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Lam KKL, Zhou M. A Meta-analysis of the relationship between growth mindset and grit. Acta Psychol (Amst) 2025; 255:104872. [PMID: 40086228 DOI: 10.1016/j.actpsy.2025.104872] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2024] [Revised: 03/01/2025] [Accepted: 03/04/2025] [Indexed: 03/16/2025] Open
Abstract
Growth mindset is one of the popular educational constructs with strong empirical ties to students' motivation and persistence in the academic context, which has been empirically linked to students' grit. Although a growing body of research suggests that growth mindset and grit are related in nuanced ways, a comprehensive and detailed portrait of this connection is needed to better understand how growth mindset is linked to grit. In this study, we systematically reviewed empirical research on growth mindset and grit among student population. Sixty-six eligible studies involving a total of 42,112 participants were examined. Using the robust variance estimation, we found that the correlations of growth mindset with grit/its facets were generally medium to strong (ρoverall grit = 0.19; ρinterest = 0.20; and ρeffort = 0.24, respectively). The p-curve analysis results suggested that cumulative studies contained evidential value (p < .001). We also investigated 11 potential moderators using meta-regression (covering study, participant, and measurement characteristics), and no significant moderators were observed in the associations between growth mindset and either facet of effort. A stronger growth mindset-overall grit association was observed in a collectivistic context. We concluded with a discussion of heterogeneity, limitations, and implications of meta-analyses.
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Affiliation(s)
- Kelly Ka Lai Lam
- Department of Psychology, University of Macau, Macao Special Administrative Region of China; Centre for Cognitive and Brain Sciences, University of Macau, Macao Special Administrative Region of China.
| | - Mingming Zhou
- Faculty of Education, University of Macau, Macao Special Administrative Region of China
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Zhu S, Hu Y, Qi D, Tse S, Chan KL, Sun J, Lee P. Effects of Web-Based Single-Session Growth Mindset Interventions for Reducing Adolescent Anxiety: Four-Armed Randomized Controlled Trial. JMIR Pediatr Parent 2025; 8:e63500. [PMID: 40249649 DOI: 10.2196/63500] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/21/2024] [Revised: 03/13/2025] [Accepted: 03/19/2025] [Indexed: 04/19/2025] Open
Abstract
BACKGROUND Anxiety disorders are the most common mental health conditions worldwide, yet 65% of those affected do not access services. The high prevalence of anxiety and the low rate of intervention uptake highlight the urgent need to develop timely, scalable, and effective interventions suitable for adolescents. This study adapted existing single-session interventions (SSIs) to further develop an SSI focused on a growth mindset regarding negative emotions for adolescent mental health. OBJECTIVE The study aims to compare the effectiveness of 4 SSIs, SSI of a growth mindset for anxiety (SIGMA), SIGMA with boosters (SIGMA-Booster), SSI of a growth mindset of personality (SSIGP), and an active control group (support therapy [ST]), in reducing adolescent anxiety. METHODS Classes from each secondary school were randomized to 1 of 4 intervention conditions: SIGMA, SIGMA-Booster, SSIGP, or ST. Each intervention took approximately 45 minutes online. Participants reported on anxiety symptoms (primary outcome), depressive symptoms, suicidal/self-harming thoughts, perceived control, hopelessness, attitude toward help-seeking, and psychological well-being (secondary outcomes) at preintervention, 2-week follow-up, and 8-week follow-up. Participants also completed a feedback scale postintervention. Generalized estimating equations were used to examine the effectiveness of the SSIs. RESULTS A total of 731 adolescents from 7 secondary schools were randomized. The intent-to-treat analysis found a significant decrease in anxiety symptoms. The mean and 95% CI at baseline were 6.8 (6.0-7.6) for SIGMA-Booster, 6.5 (5.8-7.3) for SIGMA, 7.0 (6.2-7.7) for SSIGP, and 6.9 (6.1-7.7) for ST. At the 2-week follow-up, the mean and 95% CI were 5.9 (5.1-6.7) for SIGMA-Booster, 5.7 (4.9-6.5) for SIGMA, 5.4 (4.6-6.2) for SSIGP, and 5.7 (4.9-6.4) for ST. At the 8-week follow-up, the mean and 95% CI were 5.9 (5.1-6.7) for SIGMA-Booster, 5.3 (4.5-6.0) for SIGMA, 5.6 (4.8-6.4) for SSIGP, and 5.8 (5.1-6.6) for ST. These reductions were observed across all 4 groups. Moderation analysis found that participants with higher motivation for change, higher baseline anxiety scores, and fixed mindsets showed greater improvements in anxiety symptoms. Most participants (459/731, 62.8%) viewed the feasibility and acceptability of the SSIs positively. CONCLUSIONS The SSI for all 4 groups was effective in reducing anxiety and depression among adolescents over 8 weeks. Our data suggest the potential benefits of brief web-based interventions for adolescents, which could serve as scalable, destigmatized, and cost-effective alternatives to school-based programs. The intervention effects may have been underestimated, as this study did not exclude adolescents with minimal or no anxiety symptoms. Future studies should focus on the specific effects of interventions for adolescents with varying levels of anxiety symptoms. TRIAL REGISTRATION ClinicalTrials.gov NCT05027880; https://clinicaltrials.gov/ct2/show/NCT05027880.
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Affiliation(s)
- Shimin Zhu
- Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong, China (Hong Kong)
| | - Yuxi Hu
- Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong, China (Hong Kong)
| | - Di Qi
- Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong, China (Hong Kong)
| | - Samson Tse
- Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong, China (Hong Kong)
| | - Ko Ling Chan
- Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong, China (Hong Kong)
| | - Jessica Sun
- Kowloon Hospital Child & Adolescent Mental Health Centre, Hong Kong, China (Hong Kong)
| | - Paul Lee
- Southampton Clinical Trials Unit, University of Southampton, Southampton, United Kingdom
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Wang Y, Xi A, Wong SSK, Yam K, Leung JTY, Zhu S. Efficacy of a Web-Based Integrated Growth Mindset Intervention on Reducing Anxiety Among Social Work and Counseling Practicum Trainees: Protocol for a 2-Arm Randomized Controlled Trial. JMIR Res Protoc 2025; 14:e67234. [PMID: 40146991 PMCID: PMC11986383 DOI: 10.2196/67234] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2024] [Revised: 12/23/2024] [Accepted: 03/03/2025] [Indexed: 03/29/2025] Open
Abstract
BACKGROUND Practicum is indispensable for the development of professional practitioners; yet, trainees may encounter psychological distress, especially anxiety, brought on by new challenges. Research stated that a positive mindset promotes better learning and mental status. Well-designed interventions have been shown to relieve anxiety and help trainees thrive in their practicums and professions. The proposed study adapted an integrated intervention, We-SMILE (Web-Based Single-Session Intervention of Mindset on Intelligence, Failure, and Emotion), for improving prepracticum anxiety and coping. We-SMILE has the potential to be a low-intensity self-help prepracticum intervention to support students in adjusting their mindsets and overcoming the challenges in practicum. OBJECTIVE Using a 2-arm randomized controlled trial, this study aims to examine the efficacy of We-SMILE on reducing anxiety (primary outcome) and enhancing psychological status, psychological well-being, learning orientation, academic self-efficacy, and confidence (secondary outcomes). METHODS A total of 117 students will be recruited from the social work and counseling programs and randomly assigned to existing prepracticum training (training as usual [TAU]) or that plus the We-SMILE. Participants will be assessed repeatedly at 3 time points: baseline, 2 weeks post intervention, and 8 weeks post intervention. The outcomes will be measured by validated items and scales on anxiety, mindsets, psychological well-being, and the Failure Mindset Scale. Recruitment for the pilot study was initiated in May 2024 during social work and counseling prepracticum briefing sessions. Participants were randomly assigned to the intervention or TAU group. The intention-to-treat (ITT) analysis principle and linear regression-based maximum likelihood multilevel models will be used for data analysis. RESULTS This study has received research ethics approval in May 2024. Participant recruitment started at the end of May 2024, and enrollment was ongoing as of when this protocol was submitted. Data collection and analyses are expected to be complete in 2025. CONCLUSIONS The randomized controlled trial will compare the efficacy of the We-SMILE intervention group and the TAU group. The results of this study will benefit practicum students, fieldwork supervisors, and social work and counseling programs. TRIAL REGISTRATION ClinicalTrials.gov NCT06509802; https://tinyurl.com/36vkwd63. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) DERR1-10.2196/67234.
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Affiliation(s)
- Yongyi Wang
- Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong, China (Hong Kong)
| | - An Xi
- Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong, China (Hong Kong)
| | - Stella S K Wong
- Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong, China (Hong Kong)
| | - Kong Yam
- Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong, China (Hong Kong)
| | - Janet Tsin Yee Leung
- Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong, China (Hong Kong)
| | - Shimin Zhu
- Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong, China (Hong Kong)
- Mental Health Research Centre, The Hong Kong Polytechnic University, Hong Kong, China (Hong Kong)
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Jia X, Li P, Li W. The Role of Creative Mindsets in the Relationship Between Metacognitive Experience and Divergent Thinking: A Metacognitive Perspective. J Intell 2025; 13:27. [PMID: 40137059 PMCID: PMC11943095 DOI: 10.3390/jintelligence13030027] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2025] [Revised: 02/20/2025] [Accepted: 02/21/2025] [Indexed: 03/27/2025] Open
Abstract
Metacognition is vital for creativity; however, the specific contributions of its components (i.e., metacognition knowledge, metacognition experience, and metacognition monitoring and control) have received varying levels of attention, particularly due to the limited research on metacognitive experience. Additionally, the interactions among these components in influencing creative cognition remain unclear. We conducted two experiments to explore the influence of metacognitive experience on divergent thinking (e.g., alternative uses tasks, AUT) and the moderating role of creative mindsets-a core element of metacognitive knowledge-in this process. In Experiment 1, retrieval fluency, measured by the quantity of the ideas generated, was used to activate varying levels of metacognitive experience (fluency vs. disfluency) during the AUT. The findings showed that the originality of ideas generated under the disfluency condition was significantly higher than under the fluency condition, suggesting a positive effect of metacognitive disfluency experience on AUT. In Experiment 2, a multiple-choice task was used to prime individuals' creative mindsets (entity vs. incremental). The results indicated that individuals with a creative growth mindset exhibited greater cognitive persistence under the disfluency condition, subsequently enhancing the originality of their ideas, indicating that creative mindsets moderate the effect of metacognitive disfluency experience on AUT performance via cognitive persistence. We integrated previous findings to describe the interactive impacts of creative mindsets, metacognitive experience, and metacognitive monitoring and control on divergent and convergent creative thinking processes within a metacognitive framework, providing a model to reveal the dynamic interplay of metacognitive processes in creative cognition. Practically, fostering individuals' growth-oriented creative mindsets may represent a promising avenue for creativity development.
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Affiliation(s)
- Xiaoyu Jia
- School of Psychology, Zhejiang Normal University, Jinhua 321000, China;
- College of Teacher Education, Southwest University, Chongqing 400715, China
| | - Ping Li
- School of Education Science, Guangdong Polytechnic Normal University, Guangzhou 510000, China;
| | - Weijian Li
- School of Psychology, Zhejiang Normal University, Jinhua 321000, China;
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Zhu S, Qi D. Reciprocal Relationship Between Self-Control Belief and Gaming Disorder in Children and Adolescents: Longitudinal Survey Study. JMIR Serious Games 2025; 13:e59441. [PMID: 39864952 PMCID: PMC11769689 DOI: 10.2196/59441] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2024] [Revised: 10/30/2024] [Accepted: 11/01/2024] [Indexed: 01/28/2025] Open
Abstract
Background Children and adolescents are often at the crossroads of leisure gaming and excessive gaming. It is essential to identify the modifiable psychosocial factors influencing gaming disorder development. The lay theories of self-control (ie, the beliefs about whether self-control can be improved, also called self-control mindsets) may interplay with self-control and gaming disorder and serve as a promising influential factor for gaming disorder. Objective This study aims to answer the research questions "Does believing one's self-control is unchangeable predict more severe gaming disorder symptoms later?" and "Does the severity of gaming disorder symptoms prospectively predict self-control mindsets?" with a 1-year, 2-wave, school-based longitudinal survey. Methods A total of 3264 students (338 in grades 4-5 and 2926 in grades 7-10) from 15 schools in Hong Kong participated in the classroom surveys. We used cross-lagged panel models to examine the direction of the longitudinal association between self-control mindsets and gaming disorder. Results A bidirectional relationship was found between self-control mindsets and gaming disorder symptom severity (the cross-lagged path from mindsets to gaming disorder: regression coefficients [b] with 95% CI [0.070, 0.020-0.12o, P=.006]; and from gaming disorder to mindsets: b with 95% CI [0.11, 0.060-0.160, P<.001]). Subgroup analyses of boy and girl participants revealed that more growth mindsets regarding self-control predicted less severe gaming disorder symptoms in girls (b=0.12, 95% CI 0.053-0.190, P=.001) but not in boys (b=0.025, 95% CI -0.050 to 0.100, P=.51), while more severe gaming disorder symptoms predicted a more fixed mindset of self-control in both boys (b=0.15, 95% CI 0.069-0.230, P<.001) and girls (b=0.098, 95% CI 0.031-0.170, P=.004) after 1 year. Conclusions Our findings demonstrated the negative impact of gaming disorder on one's self-control malleability beliefs and implied that promoting a growth mindset regarding self-control might be a promising strategy for gaming disorder prevention and early intervention, especially for girls.
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Affiliation(s)
- Shimin Zhu
- Department of Applied Social Sciences, The Hong Kong Polytechnic University, Rm GH348, 11 Yuk Choi Road, Hung Hom, Kowloon, Hong Kong, China (Hong Kong), 852 27665787
- Mental Health Research Centre, The Hong Kong Polytechnic University, Hong Kong, China (Hong Kong)
| | - Di Qi
- Department of Applied Social Sciences, The Hong Kong Polytechnic University, Rm GH348, 11 Yuk Choi Road, Hung Hom, Kowloon, Hong Kong, China (Hong Kong), 852 27665787
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Zhou Y, Li T. The role of implicit theories of intelligence and personality in older adults' resilience: cognitive functioning and social participation as two mediators. Aging Ment Health 2024; 28:1326-1333. [PMID: 38444324 DOI: 10.1080/13607863.2024.2323950] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/04/2023] [Accepted: 02/15/2024] [Indexed: 03/07/2024]
Abstract
OBJECTIVES Resilience during old age reflects the capacity to adapt to changes and challenges associated with normative aging and is an important component of successful aging. Belief in the incremental theory of intelligence and personality could help older adults maintain cognitive functioning and social engagement, which may further contribute to their resilience. The current study investigated how implicit theories of intelligence and personality affected older adults' resilience and examined cognitive functioning and social participation as two mediators. METHOD A total of 108 older adults aged 60-92 were recruited and completed relevant scales and cognitive tasks. Path analyses were conducted to estimate the expected mediation model. RESULTS The incremental theory of intelligence, but not personality, was positively related to older adults' resilience. Both cognitive functioning and social participation mediated the effect of the implicit theory of intelligence in the model without covariates. When background variables were controlled, the mediation effect of cognitive functioning remained significant, while the link between the implicit theory of intelligence and social participation was weakened. CONCLUSION Older adults' implicit theory of intelligence plays a significant role in fostering resilience in late adulthood, especially through maintaining older adults' cognitive functioning.
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Affiliation(s)
- Yatian Zhou
- School of Humanities and Social Science, The Chinese University of Hong Kong, Shenzhen
| | - Tianyuan Li
- School of Humanities and Social Science, The Chinese University of Hong Kong, Shenzhen
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Zhu S, Hu Y, Wang R, Qi D, Lee P, Ngai SW, Cheng Q, Wong PWC. Effects of a Parent-Child Single-Session Growth Mindset Intervention on Adolescent Depression and Anxiety Symptoms: Protocol of a 3-Arm Waitlist Randomized Controlled Trial. JMIR Res Protoc 2024; 13:e63220. [PMID: 39213536 PMCID: PMC11399747 DOI: 10.2196/63220] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2024] [Revised: 07/02/2024] [Accepted: 07/11/2024] [Indexed: 09/04/2024] Open
Abstract
BACKGROUND Depression and anxiety are common mental health problems among adolescents worldwide. Extant research has found that intelligence, emotion, and failure-is-debilitating beliefs (fixed mindsets) are closely related to more depression and anxiety symptoms, hopelessness, and suicidality. Recent research also points to the importance of parental mindset, which can strongly influence children's affect, behavior, and mental health. However, the effects of parent-child mindset interventions on a child's internalizing problems have not yet been empirically examined. As recent evidence has shown the promise of single-session interventions in reducing and preventing youth internalizing problems, this study develops and examines a parent and child single-session intervention on mindsets of intelligence, failure, and emotion (PC-SMILE) to tackle depression and anxiety in young people. OBJECTIVE Using a 3-arm randomized controlled trial, this study will examine the effectiveness of PC-SMILE in reducing depression and anxiety symptoms among children. We hypothesize that compared to the waitlist control group, the PC-SMILE group and child single-session intervention on mindsets of intelligence, failure, and emotion (C-SMILE) group will significantly improve child depression and anxiety (primary outcome) and significantly improve secondary outcomes, including children's academic self-efficacy, hopelessness, psychological well-being, and parent-child interactions and relationships, and the PC-SMILE is more effective than the C-SMILE. METHODS A total of 549 parent-child dyads will be recruited from 8 secondary schools and randomly assigned to either the PC-SMILE intervention group, the C-SMILE intervention group, or the no-intervention waitlist control group. The 45-minute interventions include parent-version and child-version. Both parents and students in the PC-SMILE group receive the intervention. Students in C-SMILE group receive intervention and their parents will receive intervention after all follow-up ends. Students in 3 groups will be assessed at 3 time points, baseline before intervention, 2 weeks post intervention, and 3 months post intervention, and parents will be assessed in baseline and 3-month follow-up. The intention-to-treat principle and linear-regression-based maximum likelihood multilevel models will be used for data analysis. RESULTS Recruitment started in September 2023. The first cohort of data collection is expected to begin in May 2024 and the second cohort will begin in September 2024. The final wave of data is expected to be collected by the end of the first quarter of 2025. The results are expected to demonstrate improved anxiety and depression among students assigned to the intervention condition, as well as the secondary outcomes compared to those in the control group. The efficacy and effectiveness of the intervention will be discussed. CONCLUSIONS This study is the first attempt to develop a web-based single-session intervention for students and their parents to enhance their well-being in Hong Kong and beyond, which potentially contributes to providing evidence-based recommendations for the implementation of brief digital parent-child interventions. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) PRR1-10.2196/63220.
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Affiliation(s)
- Shimin Zhu
- Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong, China (Hong Kong)
- Mental Health Research Centre, The Hong Kong Polytechnic University, Hong Kong, China (Hong Kong)
| | - Yuxi Hu
- Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong, China (Hong Kong)
| | - Ruobing Wang
- Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong, China (Hong Kong)
| | - Di Qi
- Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong, China (Hong Kong)
| | - Paul Lee
- Southampton Clinical Trials Unit, University of Southampton, Southampton, United Kingdom
| | - So Wa Ngai
- Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong, China (Hong Kong)
| | - Qijin Cheng
- Department of Social Work, The Chinese University of Hong Kong, Hong Kong, China (Hong Kong)
| | - Paul Wai Ching Wong
- Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong, China (Hong Kong)
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Zhao S, Zhang Z, Duan X, Shao Y, Wang F, Chen Y, Yang C, Chen L, Wang F, Zhang J, Zhang H, Yang X, Yuan C. Resilience and Flexibility for Clinical Nurses: A Latent Class Analysis. J Nurs Manag 2024; 2024:6171305. [PMID: 40224750 PMCID: PMC11918684 DOI: 10.1155/2024/6171305] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2023] [Revised: 02/17/2024] [Accepted: 02/26/2024] [Indexed: 04/15/2025]
Abstract
Aim To explore potential resilience and psychological flexibility patterns in nurses and analyze the effects of related factors such as growth mindset and professional recognition of categories. Background Resilience and psychological flexibility can help nurses resist occupational pressure and play essential roles in promoting personal growth and professional development. Methods A latent category approach was used to examine the patterns of heterogeneity in resilience and flexibility among 805 nurses. Differences in the influences related to resilience and flexibility were analyzed using univariate and multivariate logistic regressions, with demographic information, growth mindset, and career recognition as covariates. Results Participants were divided into three potential categories: toughness-flexible (32.8%), power-deficit-emotional (23.1%), and toughness-rigid (44.1%). The results of multivariate logistic regression analysis showed that monthly income, mode of employment, growth mindset, and professional identity were influential factors in the potential categories of nurse resilience and flexibility. Conclusion One cohort of nurses had high resilience and low flexibility, and psychological rigidity was related to the fact that the monthly income was less than RMB 5,000 and the contractual mode of employment. An excellent growth mindset and a high professional identity indicate that nurses are resilient and flexible. Implications for Nursing Management. Hospitals and nursing managers should pay attention to nurses' different career development needs and implement appropriate safeguards.
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Affiliation(s)
- Shuang Zhao
- School of Nursing, Bengbu Medical University, Bengbu, Anhui, China
| | - Zeyu Zhang
- School of Nursing, Bengbu Medical University, Bengbu, Anhui, China
| | - Xiaocui Duan
- School of Nursing, Bengbu Medical University, Bengbu, Anhui, China
| | - Yujiao Shao
- School of Nursing, Bengbu Medical University, Bengbu, Anhui, China
| | - Fuzhi Wang
- School of Health Management, Bengbu Medical University, Bengbu, Anhui, China
| | - Yongxia Chen
- The First Affiliated Hospital of Bengbu Medical University, Bengbu, Anhui, China
| | - Congyan Yang
- The First Affiliated Hospital of Bengbu Medical University, Bengbu, Anhui, China
| | - Lingling Chen
- The Second Affiliated Hospital of Bengbu Medical University, Bengbu, Anhui, China
| | - Fei Wang
- Bengbu Third People's Hospital of Bengbu Medical University, Bengbu, Anhui, China
| | | | - Hailing Zhang
- The First Affiliated Hospital of University of Science and Technology of China, Hefei, Anhui, China
| | - Xiumu Yang
- School of Nursing, Bengbu Medical University, Bengbu, Anhui, China
- General Practice Education and Development Center, Bengbu Medical University, Bengbu, Anhui, China
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Zhu S, Tse S, Chan KL, Lee P, Cheng Q, Sun J. Examination of Web-Based Single-Session Growth Mindset Interventions for Reducing Adolescent Anxiety: Study Protocol of a 3-Arm Cluster Randomized Controlled Trial. JMIR Res Protoc 2023; 12:e41758. [PMID: 36930199 PMCID: PMC10131727 DOI: 10.2196/41758] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2022] [Revised: 12/26/2022] [Accepted: 12/31/2022] [Indexed: 01/02/2023] Open
Abstract
BACKGROUND Anxiety disorders are the most common mental disorders worldwide. In Hong Kong, 7% of adolescents are diagnosed with anxiety disorders, and 1 in every 4 secondary school students reports clinical-level anxiety symptoms. However, 65% of them do not access services. Long waitlists in public services, the high cost of private services, or the fear of being stigmatized can hinder service access. The high prevalence of anxiety and low intervention uptake indicate a pressing need to develop timely, scalable, and potent interventions suitable for adolescents. Single-session interventions (SSIs) have the potential to be scalable interventions for diagnosable or subclinical psychopathology in adolescents. Providing precise and context-adapted intervention is the key to achieving intervention efficacy. OBJECTIVE This study aims to compare the effectiveness of three SSIs: single-session intervention of growth mindset on negative emotions (SIGMA), SSI of growth mindset of personality (SSI-GP), and active control, in reducing adolescent anxiety. METHODS Adolescents (N=549, ages 12-16 years) from secondary schools will be randomized to 1 of 3 intervention conditions: the SIGMA, SSI-GP, or active control. The implementation of each intervention is approximately 45 minutes in length. Adolescent participants will report anxiety symptoms (primary outcome), perceived control, hopelessness, attitude toward help-seeking, and psychological well-being at preintervention, the 2-week follow-up, and the 8-week follow-up. A pilot test has confirmed the feasibility and acceptability of SIGMA among adolescents. We hypothesized that SIGMA and SSI-GP will result in a larger reduction in anxiety symptoms than the control intervention during the posttest and 8-week follow-up period. We also predict that SIGMA will have a more significant effect than SSI-GP. We will use the intention-to-treat principle and linear regression-based maximum likelihood multilevel models for data analysis. RESULTS This study will be conducted from December 2022 to December 2023, with results expected to be available in January 2024. CONCLUSIONS This protocol introduces the implementation content and strategies of growth mindset SSIs (consists of 2 forms: SIGMA and SSI-GP) among school students. The study will provide evidence on the efficacy of different growth mindset SSIs for adolescent anxiety. It will also establish implementation strategies for self-administrative SSIs among school students, which can serve as a pioneer implementation of a scalable and self-accessible brief intervention to improve the well-being of young people. TRIAL REGISTRATION ClinicalTrials.gov NCT05027880; https://clinicaltrials.gov/ct2/show/NCT05027880. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID) PRR1-10.2196/41758.
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Affiliation(s)
- Shimin Zhu
- Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong, Hong Kong
| | - Samson Tse
- Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong, Hong Kong
| | - Ko Ling Chan
- Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong, Hong Kong
| | - Paul Lee
- Southampton Clinical Trials Unit, University of Southampton, Southampton, United Kingdom
| | - Qijin Cheng
- Department of Social Work, Hong Kong, Hong Kong
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Jiang D, Lee CKJ. Entity theory of emotion was associated with more daily negative affect during quarantine: Evidence from a 14-day diary study among healthy young adults. Appl Psychol Health Well Being 2023; 15:115-132. [PMID: 35688797 DOI: 10.1111/aphw.12379] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2021] [Accepted: 05/23/2022] [Indexed: 02/07/2023]
Abstract
During the COVID-19 pandemic, quarantine has been implemented as a physical distancing measure to reduce the risk of transmission. However, no studies have examined the relationship between quarantine and daily affective experiences. Few studies have examined the individual-level factors that may alleviate or strengthen the negative impact of quarantine on daily affective experiences. To this end, we conducted a diary study by comparing the affective experiences of people in quarantine with those of people not subject to quarantine. There were 201 participants in the study. After the pretest collecting responses on demographic information and entity theory of emotion, the participants completed a daily questionnaire measuring their daily positive and negative affect for 14 consecutive days. The results of hierarchical linear modeling showed that the participants in the quarantine condition reported less daily positive affect than those in the social interaction condition. We found that when the participants under quarantine believed more strongly that their emotions could not be changed, they reported a higher level of daily negative affect. These findings demonstrate the role of entity theory of emotion in understanding daily negative affect during quarantine.
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Affiliation(s)
- Da Jiang
- Department of Special Education and Counselling, The Education University of Hong Kong, Hong Kong, China
| | - Chi-Kin John Lee
- Department of Curriculum & Instruction, The Education University of Hong Kong, Hong Kong, China
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Chan HS, Chiu CY, Lee SL, Tong YY, Leung ITC, Chan AHT. Improving the predictor-criterion consistency of mindset measures: Application of the correspondence principle. JOURNAL OF PACIFIC RIM PSYCHOLOGY 2023. [DOI: 10.1177/18344909231166964] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/05/2023] Open
Abstract
Increasing the level of correspondence between measures of growth mindset and their related outcomes could afford more precise prediction of the relationships between growth mindset and social-emotional outcomes. To illustrate the value of measurement correspondence, two studies were conducted in Hong Kong. Study 1 showed that an agent-correspondent growth mindset measure (parents’ perception of the malleability of their children's personal qualities), compared to an agent-non-correspondent one (parents’ belief in the malleability of personal qualities of a generalized other), had stronger predictive relationship with children's likelihood of displaying difficult behaviors. Study 2 found that children's self-theories about the malleability of their intelligence (an intrapersonal construct) had stronger predictive relationship with academic engagement (an intrapersonal outcome) than did their perception of growth mindset norm (a normative construct). However, perceived growth mindset norm regarding personal qualities had stronger predictive relationship with peer relationship quality (an interpersonal outcome). Together these results demonstrated that when corresponding measures of growth mindset were used to predict an outcome, more reliable growth mindset effects would emerge.
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Affiliation(s)
- Hiu-Sze Chan
- Department of Sociology, The Chinese University of Hong Kong, Hong Kong, China
| | - Chi-Yue Chiu
- Faculty of Social Science, The Chinese University of Hong Kong, Hong Kong, China
| | - Sau-Lai Lee
- Faculty of Social Science, The Chinese University of Hong Kong, Hong Kong, China
| | - Yuk-Yue Tong
- Faculty of Social Science, The Chinese University of Hong Kong, Hong Kong, China
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Trautner M, Schwinger M. How are incremental theories about studying motivation related to effective motivation regulation? LEARNING AND INDIVIDUAL DIFFERENCES 2022. [DOI: 10.1016/j.lindif.2022.102232] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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Zhu S, Wong PWC. What matters for adolescent suicidality: Depressive symptoms or fixed mindsets? Examination of cross-sectional and longitudinal associations between fixed mindsets and suicidal ideation. Suicide Life Threat Behav 2022; 52:932-942. [PMID: 35686883 PMCID: PMC9796128 DOI: 10.1111/sltb.12891] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/03/2021] [Revised: 04/07/2022] [Accepted: 05/18/2022] [Indexed: 01/01/2023]
Abstract
BACKGROUND Fixed mindsets or beliefs about the non-malleability of self-attributes are linked to a wide range of negative psychological outcomes. Its association with suicidal ideation (SI) among young people has not been explored. OBJECTIVES To examine the association of fixed mindsets of depression, anxiety, and stress and SI; and its mediating role underlying the association between depression and SI. METHODS A sample of 1393 adolescents (Mage = 13.04, SD = 0.85, 640 boys) from 11 middle schools voluntarily participated in a two-wave longitudinal study before and during the COVID-19 pandemic with a 9-month interval. RESULTS Both depressive symptoms and fixed mindsets were positively and significantly associated with concurrent and future suicidality, after controlling for demographic and socioeconomic status and previous SI. Participants with stronger fixed mindsets were more likely to have SI than those with only depressive symptoms. Also, fixed mindsets mediated the association between depressive symptoms and SI in both cross-sectional and longitudinal models. CONCLUSION The current study provides empirical evidence of the effects of fixed mindsets and SI and the mediating role of fixed mindset between depressive symptoms and SI among young people. Interventions to foster a growth mindset may enhance hope and reduce suicidality among adolescents.
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Affiliation(s)
- Shimin Zhu
- Department of Applied Social SciencesThe Hong Kong Polytechnic UniversityKowloonHong Kong SARChina
| | - Paul W. C. Wong
- Department of Social Work and Social AdministrationThe University of Hong KongHong KongChina
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Factors Influencing Medical Personnel to Work in Primary Health Care Institutions: An Extended Theory of Planned Behavior. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19052785. [PMID: 35270475 PMCID: PMC8910718 DOI: 10.3390/ijerph19052785] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/08/2022] [Revised: 02/18/2022] [Accepted: 02/23/2022] [Indexed: 11/17/2022]
Abstract
In China, the primary health care institutions (PHCIs) have difficulty winning the trust of residents because of the shortage of medical personnel and the low level of skills. The government has advocated encouraging qualified doctors to work in PHCIs, but no obvious results are achieved. Based on the theory of planned behavior (TPB), this paper explores the factors affecting medical personnel seeking employment in PHCIs and then putting forward measures to improve the human resources construction of PHCIs. A three-stage survey was conducted to obtain the factors and a structural equation modeling (SEM) was applied to examine the relationship of the factors. We found that the factors affecting medical personnel to work in PHCIs include the specific conditions and work contents of PHCIs, as well as the family life and regional factors. Besides, there is a significant correlation and indirectness between these factors. Therefore, targeted measures can be proposed to improve the intention of medical personnel seeking employment in PHCIs. This study provides theoretical support for encouraging medical personnel to work in PHCIs and improving the primary health care system.
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Zhu S, Lee PH, Wong PWC. Investigating prolonged social withdrawal behaviour as a risk factor for self-harm and suicidal behaviours. BJPsych Open 2021; 7:e90. [PMID: 33926603 PMCID: PMC8142544 DOI: 10.1192/bjo.2021.47] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/22/2022] Open
Abstract
BACKGROUND Self-harm and suicidal behaviour are recognised as public health concerns. Prolonged social withdrawal behaviour, or hikikomori, is reported as a risk factor for suicidal behaviour. AIMS To examine the occurrence and additional risk of prolonged social withdrawal behaviour on self-harm and suicidal behaviour among Chinese university students. METHOD A cross-sectional online survey was conducted with three universities in southern China. A two-stage random sampling was adopted for recruitment, with students in different years of study, in different departments of each participating university. Hierarchical logistic regression analyses were conducted to investigate the sociodemographic and psychological correlates of self-harm and suicidal behaviours among male and female participants with hikikomori status. RESULTS Of the students who completed the online survey, 1735 (72.23%) were included in the analysis; 11.5% (n = 200) reported self-harm behaviour and 11.8% (n = 204) reported suicidal behaviours in the past 12 months. Men showed a higher prevalence rate of self-harm than women (14.7% v. 10.8%, P = 0.048), but a similar rate of suicidal behaviours (11.9% v. 11.3%, P = 0.78). The overall prevalence rate of social withdrawal behaviour was 3.2% (7.0% for men and 2.3% for women, P < 0.001). Prolonged social withdrawal behaviour status was significantly associated with self-harm (odds ratio 2.00, 95% CI 1.22-3.29) and suicidal behaviour (odds ratio 2.35, 95% CI 1.45-3.81). However, the associations became statistically insignificant after adjustment for psychological factors in the final models in the logistic regression analyses. CONCLUSIONS Prolonged social withdrawal behaviour appears to be associated with self-harm and suicidal behaviour, but psychological factors have stronger links with suicidality.
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Affiliation(s)
- Shimin Zhu
- Department of Applied Social Sciences, The Hong Kong Polytechnic University, Hong Kong
| | - Paul H Lee
- Department of Health Sciences, University of Leicester, UK
| | - Paul W C Wong
- Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong
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Zhu S, Ni S, Hamilton K. Cognition malleability belief, emotion regulation and adolescent well-being: examining a mediation model among migrant youth. Health Psychol Behav Med 2020; 8:349-361. [PMID: 34040876 PMCID: PMC8114405 DOI: 10.1080/21642850.2020.1806717] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2019] [Accepted: 08/03/2020] [Indexed: 12/13/2022] Open
Abstract
Objective: The well-being of migrant youth is a major global public health concern. This developmental stage is fraught with many challenges, with migrant youth suffering additional challenges as a result of migration. One avenue to better understand the psychological mechanisms that underpin the well-being of migrant youth is examining how mindsets - or implicit theories about the malleability of human characteristics - affect well-being. The aim of the current study was to test a conceptual model in which cognition malleability belief on well-being would be mediated by emotion regulation styles in two samples of migrant youth using two different measures of well-being. Methods: In Study 1, mainland China migrant youth (N = 735, Mean age = 13.89, SD = 1.23) completed a survey measuring demographics and cognition malleability belief, emotion regulation style (cognitive reappraisal, expressive suppression), and well-being (holistic well-being). In Study 2, Hong Kong migrant youth (N = 285, Mean age = 15.09, SD = 2.75) completed the same measures; however, well-being was assessed by the Life Satisfaction Scale. As different measures of the dependent variable (well-being) were used, two separate models were specified. Computations were performed with SPSS 22 and with the PROCESS macro. Results: Both studies demonstrated support for the conceptual model. As predicted, cognition malleability belief was associated with cognitive reappraisal, expressive suppression, and well-being of migrant youth from mainland China and Hong Kong. Cognitive reappraisal was positively associated with well-being, while expressive suppression was not significantly associated with well-being. The association between cognition malleability belief and well-being was mediated by cognitive reappraisal. Conclusion: Current findings provide avenues for future longitudinal and experimental research to test the efficacy of these mechanisms in changing beliefs about cognition malleability to promote the well-being of migrant youth.
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Affiliation(s)
- Shimin Zhu
- Department of Applied Social Sciences, Hong Kong Polytechnic University, Kowloon, Hong Kong
| | - Shiguang Ni
- Department of Psychology, Tsinghua University, China
| | - Kyra Hamilton
- School of Applied Psychology, Griffith University, Australia
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