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Terpstra AR, Cairncross M, Yeates KO, Vranceanu AM, Greenberg J, Hunt C, Silverberg ND. Psychological mediators of avoidance and endurance behavior after concussion. Rehabil Psychol 2021; 66:470-478. [PMID: 34410757 PMCID: PMC8648930 DOI: 10.1037/rep0000390] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
OBJECTIVE The avoidance-endurance model (AEM) proposes multiple pathways from acute to chronic pain, with distinct cognitive and behavioral components in each pathway. The AEM may also be applicable to persistent symptoms after concussion. In this study, we tested the AEM as an explanatory framework for concussion outcomes, by using mediation analyses through the proposed psychological mechanisms. Based on the AEM, we hypothesized that postconcussion symptoms would significantly predict avoidance behavior through catastrophizing, and endurance behavior through thought suppression and self-distraction. PARTICIPANTS AND METHODS We recruited 84 adults seeking treatment at 2 outpatient concussion clinics (M = 41.8 years old, 63% female) who completed measures of postconcussion symptoms, catastrophizing, thought suppression, "self-distraction" (Five Factor Mindfulness Questionnaire "Act with Awareness" Scale reverse-scored), avoidance behavior, and endurance behavior at an average of 17.8 weeks postconcussion. We conducted 3 mediation analyses to assess each of the AEM pathways. RESULTS We found a significant indirect effect of postconcussion symptoms on avoidance behavior through catastrophizing (ab = .113 (.036), 95% CI [.053, .195]). The indirect effects of postconcussion symptoms on endurance behavior through thought suppression (ab = .011 (.012), 90% CI [.002, .035]) and "self-distraction" (ab = .003 (.009), 90% CI [.008, .022]) were not statistically significant. CONCLUSIONS Results supported the catastrophizing-avoidance pathway in concussion, but not the thought-suppression-endurance or self-distraction-endurance pathways. Therefore, catastrophic thinking about concussion symptoms may be an appropriate treatment target for individuals who exhibit fear-avoidance behavior. Further research is needed to establish whether thought suppression and self-distraction are relevant for interventions aimed at reducing excessive endurance behavior. (PsycInfo Database Record (c) 2021 APA, all rights reserved).
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Affiliation(s)
| | - Molly Cairncross
- Department of Psychology, University of British Columbia
- Rehabilitation Research Program, Vancouver Coastal Health Research Institute
| | - Keith Owen Yeates
- Department of Psychology, University of Calgary
- Alberta Children’s Hospital Research Institute, University of Calgary
- Hotchkiss Brain Institute, University of Calgary
| | - Ana-Maria Vranceanu
- Integrated Brain Health Clinical and Research Program, Department of Psychiatry, Massachusetts General Hospital
- Department of Psychiatry, Harvard Medical School
| | - Jonathan Greenberg
- Integrated Brain Health Clinical and Research Program, Department of Psychiatry, Massachusetts General Hospital
- Department of Psychiatry, Harvard Medical School
| | - Cindy Hunt
- Head Injury Clinic, Trauma and Neurosurgery Program, St. Michael’s Hospital
- Concussion Ontario Network: Neuroinformatics to Enhance Clinical-care and Translation (CONNECT)
- Dalla Lana School of Public Health, University of Toronto
| | - Noah D. Silverberg
- Department of Psychology, University of British Columbia
- Rehabilitation Research Program, Vancouver Coastal Health Research Institute
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Actions Speak Louder than Words: Investigating the Interplay between Descriptive and Injunctive Norms to Promote Alternative Fuel Vehicles. SUSTAINABILITY 2021. [DOI: 10.3390/su13179662] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Environmental problems are escalating. Alternate fuel vehicles are a technologically viable solution to curb transport-related pollution and greenhouse gas emissions that cause environmental problems. Based on the theory of norms-driven behavior, this study explains how the underlying facets of subjective social norms (injunctive and descriptive) are linked with personal norms (integrated and introjected) and how this linkage leads to eco-socially conscious consumer behavior related to the choice and use of personal cars. Data were collected from 687 automobile customers from eight large cities in Pakistan. The partial least squares structural equation modeling approach was employed to test the hypothesized relationships of the study. The results showed that subjective norms are positively associated with personal norms, and both together lead to eco-socially conscious consumers’ behavior related to the choice and use of personal cars. Implications for marketers are suggested to promote alternate fuel vehicles and the eco-social use of personal cars.
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Cervera-Gasch Á, González-Chordá VM, Manrique-Abril FG, Andreu-Pejo L, Valero-Chillerón MJ, Mena-Tudela D. Validation of the attitudes to patient safety questionnaire for nursing students in the Spanish context. BMC Nurs 2021; 20:101. [PMID: 34144691 PMCID: PMC8214300 DOI: 10.1186/s12912-021-00634-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2020] [Accepted: 06/10/2021] [Indexed: 11/19/2022] Open
Abstract
Background There are different instruments to assess the attitudes of nursing students towards patient safety. However, no questionnaire validated in Spanish with this objective was identified. The objective of this study was to validate the Attitudes to Patient Safety (APS) questionnaire for nursing students in Spain and to study the attitudes towards patient safety of nursing students at the Universitat Jaume I (Spain). Design Cross-sectional psychometric study developed in a sample of 177 undergraduate nursing students. The study was carried out in the second semester of 2016. Methods First, a nominal group was created to perform cross-cultural adaptation and determine content validity of the Attitude to Patient Safety Questionnaire (APQS-III). Second, a cross-sectional study was conducted to determine the psychometric properties of the questionnaire and to study nursing student attitudes towards patient safety. Results Exploratory factorial analysis explained 53.82 % of the variance, with good internal consistency (α = 0.808), and confirmatory factor analysis indicate an adequate fit between the model and the data (χ2 = 366; p < 0.001; χ2/df = 1.886; RMSEA = 0.07; IC95 %=0.059–0.081; CFI = 0.885). Intra-observer reliability was good (ICC = 0.792, p < 0.001). The mean overall score of the questionnaire was 3.92 (95 % CI = 3.88–4.03). Significant differences were observed regarding whether the students had completed a clinical practicum (p = 0.012) and the academic year (p = 0.25). Conclusions The psychometric properties of the APS questionnaire adapted for Spanish nursing students are adequate. Students show an adequate attitude towards patient safety; however, it is necessary to develop a strategy to guarantee the acquisition of competency for patient safety as well as to design and evaluate specific educational interventions. Supplementary Information The online version contains supplementary material available at 10.1186/s12912-021-00634-y.
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Affiliation(s)
- Águeda Cervera-Gasch
- Nursing Department, Univesitat Jaume I, Avda Sos Baynat s/n., 12071, Castellón, Spain
| | | | | | - Laura Andreu-Pejo
- Nursing Department, Univesitat Jaume I, Avda Sos Baynat s/n., 12071, Castellón, Spain
| | | | - Desirée Mena-Tudela
- Nursing Department, Univesitat Jaume I, Avda Sos Baynat s/n., 12071, Castellón, Spain
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Feliu-Soler A, Pérez-Aranda A, Montero-Marín J, Herrera-Mercadal P, Andrés-Rodríguez L, Angarita-Osorio N, Williams AD, Luciano JV. Fifteen Years Controlling Unwanted Thoughts: A Systematic Review of the Thought Control Ability Questionnaire (TCAQ). Front Psychol 2019; 10:1446. [PMID: 31275218 PMCID: PMC6593181 DOI: 10.3389/fpsyg.2019.01446] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2019] [Accepted: 06/05/2019] [Indexed: 11/17/2022] Open
Abstract
Thought control ability is a vulnerability factor implicated in the etiology and maintenance of emotional disorders. This manuscript aims to systematically review the use and psychometric performance of the Thought Control Ability Questionnaire (TCAQ), designed to assess people's ability to control unwanted thoughts. Three electronic databases were searched for papers administering the TCAQ published in indexed peer-reviewed journals. Data (participants characteristics, country, study design, etc.) were extracted from the results for qualitative synthesis. The TCAQ's content validity, dimensionality, internal consistency, test-retest reliability, convergent/divergent validity, floor/ceiling effects, and interpretability were summarized. Two reviewers independently screened articles and assessed quality taking COSMIN criteria into account. Finally, the review included 17 papers. The TCAQ has been administered to healthy individuals, students, and adult patients, in six languages from nine countries. We found that the TCAQ, and its shorter versions, demonstrate robust reliability and adequate content validity. Of interest is the TCAQ's capacity to predict performance in diverse experimental tasks focused on thought control. The TCAQ unidimensionality has been supported in exploratory and confirmatory factor analyses. Regarding construct validity, the TCAQ is significantly related to a wide range of psychopathological measures of anxiety, worry, depression, obsessive-compulsive symptoms, etc. However, as only a few of the included studies had a longitudinal design, we are unable to draw firm conclusions about the measure's temporal stability. Moreover, psychometric aspects such as factorial invariance across different samples have not been analyzed. Despite these limitations, based on available psychometric evidence we can recommend using the TCAQ for measuring perceived control of unwanted thoughts.
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Affiliation(s)
- Albert Feliu-Soler
- Institut de Recerca Sant Joan de Déu, Esplugues de Llobregat, Spain.,Teaching, Research and Innovation Unit-Parc Sanitari Sant Joan de Déu, St. Boi de Llobregat, Spain.,Primary Care Prevention and Health Promotion Research Network (RedIAPP), Madrid, Spain
| | - Adrián Pérez-Aranda
- Institut de Recerca Sant Joan de Déu, Esplugues de Llobregat, Spain.,Teaching, Research and Innovation Unit-Parc Sanitari Sant Joan de Déu, St. Boi de Llobregat, Spain.,Primary Care Prevention and Health Promotion Research Network (RedIAPP), Madrid, Spain
| | | | - Paola Herrera-Mercadal
- Primary Care Prevention and Health Promotion Research Network (RedIAPP), Madrid, Spain.,Dharamsala Institute of Mindfulness and Psychotherapy, Zaragoza, Spain.,Aragon Institute for Health Research (IIS Aragon), Zaragoza, Spain
| | - Laura Andrés-Rodríguez
- Institut de Recerca Sant Joan de Déu, Esplugues de Llobregat, Spain.,Teaching, Research and Innovation Unit-Parc Sanitari Sant Joan de Déu, St. Boi de Llobregat, Spain.,Primary Care Prevention and Health Promotion Research Network (RedIAPP), Madrid, Spain
| | - Natalia Angarita-Osorio
- Institut de Recerca Sant Joan de Déu, Esplugues de Llobregat, Spain.,Teaching, Research and Innovation Unit-Parc Sanitari Sant Joan de Déu, St. Boi de Llobregat, Spain
| | - Alishia D Williams
- Department of Psychology, Faculty of Science, University of New South Wales, Sydney, NSW, Australia
| | - Juan V Luciano
- Institut de Recerca Sant Joan de Déu, Esplugues de Llobregat, Spain.,Teaching, Research and Innovation Unit-Parc Sanitari Sant Joan de Déu, St. Boi de Llobregat, Spain.,Primary Care Prevention and Health Promotion Research Network (RedIAPP), Madrid, Spain
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Mihailova S, Jobson L. Association between intrusive negative autobiographical memories and depression: A meta-analytic investigation. Clin Psychol Psychother 2018; 25:509-524. [PMID: 29473250 DOI: 10.1002/cpp.2184] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2017] [Revised: 01/18/2018] [Accepted: 01/19/2018] [Indexed: 01/01/2023]
Abstract
The study investigated several associations between depression and intrusive negative autobiographical memories. A systematic literature search identified 23 eligible studies (N = 2,582), which provided 59 effect sizes. Separate meta-analyses indicated that depression was moderately, positively associated with intrusive memory frequency, memory distress, maladaptive memory appraisals, memory avoidance, and memory rumination. Intrusive memory vividness was not significantly associated with depression. There were insufficient data to examine the relationship between depression and memory vantage perspective. Between-study heterogeneity was high for intrusive memory frequency and memory avoidance, and the percentage of females in studies significantly moderated the relationship between these variables and depression. An additional exploratory meta-analysis (3 studies; N = 257) indicated that intrusive memories were experienced more frequently by those with posttraumatic stress disorder than those with depression. Overall, the findings suggest that intrusive memories warrant clinical attention as they may contribute to the maintenance of depressive symptomatology.
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Affiliation(s)
- Stella Mihailova
- School of Psychological Sciences, Monash University, Melbourne, Australia
| | - Laura Jobson
- School of Psychological Sciences, Monash University, Melbourne, Australia
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Junghans-Rutelonis AN, Tackett AP, Suorsa KI, Chaney JM, Mullins LL. Asthma-specific cognitions, self-focused attention, and fear of negative evaluation in adolescents and young adults diagnosed with childhood-onset asthma. PSYCHOL HEALTH MED 2017; 23:69-81. [PMID: 28524707 DOI: 10.1080/13548506.2017.1325507] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
The present study examined the impact of asthma-specific thought intrusion (TI) and thought suppression (TS) on two cognitive-affective variables (self-focused attention and fear of negative evaluation) among adolescents and young adults (AYAs) diagnosed with childhood-onset asthma. Participants were 290 AYAs who completed assessment questionnaires and participated in a written exercise electronically. Asthma-TI and TS were reported by participants following participation in a writing assignment. Asthma-TI was associated with increased private, public, and social anxiety self-focused attention, and greater fear of negative evaluation. Interestingly, asthma-TS was not associated with these same outcome variables. Findings suggest illness-specific cognitions are associated with cognitive-affective variables and it may be important to assess for illness-specific intrusive thoughts following asthma-focused medical appointments. Additionally, findings suggest the importance of assessing asthma-TI and TS separately in order to better understand thoughts about health and psychological functioning.
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Affiliation(s)
- Ashley N Junghans-Rutelonis
- a Department of Pain, Palliative Care and Integrative Medicine , Children's Hospitals and Clinics of Minnesota , Minneapolis , MN , USA.,b Department of Psychology , Oklahoma State University , Stillwater , OK , USA
| | - Alayna P Tackett
- b Department of Psychology , Oklahoma State University , Stillwater , OK , USA
| | - Kristina I Suorsa
- b Department of Psychology , Oklahoma State University , Stillwater , OK , USA
| | - John M Chaney
- b Department of Psychology , Oklahoma State University , Stillwater , OK , USA
| | - Larry L Mullins
- b Department of Psychology , Oklahoma State University , Stillwater , OK , USA
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Jungmann SM, Vollmer N, Selby EA, Witthöft M. Understanding Dysregulated Behaviors and Compulsions: An Extension of the Emotional Cascade Model and the Mediating Role of Intrusive Thoughts. Front Psychol 2016; 7:994. [PMID: 27445948 PMCID: PMC4925676 DOI: 10.3389/fpsyg.2016.00994] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2015] [Accepted: 06/16/2016] [Indexed: 11/30/2022] Open
Abstract
Objective: The Emotional Cascade Model (ECM) by Selby et al. (2008) proposes that people often engage in dysregulated behaviors to end extreme, aversive emotional states triggered by a self-perpetuating vicious cycle of (excessive) rumination, negative affect, and attempts to suppress negative thoughts. Method: Besides replicating the ECM, we introduced intrusions as a mediator between rumination and behavioral dysregulation and tested this extended ECM for compulsions as part of obsessive–compulsive disorders. A structural equation modeling approach was used to test this in a sample of N = 414, randomly recruited from the general population. Results: Intrusions were found to fully mediate the effect of rumination on a broad array of dysregulated behaviors and compulsions. This mediation endured when controlling for symptoms of depression. Conclusion: These findings support the idea that rumination fuels intrusions, which in turn foster dysregulated behaviors. Therefore, addressing rumination as well as intrusions may improve psychotherapeutic interventions for mental disorders characterized by dysregulated behaviors and/or extreme aversive emotional states.
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Affiliation(s)
- Stefanie M Jungmann
- Department of Clinical Psychology and Psychotherapy, Johannes Gutenberg University of Mainz Mainz, Germany
| | - Noelle Vollmer
- Hospital for Psychiatry, Psychotherapy, and Psychosomatics, Fachklinik Katzenelnbogen Katzenelnbogen, Germany
| | - Edward A Selby
- Department of Psychology, Rutgers University Piscataway, NJ, USA
| | - Michael Witthöft
- Department of Clinical Psychology, Psychotherapy, and Experimental Psychopathology, Johannes Gutenberg University of Mainz Mainz, Germany
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van Schie K, Wanmaker S, Yocarini I, Bouwmeester S. Psychometric qualities of the Thought Suppression Inventory-Revised in different age groups. PERSONALITY AND INDIVIDUAL DIFFERENCES 2016. [DOI: 10.1016/j.paid.2015.11.060] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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9
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Paap MCS, Brouwer D, Glas CAW, Monninkhof EM, Forstreuter B, Pieterse ME, van der Palen J. The St George’s Respiratory Questionnaire revisited: a psychometric evaluation. Qual Life Res 2013; 24:67-79. [DOI: 10.1007/s11136-013-0570-y] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/01/2013] [Indexed: 10/26/2022]
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10
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Using multidimensional modeling to combine self-report symptoms with clinical judgment of schizotypy. Psychiatry Res 2013; 206:75-80. [PMID: 23021911 DOI: 10.1016/j.psychres.2012.09.015] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/27/2012] [Revised: 08/27/2012] [Accepted: 09/05/2012] [Indexed: 11/21/2022]
Abstract
This study investigated psychometric properties of two widely used instruments to measure subclinical levels of psychosis, the Community Assessment of Psychic Experiences (CAPE) and the Structured Interview for Schizotypy-Revised (SIS-R), and aimed to enhance measurements through the use of multidimensional measurement models. Data were collected in 747 siblings of schizophrenia patients and 341 healthy controls. Multidimensional Item-Response Theory, Mokken Scale and ordinal factor analyses were performed. Both instruments showed good psychometric properties and were measurement invariant across siblings and controls. The latent traits measured by the instruments show a correlation of 0.62 in siblings and 0.47 in controls. Multidimensional modeling resulted in smaller standard errors for SIS-R scores. By exploiting correlations among related traits through multidimensional models, scores from one diagnostic instrument can be estimated more reliably by making use of information from instruments that measure related traits.
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