, and Conditional Process Analysis: A Regression\u2010Based Approach","author":"Hayes A. 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