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. 2025 Sep 29;25:343. doi: 10.1186/s12911-025-03198-y

Table 2.

Factors influencing decision fatigue in surrogate decision-makers

Categories Specific factors Number of studies(%)
Demographic factor household income [4, 14, 1619, 21, 28, 29] 9(40.9%)
gender [14, 1719, 25] 5(22.7%)
disease severity [15, 27, 30] 3(13.6%)
occupational status [18, 24, 32] 3(13.6%)
educational attainment [4, 14, 18] 3(13.6%)
Decision behavior factor decision-making conflict [1, 28, 29] 3(13.6%)
number of decisions [29, 30] 2(9.1%)
degree of disease knowledge [14, 18, 2729] 5(22.7%)
Self-regulation factor cognitive stress decision-making self-efficacy [15, 17, 18, 20] 4(18.2%)
sleep problems [16, 19, 22] 3(13.6%)
Internal cognitive load [1, 8, 32] 3(13.6%)
decision-making readiness [18, 21] 2(9.1%)
emotional stress family resistance level [14] 1(4.5%)
stress level [14, 23] 2(9.1%)
self-control [16, 19] 2(9.1%)
willpower belief [16, 19, 27, 30, 31] 5(22.7%)
Negative psychology [1, 22, 26, 2831] 7(31.8%)
expression inhibition [1, 8] 2(9.1%)
mental toughness [24] 1(4.5%)
intolerance of uncertainty [4] 1(4.5%)
social support level [15, 18, 27, 28, 30] 5(22.7%)
Situational factor temporal dimension days of ward / ICU stay [1, 1619, 25, 30] 7(31.8%)
decision-making time [28, 29] 2(9.1%)
duration of diagnosis [4] 1(4.5%)
environmental dimension working environment [23, 26, 32] 3(13.6%)