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Pecanac KE, Jaeb M, Larson M, Merss K, Cox ED. Clinicians navigating moral accountability when discussing parental behaviors in the care of the child in the hospital. Patient Educ Couns 2024; 125:108317. [PMID: 38733727 DOI: 10.1016/j.pec.2024.108317] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/18/2024] [Revised: 04/22/2024] [Accepted: 05/03/2024] [Indexed: 05/13/2024]
Abstract
OBJECTIVE The purpose of this study was to explore how moral accountability is navigated when clinicians talk about parental behaviors to support the health of the hospitalized child. METHODS We conducted a secondary data analysis of 74 conversations during daily rounds video recorded as part of a randomized controlled trial of an intervention to advance family-centered rounds in one children's hospital. Conversations involving children under the age 18 who were cared for by a pediatric hospitalist service, pulmonary service, or hematology/oncology service were recorded. We used conversation analysis to analyze sequences in which physicians engaged in talk that had implications for parent behavior. RESULTS Two phenomena were apparent in how physicians and parents navigated moral accountability. First, physicians avoided or delayed parental agency in their references to parent behaviors. Second, parents demonstrated and clinicians reassured parental competence of parents caring for their children. CONCLUSION Physicians appeared to be oriented toward the potential moral implications of asking about parental behavior. PRACTICE IMPLICATIONS Avoiding attributions of agency and moral accountability as well as providing reassurance for the parents' competence may be useful for clinicians to maintain a good relationship with the parents of children in their care in the hospital setting.
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Affiliation(s)
| | - Michael Jaeb
- School of Nursing, University of Wisconsin-Madison, Madison, USA
| | - Mariah Larson
- School of Nursing, University of Wisconsin-Madison, Madison, USA
| | - Kristin Merss
- School of Nursing, University of Wisconsin-Madison, Madison, USA
| | - Elizabeth D Cox
- School of Medicine and Public Health, University of Wisconsin-Madison, Madison, USA
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2
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Boggatz T, Schimböck F. [Validation for people with dementia: innovation without evidence? : Systematic review]. Z Gerontol Geriatr 2024; 57:13-20. [PMID: 38157032 DOI: 10.1007/s00391-023-02263-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2023] [Accepted: 11/06/2023] [Indexed: 01/03/2024]
Abstract
BACKGROUND Validation was an innovative approach to dealing with people with dementia that was supposed to reduce the incidence of challenging behavior. This effect, however, remains unclear to this day. OBJECTIVE Does validation reduce challenging behaviour in people with dementia? MATERIAL AND METHOD Systematic review according to preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines. Literature search in PubMed, CINAHL, PsycInfo and Web of Science. Description and critical appraisal of identified studies by two reviewers using the revised Cochrane risk of bias tool for randomized controlled trials. RESULTS A total of five studies were identified. Only one showed a significant reduction in challenging behavior compared to the control group. All studies had a moderate to high risk of bias. CONCLUSION Despite the negative results, a positive effect of validation cannot be ruled out as the trials tested validation as an isolated treatment and not as an integrated part of daily care. In addition, blinding, which is common in clinical trials, is not an appropriate criterion for evaluating trials investigating interventions where the effects result exclusively from interpersonal interaction.
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Affiliation(s)
- Thomas Boggatz
- Fakultät für Pflegewissenschaft, Vinzenz Pallotti University, Pallottistraße 3, 56179, Vallendar, Deutschland.
| | - Florian Schimböck
- Medizinische Fakultät, Institut für Allgemeinmedizin, Arbeitsgruppe Didaktik der Pflege und Gesundheitsberufe, Christian-Albrechts-Universität zu Kiel, Arnold-Heller-Straße 3, 24105, Kiel, Deutschland
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3
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Gilder CM, Gorin AA, Huedo-Medina T, Cooksey-Stowers K, McCaffery JM, Denmat Z, Field C, Wyckoff E, LaRose J, O'Connor K, Marfo N, Leahey TM. Impact of social connectedness on weight loss outcomes in an online program. J Behav Med 2024; 47:144-152. [PMID: 37698801 DOI: 10.1007/s10865-023-00447-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2022] [Accepted: 08/21/2023] [Indexed: 09/13/2023]
Abstract
Obesity is linked to many negative health consequences. While online behavioral weight loss programs (BWL) are an effective treatment for obesity, weight losses are modest. Social connectedness has been found to improve weight loss outcomes and previous findings suggests that it may be especially important for people of color. The present study investigated the impact of social connectedness (structural connectedness, or network size; relationship quality, and functional connectedness, or social support) on weight loss outcomes in an online BWL program and whether Black race or Hispanic ethnicity moderates the relationship between social connectedness and weight loss. Participants (N = 387) enrolled in a 16-week online BWL program and completed measures of social connectedness before treatment and had their weight measured. Individuals with less structural connectedness (smaller social networks) had greater weight losses. Further, higher levels of functional connectedness (affectionate support, positive support, and relationship quality) mediated the relationship between smaller network size and better weight loss outcomes. Black race / Hispanic ethnicity did not moderate the relationship between social connectedness and weight loss. These findings suggest that the quality of one's relationships, not the size of one's social network, is important for weight loss. Future studies may examine whether online BWL programs that build relationship quality and affectionate and positive support in participants' existing social networks improve overall weight loss outcomes.
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Affiliation(s)
- Carnisha M Gilder
- Institute for Collaboration on Health, Intervention, and Policy, Department of Allied Health Sciences, University of Connecticut, Storrs, Connecticut, USA
| | - Amy A Gorin
- Institute for Collaboration on Health, Intervention, and Policy, Department of Psychological Sciences, University of Connecticut, Storrs, Connecticut, USA
| | - Tania Huedo-Medina
- Institute for Collaboration on Health, Intervention, and Policy, Department of Allied Health Sciences, University of Connecticut, Storrs, Connecticut, USA
| | - Kristen Cooksey-Stowers
- Institute for Collaboration on Health, Intervention, and Policy, Department of Allied Health Sciences, University of Connecticut, Storrs, Connecticut, USA
| | - Jeanne M McCaffery
- Institute for Collaboration on Health, Intervention, and Policy, Department of Allied Health Sciences, University of Connecticut, Storrs, Connecticut, USA
| | - Zeely Denmat
- Institute for Collaboration on Health, Intervention, and Policy, University of Connecticut, Storrs, Connecticut, USA
| | - Christiana Field
- Institute for Collaboration on Health, Intervention, and Policy, Department of Psychological Sciences, University of Connecticut, Storrs, Connecticut, USA
| | - Emily Wyckoff
- Institute for Collaboration on Health, Intervention, and Policy, Department of Psychological Sciences, University of Connecticut, Storrs, Connecticut, USA
| | - Jessica LaRose
- Department of Health Behavior and Policy, Virginia Commonwealth University, Richmond, USA
| | - Kayla O'Connor
- Institute for Collaboration on Health, Intervention, and Policy, Department of Allied Health Sciences, University of Connecticut, Storrs, Connecticut, USA
| | - Nana Marfo
- Institute for Collaboration on Health, Intervention, and Policy, Department of Psychological Sciences, University of Connecticut, Storrs, Connecticut, USA
| | - Tricia M Leahey
- Institute for Collaboration on Health, Intervention, and Policy, Department of Allied Health Sciences, University of Connecticut, Storrs, Connecticut, USA.
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Chen B, Wang W, Yang S. The relationship between academic stress and depression among college students during the COVID-19 pandemic: a cross-sectional study from China. BMC Psychiatry 2024; 24:46. [PMID: 38216950 PMCID: PMC10785333 DOI: 10.1186/s12888-024-05506-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/08/2023] [Accepted: 01/08/2024] [Indexed: 01/14/2024] Open
Abstract
BACKGROUND The COVID-19 pandemic is a global public health crisis. During the COVID-19 pandemic, mental health has attracted great attention. However, there is a lack of research on the relationship between academic stress and depression in Chinese college students and its mechanisms. Therefore, this study investigated the mechanisms of coping style, sleep quality, and interpersonal relationship in academic stress and depression among college students. METHODS The cross-sectional study was conducted from May to June 2022 through face-to-face questionnaires with college students in Anhui Province, China. The questionnaires included sociodemographic information, the Simplified Coping Style Questionnaire, and the Self-Rating Depression Scale. Ordered logistic regression model was used to study the relationship between academic stress and depression of college students during the COVID-19 pandemic through the mechanism analysis of coping style, sleep quality and interpersonal relationship. RESULTS Two thousand thirty-three Chinese college students participated in the study, including 1,285 female and 748 male college students, with an average age 19.81 years old (SD = 1.22 years old). The results showed that (1) Academic stress had a significant impact on depression in college students under the background of COVID-19 (p < 0.01); (2) The influence of academic stress on depression had a difference in work experience as student cadres, which showed that college students who had served as student cadres were less affected by academic stress (p < 0.10), college students who had not served as student cadres were greatly affected by the academic stress (p < 0.05); (3) College students' attitudes toward COVID-19 significantly affected depression (p < 0.01); (4) Counselors' concern had a significant impact on college students' depression (p < 0.01); (5) Positive coping style, high quality sleep and good interpersonal relationship were the important mechanisms of the impact of academic stress on college students' depression. CONCLUSIONS This study provides new findings for in-depth understanding of the relationship between academic stress and depression among college students in China during the COVID-19 pandemic, which is conducive to the provision of targeted intervention measures for the mental health of college students.
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Affiliation(s)
- Baoling Chen
- School of Management, Hefei University of Technology, 193 Tunxi Rd, Hefei, Anhui, 230009, People's Republic of China.
- School of Finance and Public Administration, Anhui University of Finance & Economics, #962 Caoshan Road, Bengbu City, Anhui, China.
| | - Weiwei Wang
- Internal Medicine Department, The Third People's Hospital of Bengbu, No. 38, Shengli Middle Road, Bengbu City, Anhui, People's Republic of China
| | - Shanlin Yang
- School of Management, Hefei University of Technology, 193 Tunxi Rd, Hefei, Anhui, 230009, People's Republic of China
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Forcadell-Díez L, Bosch-Arís M, Espinel-Flores V, Abiétar DG, Puig-Barrachina V, Juárez Martínez O, Pérez G. [An evaluation of teacher training to promote healthy and equitable relationships: transforming or reproducing?]. Gac Sanit 2023; 37:102338. [PMID: 38006665 DOI: 10.1016/j.gaceta.2023.102338] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/19/2023] [Revised: 10/02/2023] [Accepted: 10/04/2023] [Indexed: 11/27/2023]
Abstract
OBJECTIVE To evaluate the impact of the training on teacher capacity to implement Posem el Focus, a socio-educational intervention adapted from Lights4Violence to prevent the gender-based violence during adolescence. METHOD Evaluation study of a training using qualitative methodology in Terrassa, 2019-2021. The socio-constructionist perspective was used to understand the impact of teacher training and its translation into educational practice. A purposive sampling of teachers (n=32) was carried out. A descriptive-interpretative analysis of the discourses was carried out based on the written productions of the participants in the training and their answers to some open questions. An explanatory theoretical framework was developed. RESULTS Teachers reported acquiring concepts, developing new skills and modifying some attitudes. Teachers stated theoretical understanding of the sex-gender system, intersectionality and explicit and implicit violence. However, they reproduced gender stereotypes, did not understand the inclusive approach and pointed out not identifying implicit violence. Teachers perceived the training as useful and felt empowered to implement the intervention. No differences were identified in discursive production with respect to gender or age. CONCLUSIONS Teacher training ensures minimum knowledge and facilitates the acquisition of some skills, although it does not achieve in-depth changes in attitudes. It is concluded that the training enables teachers to implement Posem el Focus, although it is recommended that it be reformulated.
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Affiliation(s)
- Lluís Forcadell-Díez
- Agència de Salut Pública de Barcelona, Barcelona, España; Departament de Medicina i Ciències de la Vida, Universitat Pompeu Fabra, Barcelona, España.
| | - Mar Bosch-Arís
- Agència de Salut Pública de Barcelona, Barcelona, España; Departament de Medicina i Ciències de la Vida, Universitat Pompeu Fabra, Barcelona, España
| | - Verónica Espinel-Flores
- Servei d'Estudis i Prospectives en Polítiques de Salut, Consorci de Salut i Social de Catalunya, Barcelona, España
| | - Daniel G Abiétar
- Agència de Salut Pública de Barcelona, Barcelona, España; Departament de Medicina i Ciències de la Vida, Universitat Pompeu Fabra, Barcelona, España
| | - Vanessa Puig-Barrachina
- Agència de Salut Pública de Barcelona, Barcelona, España; Departament de Medicina i Ciències de la Vida, Universitat Pompeu Fabra, Barcelona, España
| | - Olga Juárez Martínez
- Agència de Salut Pública de Barcelona, Barcelona, España; Departament de Medicina i Ciències de la Vida, Universitat Pompeu Fabra, Barcelona, España
| | - Glòria Pérez
- Agència de Salut Pública de Barcelona, Barcelona, España; Departament de Medicina i Ciències de la Vida, Universitat Pompeu Fabra, Barcelona, España; CIBER de Epidemiología y Salud Pública (CIBERESP), España; Institut d'Investigació Biomèdica Sant Pau, Barcelona, España
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Sen RK, Tripathy SK, Shetty N. Ethics in Clinical Orthopedic Surgery. Indian J Orthop 2023; 57:1714-1721. [PMID: 37881283 PMCID: PMC10593651 DOI: 10.1007/s43465-023-01003-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/25/2023] [Accepted: 09/11/2023] [Indexed: 10/27/2023]
Abstract
Introduction Orthopedic surgeons, owing to their specialized role, have a set of medical and moral responsibilities that span beyond the confines of the operating room. The primary objective of this exploration is to emphasize the pivotal ethical and professional standards that these surgeons should uphold. Methodology We derived key ethical and professional aspects by reviewing standard medical practices, professional guidelines, and through consultations with senior orthopedic professionals. These aspects covered both the conduct inside the surgery room and the interpersonal relations outside. Results Several core areas of conduct were identified.Patient-Centered Care: Prioritizing the holistic well-being of the patient.Communication: Ensuring that all communications are both transparent and respectful.Informed Consent: Properly securing consent after ensuring the patient is adequately informed.Confidentiality: Taking measures to safeguard patient information.Professional Behavior: Upholding the highest standards of professional conduct.Continuous Learning: Remaining committed to updating skills and enhancing competence.Interpersonal Relations: Building healthy and constructive relationships with industry representatives, professional peers, and hospital staff.Personal Life Balance: Recognizing the importance of a balanced personal and professional life for holistic well-being. Conclusion For Orthopedic surgeons, strict adherence to the outlined ethical and professional principles is essential. Such commitment not only ensures the trust and safety of patients but also serves to maintain and elevate the prestigious standing of the orthopedic community in the broader medical landscape.
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Affiliation(s)
| | - Sujit Kumar Tripathy
- Department of Orthopedics, All India Institute of Medical Sciences, Bhubanewar, 751019 India
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Biesen JN, Smith DA. Narcissism in Romantic Relationships: Using Communal Activation to Promote Relationship Enhancing Attitudes. J Psychol 2023; 157:516-547. [PMID: 37812409 DOI: 10.1080/00223980.2023.2255925] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2023] [Accepted: 09/01/2023] [Indexed: 10/10/2023] Open
Abstract
Background: People with elevated vulnerable narcissism (VN) or grandiose narcissism (GN) trait levels tend to experience greater difficulties in their romantic relationships than their counterparts with lower levels of VN or GN. Although there are no evidence-based approaches to alter the interpersonal behavior of persons with VN or GN traits, experimental research shows that it is possible to produce relationship-enhancing attitudes in people with GN traits through communal activation (CA). Objective: We examined whether a CA manipulation in the context of relationship education improves attitudes that promote romantic relationship health, and whether VN and GN would moderate these associations. Method: Participants (Nwomen =148, Nmen = 71) watched psychoeducational videos on relationships and were randomly assigned to either answer questions about the videos' content (control group) or to complete CA exercises (experimental group) in addition to questionnaires to measure empathy, criticism, commitment, desire for closeness, and communication (positive interaction, demand/withdraw communication, criticize/defend communication) before and after the experimental manipulation. Results: There was a main effect of condition, such that, relative to the control group, fewer improvements in perceived demand/withdraw communication were observed in the experimental condition. VN, but not GN, moderated the link between condition and commitment, demand/withdraw and criticize/defend communication, such that elevated VN levels predicted the most improvement in commitment, demand/withdraw and criticize/defend communication in the experimental condition. Discussion: We conclude with recommendations to adopt ego-enhancing reinforcement for communal behaviors with clients who endorse GN traits and considering less personally relevant CA exercises with clients who endorse VN traits.
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Maciel CA, de Medeiros AM, Teixeira LC. University Professors' Communicative Competence and Its Relationship With Interpersonal Communication and Voice Symptoms. J Voice 2023:S0892-1997(23)00272-2. [PMID: 37783621 DOI: 10.1016/j.jvoice.2023.08.025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2023] [Revised: 08/26/2023] [Accepted: 08/28/2023] [Indexed: 10/04/2023]
Abstract
OBJECTIVE To analyze the association between communicative competence self-assessment and interpersonal communication self-perception and voice symptoms in university professors. METHOD Cross-sectional, analytical, observational study in 322 professors, who answered sociodemographic and occupational questions and three self-perception protocols: Self-Assessment of Communication Competence (SACCom), Interpersonal Communication Competence Scale (ICCS), and Voice Symptom Scale (VoiSS). The dependent variable was SACCom's yes/no answers. Univariate and multivariate descriptive and inferential data analyses were performed through logistic regression. RESULTS Most professors were females (55.3%), worked 40 hours (96.6%), and self-reported voice symptoms (72.7%). The largest portion had been in the career for 11-22 years (38.2%). The final multivariate model demonstrated that better self-assessed communicative competence among professors (SACCom) is related to an absence of voice complaints (odds ratio (OR) = 2.17; 95% confidence interval (CI) 1.29-3.65) and better self-perceived interpersonal communication (ICCS) (OR = 1.05; 95% CI 1.02-1.08). The older the professor (OR = 1.03; 95% CI 1.01-1.06), the better their communicative competence (SACCom). CONCLUSIONS Study professors' self-assessed communicative competence is predominantly high. Those with a better communicative competence self-assessment are older and vocally healthy and self-perceive greater interpersonal communication skills.
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Affiliation(s)
- Caroline Azevedo Maciel
- Department of Speech-Language-Hearing Sciences, Medical School, Federal University of Minas Gerais - UFMG, Belo Horizonte, Minas Gerais, Brazil.
| | - Adriane Mesquita de Medeiros
- Department of Speech-Language-Hearing Sciences, Medical School, Federal University of Minas Gerais - UFMG, Belo Horizonte, Minas Gerais, Brazil
| | - Letícia Caldas Teixeira
- Department of Speech-Language-Hearing Sciences, Medical School, Federal University of Minas Gerais - UFMG, Belo Horizonte, Minas Gerais, Brazil.
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Lee HJ, Kim DH, Kang YJ. Passivity, task segmentation, and relational capital: a study of interpersonal relationship formation among freshman medical students in team-based activities. Korean J Med Educ 2023; 35:223-233. [PMID: 37670519 PMCID: PMC10493403 DOI: 10.3946/kjme.2023.261] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/24/2023] [Revised: 07/13/2023] [Accepted: 07/24/2023] [Indexed: 09/07/2023]
Abstract
PURPOSE Team-based learning in medical education facilitates the formation of interpersonal relationships, enhances academic achievement, and establishes future clinical connections. Despite medical schools' distinct educational environments and curricula, research investigating students' learning and behavioral characteristics within this context remains limited. This study aimed to investigate the specific characteristics of interpersonal relationship formation among freshmen medical students in team-based learning activities. METHODS Focus group interviews were conducted with 11 students who participated in a team-based class held during the first semester of the premedical year. RESULTS Medical students passively expressed their thoughts and feelings, such as active sympathy for the team's opinions and self-censorship of SNS (social networking service) conversations. When performing team activities, students were excessively conscious of others and focused on evenly dividing their work, minimizing their opinions, and fulfilling their share to prevent potential interpersonal conflicts. Interpersonal activities were only superficial, as students intentionally maintained a certain distance from team members or used team activities as an opportunity to accumulate relational capital. CONCLUSION The results of this study are expected to provide a useful basis for designing and conducting team activity classes to enhance interpersonal relationship formation.
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Affiliation(s)
- Hyo Jeong Lee
- Department of Medical Education, Hanyang University College of Medicine, Seoul, Korea
| | - Do-Hwan Kim
- Department of Medical Education, Hanyang University College of Medicine, Seoul, Korea
| | - Ye Ji Kang
- Department of Medical Education, Hanyang University College of Medicine, Seoul, Korea
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Dubash SD, Schafer MH. Social Network Negativity and Physical Activity: New Longitudinal Evidence for Young and Older Adults 2015-2018. Res Q Exerc Sport 2023:1-8. [PMID: 37369138 DOI: 10.1080/02701367.2023.2205910] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/27/2022] [Accepted: 04/12/2023] [Indexed: 06/29/2023]
Abstract
Purpose: Physical activity (PA) has considerable public health benefits. Positive aspects of the interpersonal environment are known to affect PA, yet few studies have investigated whether negative dimensions also influence PA. This study examines the link between changing social network negativity and PA, net of stable confounding characteristics of persons and their environments. Method: Polling respondents in the San Francisco Bay Area over three waves (2015-2018), the UCNets project provides a panel study of social networks and health for two cohorts of adults. Respondents were recruited through stratified random address sampling, and supplemental sampling was conducted through Facebook advertising and referral. With weights, the sample is approximately representative of Californians aged 21-30 and 50-70. Personal social networks were measured using multiple name-generating questions. Fixed effects ordered logistic regression models provide parameter estimates. Results: Younger adults experience significant decreases in PA when network negativity increases, while changes in other network characteristics (e.g. support, size) did not significantly predict changes in PA. No corresponding association was found for older adults. Results are net of baseline covariate levels, stable social and individual differences, and select time-varying characteristics of persons and their environments. Conclusion: Leveraging longitudinal data from two cohorts of adults, this study extends understanding on interpersonal environments and PA by considering the social costs embedded in social networks. This is the first study to investigate how changes in network negativity pattern PA change. Interventions that help young adults resolve or manage interpersonal conflicts may have the benefit of helping to promote healthy lifestyle choices.
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11
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Linde J, Schmid MT, Ruud T, Skar-Fröding R, Biringer E. Social Factors and Recovery: A Longitudinal Study of Patients with Psychosis in Mental Health Services. Community Ment Health J 2023; 59:294-305. [PMID: 35976477 DOI: 10.1007/s10597-022-01007-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/03/2022] [Accepted: 07/01/2022] [Indexed: 01/25/2023]
Abstract
To study the prospective associations between social factors and recovery in patients with psychotic disorders in mental health specialist services. In this prospective observational cohort study, analyzes were based on baseline- and follow-up data after 18 months from 108 patients with psychosis. Personal recovery was assessed by the Questionnaire about the Process of Recovery (QPR). Linear regression models were used to test the prospective associations between social predictor variables and QPR. An association was found between experienced quality of interpersonal relationships at baseline and change in QPR score over the next 18 months. Stratified analyzes showed that the effect of experienced quality of interpersonal relationships on recovery was due to an association among persons living with others. Patients' experience of quality of interpersonal relationships are prospectively associated with recovery. In conclusion, findings indicate that interpersonal relationships and social interaction are central drivers of recovery in patients with psychotic disorders.
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van der Velden NCA, Smets EMA, Hagedoorn M, Applebaum AJ, Onwuteaka-Philipsen BD, van Laarhoven HWM, Henselmans I. Patient-Caregiver Dyads' Prognostic Information Preferences and Perceptions in Advanced Cancer. J Pain Symptom Manage 2023; 65:442-455.e2. [PMID: 36731806 DOI: 10.1016/j.jpainsymman.2023.01.012] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/26/2022] [Revised: 01/12/2023] [Accepted: 01/18/2023] [Indexed: 02/04/2023]
Abstract
CONTEXT Prognostic information is considered important for advanced cancer patients and primary informal caregivers to prepare for the end of life. Little is known about discordance in patients' and caregivers' prognostic information preferences and prognostic perceptions, while such discordance complicates adaptive dyadic coping, clinical interactions and care plans. OBJECTIVES To investigate the extent of patient-caregiver discordance in prognostic information preferences and perceptions, and the factors associated with discordant prognostic perceptions. METHODS We conducted secondary analyses of a cross-sectional study (PROSPECT, 2019-2021). Advanced cancer patients (median overall survival ≤12 months) from seven Dutch hospitals and caregivers completed structured surveys (n = 412 dyads). RESULTS Seven percent of patient-caregiver dyads had discordant information preferences regarding the likelihood of cure; 24%-25% had discordant information preferences regarding mortality risk (5/2/1 year). Seventeen percent of dyads had discordant perceptions of the likelihood of cure; 12%-25% had discordant perceptions of mortality risk (5/2/1 year). Dyads with discordant prognostic information preferences (P < 0.05) and dyads in which patients reported better physical functioning (P < 0.01) were significantly more likely to perceive the one-year mortality risk discordantly. CONCLUSION Physicians should be sensitive to discordant prognostic information preferences and prognostic perceptions among patient-caregiver dyads in advanced cancer care.
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Affiliation(s)
- Naomi C A van der Velden
- Department of Medical Psychology, Amsterdam UMC Location University of Amsterdam (N.C.A.V., E.M.A.S, I.H.), Amsterdam, The Netherlands; Quality of Care, Amsterdam Public Health (N.C.A.V, E.M.A.S, B.D.O-P, I.H.), Amsterdam, The Netherlands; Cancer Treatment and Quality of Life, Cancer Center Amsterdam (N.C.A.V., E.M.A.S, H.W.M.L, I.H.), Amsterdam, The Netherlands.
| | - Ellen M A Smets
- Department of Medical Psychology, Amsterdam UMC Location University of Amsterdam (N.C.A.V., E.M.A.S, I.H.), Amsterdam, The Netherlands; Quality of Care, Amsterdam Public Health (N.C.A.V, E.M.A.S, B.D.O-P, I.H.), Amsterdam, The Netherlands; Cancer Treatment and Quality of Life, Cancer Center Amsterdam (N.C.A.V., E.M.A.S, H.W.M.L, I.H.), Amsterdam, The Netherlands
| | - Mariët Hagedoorn
- Department of Health Psychology, University Medical Center Groningen, University of Groningen (M.H), The Netherlands
| | - Allison J Applebaum
- Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center (A.J.A), New York, New York, USA
| | - Bregje D Onwuteaka-Philipsen
- Quality of Care, Amsterdam Public Health (N.C.A.V, E.M.A.S, B.D.O-P, I.H.), Amsterdam, The Netherlands; Department of Public and Occupational Health, Expertise Center for Palliative Care, Amsterdam UMC location Vrije Universiteit Amsterdam (B.D.O-P, I.H.), Amsterdam, The Netherlands
| | - Hanneke W M van Laarhoven
- Cancer Treatment and Quality of Life, Cancer Center Amsterdam (N.C.A.V., E.M.A.S, H.W.M.L, I.H.), Amsterdam, The Netherlands; Department of Medical Oncology, Amsterdam UMC location University of Amsterdam (H.W.M.L), Amsterdam, The Netherlands
| | - Inge Henselmans
- Department of Medical Psychology, Amsterdam UMC Location University of Amsterdam (N.C.A.V., E.M.A.S, I.H.), Amsterdam, The Netherlands; Quality of Care, Amsterdam Public Health (N.C.A.V, E.M.A.S, B.D.O-P, I.H.), Amsterdam, The Netherlands; Cancer Treatment and Quality of Life, Cancer Center Amsterdam (N.C.A.V., E.M.A.S, H.W.M.L, I.H.), Amsterdam, The Netherlands
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Kim E, Sung K, Kim CO, Youm Y, Kim HC. The Effect of Cognitive Impairment on the Association Between Social Network Properties and Mortality Among Older Korean Adults. J Prev Med Public Health 2023; 56:31-40. [PMID: 36746420 PMCID: PMC9925289 DOI: 10.3961/jpmph.22.350] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2022] [Accepted: 10/21/2022] [Indexed: 11/23/2022] Open
Abstract
OBJECTIVES This study investigated the effect of cognitive impairment on the association between social network properties and mortality among older Korean adults. METHODS This study used data from the Korean Social Life, Health, and Aging Project. It obtained 814 older adults' complete network maps across an entire village in 2011-2012. Participants' deaths until December 31, 2020 were confirmed by cause-of-death statistics. A Cox proportional hazards model was used to assess the risks of poor social network properties (low degree centrality, perceived loneliness, social non-participation, group-level segregation, and lack of support) on mortality according to cognitive impairment. RESULTS In total, 675 participants (5510.4 person-years) were analyzed, excluding those with missing data and those whose deaths could not be verified. Along with cognitive impairment, all social network properties except loneliness were independently associated with mortality. When stratified by cognitive function, some variables indicating poor social relations had higher risks among older adults with cognitive impairment, with adjusted hazard ratios (HRs) of 2.12 (95% confidence interval [CI], 1.34 to 3.35) for social nonparticipation, 1.58 (95% CI, 0.94 to 2.65) for group-level segregation, and 3.44 (95% CI, 1.55 to 7.60) for lack of support. On the contrary, these effects were not observed among those with normal cognition, with adjusted HRs of 0.73 (95% CI, 0.31 to 1.71), 0.96 (95% CI, 0.42 to 2.21), and 0.95 (95% CI, 0.23 to 3.96), respectively. CONCLUSIONS The effect of social network properties was more critical among the elderly with cognitive impairment. Older adults with poor cognitive function are particularly encouraged to participate in social activities to reduce the risk of mortality.
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Affiliation(s)
- Eunji Kim
- Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, Korea
| | - Kiho Sung
- Department of Sociology, Yonsei University Graduate School, Seoul, Korea
| | - Chang Oh Kim
- Division of Geriatrics, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea
| | - Yoosik Youm
- Department of Sociology, Yonsei University Graduate School, Seoul, Korea,Corresponding author: Hyeon Chang Kim, Department of Preventive Medicine, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul 03722, Korea E-mail:
| | - Hyeon Chang Kim
- Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, Korea,Department of Public Health, Yonsei University Graduate School, Seoul, Korea,Corresponding author: Hyeon Chang Kim, Department of Preventive Medicine, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul 03722, Korea E-mail:
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14
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Litzelman K, Al Nassar N. Partner effects on caregiver and care recipient depressed mood: heterogeneity across health condition and relationship type. J Behav Med 2022; 45:750-759. [PMID: 35907099 PMCID: PMC10202032 DOI: 10.1007/s10865-022-00343-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2021] [Accepted: 06/23/2022] [Indexed: 10/16/2022]
Abstract
The well-being of caregivers and their care recipients is interrelated, although conflicting evidence has emerged across different caregiving populations. Using data from the National Health and Aging Trends Study and the National Study of Caregiving (2015 and 2017, n = 742 dyads), we constructed actor-partner interdependence models assessing how spillover (i.e., interdependence) of depressed mood varied by care recipient health condition (specifically cancer, dementia, stroke, and diabetes) and kinship type (spouse/partner, child, other relative, or non-relative). Across condition types, care recipient-to-caregiver partner effects were significantly larger in dyads with vs. without cancer and significantly smaller in dyads with vs. without diabetes (pinteractions < .05). Substantive differences in partner effects were observed by kinship type, although moderation was not statistically significant. The findings highlight potential heterogeneity in caregiver-care recipient interdependence with implications for future research and delivery of supportive care.
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Affiliation(s)
- Kristin Litzelman
- School of Human Ecology, Department of Human Development and Family Studies, University of Wisconsin-Madison, 1300 Linden Drive, Madison, WI, 53716, USA.
| | - Nadia Al Nassar
- School of Human Ecology, Department of Human Development and Family Studies, University of Wisconsin-Madison, 1300 Linden Drive, Madison, WI, 53716, USA
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15
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Erwin SR, Liu PJ, Datta N, Nicholas J, Rivera-Cancel A, Leary M, Chartrand TL, Zucker NL. Experiences of mimicry in eating disorders. J Eat Disord 2022; 10:103. [PMID: 35841035 PMCID: PMC9288029 DOI: 10.1186/s40337-022-00607-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/13/2021] [Accepted: 06/13/2022] [Indexed: 11/24/2022] Open
Abstract
BACKGROUND People unknowingly mimic the behaviors of others, a process that results in feelings of affiliation. However, some individuals with eating disorders describe feeling "triggered" when mimicked. This study explores the effects of implicit non-verbal mimicry on individuals with a history of an eating disorder (ED-His) compared to healthy controls (HCs). METHOD Women (N = 118, nED-His = 31; Mage = 21 years) participated in a laboratory task with a confederate trained to either discreetly mimic (Mimicry condition) or not mimic (No-Mimicry condition) the mannerisms of the participant. Participants rated the likability of the confederate and the smoothness of the interaction. RESULTS Participants in the No-Mimicry condition rated the confederate as significantly more likable than in the Mimicry condition, and ED-His rated the confederate as more likable than HCs. ED-His in the Mimicry condition rated the interaction as less smooth than HCs, whereas this pattern was not found in the No-Mimicry condition. Among ED-His, longer disorder duration (≥ 3.87 years) was associated with less liking of a confederate who mimicked and more liking of a confederate who did not mimic. CONCLUSIONS We discuss the implications of these findings for interpersonal therapeutic processes and group treatment settings for eating disorders. Our study on subtle, nonverbal mimicry revealed differences in social behavior for women with a history of an eating disorder compared to healthy women. For participants with an eating disorder history, a longer duration of illness was associated with a worse pattern of affiliation, reflected in lower liking of a mimicker. Further research on how diverging processes of affiliation may function to perpetuate the chronicity of eating disorders and implications for treatment is needed.
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Affiliation(s)
- Savannah R Erwin
- Department of Psychology and Neuroscience, Duke University, 417 Chapel Drive, Durham, NC, 27708, USA.
| | - Peggy J Liu
- Fuqua School of Business, Duke University, Durham, NC, USA.,Katz Graduate School of Business, University of Pittsburgh, Pittsburgh, PA, USA
| | - Nandini Datta
- Department of Psychology and Neuroscience, Duke University, 417 Chapel Drive, Durham, NC, 27708, USA.,Department of Psychiatry and Behavioral Sciences, Stanford Medicine, Stanford, CA, USA
| | - Julia Nicholas
- Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA.,Department of Psychological and Brain Sciences, University of Louisville, Louisville, KY, USA
| | - Alannah Rivera-Cancel
- Department of Psychology and Neuroscience, Duke University, 417 Chapel Drive, Durham, NC, 27708, USA.,Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA
| | - Mark Leary
- Department of Psychology and Neuroscience, Duke University, 417 Chapel Drive, Durham, NC, 27708, USA
| | | | - Nancy L Zucker
- Department of Psychology and Neuroscience, Duke University, 417 Chapel Drive, Durham, NC, 27708, USA.,Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC, USA
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16
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Herbst FA, Schneider N, Stiel S. Long-distance caregiving at the end of life: a protocol for an exploratory qualitative study in Germany. Palliat Care 2022; 21:69. [PMID: 35546403 PMCID: PMC9095417 DOI: 10.1186/s12904-022-00967-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2021] [Accepted: 05/04/2022] [Indexed: 11/23/2022] Open
Abstract
Background Of the approximately 4.7 million people in Germany caring for a relative, many live at a geographical distance from their loved one. The provision of remote care to a terminally ill patient is associated with specific challenges and burdens. In the German context, research is lacking on the specific experiences and needs of caregivers in end-of-life situations who are geographically distanced from their relative. Thus, the overarching goal of the proposed study is to detail the specifics of long-distance caregiving at the end of life in Germany, determining the role played by physical distance in shaping end-of-life caregiving and identifying the needs of long-distance caregivers in this situation. Methods The exploratory qualitative study will be guided by an inductive logic, drawing on one-time semi-structured interviews. To uncover the multiplicity of caregiving experiences, long-distance caregivers of both patients receiving early palliative care and patients at a very advanced stage of disease will be included. The study will be divided into five phases: (1) preparation and pretest, (2) data collection and primary analysis, (3) data analysis and interpretation, (4) advisory board workshop and (5) conclusions and recommendations. Discussion The study will aim at generating valuable insight regarding the experiences and needs of family caregivers of end-of-life patients. This is particularly relevant, given that families are becoming increasingly geographically dispersed. As this trend continues, it will challenge traditional models of family care and shed light on novel caregiving issues that will need to be addressed through social and health policy. Trial registration The study was prospectively registered in the German Clinical Trials Register (Deutsches Register Klinischer Studien) (Registration N° DRKS00024164; date of registration: January 25, 2021), and is searchable under the International Clinical Trials Registry Platform Search Portal of the World Health Organization, under the German Clinical Trials Register number. Supplementary Information The online version contains supplementary material available at 10.1186/s12904-022-00967-8.
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Affiliation(s)
- Franziska A Herbst
- Institute for General Practice and Palliative Care, Hannover Medical School, Carl-Neuberg-Straße 1, 30625, Hannover, Germany.
| | - Nils Schneider
- Institute for General Practice and Palliative Care, Hannover Medical School, Carl-Neuberg-Straße 1, 30625, Hannover, Germany
| | - Stephanie Stiel
- Institute for General Practice and Palliative Care, Hannover Medical School, Carl-Neuberg-Straße 1, 30625, Hannover, Germany
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17
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Pfaltz MC, Halligan SL, Haim-Nachum S, Sopp MR, Åhs F, Bachem R, Bartoli E, Belete H, Belete T, Berzengi A, Dukes D, Essadek A, Iqbal N, Jobson L, Langevin R, Levy-Gigi E, Lüönd AM, Martin-Soelch C, Michael T, Oe M, Olff M, Ceylan D, Raghavan V, Ramakrishnan M, Sar V, Spies G, Wadji DL, Wamser-Nanney R, Fares-Otero NE, Schnyder U, Seedat S. Social Functioning in Individuals Affected by Childhood Maltreatment: Establishing a Research Agenda to Inform Interventions. Psychother Psychosom 2022; 91:238-251. [PMID: 35381589 PMCID: PMC9393832 DOI: 10.1159/000523667] [Citation(s) in RCA: 15] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/29/2021] [Accepted: 02/12/2022] [Indexed: 12/30/2022]
Abstract
Childhood maltreatment (CM) is linked to impairments in various domains of social functioning. Here, we argue that it is critical to identify factors that underlie impaired social functioning as well as processes that mediate the beneficial health effects of positive relationships in individuals exposed to CM. Key research recommendations are presented, focusing on: (1) identifying attachment-related alterations in specific inter- and intrapersonal processes (e.g., regulation of closeness and distance) that underlie problems in broader domains of social functioning (e.g., lack of perceived social support) in individuals affected by CM; (2) identifying internal (e.g., current emotional state) and external situational factors (e.g., cultural factors, presence of close others) that modulate alterations in specific social processes; and (3) identifying mechanisms that explain the positive health effects of intact social functioning. Methodological recommendations include: (1) assessing social processes through interactive and (close to) real-life assessments inside and outside the laboratory; (2) adopting an interdisciplinary, lifespan perspective to assess social processes, using multi-method assessments; (3) establishing global research collaborations to account for cultural influences on social processes and enable replications across laboratories and countries. The proposed line of research will contribute to globally develop and refine interventions that prevent CM and further positive relationships, which - likely through buffering the effects of chronic stress and corresponding allostatic load - foster resilience and improve mental and physical health, thereby reducing personal suffering and the societal and economic costs of CM and its consequences. Interventions targeting euthymia and psychological well-being are promising therapeutic concepts in this context.
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Affiliation(s)
- Monique C. Pfaltz
- Department of Psychology and Social Work, Mid Sweden University, Östersund, Sweden
- Department of Consultation-Liaison Psychiatry and Psychosomatic Medicine, University Hospital, University of Zurich, Zurich, Switzerland
| | - Sarah L. Halligan
- Department of Psychology, University of Bath, Bath, United Kingdom
- Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa
| | | | - Marie R. Sopp
- School of Education, Bar-Ilan University, Bar-Ilan, Israel
- Division of Clinical Psychology and Psychotherapy, Saarland University, Saarland, Germany
| | - Fredrik Åhs
- Department of Psychology and Social Work, Mid Sweden University, Östersund, Sweden
| | - Rahel Bachem
- Department of Psychology, University of Zurich, Zurich, Switzerland
| | - Eleonora Bartoli
- Faculty of Psychology, Goethe University of Frankfurt, Frankfurt, Germany
| | - Habte Belete
- Department of Psychiatry, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia
| | - Tilahun Belete
- Department of Psychiatry, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia
| | - Azi Berzengi
- University of East Anglia, Norwich, United Kingdom
| | - Daniel Dukes
- Swiss Center for Affective Sciences, University of Geneva, Geneva, Switzerland
- Department of Special Education, University of Fribourg, Fribourg, Switzerland
| | - Aziz Essadek
- Interpsy EA4432, University of Lorraine, Lorraine, France
| | - Naved Iqbal
- Department of Psychology, Jamia Millia islamia, New Delhi, India
| | - Laura Jobson
- School of Psychological Sciences, Turner Institute for Brain and Mental Health, Monash University, Monash, Australian Capital Territory, Australia
| | - Rachel Langevin
- Department of Educational and Counselling Psychology, McGill University, Montreal, Québec, Canada
| | | | - Antonia M. Lüönd
- Department of Consultation-Liaison Psychiatry and Psychosomatic Medicine, University Hospital, University of Zurich, Zurich, Switzerland
| | | | - Tanja Michael
- Division of Clinical Psychology and Psychotherapy, Saarland University, Saarland, Germany
| | - Misari Oe
- Department of Neuropsychiatry, School of Medicine, Kurume University, Kurume, Japan
| | - Miranda Olff
- Department of Psychiatry, Amsterdam Neuroscience and Public Health, Amsterdam UMC, Amsterdam, The Netherlands
- ARQ National Psychotrauma Centre, Diemen, The Netherlands
| | - Deniz Ceylan
- Department of Psychiatry, Koç University School of Medicine, Koç, Turkey
| | | | | | - Vedat Sar
- Department of Psychiatry, Stellenbosch University, Stellenbosch, South Africa
| | - Georgina Spies
- DSI/NRF South African Research Chairs Initiative in PTSD, Department of Psychiatry, Faculty of Medicine and Health Sciences, Stellenbosch University, Stellenbosch, South Africa
- South African Medical Research Council/Stellenbosch University Genomics of Brain Disorders Research Unit, Department of Psychiatry, Stellenbosch University, Cape Town, South Africa
- Department of Psychology, University of Yaounde 1, Yaounde, Cameroon
| | - Dany Laure Wadji
- Department of Psychological Sciences, University of Missouri St. Louis, St. Louis, Missouri, USA
- Department of Psychology, University of Fribourg, Fribourg, Switzerland
| | - Rachel Wamser-Nanney
- CIBERSAM: Biomedical Research Networking Center for Mental Health Network, Department of Psychiatry and Psychology, Bipolar and Depressive Disorders Unit, Institute of Neurosciences, Hospital Clínic de Barcelona, Barcelona, Spain
| | | | - Ulrich Schnyder
- Department of Consultation-Liaison Psychiatry and Psychosomatic Medicine, University Hospital, University of Zurich, Zurich, Switzerland
| | - Soraya Seedat
- Department of Psychiatry, Stellenbosch University, Stellenbosch, South Africa
- DSI/NRF South African Research Chairs Initiative in PTSD, Department of Psychiatry, Faculty of Medicine and Health Sciences, Stellenbosch University, Stellenbosch, South Africa
- South African Medical Research Council/Stellenbosch University Genomics of Brain Disorders Research Unit, Department of Psychiatry, Stellenbosch University, Cape Town, South Africa
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Watz S, Ingstad K. Keeping calm on a busy day-an interpersonal skill home care patients desire in health workers: hermeneutical phenomenological method. BMC Nurs 2022; 21:49. [PMID: 35209894 PMCID: PMC8876402 DOI: 10.1186/s12912-022-00825-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2021] [Accepted: 02/11/2022] [Indexed: 11/16/2022] Open
Abstract
Background In Western countries, many health and social care provisions have been transferred to primary care, and most older patients wish to remain in their own homes for as long as possible. For older patients who live alone, health workers could be their only personal contacts. Hence, health workers’ personal skills affect their relationships with these patients. Accordingly, this study aimed to shed light on the interpersonal skills needed by health workers to establish good relationships with older home care patients and highlight the importance of interpersonal skills training in nursing education. Methods This study adopted a hermeneutical phenomenological approach. The qualitative method was used to elicit data on patients’ perspectives. Ten home care patients were interviewed individually in their own homes between December 2019 and January 2020. Results Despite individual variations, health workers’ interpersonal skills are of significance with regard to the social well-being of patients living at home. The findings revealed that patients want health workers to be mentally present, congruent in their communications, calm and relaxed during the available time spent with them, and capable of facilitating autonomy. Conclusions It is important to present patients’ perspectives to ensure that nursing education is geared towards patients’ best interests. Trial registration number The Norwegian Centre for Research Data (NSD): 953937.
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Affiliation(s)
- Siw Watz
- Oslo Metropolitan University, Karethe Johnsens hus, Kunnskapsveien 55, 2007, Kjeller, Norway.
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19
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Ricketts EJ, Wolicki SB, Danielson ML, Rozenman M, McGuire JF, Piacentini J, Mink JW, Walkup JT, Woods DW, Bitsko RH. Academic, Interpersonal, Recreational, and Family Impairment in Children with Tourette Syndrome and Attention-Deficit/Hyperactivity Disorder. Child Psychiatry Hum Dev 2022; 53:3-15. [PMID: 33385257 PMCID: PMC8245573 DOI: 10.1007/s10578-020-01111-4] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 12/09/2020] [Indexed: 02/03/2023]
Abstract
This study describes impairment in academic, interpersonal, recreational, and family financial or occupational domains across children in three mutually exclusive diagnostic groups: ever diagnosed with Tourette syndrome (TS), attention-deficit/hyperactivity disorder (ADHD), and both disorders. In 2014, parents reported on impairment and diagnostic status of children aged 4-17 years (n = 3014). Weighted analysis and pairwise t-tests showed more children with ADHD (with or without TS) experienced impairment in overall school performance, writing, and mathematics, relative to children with TS but not ADHD. More children with TS and ADHD had problematic handwriting relative to children with ADHD but not TS. More children with TS and ADHD had problematic interpersonal relationships relative to those with ADHD but not TS. Children with TS and ADHD had higher mean impairment across domains than children with either TS or ADHD. Findings suggest assessing disorder-specific contributions to impairment could inform targeted interventions for TS and ADHD.
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Affiliation(s)
- Emily J. Ricketts
- Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, Los Angeles, CA
| | - Sara Beth Wolicki
- Oak Ridge Institute for Science and Education, Centers for Disease Control and Prevention Research Participation Programs, Atlanta GA,Division of Human Development and Disability, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA
| | - Melissa L. Danielson
- Division of Human Development and Disability, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA
| | | | - Joseph F. McGuire
- Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD
| | - John Piacentini
- Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, Los Angeles, CA
| | | | - John T. Walkup
- Ann and Robert H. Lurie Children’s Hospital of Chicago, Chicago, IL,Feinberg School of Medicine, Northwestern University, Chicago, IL
| | | | - Rebecca H. Bitsko
- Division of Human Development and Disability, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA
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Abstract
BACKGROUND/AIMS When seeking a romantic partner, individuals with celiac disease (CD) must navigate challenging social situations. We aimed to investigate dating-related behaviors in adults with CD. METHODS A total of 11,884 affiliates of the Celiac Disease Center at Columbia University were invited to participate in an online survey. Adults (≥ 18 years) with biopsy-diagnosed CD were included. Among the 5,249 who opened the email, 538 fully completed the survey (10.2%). The survey included a CD-specific dating attitudes/behaviors questionnaire, a Social Anxiety Questionnaire (SAQ), a CD-specific quality of life instrument (CD-QOL), and a CD Food Attitudes and Behaviors scale (CD-FAB). RESULTS Respondents were primarily female (86.8%) and the plurality (24.4%) was in the 23-35 year age range. 44.3% had dated with CD, and among them, 68.4% reported that CD had a major/moderate impact on their dating life. A major/moderate impact was more commonly reported among females (69.3%, p < 0.001), 23-35-year-olds (77.7%, p = 0.015), those with a household income < $50 K (81.7%, p = 0.019), and those with a lower CD-QOL score (50.5 vs. 73.4, p = 0.002). While on dates, 39.3% were uncomfortable explaining precautions to waiters, 28.2% engaged in riskier eating behaviors, and 7.5% intentionally consumed gluten. 39.0% of all participants were hesitant to kiss their partner because of CD; females more so than males (41.1% vs. 22.7%, p = 0.005). CONCLUSIONS The majority of participants felt that CD had a major/moderate impact on their dating life. This impact may result in hesitation toward dating and kissing, decreased QOL, greater social anxiety, and less adaptive eating attitudes and behaviors. CD and the need to adhere to a gluten free diet have a major impact on dating and intimacy.
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Affiliation(s)
- Jessica Lebovits
- grid.239585.00000 0001 2285 2675The Celiac Disease Center, Columbia University Medical Center, Harkness Pavilion, 180 Fort Washington Avenue, Suite 936, New York, NY 10032 USA
| | - Anne R. Lee
- grid.239585.00000 0001 2285 2675The Celiac Disease Center, Columbia University Medical Center, Harkness Pavilion, 180 Fort Washington Avenue, Suite 936, New York, NY 10032 USA
| | - Edward J. Ciaccio
- grid.239585.00000 0001 2285 2675The Celiac Disease Center, Columbia University Medical Center, Harkness Pavilion, 180 Fort Washington Avenue, Suite 936, New York, NY 10032 USA
| | - Randi L. Wolf
- grid.21729.3f0000000419368729Program in Nutrition, Department of Health and Behavior Studies, Teachers College, Columbia University, 525 West 120th Street, Box 137, New York, NY 10027 USA
| | - Rebecca H. Davies
- grid.21729.3f0000000419368729Program in Nutrition, Department of Health and Behavior Studies, Teachers College, Columbia University, 525 West 120th Street, Box 137, New York, NY 10027 USA
| | - Chloe Cerino
- grid.21729.3f0000000419368729Program in Nutrition, Department of Health and Behavior Studies, Teachers College, Columbia University, 525 West 120th Street, Box 137, New York, NY 10027 USA
| | - Benjamin Lebwohl
- grid.239585.00000 0001 2285 2675The Celiac Disease Center, Columbia University Medical Center, Harkness Pavilion, 180 Fort Washington Avenue, Suite 936, New York, NY 10032 USA
| | - Peter H. R. Green
- grid.239585.00000 0001 2285 2675The Celiac Disease Center, Columbia University Medical Center, Harkness Pavilion, 180 Fort Washington Avenue, Suite 936, New York, NY 10032 USA
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21
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Kino S, Nishioka D, Ueno K, Saito M, Kondo N. Changes in social relationships by the initiation and termination of public assistance in the older Japanese population: A JAGES panel study. Soc Sci Med 2021; 293:114661. [PMID: 34942580 DOI: 10.1016/j.socscimed.2021.114661] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2021] [Revised: 10/25/2021] [Accepted: 12/14/2021] [Indexed: 10/19/2022]
Abstract
Public assistance recipients in Japan are financially empowered by social welfare but are also exposed to social stigma. Therefore, when their status of receiving public assistance changes, the conditions of their social life likely change. We examined whether the social relationships of older adults receiving public welfare are influenced by either starting or terminating their use of public assistance. This study used the Japan Gerontological Evaluation Study panel data from 2013 to 2016. To measure social relationships, we used four indicators: the frequency of meeting with friends, the number of friends whom the participants had met with in the past month, their frequency of participating in sports clubs, and their frequency of participating in hobby clubs. In the analyses, changes in social relationships between 2013 and 2016 were used as the study outcomes. Linear regression analyses were conducted to examine if their social relationships changed before and after starting or terminating public assistance while adjusting for confounders. We found that people who stopped receiving public assistance experienced an increase in their frequency of meeting with friends (coefficient: 0.56; 95% CI: 0.06, 1.07), the number of friends (coefficient: 0.60; 95% CI: 0.20, 0.99), participation in sports clubs (coefficient: 0.91; 95% CI: 0.46, 1.39), and participation in hobby clubs (coefficient: 0.70; 95% CI: 0.26, 1.13) compared to those who continued to receive public assistance. Contrarily, the measured social relationships did not change after the participants started receiving public assistance. Our main findings were that terminating one's reception of public assistance increases informal socializing and social participation while starting public assistance does not interrupt pre-existing relationships. These findings contribute to the literature by adding that social relationships are not negatively influenced by either terminating or starting public assistance. Targeted promotions of social connections would effectively maintain the health statuses of low-income older adults.
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Affiliation(s)
- Shiho Kino
- Department of Social Epidemiology, Graduate School of Medicine and School of Public Health, Kyoto University, Kyoto, Japan.
| | - Daisuke Nishioka
- Department of Social Epidemiology, Graduate School of Medicine and School of Public Health, Kyoto University, Kyoto, Japan; Department of Medical Statistics, Research & Development Center, Osaka Medical and Pharmaceutical University, Osaka, Japan.
| | - Keiko Ueno
- Department of Social Epidemiology, Graduate School of Medicine and School of Public Health, Kyoto University, Kyoto, Japan; Department of Health and Social Behavior, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
| | - Masashige Saito
- Faculty of Social Welfare, Nihon Fukushi University, Chita-gun, Aichi, Japan; Center for Well-being and Society, Nihon Fukushi University, Nagoya, Aichi, Japan.
| | - Naoki Kondo
- Department of Social Epidemiology, Graduate School of Medicine and School of Public Health, Kyoto University, Kyoto, Japan; Department of Health and Social Behavior, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan; Institute for Future Initiatives, The University of Tokyo, Tokyo, Japan; Japan Agency for Gerontological Evaluation Study (JAGES Agency), Tokyo, Japan.
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Kim C, Chang EJ, Kim CY. Regional Differences in the Effects of Social Relations on Depression Among Korean Elderly and the Moderating Effect of Living Alone. J Prev Med Public Health 2021; 54:441-450. [PMID: 34875827 PMCID: PMC8655370 DOI: 10.3961/jpmph.21.337] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2021] [Accepted: 10/08/2021] [Indexed: 12/02/2022] Open
Abstract
Objectives Socioeconomic disadvantages interact with numerous factors which affect geriatric mental health. One of the main factors is the social relations of the elderly. The elderly have different experiences and meanings in their social lives depending on their socio-cultural environment. In this study, we compared the effects of social relations on depression among the elderly according to their living arrangement (living alone or living with others) and residential area. Methods We defined social relations as “meetings with neighbors” (MN). We then analyzed the impact of MN on depression using data from the Korean Longitudinal Study of Aging Panel with the generalized estimating equation model. We also examined the moderating effect of living alone and performed subgroup analysis by dividing the sample according to which area they lived in. Results MN was associated with a reduced risk of depressive symptoms among elderlies. The size of the effect was larger in rural areas than in large cities. However, elderly those who lived alone in rural areas had a smaller protective impact of MN on depression, comparing to those who lived with others. The moderating effect of living alone was significant only in rural areas. Conclusions The social relations among elderlies had a positive effect on their mental health: The more frequent MN were held, the less risk of depressive symptoms occurred. However, the effect may vary depending on their living arrangement and environment. Thus, policies or programs targeting to enhance geriatric mental health should consider different socio-cultural backgrounds among elderlies.
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Affiliation(s)
- Chanki Kim
- Department of Preventive Medicine, Graduate School of Public Health, Seoul National University, Seoul, Korea
| | - Eun Jee Chang
- Department of Preventive Medicine, Graduate School of Public Health, Seoul National University, Seoul, Korea
| | - Chang-Yup Kim
- Department of Preventive Medicine, Graduate School of Public Health, Seoul National University, Seoul, Korea
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Abstract
The relation between guanxi (particularistic dyadic ties) and trust in the workplace is widely assumed in the management and organization literature, but little research attention has been given to directly examining the nature of this relationship, or the ways in which Chinese and Western workplace trust development might differ. I suggest two overlooked factors, culture and conceptualization, that have influenced past studies and explore their impact through an analysis of the literature. Given the nature of Chinese trust, I conclude that the division between affective and cognitive aspects of trust common in the Western organizational literature is not an appropriate model for the Chinese context. Instead, I apply a distinction between rapid trust and process trust that together form a path to development of two forms of workplace guanxi: working guanxi and backdoor guanxi. I then propose a dynamic process model of the social and psychological process of guanxi and trust development in the context of the workplace that incorporates the Chinese indigenous concepts of renqing (favor), ganqing (affection), mianzi (face/reputation), xinren (trust) and xinyong (social credit). This model aligns with the Chinese metaphysical process orientation, and has implications for trust research not only in Chinese societies but also the international community.
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Vandewalle J, Van Hoe C, Debyser B, Deproost E, Verhaeghe S. Engagement between adults in suicidal crises and nurses in mental health wards: a qualitative study of patients' perspectives. Arch Psychiatr Nurs 2021; 35:541-8. [PMID: 34561071 DOI: 10.1016/j.apnu.2021.07.011] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/02/2021] [Revised: 07/01/2021] [Accepted: 07/11/2021] [Indexed: 11/21/2022]
Abstract
OBJECTIVE To understand how patients in suicidal crises perceive their engagement with nurses in mental hospitals. METHODS A qualitative study based on grounded theory was conducted. Semi-structured interviews were used with 11 hospitalised adults living through suicidal crises. The data were analysed by multiple researchers, using the constant comparison method, coding, and memo writing. FINDINGS The core process was: 'Feeling nurtured through an interpersonal engagement'. This process underpinned two categories: 'Feeling safe and cared for while struggling to trust' and 'Working toward alleviation and change of my suicidal ideation'. The patients valued nurses who integrated caring approaches of building trust, demonstrating compassion, and promoting safety, with healing approaches of helping them to express and explore their suicidal ideations, and develop new insights and ways of coping. This interpersonal engagement could nurture patients' feelings of being accepted and understood, and being hopeful and capable of overcoming their suicidal ideations. CONCLUSION The conceptual insights can inform strategies to reframe overly instrumental approaches to prevent suicide and treat suicidal ideation, and instead promote an interpersonal orientation in nursing practice that integrates caring-healing approaches.
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Farrell AH, Vaillancourt T. The Impact of Childhood Bullying Trajectories on Young Adulthood Antisocial Trajectories. J Youth Adolesc 2021; 50:1782-96. [PMID: 34156601 DOI: 10.1007/s10964-021-01456-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2021] [Accepted: 05/15/2021] [Indexed: 01/22/2023]
Abstract
Long-term outcomes of childhood bullying perpetration have been explored, but heterogeneity in outcomes reflecting nonclinical antisocial tendencies including indirect aggression, psychopathic personality, and interpersonal relations have not been examined from a person-centered approach. Accordingly, latent class growth analyses were used to examine trajectory groups of childhood bullying perpetration across ages 10 to 18 and multi-trajectory groups of young adulthood outcomes across ages 19 to 23 (indirect aggression, psychopathic personality, interpersonal relations). In a sample of 701 participants (52.9% girls/women) followed annually, the majority of individuals reflected a low stable trajectory of bullying (81.2%) and fewer reflected moderate increasing bullying (18.8%). In young adulthood, the majority of participants reflected a prosocial multi-trajectory profile (61.6%; below average decreasing indirect aggression, below average decreasing psychopathy, above average stable interpersonal relations). Fewer participants reflected a below average antisocial profile (21.6%; below average decreasing indirect aggression, below average stable psychopathy, below average stable interpersonal relations) or an above average antisocial profile (16.8%; above average decreasing indirect aggression, above average decreasing psychopathy, below average stable interpersonal relations). Individuals following the moderate bullying trajectory in childhood had a significantly higher odds of following the above average antisocial profile but not the prosocial profile in young adulthood, when contrasted against the below average antisocial profile. These findings indicate that the prevention of childhood bullying can help prevent the continuity of an antisocial profile in young adulthood that is characterized by continued aggressive behavior, higher psychopathy, and poorer quality relationships.
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Reid CA, Shoemaker HL, Wallace DM. Do Relationship- and Self-Oriented Deceptions Impact the Effect of Attitude Alignment on Attraction? J Psychol 2021; 155:505-521. [PMID: 34043496 DOI: 10.1080/00223980.2021.1918046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
Abstract
While individuals value honesty in relationships, disagreements can create discomfort and individuals tend to prefer partners who engage in attitude alignment (i.e., shift their attitude toward agreement when disagreement occurs). In order to maintain smooth interactions, partners may even deceive individuals by concealing their continued disagreement. In a 2 (Attitude Alignment Deception) x 2 (Partner Motivation) between-subjects design, we examined whether individuals would evaluate interaction partners who engaged in deceptive attitude alignment less favorably compared to interaction partners who engaged in honest attitude alignment, and we examined whether partner motivation (relationship- vs. self-oriented) impacted this effect. After a brief in-person discussion about a disagreed upon social issue, participants received written feedback, allegedly from their interaction partners, that their partners engaged in attitude alignment that was either honest (i.e., partner came to agree with the individual) or deceptive (i.e., partner pretended to reach agreement with the individual). Participants also received feedback that their partners actions were motivated by either a relationship-orientation (i.e., to be liked by the individual) or self-orientation (i.e., to be viewed as correct on the issue). Individuals evaluated (e.g., were less attracted to) partners who engaged in deceptive (vs. honest) attitude alignment less favorably, but deceptive partners were evaluated more favorably if their deception was relationship- vs. self-oriented.
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Choi HG, Kim HJ, Lee S. Mediating Effects of Empathy on Competence of Korean Nursing Students. Iran J Public Health 2021; 50:737-746. [PMID: 34183923 PMCID: PMC8219634 DOI: 10.18502/ijph.v50i4.5998] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
Background: Empathic communication is important for nurses to establish therapeutic relationships with patients and to improve the quality of care. Thus, empathy is essential for nursing students who will be future nurses. The aim of this study was to examine the mediating role of empathy in the influence of communication competence on interpersonal competence of nursing students. Methods: This study was conducted at the Catholic University of Korea. Participants were 218 nursing students who completed a survey questionnaire on general characteristics, Interpersonal Reactivity Index, Primary Communication Inventory, and Interpersonal Competence Questionnaire from Feb. 20 to Feb. 21, 2014. Data were analyzed using simple and multiple regression analyses. Mediation analysis was performed according to the Baron and Kenny method and Sobel test. Results: A three-step regression analysis was performed to verify the mediating role of empathy in the relationship between communication competence and interpersonal competence. Results confirmed that communication competence significantly influenced interpersonal competence, showing that empathy had a partial mediating role (Z=2.40, P=.016). Conclusion: Communication competence improved interpersonal competence through mediation by empathy in nursing students. Result of this study suggested that nursing schools should implement communication education that can strengthen empathy in order to boost nursing students’ interpersonal competence.
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Affiliation(s)
- Han-Gyo Choi
- College of Nursing, The Catholic University of Korea, Seoul, Republic of Korea
| | - Hye-Jin Kim
- Department of Nursing, University of Ulsan, Republic of Korea
| | - Sunhee Lee
- College of Nursing, The Catholic University of Korea, Seoul, Republic of Korea
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Ahn SI, Lee S. The Lives, Friendship and Separation of Latency Girls: Loss and Development Depicted in the Film "The World of Us". Soa Chongsonyon Chongsin Uihak 2021; 32:79-81. [PMID: 33828407 PMCID: PMC8018681 DOI: 10.5765/jkacap.210005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2021] [Accepted: 03/16/2021] [Indexed: 11/07/2022] Open
Abstract
The film “The World of Us (2016)” shows the acquisition and loss of friendship that occur in the process of interpersonal shifts in latency school girls. Connection to the peer group helps compensate for the latency child’s loss of parent-child intimacy and the ensuing feelings of loneliness. The protagonists realize that the relationship is not for retaliation or for victory, but for playing together. However the reality that lies in front of them will not be so easy. Watching this film reminds one of childhood.
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Affiliation(s)
- Song-Ii Ahn
- National Health Insurance Service Ilsan Hospital, Goyang, Korea
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Abstract
This research explores the role of materialism, and social comparison to brand addiction in relation to compulsive buying. A structural equation modeling was used to analyze data through partial least squares by collecting online data in Vietnam. The research findings explain social comparison is an antecedent leading to addictive behavior. Materialism mediates and increases the addictive behavior when consumers are significantly impacted by social comparison. In addition, brand addiction leads to word-of-mouth and willingness to pay premium price when consumers are set under social comparison and materialistic tendency. The managerial and theoretical application is also provided in this research.
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Affiliation(s)
- Minh T H Le
- School of International Business and Marketing, University of Economics Ho Chi Minh City, Viet Nam
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Ng SM, Fung MHY, Gao S. High level of expressed emotions in the family of people with schizophrenia: has a covert abrasive behaviours component been overlooked? Heliyon 2020; 6:e05441. [PMID: 33210009 PMCID: PMC7658711 DOI: 10.1016/j.heliyon.2020.e05441] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2020] [Revised: 04/23/2020] [Accepted: 11/04/2020] [Indexed: 11/28/2022] Open
Abstract
BACKGROUND High expressed emotion (EE) in a patient's family is a known risk factor of relapse in schizophrenia. The three components of high EE - criticism, hostility and emotional over-involvement - were developed through a data-driven approach and a focus on overt abrasive behaviours. The influence of covert abrasive behaviours has not been explored. AIMS AND METHODS This study aims to explore both overt and covert abrasive behaviours through semi-structured interviews conducted with 22 people with schizophrenia, who were recruited through iterative purposive sampling. RESULTS Thematic analysis suggests that participants' experiences of overt abrasive behaviours resonate with the three-factor structure of high EE, except "emotional over-involvement" is renamed to "over-involvement" to focus on behaviours and embrace different levels or types of emotional reactions. Regarding covert abrasive behaviours, two domains are proposed: disassociation and apathy, which focus on family members' disengaging actions and indifferent attitudes respectively. While both overt and covert abrasive behaviours cause psychological distresses and behavioural reactions on the participants, their precise impacts are not entirely the same. CONCLUSION People with schizophrenia experience both overt and covert abrasive behaviours with family members. The findings of this study may expand the conceptualization of high EE, enhance its content validity, and provide an extended conceptual framework for developing more comprehensive measures.
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Affiliation(s)
- Siu-Man Ng
- Department of Social Work and Social Administration, University of Hong Kong, Hong Kong
| | - Melody Hiu-Ying Fung
- Department of Social Work and Social Administration, University of Hong Kong, Hong Kong
| | - Siyu Gao
- Department of Social Work and Social Administration, University of Hong Kong, Hong Kong
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Whitley E, Benzeval M, Popham F. Population Priorities for Successful Aging: A Randomized Vignette Experiment. J Gerontol B Psychol Sci Soc Sci 2020; 75:293-302. [PMID: 29878183 PMCID: PMC6974399 DOI: 10.1093/geronb/gby060] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2017] [Indexed: 01/03/2023] Open
Abstract
Objectives Aging populations have led to increasing interest in “successful aging” but there is no consensus as to what this entails. We aimed to understand the relative importance to the general population of six commonly-used successful aging dimensions (disease, disability, physical functioning, cognitive functioning, interpersonal engagement, and productive engagement). Method Two thousand and ten British men and women were shown vignettes describing an older person with randomly determined favorable/unfavorable outcomes for each dimension and asked to score (0–10) how successfully the person was aging. Results Vignettes with favorable successful aging dimensions were given higher mean scores than those with unfavorable dimensions. The dimensions given greatest importance were cognitive function (difference [95% confidence interval {CI}] in mean scores: 1.20 [1.11, 1.30]) and disability (1.18 [1.08, 1.27]), while disease (0.73 [0.64, 0.82]) and productive engagement (0.58 [0.49, 0.66]) were given the least importance. Older respondents gave increasingly greater relative importance to physical function, cognitive function, and productive engagement. Discussion Successful aging definitions that focus on disease do not reflect the views of the population in general and older people in particular. Practitioners and policy makers should be aware of older people’s priorities for aging and understand how these differ from their own.
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Affiliation(s)
- Elise Whitley
- MRC/CSO Social and Public Health Sciences Unit, University of Glasgow, UK
| | | | - Frank Popham
- MRC/CSO Social and Public Health Sciences Unit, University of Glasgow, UK
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32
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Neff AJ, Lee Y, Metts CL, Wong AWK. Ecological Momentary Assessment of Social Interactions: Associations With Depression, Anxiety, Pain, and Fatigue in Individuals With Mild Stroke. Arch Phys Med Rehabil 2020; 102:395-405. [PMID: 32918909 DOI: 10.1016/j.apmr.2020.08.007] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2020] [Revised: 08/05/2020] [Accepted: 08/07/2020] [Indexed: 10/23/2022]
Abstract
OBJECTIVES To examine real-time relationships between social interactions and poststroke mood and somatic symptoms in participants' daily environments. DESIGN Prospective observational study using smartphone-based ecological momentary assessment (EMA) surveys 5 times a day for 2 weeks. Multilevel models were used to analyze data for concurrent and lagged associations. SETTING Community. PARTICIPANTS Adults (N=48) with mild stroke. INTERVENTIONS Not applicable. MAIN OUTCOME MEASURES EMA measures of self-appraisal of social interactions (confidence, satisfaction, and success), as well as mood (depression and anxiety) and somatic (pain and fatigue) symptoms. RESULTS In concurrent associations, increased depressed mood was associated with reduced ratings of all aspects of social interactions. Fatigue was associated with reduced ratings of social satisfaction and success. In lagged associations, increased anxious mood preceded increased subsequent social confidence. Higher average social satisfaction, confidence, and success were related to lower momentary fatigue, anxious mood, and depressed mood at the next time point. Regarding clinicodemographic factors, being employed was concurrently related to increased social interactions. An increased number of comorbidities predicted higher somatic, but not mood, symptoms at the next time point. CONCLUSIONS This study provides preliminary evidence of dynamic relationships between social interactions and somatic and mood symptoms in individuals with mild stroke. Interventions to not only address the sequelae of symptoms, but also to promote participation in social activities in poststroke life should be explored.
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Affiliation(s)
- Anna J Neff
- Program in Occupational Therapy, Washington University School of Medicine, St. Louis, MO
| | - Yejin Lee
- Program in Occupational Therapy, Washington University School of Medicine, St. Louis, MO
| | - Christopher L Metts
- Department of Pathology and Laboratory Medicine, Medical University of South Carolina, Charleston, SC
| | - Alex W K Wong
- Program in Occupational Therapy, Washington University School of Medicine, St. Louis, MO; Department of Neurology, Washington University School of Medicine, St. Louis, MO; Department of Psychiatry, Washington University School of Medicine, St. Louis, MO.
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Hababeh MO, Lalithabai DS. Nurse trainees' perception of effective clinical instructor characteristics. Int J Nurs Sci 2020; 7:285-290. [PMID: 32817850 PMCID: PMC7424148 DOI: 10.1016/j.ijnss.2020.06.006] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2019] [Revised: 03/18/2020] [Accepted: 06/09/2020] [Indexed: 11/04/2022] Open
Abstract
Objectives Clinical education and experience in the clinical environment play an important role in shaping the clinical experience. Effective clinical teaching improves the clinical practice of the nursing trainees which in turn improves the quality of patient care. It mandates for the clinical instructor with desired qualities, to have a positive influence in clinical education. This study examined nurse trainees’ perceptions of clinical instructor characteristics. Methods The current study was conducted in a multi-cultural tertiary setting using a cross-sectional descriptive design. Using convenience sampling, 302 trainees were chosen as participants for the study, and there were 296 respondents. The data were collected from the participants using the Nursing Clinical Teacher Effectiveness Inventory (NCTEI) tool. Results The findings of the study revealed that the clinical instructors have scored high in personality (scoring percentage = 84.0%) and relatively low in teaching ability (scoring percentage = 81.3%). Also, the overall perception was almost the same among all the trainees though there was a slight variation in their rating of each dimension. Conclusions Nursing trainees indicated the instructors as having good personality and relatively low teaching ability. This mandates the clinical instructors in the clinical environment to empower themselves in this area of improvement. This helps the teaching institutions to consider all the domains of effective clinical instructor characteristics while recruitment and also organize programs giving emphasis on building and developing these characteristics to create effective instructors.
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Duque-Ortiz C, Arias-Valencia MM. Nurse-family relationship. Beyond the opening of doors and schedules. Enferm Intensiva (Engl Ed) 2020; 31:192-202. [PMID: 32276810 DOI: 10.1016/j.enfi.2019.09.003] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2019] [Revised: 08/16/2019] [Accepted: 09/25/2019] [Indexed: 11/19/2022]
Abstract
INTRODUCTION Care in the Intensive Care Unit involves contemplating, among other dimensions of the patient, the family. For this, it is necessary for the nurse to establish relationships with the patient's relatives. OBJECTIVE To identify the way in which the nurse-family relationship is established in the adult ICU, as well as the conditions, elements and factors that favour or hinder it. METHOD Integrative narrative review of the scientific literature. The databases consulted were Ovid, PubMed, Science Direct, Scopus, Clinical Key, Google Scholar and Scielo. Articles in English and Spanish published between 2014 and 2018 were searched. The descriptors and formulas used were selected according to the acronym Population and their problems, Exposure and Outcomes or themes- PEO. The population comprised ICU nurses and the relatives of patients in critical condition; Adult Intensive Care Unit exposure or context; the expected results, and how they are related. For the methodological evaluation, the STROBE guide was used for observational articles, PRISMA for review articles, COREQ for qualitative articles and CASPe for articles derived from projects. RESULTS We identified 214 articles, of which 63 were selected to be included in the review. The central themes identified were: the ICU environment and its effects on the family, empathy as an indicator of relationship, interaction as a means of relating, communication as the centre of relationships and barriers to the establishment of relationships. CONCLUSIONS The nurse-family relationship in the Intensive Care Unit is based on interaction and communication amidst human, physical, regulatory and administrative barriers. Improving the nurse-family relationship contributes to the humanization of Adult Intensive Care Units.
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Affiliation(s)
- C Duque-Ortiz
- Universidad Pontificia Bolivariana, Medellín, Colombia.
| | - M M Arias-Valencia
- Grupo de Investigación en Políticas y Servicios de Salud, Universidad de Antioquia, Medellín, Colombia
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Peled Y, Medvin MB, Pieterse E, Domanski L. Normative beliefs about cyberbullying: comparisons of Israeli and U.S. youth. Heliyon 2019; 5:e03048. [PMID: 31890969 PMCID: PMC6928304 DOI: 10.1016/j.heliyon.2019.e03048] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2019] [Revised: 10/03/2019] [Accepted: 12/11/2019] [Indexed: 12/02/2022] Open
Abstract
We examined how normative beliefs about cyberbullying influenced the choice of electronic aggression in hypothetical peer-to-peer scenarios. Data was collected from 1097 Israeli and 1196 U.S. students in grades 5th-10th, who completed self-report surveys examining normative beliefs about cyberbullying, aggressive cyberstrategies, face-to-face verbal and relational aggression, and access to electronic devices. Israeli students had higher levels of all aggression measures than U.S. students, but access to electronic devices was similar across the two countries. Normative beliefs about cyberbullying were positively associated with verbal and relational aggression. In Israeli, normative beliefs in boys were higher than girls in 5th and 6th grade, similar in 7th and 8th grade, and then higher again in 9th and 10th grade. In the U.S., boys had higher normative beliefs about cyberbullying than girls, and older students had higher beliefs than younger students. Findings using logistic regression indicated that normative beliefs about cyberbullying were predictive of Cyber-aggression even when taking into account grade, country, gender, access to electronic devices, and face-to-face relational aggression. Cyber-aggressive strategies were more likely to be present at the highest level of normative beliefs. Ways to change student beliefs using a social cognitive perspective are discussed.
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Affiliation(s)
- Yehuda Peled
- Western Galilee College, Israel
- Corresponding author.
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Flicker SM, Sancier-Barbosa F, Afroz F, Saif SN, Mohsin F. Marital quality in arranged and couple-initiated marriages: The role of perceived influence over partner selection. Int J Psychol 2019; 55:629-637. [PMID: 31729030 DOI: 10.1002/ijop.12622] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/21/2018] [Accepted: 08/28/2019] [Indexed: 11/09/2022]
Abstract
Previous comparisons of relationship quality between individuals in couple-initiated and arranged marriage have yielded inconsistent findings. One factor which may help to explain this inconsistency is variability in the way in which arranged and couple-initiated marriages are practiced. To test this, we recruited 116 Bangladeshi women engaged to be married or within the first 3 years of couple-initiated and arranged marriages. We tested to see which of three models (type of marriage only, perceived influence over partner selection only, and a model that included both relationship type and influence over partner selection) best accounted for variance in self-reported intimacy, passion, commitment as well as positive and negative relationship quality. Results suggest that influence over partner selection is a better predictor of these outcomes than marriage type, with marriage type offering little if any information beyond that provided by perceived influence. Regardless of marriage type, women with greater influence over their partner selection reported higher levels of intimacy, passion, commitment and positive marital quality. Negative marital quality was unrelated. Future research may benefit from reconceptualising the arranged/couple-initiated marriage dichotomy as a continuum.
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Affiliation(s)
- Sharon M Flicker
- Department of Psychology, California State University, Sacramento, CA, USA
| | - Flavia Sancier-Barbosa
- Department of Mathematics and Computer Science, Colorado College, Colorado Springs, CO, USA
| | | | | | - Faeqa Mohsin
- Asian University for Women, Chittagong, Bangladesh
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Kim YY, Hong HY, Cho KD, Park JH. Family tree database of the National Health Information Database in Korea. Epidemiol Health 2019; 41:e2019040. [PMID: 31679329 PMCID: PMC6928464 DOI: 10.4178/epih.e2019040] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2019] [Accepted: 10/01/2019] [Indexed: 11/09/2022] Open
Abstract
We constructed the family tree database (DB) by using a new family code system that can logically express interpersonal family relationships and by comparing and complementing health insurance eligibility data and resident register data of the National Health Information Database (NHID). In the family tree DB, Parents and grandparents are matched for more than 95% of those who were born between 2010 and 2017. Codes for inverse relationships and extended relationships are generated using sequences of the three-digit basic family codes. The family tree DB contains variables such as sex, birth year, family relations, and degree of kinship (maximum of 4) between subjects and family members. Using the family tree DB, we find that prevalence rates of hypertension, diabetes, ischemic heart disease, cerebrovascular disease, and cancer are higher for those with family history. The family tree DB may omit some relationships due to incomplete past data, and some family relations cannot be uniquely determined because the source data only contain relationships between head and members of the household. The family tree DB is a part of the NHID, and researchers can submit requests for data on the website at http://nhiss.nhis.or.kr. Requested data will be provided after approval from the data service review board. However, the family tree DB can be limitedly provided for studies with high public value in order to maximize personal information protection.
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Affiliation(s)
- Yeon-Yong Kim
- Department of Big Data, National Health Insurance Service, Wonju, Korea
| | - Hae-Young Hong
- Department of Economics, University of Wisconsin, Madison, WI, USA
| | - Kyu-Dong Cho
- Department of Big Data, National Health Insurance Service, Wonju, Korea
| | - Jong Heon Park
- Department of Benefits Strategy, National Health Insurance Service, Wonju, Korea
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Simone M, Geiser C, Lockhart G. The importance of face-to-face contact and reciprocal relationships and their associations with depressive symptoms and life satisfaction. Qual Life Res 2019; 28:2909-2917. [PMID: 31201729 PMCID: PMC6810742 DOI: 10.1007/s11136-019-02232-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/10/2019] [Indexed: 01/07/2023]
Abstract
OBJECTIVE The current study aimed to examine how patterns of interpersonal relational contexts (e.g., face-to-face or technology-based) and processes (e.g., initiated or accepted) relate to depressive symptomology and life satisfaction. METHODS Participants were recruited through Amazon's Mechanical Turk (n = 962 adults [52.1% female; aged 18-78; 16.4% Non-White]). Quota sampling was used to closely match the sample demographics to that of the United States Census data. Latent class analyses (LCA) identified classes of interpersonal relations using the Multidimensional Interpersonal Relations Scale. Next, participants' responses on the Beck Depression Inventory and Satisfaction With Life Scale were examined to evaluate differences in depressive symptoms and life satisfaction across classes. RESULTS LCA results supported a 4-class model, in which classes were characterized by patterns of relational contexts and processes: Class 1 (50.6%) engagement across all contexts (e.g., face-to-face) and processes (e.g., initiated); Class 2 (12.7%) engagement across all contexts and processes except Facebook; Class 3 (24.0%) engagement in all contexts and only passive processes; and Class 4 (12.7%) engagement in only technology-based contexts and passive processes. Membership in Classes 1 and 2 was associated with lower depressive symptomology and higher life satisfaction as compared to Classes 3 and 4. CONCLUSION The findings suggest that patterns of relations differentially relate to depressive symptoms and life satisfaction. The findings suggest that multicontextual (e.g., face-to-face and technology-based) and reciprocal relationships with friends (e.g., initiating and accepting connections) may play an important role in the association between interpersonal relations with life satisfaction and depressive symptoms.
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Affiliation(s)
- Melissa Simone
- Department of Psychology, Utah State University, 2810 Old Main Hill, Logan, UT, 84322, USA.
- Department of Psychiatry and Behavioral Sciences, University of Minnesota, 2450 Riverside Ave, F227, Minneapolis, MN, 55454, USA.
| | - Christian Geiser
- Department of Psychology, Utah State University, 2810 Old Main Hill, Logan, UT, 84322, USA
| | - Ginger Lockhart
- Department of Psychology, Utah State University, 2810 Old Main Hill, Logan, UT, 84322, USA
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Dewitte M, Schepers J. Relationship Context Moderates Couple Congruence in Ratings of Sexual Arousal and Pain During Vaginal Sensations in the Laboratory. Arch Sex Behav 2019; 48:2507-2518. [PMID: 31482424 PMCID: PMC6757018 DOI: 10.1007/s10508-019-1452-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/21/2018] [Revised: 04/03/2019] [Accepted: 04/04/2019] [Indexed: 05/06/2023]
Abstract
Genital pain is a social experience that needs to be studied as a dyadic interaction between partners. The present study relied on a sample of 42 heterosexual couples to examine the level of congruence between both partners' ratings of pain and sexual arousal in response to experimentally induced vaginal pressure that served as a simulation of vaginal sensations during penetration. We also inferred the men's ability to estimate their partner's level of pain and sexual arousal. Because the relationship has shown to influence pain estimations, we considered the moderating role of perceived partner responsiveness and relationship satisfaction. We found higher disagreement in pain ratings when vaginal pressure was induced in the context of a sexual film compared to a neutral film, with men overestimating the level of pain in women. Also sexual arousal ratings diverged between partners, with men underestimating their partners' level of sexual arousal during the induction of vaginal pressure, regardless of whether they were watching a sexual or neutral film. Importantly, the level of congruence between actual and estimated ratings of pain and sexual arousal depended on how relationally satisfied men and women were and how validated and supported women felt by their male partner. These results make an important contribution to the growing literature on the social determinants of sexual pain experiences.
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Affiliation(s)
- Marieke Dewitte
- Department of Clinical Psychological Science, Maastricht University, Universiteitssingel, 40, 6229 ER, Maastricht, The Netherlands.
| | - Jan Schepers
- Department of Methodology and Statistics, Maastricht University, Maastricht, The Netherlands
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Kottwitz MU, Pfister IB, Elfering A, Schummer SE, Igic I, Otto K. SOS-Appreciation overboard! Illegitimacy and psychologists' job satisfaction. Ind Health 2019; 57:637-652. [PMID: 30674735 PMCID: PMC6783294 DOI: 10.2486/indhealth.2018-0008] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/10/2018] [Accepted: 01/10/2019] [Indexed: 05/21/2023]
Abstract
In the globalized and rapidly evolving work environment, deficiencies in job design are a common reason that employees must sometimes complete tasks that are not directly connected to their occupational role. Individuals with a clear vision of their occupational role and duties in particular, such as psychologists, might consider such tasks as an offense to self. According to the "Stress-as-Offense-to-Self" (SOS) concept, so-called "illegitimate tasks" do not respect a person's occupational identity-threatening the self through disrespect. We investigated perceived appreciation as an underlying mechanism mediating between illegitimate tasks and reduced job satisfaction after one year through three studies conducted in two European countries. Using data from 50 psychologists who graduated from a German university, Study 1 revealed that perceived appreciation explained the relationship between illegitimate tasks and job satisfaction after one year. Studies 2 and 3 confirmed this finding using data from 67 and 183 Swiss employees working in fields of psychology. In particular, illegitimate tasks affected the perception of appreciation immediately and in the long term, which in turn affected the psychologists' job satisfaction (contagion model). Our results illustrate the importance of perceived appreciation as a mechanism that mediates between illegitimate tasks and job satisfaction of psychologists.
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Affiliation(s)
- Maria Undine Kottwitz
- Department of Work and Organizational Psychology, University of Bern, Switzerland
- Work and Organizational Psychology, Philipps University of Marburg, Germany
| | | | - Achim Elfering
- Department of Work and Organizational Psychology, University of Bern, Switzerland
| | | | - Ivana Igic
- Department of Work and Organizational Psychology, University of Bern, Switzerland
| | - Kathleen Otto
- Work and Organizational Psychology, Philipps University of Marburg, Germany
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Forbes H, Stark AM, Hopkins SW, Fireman GD. The Effects of Group Membership on College Students' Social Exclusion of Peers and Bystander Behavior. J Psychol 2019; 154:15-37. [PMID: 31361210 DOI: 10.1080/00223980.2019.1642839] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
Abstract
Bystanders represent one major avenue for reducing the incidence and severity of social exclusion, yet little research has examined behavioral measurement of bystander intervention. Utilizing the most common low risk form of exclusion, this study examined how group membership impacts college students' behavioral response to a peer's social exclusion through an Internet-based ball tossing game (N = 121). Participants played the game with three other virtual players, in which two of these players excluded the third player. Results demonstrated increased inclusive behavior towards the excluded peer across study conditions. This inclusion was strengthened when the excluded player was in the participant's in-group. Participants displayed an initial preference for in-group members, although attitudes towards all peers improved after the shared activity. Findings point to the interaction of social norms of inclusion, group membership, and changes in familiarity in determining bystander responses to social exclusion. In low-risk exclusion, group membership maintains an impact but does not provide sufficient motivation to counteract the social norm of inclusivity. The implication of bystander actions for promotion of community and future research are discussed.
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Toft T, Alfonsson S, Hovén E, Carlsson T. Feeling excluded and not having anyone to talk to: Qualitative study of interpersonal relationships following a cancer diagnosis in a sibling. Eur J Oncol Nurs 2019; 42:76-81. [PMID: 31450042 DOI: 10.1016/j.ejon.2019.07.010] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2019] [Revised: 06/17/2019] [Accepted: 07/28/2019] [Indexed: 11/26/2022]
Abstract
PURPOSE To explore experiences related to interpersonal relationships following a cancer diagnosis in a sibling. METHODS Respondents (n = 7 females) were recruited by means of convenience sampling during a camp for children affected by childhood cancer and their siblings. Data from children and adolescents with a sibling diagnosed with cancer was collected through individual face-to-face interviews and analyzed using systematic text condensation. RESULTS Two categories portrayed the experiences related to interpersonal relationships following a cancer diagnosis in a sibling. Feeling excluded while wanting to maintain a relationship with their ill sibling and be involved in the care portrayed that trying to be involved in the care of their ill sibling was a stressful and difficult experience, since they were simultaneously expected to also manage household chores and attend school. Feeling stigmatized and exposed in social contexts while needing an allowing space to talk about their experiences portrayed the emotional difficulties evoked by social situations and behaviors of others, which left respondents feeling exposed and mistreated. Having the possibility to talk about their experiences and receiving social support was described as essential in order to cope with the situation. CONCLUSIONS Health professionals need to take into consideration the emotional difficulties and vulnerable situation that children and adolescents who have a sibling diagnosed with cancer are at risk of experiencing. Stigmatization and social exposure present a risk of psychological distress. Having an allowing space to communicate feelings and experiences is desired. Interventions may be necessary to help these individuals psychologically cope.
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Affiliation(s)
- Teolinda Toft
- Clinical Psychology in Healthcare, Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
| | - Sven Alfonsson
- Clinical Psychology in Healthcare, Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden; Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden; Stockholm Health Care Services, Stockholm County Council, Norra Stationsgatan 69, SE-113 64 Stockholm, Sweden
| | - Emma Hovén
- Clinical Psychology in Healthcare, Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden; Childhood Cancer Research Unit, Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden
| | - Tommy Carlsson
- Clinical Psychology in Healthcare, Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden; Department for Health Promoting Science, Sophiahemmet University, Stockholm, Sweden
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Poling MI, Dufresne CR. Epidemiology, prevention, diagnosis, treatment, and outcomes for psychosocial problems in patients and families affected by non-intellectually impairing craniofacial malformation conditions: a systematic review protocol of qualitative data. Syst Rev 2019; 8:127. [PMID: 31133050 DOI: 10.1186/s13643-019-1045-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/03/2018] [Accepted: 05/13/2019] [Indexed: 12/12/2022] Open
Abstract
BACKGROUND Physical attractiveness or unattractiveness wields a tremendous impact on the social and psychological components of life. Many individuals with facial deformities are treated more negatively than normal individuals, which may affect their self-image, quality of life, self-esteem, interpersonal encounters, and ultimately, success in life. Malformations that do not create physiological problems and whose major health impact is to degrade physical attractiveness and engender psychosocial consequences are insufficiently understood and not considered functional problems by medical insurance companies. METHODS/DESIGN As part of a clinical practice guideline development process for psychosocial concerns in Freeman-Burian syndrome, manuscripts describing psychosocial considerations related to the presence of non-intellectually impairing craniofacial malformation conditions or associated clinical activities are sought, especially focusing on epidemiology, prevention, symptoms, diagnoses, severity, timing, treatment, consequences, and outcomes. All published papers on this topic are considered in searching PubMed, OVID MEDLINE, and CINAHL Complete and again before final analyses. The results will be written descriptively to be practically useful and structured around the type or timing of psychosocial problems or consequences described or target population characteristics. No meta-analysis is planned. DISCUSSION Because the quality of research on psychosocial problems in craniofacial malformation conditions is known to be fraught with methodological problems, inconsistencies, and considerable knowledge gaps, we anticipate difficulties, which may limit the review questions able to be answered. We hope to produce a survey relevant to all non-intellectually impaired craniofacially deformed patients and their families and outline knowledge gaps and prioritise areas for clinical investigation. SYSTEMATIC REVIEW REGISTRATION PROSPERO CRD42018093021: UNIVERSAL TRIAL NUMBER: U1111-1211-8153.
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Capiola A, Alarcon GM, Lyons JB, Ryan TJ, Schneider TR. Collective Efficacy as a Mediator of the Trustworthiness - Performance Relationship in Computer-Mediated Team-based Contexts. J Psychol 2019; 153:732-757. [PMID: 31112108 DOI: 10.1080/00223980.2019.1606772] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open
Abstract
The current study investigated the role of trustworthiness perceptions at the individual level and collective efficacy at the team level on team performance in computer-mediated teams using multi-level structural equation modeling (MSEM). It was hypothesized that trustworthiness perceptions and collective efficacy would predict team performance, and collective efficacy would partially mediate the trustworthiness - performance relationship in computer-mediated teams. Sixty-four teams (five participants each) engaged in a computer-mediated task across two experimental sessions. Trustworthiness measured after session 1, collective efficacy measured after sessions 1 and 2, and team performance measured of sessions 1 and 2 were used to build the MSEM. The half longitudinal model for assessing mediation was used to examine the influence of trustworthiness perceptions on performance through collective efficacy over time. Results demonstrated support for the hypothesized model, such that trustworthiness perceptions demonstrated indirect effects on performance through collective efficacy. These findings extend past research by identifying an emergent mechanism by which trustworthiness is important for team performance in computer-mediated teams.
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Kwan YH, Uy EJ, Bautista DC, Xin X, Xiao Y, Lee GL, Subramaniam M, Vaingankar JA, Chan MF, Kumar N, Cheung YB, Chua TSJ, Thumboo J. Development and calibration of a novel social relationship item bank to measure health-related quality of life (HRQoL) in Singapore. Health Qual Life Outcomes 2019; 17:82. [PMID: 31068201 PMCID: PMC6505203 DOI: 10.1186/s12955-019-1150-9] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2018] [Accepted: 04/26/2019] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Social relationships (SR) is an important domain of health-related quality of life. We developed and calibrated a novel item bank to measure SR in Singapore, a multi-ethnic city in Southeast Asia. METHODS We developed an initial candidate pool of 51 items from focus groups, individual in-depth interviews and existing instruments that had been developed and/or validated for use in Singapore. We administered all items in English to a multi-stage sample of subjects, stratified for age and gender, with and without medical conditions, recruited from community and hospital settings. We calibrated their responses using Samejima's Graded Response Model (SGRM). We evaluated a final 30-item bank with respect to Item Response Theory (IRT) model assumptions, model fit, differential item functioning (DIF), and concurrent and known-groups validity. RESULTS Among 503 participants (47.7% male, 41.4% above 50 years old, 34.0% Chinese, 33.6% Malay and 32.4% Indian), bi-factor model analyses supported essential unidimensionality: explained common variance of the general factor was 0.805 and omega hierarchical was 0.98. Local independence was deemed acceptable: the average absolute residual correlations were < 0.06 and 1.8% of the total item-pair residuals were flagged for local dependence. The overall SGRM model fit was adequate (p = 0.146). Five items exhibited DIF with respect to age, ethnicity and education, but were retained without modification of scores because they measured important aspects of SR. The SR scores correlated in the hypothesized direction with a self-reported measure of global health (Spearman's rho = - 0.28, p < 0.001). CONCLUSION The 30-item SR item bank has shown acceptable psychometric properties. Future studies to evaluate the validity of SR scores when items are administered adaptively are needed.
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Affiliation(s)
- Yu Heng Kwan
- Program in Health Services and Systems Research, Duke-NUS Medical School, Singapore, Singapore
| | - Elenore Judy Uy
- Department of Rheumatology and Immunology, Singapore General Hospital, Academia Building, Level 4, 20 College Road, Singapore, 169856 Singapore
| | | | - Xiaohui Xin
- Academic Clinical Programme for Medicine, Singapore General Hospital, Singapore, Singapore
| | - Yunshan Xiao
- Department of Rheumatology and Immunology, Singapore General Hospital, Academia Building, Level 4, 20 College Road, Singapore, 169856 Singapore
| | - Geok Ling Lee
- Department of Social Work, Faculty of Arts and Social Sciences, National University of Singapore, Singapore, Singapore
| | - Mythily Subramaniam
- Research Department, Institute of Mental Health, Singapore, Singapore
- Neuroscience and Mental Health, Lee Kong Chian School of Medicine, Singapore, Singapore
| | | | | | - Nisha Kumar
- Health Promotion Board, Singapore, Singapore
| | - Yin Bun Cheung
- Program in Health Services and Systems Research, Duke-NUS Medical School, Singapore, Singapore
- Centre for Quantitative Medicine, Duke-NUS Medical School, Singapore, Singapore
- Tampere Center for Child Health Research, University of Tampere and Tampere University Hospital, Tampere, Finland
| | | | - Julian Thumboo
- Program in Health Services and Systems Research, Duke-NUS Medical School, Singapore, Singapore
- Department of Rheumatology and Immunology, Singapore General Hospital, Academia Building, Level 4, 20 College Road, Singapore, 169856 Singapore
- Office of Clinical, Academic and Faculty Affairs, Duke-NUS Medical School, Singapore, Singapore
- Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
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O'Leary KJ, Johnson JK, Manojlovich M, Goldstein JD, Lee J, Williams MV. Redesigning systems to improve teamwork and quality for hospitalized patients (RESET): study protocol evaluating the effect of mentored implementation to redesign clinical microsystems. BMC Health Serv Res 2019; 19:293. [PMID: 31068161 PMCID: PMC6505207 DOI: 10.1186/s12913-019-4116-z] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2019] [Accepted: 04/22/2019] [Indexed: 11/25/2022] Open
Abstract
Background A number of challenges impede our ability to consistently provide high quality care to patients hospitalized with medical conditions. Teams are large, team membership continually evolves, and physicians are often spread across multiple units and floors. Moreover, patients and family members are generally poorly informed and lack opportunities to partner in decision making. Prior studies have tested interventions to redesign aspects of the care delivery system for hospitalized medical patients, but the majority have evaluated the effect of a single intervention. We believe these interventions represent complementary and mutually reinforcing components of a redesigned clinical microsystem. Our specific objective for this study is to implement a set of evidence-based complementary interventions across a range of clinical microsystems, identify factors and strategies associated with successful implementation, and evaluate the impact on quality. Methods The RESET project uses the Advanced and Integrated MicroSystems (AIMS) interventions. The AIMS interventions consist of 1) Unit-based Physician Teams, 2) Unit Nurse-Physician Co-leadership, 3) Enhanced Interprofessional Rounds, 4) Unit-level Performance Reports, and 5) Patient Engagement Activities. Four hospital sites were chosen to receive guidance and resources as they implement the AIMS interventions. Each study site has assembled a local leadership team, consisting of a physician and nurse, and receives mentorship from a physician and nurse with experience in leading similar interventions. Primary outcomes include teamwork climate, assessed using the Safety Attitudes Questionnaire, and adverse events using the Medicare Patient Safety Monitoring System (MPSMS). RESET uses a parallel group study design and two group pretest-posttest analyses for primary outcomes. We use a multi-method approach to collect and triangulate qualitative data collected during 3 visits to study sites. We will use cross-case comparisons to consider how site-specific contextual factors interact with the variation in the intensity and fidelity of implementation to affect teamwork and patient outcomes. Discussion The RESET study provides mentorship and resources to assist hospitals as they implement complementary and mutually reinforcing components to redesign the clinical microsystems caring for medical patients. Our findings will be of interest and directly applicable to all hospitals providing care to patients with medical conditions. Trial registration NCT03745677. Retrospectively registered on November 19, 2018. Electronic supplementary material The online version of this article (10.1186/s12913-019-4116-z) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Kevin J O'Leary
- Division of Hospital Medicine, Northwestern University Feinberg School of Medicine, 211 E. Ontario Street, Suite 700, Chicago, IL, 60611, USA.
| | - Julie K Johnson
- Department of Surgery and the Center for Healthcare Studies, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
| | - Milisa Manojlovich
- Department of Systems, Populations, and Leadership, University of Michigan School of Nursing, Ann Arbor, MI, USA
| | - Jenna D Goldstein
- Center for Hospital Innovation and Improvement, Society of Hospital Medicine, Philadelphia, PA, USA
| | - Jungwha Lee
- Department of Preventative Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA
| | - Mark V Williams
- Center for Health Services Research, University of Kentucky College of Medicine, Lexington, KY, USA
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Murray CM, Van Kessel G, Guerin M, Hillier S, Stanley M. Exercising Choice and Control: A Qualitative Meta-synthesis of Perspectives of People With a Spinal Cord Injury. Arch Phys Med Rehabil 2019; 100:1752-1762. [PMID: 30794768 DOI: 10.1016/j.apmr.2019.01.011] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2018] [Revised: 01/21/2019] [Accepted: 01/29/2019] [Indexed: 11/16/2022]
Abstract
OBJECTIVE To systematically search the literature and construct a meta-synthesis of how choice and control are perceived by people with spinal cord injury (SCI). DATA SOURCES Medline, Academic Search Premier, CINAHL, Cochrane, EMBASE, HealthSource, ProQuest, PsychInfo, SAGE, and SCOPUS were searched from 1980 until September 2018 including all languages. Reference lists of selected studies were also reviewed. STUDY SELECTION Eligible qualitative studies included perspectives about choice of control as reported by people with an SCI. Studies were excluded if they included perspectives from other stakeholder groups. A total of 6706 studies were screened for title and abstract and full text of 127 studies were reviewed resulting in a final selection of 29. DATA EXTRACTION Characteristics of the studies were extracted along with any data (author interpretations and quotes) relating to perspectives on choice and control. DATA SYNTHESIS First-order analysis involved coding the data in each study and second-order analysis involved translating each segment of coded data into broader categories with third-order analysis condensing categories to 2 broad overarching themes. These themes were experiencing vulnerability or security and adapting to bounded abilities. CONCLUSIONS Perspectives of choice and control are influenced by interrelated environmental, interpersonal, and personal contexts. From a personal perspective, participants reported a readiness for adaptation that included turning points where emotional and cognitive capacity to make choices and take control changed. Health professionals need to be responsive to this readiness, promote empowerment and foster, rather than remove, hope.
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Affiliation(s)
- Carolyn M Murray
- School of Health Sciences, Division of Health Sciences, University of South Australia, South Australia, Australia.
| | - Gisela Van Kessel
- School of Health Sciences, Division of Health Sciences, University of South Australia, South Australia, Australia
| | - Michelle Guerin
- School of Health Sciences, Division of Health Sciences, University of South Australia, South Australia, Australia
| | - Susan Hillier
- School of Health Sciences, Division of Health Sciences, University of South Australia, South Australia, Australia
| | - Mandy Stanley
- School of Medical and Health Sciences, Edith Cowan University, Western Australia, Australia
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Rapp C, Ingold K, Freitag M. Personalized networks? How the Big Five personality traits influence the structure of egocentric networks. Soc Sci Res 2019; 77:148-160. [PMID: 30466871 DOI: 10.1016/j.ssresearch.2018.09.001] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/09/2017] [Revised: 09/05/2018] [Accepted: 09/09/2018] [Indexed: 06/09/2023]
Abstract
In this paper, we expand previous research on the psychological foundations of social behavior by evaluating the role of the Big Five personality traits with regard to the formation of individual social networks. More precisely, we ask if personality traits significantly relate to individuals' social integration and position in their ego-network. While studies on both social capital formation and the impact of personality traits on social and political behavior have been flourishing in recent years, little is known about the main effects of personality traits, namely openness, agreeableness, conscientiousness, extraversion, and emotional stability, on the characteristics of social ties as well as the agency of egos in their networks. To test our research question, we rely on data from a Swiss population survey carried out in 2005 that combines detailed information on ties in egocentric networks and personality traits for about 1600 respondents. We show that neurotic persons have a tendency towards triad structures encompassing structural holes, whereas extroverted persons show a preference for networks with stronger ties. Moreover, our findings support the potential relationship between the three hitherto neglected personality traits - agreeableness, openness to experience, conscientiousness - with personal networks structures.
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Affiliation(s)
- Carolin Rapp
- University of Copenhagen, Department of Political Science, Øster Farimagsgade 5, DK-1353 Copenhagen K, Denmark.
| | - Karin Ingold
- University of Bern (Switzerland), Institute of Political Science, Fabrikstrasse 8, 3012, Bern, Switzerland.
| | - Markus Freitag
- University of Bern (Switzerland), Institute of Political Science, Fabrikstrasse 8, 3012, Bern, Switzerland.
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Park Y, Han K. Development and evaluation of a Communication Enhancement Program for People with Chronic Schizophrenia: A quasi-experimental pretest-posttest design study. Appl Nurs Res 2018; 42:1-8. [PMID: 30029708 DOI: 10.1016/j.apnr.2018.04.007] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2017] [Revised: 11/01/2017] [Accepted: 04/18/2018] [Indexed: 11/27/2022]
Abstract
AIM This study aims to develop a Communication Enhancement Program for People with Chronic Schizophrenia (CEP-S), and to evaluate the effects of CEP-S. BACKGROUND People with chronic schizophrenia are characterized by core communication disturbances; therefore, a program to enhance their communication skills is necessary. As such, they are predicted to have difficulty fitting into society, such as relationships with people, due to issues such as having normal communication with others. Therefore, a program to enhance their communication skills is necessary. METHODS This study used a non-equivalent groups design with pre- and post-tests. In order to make a preliminary evaluation of CEP-S, controlled clinical trial was performed by setting experimental group and control group. 20 participants were in the experimental group, and 21 participants were in the control group. Ten sessions of CSE-S were provided over 5 weeks. The data were analyzed using SAS 9.2. Data analysis used descriptive statistics, chi-square and t-tests, and ANCOVA. RESULTS Statistically significant differences were found between the experimental and control groups in terms of the communication disturbance, emotional expression, empathy competence, communication competence, and interpersonal relationship skills. CONCLUSIONS The program improved the communication skills of people diagnosed with chronic schizophrenia and provided evidence for the effectiveness of interventions in improving interpersonal relationship skills. The results of this study will expand mental health care professionals' knowledge of how to increase communication skills when supporting people with chronic schizophrenia.
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Affiliation(s)
- Younghee Park
- Department of Nursing, College of Medicine, Dongguk University, South Korea.
| | - KuemSun Han
- College of Nursing, Korea University, South Korea.
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Berry E, Davies M, Dempster M. Managing Type 2 diabetes as a couple: The influence of partners' beliefs on diabetes distress over time. Diabetes Res Clin Pract 2018; 141:244-255. [PMID: 29775677 DOI: 10.1016/j.diabres.2018.05.020] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/16/2018] [Revised: 03/27/2018] [Accepted: 05/09/2018] [Indexed: 11/20/2022]
Abstract
AIMS Partners and spouses have an important role in supporting healthy self-care in adults with Type 2 diabetes. While evidence has shown that the beliefs held by people with diabetes influence emotional wellbeing, little is known about the long-term impact of partners' illness beliefs on diabetes distress. METHODS Persons with Type 2 diabetes (pwt2d) and their partners completed a questionnaire at baseline (N = 75 couples) and 12 months later (N = 45 couples). Measures included demographic/clinical parameters, the Revised Illness Perception questionnaire, and the Diabetes Distress Scale. A repeated measures ANOVA was used to examine change in measures over time. Multiple regression and moderation analysis were used to explore the indirect influence of partners beliefs on diabetes distress at baseline and follow-up. RESULTS Illness perceptions and diabetes distress in pwt2d and partners did not change overtime. Partners' beliefs about the controllability, chronicity, and predictability of symptoms of diabetes moderated the relationship between the corresponding pwt2d beliefs and diabetes distress. These indirect effects were observed across both time points. CONCLUSIONS Conflicting illness perceptions about the controllability and chronicity of diabetes, and congruous negative perceptions about diabetes symptoms among couples sustain distress overtime. Targeting the beliefs of couples to improve communication and understanding may reduce diabetes distress.
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Affiliation(s)
- Emma Berry
- Queen's University Belfast, School of Psychology, Northern Ireland, United Kingdom.
| | - Mark Davies
- Belfast City Hospital, Clinical Psychology Department, Northern Ireland, United Kingdom.
| | - Martin Dempster
- Queen's University Belfast, School of Psychology, Northern Ireland, United Kingdom.
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