Self-efficacy, social support and well-being

Association of optimism, self-efficacy, and resilience with life engagement among middle-aged and older adults with severe climate anxiety: Sensitivity of a path model

BACKGROUND

Life engagement is an important proxy of successful ageing that may depend on psychological capital factors (e.g., optimism, self-efficacy, and resilience), especially among older adults with severe climate anxiety. This study aimed to assess the association of optimism with life engagement and ascertain whether this relationship is mediated by self-efficacy and resilience among older adults with severe climate anxiety.

METHODS

The data came from the Climate Psychology in Ageing Study 2024, a national survey involving 3994 middle-aged and older adults aged 50 years or over in Ghana. Multistage sampling was used to select the participants across Ghanaian cities, and the Climate Anxiety Scale was used to classify participants into severe, moderate, or mild climate anxiety. A path analysis (through structural equation modelling) was used to quantify the association. The sensitivity of the path model was investigated with data on moderate and mild climate anxiety.

RESULTS

Optimism was associated with higher life engagement among older adults with severe and moderate climate anxiety but not among those with mild climate anxiety. Self-efficacy and resilience partially mediated the association of optimism with life engagement among older adults with severe and moderate climate anxiety but fully mediated this relationship among older adults with mild climate anxiety.

CONCLUSION

Psychological capital may be more strongly associated with life engagement among older adults with severe climate anxiety, and policy-driven human development programmes enhancing this capital can facilitate life engagement.

Supermoms-Tired, admired, or inspired? Decoding the impact of supermom beliefs: A study on Indian employed mothers

Some days she is a supermom, some days just a mom, but most days a bit of both, and every day she strives to keep her oath! The study aims to unravel the perceptions and beliefs about 'being a supermom' and to explore its relationships with work-related factors. Our study aims to unravel the perceptions and beliefs of 306 Indian-employed mothers about 'being a supermom' and its relationship with work-related factors like self-efficacy, work engagement, and psychological well-being. Standardized scales were used for quantitative study and qualitative questions were used to understand the beliefs about the supermom notion. Frequency analysis for the perception of the supermom notion showed that 52% of mothers consider it detrimental to achieving success, while 48% consider it to be beneficial. A path analysis revealed that if the supermom notion is perceived as beneficial, it increases employed mothers' self-efficacy; self-efficacy promotes work engagement, and work engagement increases psychological well-being. SEM confirmed that self-efficacy increases psychological well-being directly as well as through work engagement indicating partial mediation of work engagement. Findings suggest that while the supermom ideal can be exhausting and is often viewed as a myth or trap that negatively impacts psychological well-being, it can also serve as a source of inspiration and contribute positively to psychological well-being for some mothers.

Social Media and Subjective Well-Being in Older Adults: The Role of Social Support, Self-Efficacy, and Depressive Symptoms

PURPOSE

To explore how social media affects older adults' subjective well-being (SWB) through underlying mechanisms.

METHOD

Path analysis was performed with 106 Chinese older adults to examine the effects of social media's interactive communication, information acquisition, and leisure and entertainment on SWB via social support, self-efficacy, and depressive symptoms.

RESULTS

The model fit well (χ2/df = 5.28, goodness of fit index = 0.86). Social support mediated the positive relationship between interactive communication and SWB, and self-efficacy mediated the positive relationship between information acquisition and SWB. Leisure and entertainment activities on social media showed no significant association with SWB.

CONCLUSION

Social media addresses social support deficits from physical limitations and enhances self-efficacy through information retrieval, thus improving SWB. Findings elucidate how social media influences SWB in older adults, offering theoretical guidance for interventions to enhance their well-being. [Journal of Gerontological Nursing, 51(4), 47-56.].

Psychological Capital and Work Engagement: Moderating Role of Social Relationships

Background

Employees are the real capital of any organisation, and to keep the employees productive and functional, employers need to focus on the psychological capital and social relationship of the employees to keep them engaged in their work. This study examined the emerging field of constructs of psychological and social capital to examine Indian employee's behaviour.

Purpose

The purpose of this study is to examine a comprehensive model of the relationship between employees' psychological capital and work engagement. Furthermore, it examines the moderating effect of social relationships between them.

Methods

This is a primary survey conducted mainly on the manufacturing industry. A sample of 375 mid- and senior-level executives of different age groups was considered in the study from India's public and private manufacturing sectors administering a questionnaire survey. A random sampling technique was used for data collection. This study applied SPSS and Amos software to validate the measurement model.

Results

The results indicate a significant correlation among PsyCap, work engagement, and social relationships. PsyCap and social relationships are positively connected to work engagement. Thus, these results provide preliminary support for our hypotheses. The finding suggests that psychological capital and social relationships positively influence work engagement, and social relationships moderate the association between positive psychological capital and work engagement. It helps employees get better engaged at work.

Conclusion

Organisations must develop psychological capital to provide resources to employees and share a supportive relationship. Developing and maintaining a supportive relationship for employees and employers is important. In the future, both qualitative research methods and longitudinal data from other sectors can be used to understand the interplay between social and psychological capital for enhancing work engagement. Developing and cultivating positive social relations can help employees utilise their psychological strength to better engage in work.

Relationship between perceived social support, mental adjustment to cancer, and depression among patients with breast cancer

OBJECTIVE

Psychological morbidity is common among patients with breast cancer. The present study aimed to find the relationship between modifiable determinants, that is, perceived social support (PSS) and mental adjustment to cancer (reflecting coping) with depression in patients with breast cancer.

METHODS

A total of 76 adult patients with breast cancer undergoing treatment at a tertiary care hospital were recruited in this cross-sectional study. Patients were diagnosed for depression as per ICD-10 criteria. Hamilton Depression Rating Scale was used for assessing the severity of depression. PSS and coping style were assessed using the Multidimensional Scale for Perceived Social Support and Mini-Mental Adjustment to Cancer scale. We analyzed the data using Fisher exact test, Mann-Whitney U test, Spearman's correlation, logistic regression, and mediation analysis.

RESULTS

26.3% patients had depression. The logistic regression showed that PSS is a significant predictor of the occurrence of depression in patients with breast cancer (OR = 0.793, 95% CI: 0.634-0.992). The mediation analysis showed that hopelessness-helplessness (a maladaptive subscale) mediates the effects of PSS on depression.

CONCLUSION

The effect of PSS on the occurrence of depression is mediated through maladaptive coping (hopelessness-helplessness). Accessing these factors can provide an important avenue for psychological intervention in breast cancer patients.

The paradox of convenience: how information overload in mHealth apps leads to medical service overuse

Background

Mobile health applications (mHealth) have become an indispensable tool in the healthcare industry to provide users with efficient and convenient health services. However, information overload has led to significant information overload problems in mHealth applications, which may further lead to overuse of medical services.

Methods

The purpose of this study was to explore the relationship between information overload and overuse of medical services in mHealth applications through health belief model (HBM). Data were collected from 1,494 respondents who were sampled through a simple random approach. A structured questionnaire was used as the instrument for data collection from mobile APP users in Guangdong Province between February 4, 2024, and February 20, 2024. Structural equation modeling (SEM) was used to analyze the data to investigate the effects of information overload on users' perceived severity, susceptibility, treatment benefits, barriers, self-efficacy, and action cues, which further influence the overuse of health care services.

Results

The study found that information overload significantly affected users' perceived severity, susceptibility, treatment benefits, barriers, self-efficacy, and action cues, and subsequently affected overuse of health care services. These results provide valuable insights for mHealth application developers, healthcare providers, and policy makers.

Conclusion

This study highlights the importance of effectively managing information delivery in mHealth applications to reduce the risk of overuse of healthcare services. The study not only highlights the dark side of information overload in mHealth applications, but also provides a framework to understand and address the challenges associated with information overload and service overuse in the mHealth context.

The mediating effect of positive expectations in the relationship between social support and post-traumatic stress disorder symptoms among parents of children with acute lymphoblastic leukemia

PURPOSE

Parents of children with cancer are exposed to risks of developing post-traumatic stress disorder (PTSD) symptoms, but few studies have explored PTSD symptoms of Chinese parents of children with acute lymphoblastic leukemia (ALL). Our study aimed to examine the association between social support and PTSD symptoms and to examine the mediating effect of positive expectations in this relationship among parents of children with ALL.

METHODS

A cross-sectional study was conducted of consecutive parents of children with ALL in the Shengjing Hospital of China Medical University. A total of 177 parents eligible for this study completed questionnaires on PTSD symptoms, perceived social support, optimism and general self-efficacy anonymously. Asymptotic and resampling strategies were used to examine how positive expectations mediated the association between perceived social support and PTSD symptoms.

RESULTS

Mean score of PTSD symptoms was 37.64 ± 14.44; 29.4% of the sample scored 44 and above, 19.8% scored 50 and above. After adjusting for covariates, perceived social support was negatively associated with the total score of PTSD symptoms (β = -0.209, p < 0.01). Positive expectations were found to mediate the relationship between perceived social support and PTSD symptoms, especially for the symptoms of avoidance and hyperarousal.

CONCLUSIONS

Optimism and general self-efficacy fully mediated the association between perceived social support and PTSD symptoms. Therefore, social support and positive expectations should be included in PTSD preventions and treatments targeting Chinese parents of children with ALL.

Value fulfillment and well-being: Clarifying directions over time

OBJECTIVE

We investigate for the first time in a 9-day diary study whether fulfilling one's values predicts well-being or whether well-being predicts value fulfillment over time.

BACKGROUND

The empirical associations between the importance of human values to individuals and their well-being are typically weak and inconsistent. More recently, value fulfillment (i.e., acting in line with one's values) has shown to be more strongly correlated with well-being.

METHOD

The present research goes beyond past research by integrating work from clinical, personality, and social psychology to model associations between value fulfillment and positive and negative aspects of well-being over time.

RESULTS

Across a nine-day diary study involving 1434 observations (N = 184), we found that people who were able to fulfill their self-direction values reported more positive well-being on the next day, and those who fulfilled their hedonism values reported less negative well-being on the next day. Conversely, people who reported more positive well-being were more able to fulfill their achievement, stimulation, and self-direction values on the next day, and those who reported more negative well-being were less able to fulfill their achievement values. Importantly, these effects were consistent across three countries/regions (EU/UK, India, Türkiye), the importance people attributed to values, period of the week, and their prestudy well-being.

CONCLUSION

These results help to understand the fundamental interconnections between values and well-being while also having relevance to clinical practice.

Development and psychometric evaluation of "Caring Ability of Mother with Preterm Infant Scale" (CAMPIS): a sequential exploratory mixed-method study

BACKGROUND

Caring ability is one of the most important indicators regarding care outcomes. A valid and reliable scale for the evaluation of caring ability in mothers with preterm infants is lacking.

OBJECTIVE

The present study was conducted with the aim of designing and psychometric evaluation of the tool for assessing caring ability in mothers with preterm infants.

METHOD

A mixed-method exploratory design was conducted from 2021 to 2023. First the concept of caring ability of mothers with preterm infants was clarified using literature review and comparative content analysis, and a pool of items was created. Then, in the quantitative study, the psychometric properties of the scale were evaluated using validity and reliability tests. A maximum likelihood extraction with promax rotation was performed on 401 mothers with the mean age of 31.67 ± 6.14 years to assess the construct validity.

RESULT

Initial caring ability of mother with preterm infant scale (CAMPIS) was developed with 64 items by findings of the literature review, comparative content analysis, and other related questionnaire items, on a 5-point Likert scale to be psychometrically evaluated. Face, content, and construct validity, as well as reliability, were measured to evaluate the psychometric properties of CAMPIS. So, the initial survey yielded 201 valid responses. The three components: 'cognitive ability'; knowledge and skills abilities'; and 'psychological ability'; explained 47.44% of the total observed variance for CAMPIS with 21 items. A subsequent survey garnered 200 valid responses. The confirmatory factor analysis results indicated: χ2/df = 1.972, comparative fit index (CFI) = 0.933, and incremental fit index (IFI) = 0.933. These results demonstrate good structural, convergent, discriminant validity and reliability. OMEGA, average inter-item correlation (AIC), intraclass correlation coefficients (ICC) for the entire scale were at 0.900, 0.27 and 0.91 respectively.

CONCLUSION

Based on the results of the psychometric evaluation of CAMPIS, it was found that the concept of caring ability in the Iranian mothers with preterm infants is a multi-dimensional concept, which mainly focuses on cognitive ability, technical ability, and psychological ability. The designed scale has acceptable validity and reliability characteristics that can be used in future studies to assess this concept in the mothers of preterm infants.

The effects of social support and self-efficacy on hopefulness in low-income older adults during COVID-19 pandemic

BACKGROUND

Social support and self-efficacy play a significant role in improving positive psychological well-being in marginalized older adults. However, to date, there are few studies identifying the relationships during the COVID-19 pandemic. We examined the effect of social support and self-efficacy on hopefulness in a majority Black sample of marginalized low-income older adults during the COVID-19 pandemic.

METHODS

This study used baseline data from a clinical trial designed to increase COVID-19 testing in Essex County, NJ, United States. The dataset involved participants 50 years old or older. We conducted: 1) cross-sectional descriptive/frequency statistics to understand the sociodemographic characteristics, 2) multivariate linear regression to investigate the direct relationships between social support subscales or self-efficacy and hopefulness, and 3) mediation analyses to examine the mediating role of self-efficacy in the relationship between social support and hopefulness.

RESULTS

Our findings showed that self-efficacy had a partial mediating effect on the relationship between social support and hopefulness. After adjusting for covariate variables, social support subscales (i.e., emotional/informational, tangible, affectionate, positive social interaction social support) and self-efficacy were significantly associated with hopefulness. The indirect effect of social support via self-efficacy was positive and statistically significant.

CONCLUSION

Self-efficacy mediated the relationship between social support and hopefulness in marginalized older adults aged 50 and over. Further research is needed to identify the various facets of positive psychological well-being using longitudinal data and a larger sample size.

Explaining the Relation Between Perceived Social Support and Psychological Well-Being Among Chinese Nursing Students: A Serial Multiple Mediator Model Involving Integrative Self-Knowledge and Self-Integrity

BACKGROUND

Addressing numerous calls for understanding the theoretical mechanisms that explain the relationship between perceived social support and psychological well-being to enhance nursing students' mental health.

AIMS

This study focused on how integrative self-knowledge and self-integrity mediate the relationship between perceived social support and psychological well-being.

METHODS

The Structural Equation Model (SEM) was used to estimate the mediation effects on the relationship between perceived social support and psychological well-being among 487 undergraduate nursing students. To examine the directionality of effects, the present study also tested the reverse serial mediation model. Multi-group SEM (MGSEM) was used to test gender differences in the mediation model.

RESULTS

Integrative self-knowledge and self-integrity, in sequence, mediated the association between perceived social support and psychological well-being among nursing students. In addition, there was no gender difference in these associations.

CONCLUSIONS

Improving nursing students' perceived social support, integrative self-knowledge, and self-integrity is beneficial for promoting their mental health.

Associations between psychological stress, discrimination, and oral health-related quality of life: the buffering effects of social support networks

Stress and discrimination negatively affect quality of life, but social support may buffer their effects. This study aims: (1) to examine the associations between psychological stress, discrimination, and oral health-related quality of life (OHRQoL); and (2) to assess whether social support, stress and discrimination interact to modify their associations with OHRQoL. We used cross-sectional household-based data from a study including 396 individuals aged 14 years and over from families registered for government social benefits in a city in Southern Brazil. OHRQoL was measured with the Oral Impacts on Daily Performance (OIDP) scale; psychological stress was assessed with the Perceived Stress Scale (PSS); social support was assessed based on the number of close relatives or friends of the participant, and discrimination was assessed with a short version of the Everyday Discrimination Scale. Interactions were estimated using the relative excess of risk due to interaction (RERI). Adjusted effects were calculated with logistic regression. The prevalence of oral impacts among people with higher and lower PSS scores was 81.6% and 65.5%, respectively (p < 0.01). Social support was found to have no interactions with stress levels and discrimination. The association between social discrimination and OHRQoL (OIDP score > 0) was OR = 2.03 (95%CI: 1.23; 3.34) among people with a low level of stress, but was OR = 12.6 (95%CI: 1.31; 120.9) among those with higher levels (p = 0.09, for interaction). Individuals who reported experiencing higher levels of psychological stress and discrimination had worse OHRQoL; a synergistic effect with social support was not clear.

Perceived stress mediates the association between perceived control and emotional distress: The moderating role of psychological resources and sex differences

Studies have confirmed that perceived control is strongly negatively correlated with emotional distress. However, few studies have explored whether perceived stress plays a potential mediating role in this relationship and whether the association between perceived stress and emotional distress is moderated by psychological resources, such as self-esteem and social support. Furthermore, it is unclear whether there are sex differences in the moderating effects of psychological resources on emotional distress. A total of 951 healthy adults (51.84% females) from different regions of mainland China participated in the study and completed questionnaires in early December 2022, when prevention and control policies concerning COVID-19 in China underwent rapid change. Perceived control negatively correlated with emotional distress, and perceived stress mediated the association between perceived control and emotional distress. In addition, both internal (i.e., self-esteem) and external psychological resources (i.e., social support) moderated the association between perceived stress and emotional distress, and the positive correlation between perceived stress and emotional distress was higher in individuals with low social support (and self-esteem) than in those with high social support (and self-esteem). We found sex differences in the moderating roles of psychological resources. Specifically, self-esteem had a moderating effect on both men and women, whereas social support had a moderating effect only on women. These findings improve understanding of the relationship between perceived control and emotional distress and suggest that intervention programs should be designed to target men and women differently.

The relationship between physical activity and subjective well-being in Chinese university students: the mediating roles of perceived health, social support and self-esteem

Purpose

The intent of this paper is to understand the effect of Physical Activity on university students' Subjective Well-being and to explore whether Perceived Health, Social Support, and Self-esteem play roles as mediating variables.

Methods

Self-reported data from 404 college students (147 males and 257 females) were analyzed using structural equation modeling (SEM). The relationships between the study variables were tested by mediation models and 5,000 bootstrap samples using AMOS version 24.

Results

(1) The six hypotheses were supported in the measurement model in the results (P < 0.05). Physical Activity was related to Social Support, Perceived Health, and to Self-esteem; Social Support, Perceived Health, and Self-esteem were all related to Subjective Well-being. However, the direct positive effect of Physical Activity gradually decreased in the order of Self-esteem, Social Support, and Perceived Health. The direct effect of Perceived Health, Social Support, and Self-esteem on Subjective Well-being also decreased sequentially. (2) In the Structural Equation Model (χ2 = 825.451, p < 0.001, df = 455, CMIN/df = 1.814, CFI = 0.942, RMSEA = 0.045), the three hypotheses of mediation were supported (P < 0.05), showing positive indirect effects between Physical Activity and Subjective Well-being. Of the three mediating effects, Social Support and Self-esteem were not different, and the mediating effect of Perceived Health showed the largest impact. This indicates that Social Support, Perceived Health, and Self-esteem mediate the effects of Physical Activity, and Subjective Well-being regulation has positive indirect effects.

Conclusion

This study demonstrates the importance of meeting the needs of Social Support, Perceived Health, and Self-esteem when designing interventions to promote college students' sports participation to enhance Subjective Well-being.

Socioeconomic Status and Students' Mental Health during the COVID-19 University Closure: Mediating Roles of Perceived Social Support and Self-Efficacy

Despite the need for urgent actions in response to the exacerbated inequalities in mental health resulting from the COVID-19 pandemic, there remains a significant gap in research into the relationships and underlying mechanisms between socioeconomic status (SES) and various mental health outcomes among students during the COVID-19 university closure. With a sample of 839 students from a university in Lanzhou, the capital city of China's Gansu Province, which was closed during the 2022 autumn semester due to the COVID-19 outbreak, this study examined the relationships between SES and both the negative and positive mental health outcomes, with a particular inquiry into the mediating roles of perceived social support and self-efficacy. The results show that SES had significant and negative total associations with psychological distress (β = -0.119, p < 0.001) and loneliness (β = -0.132, p < 0.001), while having significant and positive total associations with life satisfaction (β = 0.90, p < 0.01) and affective well-being (β = 0.108, p < 0.01). Moreover, perceived social support and self-efficacy independently and sequentially mediated the associations between SES and various mental health outcomes. Research implications for the design and improvement of university measures to reduce the socioeconomic inequalities in students' mental health are also discussed.

Exposure to Intimate-Partner Violence and Resilience Trajectories of Adolescents: A Two-Wave Longitudinal Latent Transition Analysis

Despite the serious emotional and social consequences of adolescents' exposure to intimate-partner violence (IPV) and the high prevalence of this exposure, few analyses have focused on person-centered models or considered psychological IPV. Studies that address exposure to violence tend to focus on physical IPV. Therefore, in this study, we examine (across two waves) the trajectories of resilience among adolescents who have witnessed psychological IPV by conducting a latent transition analysis and predicting class membership through socio-demographic and individual-level protective factors. Using a sample of 879 (T1, fall 2020) and 770 (T2, spring 2022) adolescent Swiss students with mean ages of 11.74 (SD = 0.64) and 13.77 (SD = 0.53), we identified four distinct time-invariant resilience classes: comorbid-frustrated, internalizing-frustrated, comorbid-satisfied, and resilient. The classes characterized by some level of psychopathological symptoms and basic psychological-needs frustration were the most stable over time. Furthermore, we found the four typical resilience trajectories: recovery, chronic, delayed, and improving. Gender, socioeconomic background, and protective factors showed a significant prediction of class membership in wave 1, highlighting the importance of increasing sensitivity to psychological-IPV exposure on the one hand, and reinforcing the relevance of prevention in schools regarding the promotion of protective factors on the other.

Good personality and social well-being: The roles of orientation to happiness

Introduction

Positive personality traits have been associated with personal well-being in previous research. However, the pathways through which positive personality may affect social well-being remain unclear. The present study hypothesized that the cognitive strategies for achieving well-being (i.e., orientation to happiness) mediate the association between good personality and social well-being in the Chinese culture.

Methods

A survey including the Good Personality Questionnaire, Social Well-being Scales, and Orientations to Happiness was administered to 1,503 Chinese secondary school students and adults.

Results

The results indicated that orientation to meaning mediated the relation between good personality and social well-being, but not orientation to pleasure.

Discussion

This is in line with the normative well-being model and the cognition instrumental model of well-being, which contributes to developing more targeted interventions to promote social well-being in the Chinese cultural.

The moderating effect of perceived organizational support: The impact of psychological capital and bidirectional work-family nexuses on psychological wellbeing in tourism

The novel coronavirus (COVID-19) has inflicted unprecedented damage on the tourism industry. However, the psychological health fallout of COVID-19 on tour guides has not received empirical attention yet. Therefore, the present study aims to examine how psychological capital (PsyCap) improve tour guides' psychological wellbeing (PWB), the mediating effects of work-family conflict (WFC), family-work conflict (FWC), work-family facilitation (WFF) and family-work facilitation (FWF), and the moderating effect of perceived organizational support (POS). For this quantitative research, the data were collected from 276 tour guides in China. The results indicate that PsyCap significantly mitigates two directions of work-family conflict and intensifies two directions of work-family facilitation in order to promote tour guides' PWB. Furthermore, POS moderates the direct effects of two directions of conflict and facilitation on PWB and also moderates the indirect effects of PsyCap on the aforesaid outcome via two directions of conflict and facilitation. Theoretical and practical implications, limitations and future research directions are provided.

Social support in parents of children with neurodevelopmental disorders

The aim of the present study was to compare the social support in parents of children with neurodevelopmental disorders. The sample consisted of 166 parents of children with neurodevelopmental disorders in Isfahan, Iran. Medical Outcomes Study Social Support Survey (MOS-SSS, Sherbourne and Stewart 1991) was used for measuring the availability of social support. The collected data were analyzed using two-way analysis of variance and multivariate analysis of variance. The results showed that there was no significant difference in social support scores between parents of children with neurodevelopmental disorders based on the type of child disorder and the gender of the parents (p > 0.05). The results also showed that there was no significant difference in the subscale of emotional/informational support, tangible support, and affectionate support between parents of children with neurodevelopmental disorders (p > 0.05) but in the one subscale (i.e. social interaction) parents of children with intellectual disability was significantly higher than parents of children with autism spectrum disorder and parents of children with attention deficit hyperactivity disorder. Moreover, The results showed that there was no significant difference in subscales of social support between parents of children with neurodevelopmental disorders based on the gender of the parents (p > 0.05). Therefore, according to the research findings, the design and implementation of support and educational programs for parents of children with neurodevelopmental disorders, especially in parents of children with ASD and ADHD, and to increase social interactions are essential and should be a priority in the programs of organizations providing psychological services.

Examining COVID-19 vaccine attitude using SEM-Artificial Neural Networks approach: a case from Reddit community

As new coronavirus variants continue to emerge, in order to better address vaccine-related concerns and promote vaccine uptake in the next few years, the role played by online communities in shaping individuals’ vaccine attitudes has become an important lesson for public health practitioners and policymakers to learn. Examining the mechanism that underpins the impact of participating in online communities on the attitude toward COVID-19 vaccines, this study adopted a two-stage hybrid structural equation modeling (SEM)-artificial neural networks (ANN) approach to analyze the survey responses from 1037 Reddit community members. Findings from SEM demonstrated that in leading up to positive COVID-19 vaccine attitudes, sense of online community mediates the positive effects of perceived emotional support and social media usage, and perceived social norm mediates the positive effect of sense of online community as well as the negative effect of political conservatism. Health self-efficacy plays a moderating role between perceived emotional support and perceived social norm of COVID-19 vaccination. Results from the ANN model showed that online community members’ perceived social norm of COVID-19 vaccination acts as the most important predictor of positive COVID-19 vaccine attitudes. This study highlights the importance of harnessing online communities in designing COVID-related public health interventions and accelerating normative change in relation to vaccination.

Good Personality and Subjective Well-Being: Presence of Meaning in Life and Perceived Social Support as Mediators

BACKGROUND

Good personality is a positive moral personality in the context of Chinese Confucianism. Based on a social-cognitive model of normative well-being, we propose that good personality positively predicts subjective well-being, mediated by the perceived social support and presence of meaning in life in the context of Chinese culture.

METHODS

In this cross-sectional study, there were 665 Chinese adults (134 males and 531 females) who participated in the Good Personality Questionnaire, Multi-Dimensional Scale of Perceived Social Support, Presence of Meaning in Life Questionnaire, Positive and Negative Affect Scale, and Satisfaction with Life Scale.

RESULTS

Good personality was positively associated with subjective well-being (SWB). Both the presence of meaning in life and perceived social support independently mediated the link between good personality and subjective well-being (SWB), and in Chinese adults, perceived social support has a greater mediating effect than the presence of meaning in life.

CONCLUSION

These findings illustrate that the presence of meaning in life and perceived social support mediate the relationship between good personality and subjective well-being in the context of Chinese culture, which supports the model of normative well-being and can provide more targeted intervention guidance for research on promoting well-being in the Chinese context.

Travel despite the COVID-19 pandemic: Implications for tourism recovery

The COVID-19 pandemic has devastated the global tourism industry. This study explores why some Chinese residents travel during the pandemic. A mixed-methods research design was adopted, guided by the health belief model and relevant literature. Through 21 interviews with Chinese tourists who took an overnight leisure trip in May 2020, and a national survey among Chinese residents, this study explored factors influencing Chinese residents' travel-related decisions and behaviors during the pandemic. Results outline the influences of health beliefs, government trust, past travel experience, and psychological capital on tourists' risk-reduction behaviors. Theoretical and practical implications are provided regarding tourism recovery during pandemics.

Motivational factors were more important than perceived risk or optimism for compliance to infection control measures in the early stage of the COVID-19 pandemic

Compliance to infection control measures may be influenced both by the fear of negative consequences of a pandemic, but also by the expectation to be able to handle the pandemic's challenges. We performed a survey on a representative sample for Norway (N = 4,083) in the first weeks of the COVID-19 lock-down in March 2020. We had preregistered hypotheses to test the effect of optimism and perceived risk on compliance. Perceived risk had small effects on increasing compliance and on leading to more careful information gathering. The expected negative association between optimism and compliance was not supported, and there was instead a small positive association. We found a small effect that optimism was associated with seeing less risk from the pandemic and with a larger optimistic bias. Finally, an exploratory analysis showed that seeing the infection control measures as being effective in protecting others explained a substantial proportion of the variation in compliance. The study indicates that how we think about pandemic risk has complex and non-intuitive relationships with compliance. Our beliefs and motivations toward infection control measures appears to be important for compliance.

The Wahls Behavior Change Model for Complex Chronic Diseases: A Clinician's Guide

Behavior change models are used to understand and intervene on health-related behaviors and outcomes. However, there is a gap in the literature regarding how to create and maintain behavior change in patients with complex chronic diseases such as Multiple Sclerosis (MS). To address this gap, the Wahls Behavior ChangeTM Model (WBCM) (The trademark applies to subsequent mention of the model.) was developed based on existing behavior change theory, empirical evidence, and extensive clinical experience caring for patients with complex chronic diseases. A patient-centered, comprehensive, and multimodal approach, this model provides a framework for understanding and implementing lifestyle behavior change. The overall goals of this paper are to: (1) review existing behavior change theories; (2) introduce the WBCM, including the model's 11 Principles for behavior change in patients with complex chronic diseases; and (3) share how providers can be trained to implement the WBCM. The WBCM can potentially improve short- and longer-term function and quality of life outcomes for people with complex chronic diseases.

The Experience of Working With Individuals Who Sexually Offend

Providing treatment to those who have committed sexual offenses can be difficult and challenging work. Older studies have suggested that service providers may experience changes in mood, symptoms of trauma, and countertransference reactions due to their work. Recent research has found that effective coping and self-care strategies may mitigate these negative outcomes. Given the relative dearth of recent empirical studies, we assessed the prevalence of self-reported mood, trauma symptoms, and countertransference reactions and their relation to coping styles and self-care practices in a sample of 32 male and 52 female therapists who provided treatment to individuals convicted of sexual offenses. As expected, we found minimal levels of clinically significant depressive (4%) and trauma symptoms (9%). Some countertransference reactions to clients were reported, including intense anger, retributive fantasies, sexual attraction, and arousal. A problem-solving coping style was associated with higher levels of psychological well-being, while avoidant coping was related to increased depressive and trauma symptoms. Approximately 10% of therapists with an abuse history reported re-experiencing their own victimization. The majority of therapists reported engaging in self-care practices. The findings are discussed as they pertain to those who provide services to individuals convicted of sexual offenses.

Examining Intra- and Inter-Personal Health Effects of Optimism and Pessimism: The Role of Subjective Well-Being in Romantic Couples

Recent meta-analytic research suggests that the absence of pessimism could be a stronger predictor of physical health than the presence of optimism (Scheier et al., 2021a). The present study examined the role of subjective well-being in the effects of optimism and pessimism on physical health in romantic couples. It was hypothesized that pessimism would be more strongly associated with both well-being and health than optimism, intra- and inter-personally. Subjective well-being was also expected to explain variance in the associations between optimism, pessimism, and health. A baseline sample of 153 opposite-sex couples completed various measures of subjective well-being (e.g., life satisfaction, positive and negative affect, and depressive symptoms) and physical health (e.g., subjective health, sleep efficiency, physical symptoms, cold symptoms, and chronic illness). Results of actor-partner interdependence models showed that the absence of pessimism, but not the presence of optimism, was associated with better physical health at baseline and over time. Pessimism was also a stronger predictor than optimism of baseline levels in some indicators of subjective well-being. These effects were obtained intra- and inter-personally. Finally, subjective well-being explained variance in some of the effects of pessimism on levels of physical health. Implications for theory, research, and practice are discussed.

Parental migration status moderates the link between parent-child relationship and children's well-being through psychological distress

The effects of parental migration on the well-being of left-behind children (LBC) are varied. Several studies demonstrated that parental migration reduces children's psychological health but other research showed contradictory results. This study sought to clarify this issue by examining the mediating role of psychological distress and the moderating role of parental migration status in the association between the parent-child relationship and children's psychological distress. A total of 743 LBC and 688 non-LBC self-reported their parent-child relationship, psychological distress, and well-being. Findings showed that psychological distress mediated the association between parent-child relationship and children's well-being. This denotes that greater parent-child relationship results into lowered levels of psychological distress, and in turn, increases children's emotional, psychological, and social well-being. Moreover, the link between parent-child relationship and psychological distress was found to be contingent to parental migration status. Specifically, the negative association between parent-child relationship and psychological distress was especially strong among LBC in contrast to non- LBC. This implies that children with higher quality relationships with their parents tend to exhibit decreased severity of psychological distress symptoms, especially in children whose parents are working overseas. These results underscore the dynamic role of parent-child relationship in the well-being of LBC, and suggest ways to develop intervention programs that include cultivating skills in managing psychological distress and improving the emotional, psychological, and social well-being of LBC.

Association of Received Intergenerational Support with Subjective Well-Being among Elderly: The Mediating Role of Optimism and Sex Differences

Even though an extensive body of previous research has examined the association between received intergenerational support and the well-being outcomes of older adults in a wide variety of contexts, few studies have been conducted to explore the impacts of intergenerational support on elders' subjective well-being, especially the intermediary mechanisms in this process. The purpose of this study is to fill this gap by exploring the mediating role of optimism in the association between received intergenerational support and subjective well-being among the elderly in China, as well as the sex differences that exist between males and females. The findings show that the intergenerational support received from adult children is positively related to subjective well-being and that this relationship is partly mediated by optimism. Meanwhile, no significant sex difference was found in the interrelations between intergenerational support, optimism, and subjective well-being.

Risk and protective factors for posttraumatic stress and posttraumatic growth in parents of children with intellectual and developmental disorders

Background

Parents of children with intellectual and developmental disorders often experience potentially traumatic events while caring for their children. Heightened posttraumatic stress (PTS) and posttraumatic growth (PTG) have been found in this population.

Objective

We aimed to explore risk and protective factors for their PTS and PTG.

Method

A cross-sectional study was conducted with 385 parents (average age M = 43.14 years, SD = 7.40; 95.3% mothers).

Results

Parenting trauma showed an adverse effect on developing PTS (beta = 0.25, p < .01) and a positive role in promoting PTG (beta = 0.16, p < .01). Social support was protective in its correlation with lower levels of PTS (beta = -0.12, p < .01) and higher levels of PTG (beta = 0.22, p < .01). Barriers to care were associated with increased PTS (beta = 0.23, p < .01), but unrelated to PTG (beta = .01, p = .855). Negative parenting showed a significant, but small, correlation with more severe PTS (beta = 0.11, p < .05), and was unrelated to PTG (beta = -0.09, p = .065).

Conclusions

Our study increases the understanding of posttraumatic reactions in parents, predominantly mothers, of children with IDD and identified parenting-related trauma, social support, and barriers to mental health care as predictive factors of the reactions. More research is needed to confirm and validate the effects of the discussed factors. Although causation can not be inferred, prompt and adequate screening and therapeutic resources should be provided to those mothers who were exposed to multiple stressful caregiving events and had limited healthcare access and less support from their spouses, peers, and caregiving partners.

HIGHLIGHTS

Parents of a child with Intellectual and Developmental Disorders with parenting trauma had higher posttraumatic stress (PTS) and posttraumatic growth (PTG).Social support was related to lower PTS and higher PTG.Barriers to care were related to higher PTS but unrelated to PTG.

How does psychological capital lead to better well-being for students? The roles of family support and problem-focused coping

Recent studies have shifted the attention on the beneficial role of psychological capital from workplace to academic contexts. Moreover, the mediating role of psychological capital in the effect of social support on student outcomes remains unknown. This topic has become more imperative under the pandemic. The current study aimed to investigate the impact of psychological capital on students' well-being with family support as an antecedent and problem-focused coping as a mediator. Two hundred and eighty-one students completed the questionnaire at two time points. Results of the cross-lagged mediation analysis showed that family support positively predicted psychological capital, psychological capital positively predicted problem-focused coping, and problem-focused coping predicted well-being. Moreover, the chain mediation path between family support and well-being via psychological capital and problem-focused coping was significant. The current findings identify the antecedent and underlying mechanism behind the relationship between psychological capital and well-being, providing insights into psychological capital interventions for students.

External Locus of Control and Elementary Teachers' Subjective Wellbeing: Self-efficacy As a Mediator

In this study I explored the relationships among the locus of control, self-efficacy, and subjective well-being (SWB) of elementary school teachers in China, with a focus on the mediating effect of self-efficacy in the relationship between external locus of control and SWB. A survey was conducted with 305 elementary school teachers using the Adult Nowicki-Strickland Internal-External Locus of Control Scale, the General Self-Efficacy Scale, and SWB measurements. External locus of control was found to be negatively correlated with SWB, and selfefficacy was positively correlated with SWB. Structural equation modeling analysis showed that self-efficacy partially mediated the effect of external locus of control on SWB, with the indirect effect accounting for 36.34% of the total explained variance. Promoting a sense of control and self-efficacy may be effective in improving elementary school teachers' SWB.

Authenticity as Best-Self: The Experiences of Women in Law Enforcement

Law enforcement poses a difficult work environment. Employees’ wellbeing is uniquely taxed in coping with daily violent, aggressive and hostile encounters. These challenges are compounded for women, because law enforcement remains to be a male-dominated occupational context. Yet, many women in law enforcement display resilience and succeed in maintaining a satisfying career. This study explores the experience of being authentic from a best-self perspective, for women with successful careers in the South African police and traffic law enforcement services. Authenticity research substantiates a clear link between feeling authentic and experiencing psychological wellbeing. The theoretical assumption on which the study is based holds that being authentic relates to a sense of best-self and enables constructive coping and adjustment in a challenging work environment. A qualitative study was conducted on a purposive sample of 12 women, comprising 6 police officers and 6 traffic officers from the Western Cape province in South Africa. Data were gathered through narrative interviews focussing on experiences of best-self and were analysed using interpretive phenomenological analysis. During the interviews, participants predominantly described feeling authentic in response to work-related events of a conflictual and challenging nature. Four themes were constructed from the data to describe authenticity from a best-self perspective for women in the study. These themes denote that the participating women in law enforcement, express feeling authentic when they present with a mature sense of self, feel spiritually congruent and grounded, experience self-actualisation in the work–role and realign to a positive way of being. Women should be empowered towards authenticity in their world of work, by helping them to acquire the best-self characteristics needed for developing authenticity.

Effects of Workplace Gossip on Employee Mental Health: A Moderated Mediation Model of Psychological Capital and Developmental Job Experience

Research has demonstrated the effects of workplace gossip on employees' work attitudes and behaviors. However, little emphasis has been placed on the psychological influence of workplace gossip on employees. The present study investigated the relationships among workplace gossip, psychological capital, and individual mental health. Data were collected in three waves from 222 full-time employees of a Taiwanese tourism company to explore the effect of workplace gossip on employees' mental health. The results suggested that workplace gossip was associated with employees' mental health through psychological capital. Moreover, developmental job experience plays a moderator role in the relationships among workplace gossip, psychological capital, and mental health. A moderated mediation model was also proposed in this study.

How Does the Optimism of Students Learning a Foreign Language Affect Their Creative Self-Efficacy? The Mediating Effects of Hope and Empathy

Creative self-efficacy (CSE) is a core influencer of creative behavior and has a positive impact on well-being and development. However, the positive psychological processes that help to promote CSE in foreign-language learning (FLL) remain under-studied. Focusing specifically on FLL students, the present study examined the associations among optimism, hope, empathy, and CSE and investigated the possible mediating roles of hope and empathy in the relationship between optimism and CSE. A sample of 330 FLL students from two Chinese universities participated in this study. The results showed that (i) optimism, hope, and empathy were all positively related to CSE and that (ii) optimism did not directly predict CSE but indirectly and positively predicted CSE through hope and empathy. These findings suggest that optimism, empathy, and hope potentially play positive roles in facilitating CSE in FLL students. Based on the present results, some practical approaches are discussed that could help improve the CSE of FLL students, paying particular attention to the effects that potentially motivate their positivity.

English as a Foreign Language Teachers' Well-Being, Their Apprehension, and Stress: The Mediating Role of Hope and Optimism

Studies have shown that teachers' wellbeing has a positive effect on teachers' learning quality and learners' performance. Nevertheless, teaching is a stressful and exhausting profession at all academic level with special difficulties about the nature of language education. Tension and fear are still classic challenges in learning, though the concepts such as hope and optimism are core issues in assisting teachers to feel happy during instruction and work longer. The present review makes efforts to provide the most current confirmation on the interface of hope and optimism with educational issues since they are progressively documented as significant emotional capitals for educational success, job growth, and presentation. It is worth mentioning that the current review of research can benefit educational administrations, and other stakeholders and officials in the educational community to contemplate the functions of constructive emotions in the process of learning to decrease and even diminish stress and apprehension that consequently lead to flourishing.

Resilience Among Language Learners: The Roles of Support, Self-Efficacy, and Buoyancy

The growth of positive psychology has generated different perceptions and concepts on the authorization of learners, such as the construct of resilience and buoyancy. It has been argued that buoyancy has a central function in the educational process as buoyant pupils are more about to participate in activities presented in the classroom and also they are interested to cope with stress in challenging situations especially in English as a foreign language (EFL) learning context. Moreover, to protect against these adversities in reactions to unexpected situations, a related concept exists in positive psychology, labeled resilience that designates persistence and underlines people's capabilities in face of adversities. The expansion of factors such as self-efficacy and social support seem to have great impacts on different aspects of learners. To this end, the present review attempts to highlight these two noteworthy elements in managing learners' resilience and buoyancy. Consistent with this review, some recommendations for future inquiries are presented and instructional implications are offered.

Perceptions of the COVID-19 Pandemic among Women with Infertility: Correlations with Dispositional Optimism

People who are more optimistic may experience better psychological health during stressful times. The present study examined the perceptions and emotions surrounding the COVID-19 pandemic among American women who were experiencing fertility problems. We tested if dispositional optimism in these women was associated with less negative perceptions and emotions. We conducted a cross-sectional survey of patients from a single private infertility and reproductive clinic in an urban area in the Midwest, United States. Women, age 18 or older, primarily White and educated, who presented for an appointment to the clinic were invited to participate in an email-based survey. Respondents (N = 304) reported their perceived impact of the COVID-19 pandemic on fertility treatment, emotions associated with this impact, and perceived stress and depressive symptoms. They also completed measures of dispositional optimism and expectations for a future pregnancy. Findings indicated that women perceived an overall negative impact of the pandemic on their treatment plans, which was associated with more negative emotions, lower expectations of future pregnancy, and greater stress and depressive symptoms during the pandemic. However, further correlational analyses revealed that being higher in trait optimism was associated with perceiving a less negative impact of the pandemic, experiencing fewer negative emotions, and less overall stress and depressive symptoms. Although women with fertility problems have perceived the pandemic as negative and disruptive, those who are higher in optimism may be less affected.

Enabling Self-Directed Academic and Personal Wellbeing Through Cognitive Education

BACKGROUND

The international crisis of declining learner wellbeing exacerbated by the COVID-19 pandemic with its devastating effects on physical health and wellbeing, impels the prioritization of initiatives for specifically enabling academic and personal wellbeing among school learners to ensure autonomous functioning and flourishing in academic and daily life. Research emphasizes the role of self-directed action in fostering wellbeing. However, there is limited research evidence of how self-directed action among school learners could be advanced.

AIM

We explore the effectiveness of an intervention initiative that exposes teachers to foregrounding Cognitive Education - the explicit and purposeful teaching of thinking skills and dispositions to learners that would advance self-regulated action - to establish the latent potential of the intervention for assisting learners to develop self-regulating abilities that progressively inspires increased self-directed action.

METHOD

We illuminate the qualitative outcomes of an exploratory pilot study with a heterogeneous group of willing in-service teachers from two public primary schools (n = 12), one private primary school (n = 3), and one pre-school (n = 2) in South Africa who received exposure to an 80-h intervention that comprised seven study units. The article delineates the experiences of the teachers concerning their participation in the intervention as reflected in their written reflections, as well as their perceptions about the value of the intervention probed with semi-structured one-on-one interviews after completion of the intervention.

RESULTS

The findings revealed that exposure to the intervention holds benefits for equipping teachers with teaching strategies to create classroom conditions that nurture the development of thinking skills and dispositions that are important for self-regulating, and ultimately self-directing academic and personal wellbeing.

CONCLUSION

Cognitive Education is a form of strengths-based education that can play an indispensable role in enabling self-directed academic and personal wellbeing among school learners.

Do Unhelpful Thoughts or Confidence in Problem Solving Have Stronger Associations with Musculoskeletal Illness?

BACKGROUND

Measures of unhelpful thoughts and distress correlate with the intensity of pain and the magnitude of incapability among people seeking musculoskeletal specialty care. In this evolving knowledge area, we want to be sure we have not neglected other important mental health factors. This study addressed how measures of confidence in problem solving as well as past and current ability to achieve goals account for variation in symptoms and capability independent of unhelpful thoughts and distress.

QUESTIONS/PURPOSES

(1) Are measures of confidence in problem solving ability and past and current ability to achieve goals regarding future outcomes associated with variation in capability, independent of measures of symptoms of depression and anxiety (distress) and measures of unhelpful thoughts (worst-case thinking, negative pain thoughts)? (2) Are these measures independently associated with variation in pain intensity? (3) Are these measures associated with measures of symptoms of depression, symptoms of anxiety, and unhelpful thoughts?

METHODS

Over a 7-month period during the pandemic, we enrolled sporadically from the offices of four surgeons treating patients who sought care for various upper and lower extremity conditions. We invited approximately 200 adult new and returning patients to participate (the number of invitations was not formally tracked) and 187 accepted. Thirty-one were excluded due to markedly incomplete entries (related to a problematic attempt to use the patient's cell phone to complete questionnaires as a pandemic work around), leaving 156 for analysis. Patients completed an 11-point ordinal rating of pain intensity, two measures of unhelpful thoughts (the Pain Catastrophizing Scale and the Negative Pain Thoughts Questionnaire), the Adult Hope Scale to measure past and current ability to achieve goals, the Personal Optimism and Self-Efficacy Optimism Scale to measure confidence in problem solving ability, the Patient-reported Outcomes Measurement Information System (PROMIS) computer adaptive test to measure symptoms of anxiety, the PROMIS computer adaptive test to measure symptoms of depression, and the PROMIS physical function computer adaptive test to assess the magnitude of capability. All questionnaires were validated in previous studies. We used bivariate analyses to identify factors associated with magnitude of capability, pain intensity, confidence in problem solving ability, and past and current ability to achieve goals. All factors with a p value of less than 0.1 were included in multivariable analyses to seek associations between these measures accounting for confounders. We reported partial η2 as a measure of effect size for all multivariable regression models. The following rules of thumb are used to interpret values for partial η2: a value of 0.01 = small, 0.06 = medium, and values of 0.14 and higher show large effect size.

RESULTS

Greater capability was modestly associated with fewer negative pain thoughts (β = -0.63 [95% CI -1.0 to -0.22]; standard error = 0.20; partial η2 = 0.06; p = 0.003) and no self-reported comorbidities (β = 2.6 [95% CI 0.02 to 5.3]; standard error = 1.3; partial η2 = 0.03; p = 0.048) after controlling for education, symptoms of depression and anxiety, worst-case thinking, as well as past and current ability to achieve goals. In a similar multivariable model, greater pain intensity was modestly associated with greater worst-case thinking (β = 0.33 [95% CI 0.20 to 0.45]; standard error = 0.06; partial η2 = 0.16; p < 0.001) and established patients (β = -1.1 [95% CI -1.8 to -0.31]; standard error = 0.38; partial η2 = 0.05; p = 0.006). In another similar multivariable model, having more confidence in problem solving ability had a limited association with higher ratings of past and current ability to achieve goals (β = 0.15 [95% CI 0.09 to 0.21]; standard error = 0.03; partial η2 = 0.13; p < 0.001). In a final multivariable model, lower past and current ability to achieve goals was independently associated with having greater symptoms of depression (β = -0.45 [95% CI -0.67 to -0.23]; standard error = 0.11; partial η2 = 0.1; p < 0.001) and more negative pain thoughts (β = -0.49 [95% CI -0.89 to -0.09]; standard error = 0.20; partial η2 = 0.04; p = 0.02).

CONCLUSION

The observation that unhelpful thoughts about symptoms are more strongly associated with symptom intensity than past and current ability to achieve goals and confidence in problem solving ability add to the evidence that attentiveness to unhelpful thinking is an important aspect of musculoskeletal health. Musculoskeletal specialists can prioritize communication strategies such as relationship building and motivational interviewing that develop trust and facilitate reorientation of common unhelpful thoughts.

LEVEL OF EVIDENCE

Level II, prognostic study.

Enhancing the sense of self of a mid-career woman through career construction counselling

This article reports on career construction counselling with a purposefully selected, mid-career, midlife woman. A single-case study research design was implemented. Data were gathered using an integrative qualitative and quantitative approach. After the intervention, the participant exhibited an enhanced sense of self-awareness. Career construction counselling can be used to help a mid-career, midlife woman become more aware of the meaning she assigned to life and her view of herself. Future research with diverse mid-career, midlife women (individually or in group-based settings) is needed to establish the effectiveness and long-term effects of the kind of intervention espoused here.

Dispositional optimism and depression risk in older women in the Nurses´ Health Study: a prospective cohort study

Dispositional optimism is a potentially modifiable factor and has been associated with multiple physical health outcomes, but its relationship with depression, especially later in life, remains unclear. In the Nurses´ Health Study (n = 33,483), we examined associations between dispositional optimism and depression risk in women aged 57–85 (mean = 69.9, SD = 6.8), with 4,051 cases of incident depression and 10 years of follow-up (2004–2014). We defined depression as either having a physician/clinician-diagnosed depression, or regularly using antidepressants, or the presence of severe depressive symptoms using validated self-reported scales. Age- and multivariable-adjusted Cox proportional hazards models were used to estimate hazard ratios (HRs) with 95% confidence intervals (95% CIs) across optimism quartiles and for a 1-standard deviation (SD) increment of the optimism score. In sensitivity analyses we explored more restrictive definitions of depression, potential mediators, and moderators. In multivariable-adjusted models, women with greater optimism (top vs. bottom quartile) had a 27% (95%CI = 19–34%) lower risk of depression. Every 1-SD increase in the optimism score was associated with a 15% (95%CI = 12–18%) lower depression risk. When applying a more restrictive definition for clinical depression, the association was considerably attenuated (every 1-SD increase in the optimism score was associated with a 6% (95%CI = 2–10%-) lower depression risk. Stratified analyses by baseline depressive symptoms, age, race, and birth region revealed comparable estimates, while mediators (emotional support, social network size, healthy lifestyle), when combined, explained approximately 10% of the optimism-depression association. As social and behavioral factors only explained a small proportion of the association, future research should investigate other potential pathways, such as coping strategies, that may relate optimism to depression risk.

What makes children learn how to swim? - health, lifestyle and environmental factors associated with swimming ability among children in the city of Malmö, Sweden

BACKGROUND

Swimming ability among children in the city of Malmö, Sweden is strongly affected by socioeconomic differences. We investigated to what extent mediating health and lifestyle factors, such as children's eating, sleeping and physical activity habits, as well as the characteristics of the social and working environment at both school and home, could explain the socioeconomic gradient in swimming ability.

METHODS

Our study population included children who started their first-grade school-year in 2012 or 2013 at any of the public primary schools of Malmö, Sweden. Cross-sectional, self-reported questionnaire-based data about health status and swimming ability in the fourth grade (age 10) were included from the Pupil Health Database (ELSA) for 3468 children.

RESULTS

Children's self-reported swimming ability was strongly associated with both individual- and school-based sociodemographic variables. Nine health, lifestyle and environmental variables were identified as potential mediators and included in the final model. Four of these variables, "Activity", "Outdoor time", "Social relationships at home and on the free time", and "Positivity about future", were significantly and positively associated with children's ability to swim.

CONCLUSIONS

Social support, optimism for the future and an active lifestyle were positively associated with children's swimming skills; however, compared to the socioeconomic factors, these health- and lifestyle factors contributed very little. It is possible, that interventions concerning children's swimming ability in lower socioeconomic neighbourhoods, should in addition to children's swimming lessons, target the whole families with the goal of increasing their possibilities for socialising and engaging in different kinds of recreational activities.

Relationship between post-traumatic disorder and posttraumatic growth in COVID-19 home-confined adolescents: The moderating role of self-efficacy

Although the COVID-19 pandemic has been traumatogenic for some people, posttraumatic growth (PTG) outcomes have also been observed. This study examined the PTG in adolescents and the moderating effect of self-efficacy on post-traumatic stress disorder (PTSD) symptoms and PTG. An online questionnaire was conducted on 2090 adolescent Chinese students to measure COVID-19 related exposure, self-efficacy, PTSD, and PTG. PTG prevalence was found in 20.6% of the sample, with the relationship between PTSD and PTG being found to be a reverse U-shaped curve. Objective exposure factors were found to be closely associated with PTSD symptoms but not with PTG. Similarly, subjective feelings of extreme fear were significantly associated with PTSD symptoms but not with PTG. Self-efficacy was found to be positively correlated with PTG (r = 0.551) and to moderate the relationship between PTSD and PTG. For those with low self-efficacy, the higher the PTSD, the higher the PTG, and for those with high self-efficacy, the higher the PTSD, the lower the PTG. As an improved sense of self-efficacy in adolescents could promote positive psychological transformations, these results could assist in identifying self-efficacy levels and providing guidance for targeted psychological interventions to promote positive growth.

Perceived Social Support, Psychological Capital, and Subjective Well-Being among College Students in the Context of Online Learning during the COVID-19 Pandemic

This study examined the relationship between perceived social support and subjective well-being among college students in the context of online learning during the COVID-19 pandemic. 515 college students in China that participated in an online questionnaire investigation were selected as the research sample. The results showed that perceived social support was significantly and positively associated with life satisfaction and positive affect and was significantly and negatively related to negative affect among college students learning online during the COVID-19 pandemic. Psychological capital (PsyCap) significantly mediated the relationships between perceived social support and three subjective well-being variables. The present study provides some implications to protect college students’ subjective well-being in the context of online learning during the COVID-19 pandemic.