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Varallo G, Zagaria A, Baldini V, Schianchi A, Brscic M, Panero M, Franceschini C, Schimmenti A, Musetti A. Predictors of suicidal ideation in Italian veterinarians. Sci Rep 2024; 14:17504. [PMID: 39080454 PMCID: PMC11289289 DOI: 10.1038/s41598-024-68330-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2023] [Accepted: 07/22/2024] [Indexed: 08/02/2024] Open
Abstract
Suicide represents a significant problem for healthcare professionals such as veterinarians. Previous studies showed that contextual and individual risk factors can contribute to suicidality among veterinarians. In the present study, self-report measures on exposure to animal euthanasia, substance abuse, reflective functioning, and suicidal ideation were administered to 1556 Italian veterinarians aged 24-74 years old. Structural equation modelling revealed that failures in reflective functioning and substance abuse were associated with suicidal ideation. Prevention programs focusing on improving reflective functioning and decreasing substance abuse might reduce suicide risk among veterinarians.
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Affiliation(s)
- Giorgia Varallo
- Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy
| | - Andrea Zagaria
- Department of Psychology, Sapienza University of Rome, Rome, Italy
| | - Valentina Baldini
- Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Modena, Italy.
- Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.
| | | | - Marta Brscic
- Department of Animal Medicine, Production and Health (MAPS), University of Padova, Viale dell'Università 16, 35020, Legnaro, PD, Italy
| | - Matteo Panero
- Department of Neuroscience "Rita Levi Montalcini", Eating Disorders Center, University of Turin, Turin, Italy
| | | | - Adriano Schimmenti
- Faculty of Human and Social Sciences, UKE - Kore University of Enna, Enna, Italy
| | - Alessandro Musetti
- Department of Humanities, Social Sciences and Cultural Industries, University of Parma, Parma, Italy.
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Schwarzer NH, Heim N, Gingelmaier S, Fonagy P, Nolte T. Mentalizing as a Predictor of Well-Being and Emotion Regulation: Longitudinal Evidence from a Community Sample of Young Adults. Psychol Rep 2024:332941241261902. [PMID: 38876977 DOI: 10.1177/00332941241261902] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/16/2024]
Abstract
Background: In recent years, mentalizing - the capacity to understand one's own and others' intentional mental states in social contexts - has been considered to be a protective capacity that enables adaptive processing of stress-related emotional arousal, benefits general well-being and underpins adaptive emotion regulation. Objective: Several studies using cross-sectional research designs have demonstrated the potential health-promoting effect of mentalizing in non-clinical samples. However, longitudinal evidence is scarce. The present study aimed to investigate whether mentalizing predicts well-being and emotion regulation strategies in a non-clinical sample of mainly young adults using a prospective longitudinal design. Methods: In a prospective research design, 135 participants completed questionnaires assessing well-being, psychological symptom severity and mentalizing capacity at baseline (T1). Twelve months later (T2), emotion regulation strategies (suppression and cognitive reappraisal), well-being and psychological symptom severity were assessed by self-report. The data were analyzed using multivariate linear regression analysis. Results: Impairments in mentalizing were a significant negative predictor of well-being 12 months later. Furthermore, impairments in mentalizing positively predicted suppression of emotional states at T2. No association was found between deficits in mentalizing and cognitive reappraisal of emotional states over the course of 1 year. Conclusion: The findings indicate that mentalizing is longitudinally associated with mental health indicators in a non-clinical adult sample. Specifically, ineffective mentalizing was associated with impaired psychological well-being and a tendency to suppress intense emotional states over a period of 1 year. Future research should replicate these findings using multiple measurement timepoints to etablish causality.
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Affiliation(s)
- Nicola-Hans Schwarzer
- Institut für Sonderpädagogik, Fakultät für Erziehungs- und Sozialwissenschaften, Pädagogische Hochschule Heidelberg, Heidelberg, Germany
| | - Nikolas Heim
- International Psychoanaytic University Berlin, Berlin, Germany
| | - Stephan Gingelmaier
- Abteilung soziale und emotionale Entwicklung, Fakultät III für Sonderpädagogik, Pädagogische Hochschule Ludwigsburg, Ludwigsberg, Germany
| | - Peter Fonagy
- Anna Freud Centre, London, UK
- Research Department of Clinical, Educational and Health Psychology, University College London, London, UK
| | - Tobias Nolte
- Anna Freud Centre, London, UK
- Research Department of Clinical, Educational and Health Psychology, University College London, London, UK
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Bidi SB, Alapati V, Jenifer Dmello V, Weesie E, Gil MT, Shenoy SS, Kurian S, Rajendran A. Prevalence of stress and its relevance on psychological well-being of the teaching profession: A scoping review. F1000Res 2024; 12:424. [PMID: 38666265 PMCID: PMC11043664 DOI: 10.12688/f1000research.131894.2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 12/14/2023] [Indexed: 04/28/2024] Open
Abstract
Background Well-being among teachers contributes toward quality work and better student support. Teachers' well-being persists to be a concern in school settings; there is a lacuna in understanding the concept of well-being among them. This scoping review identifies the stress factors and map their association with the psychological well-being of teachers employed in schools. Additionally, to identify the methodology and the interventions used in reducing teachers' stress and their relevance on their psychological well-being. Methods First, Pubmed, Web of Science, and Scopus databases were searched for eligible studies with MeSH terms for stress factors, well-being, and teachers from 2010 to 2022. Identified studies were screened thoroughly and excluded or included based on prior established criteria. Data from the included studies were extracted and summarized according to the study protocol. Results Among the 60 studies that met our inclusion criteria, the majority were quantitative, with cross-sectional studies. Several studies focused on emotional exhaustion, depersonalization, and diminished personal accomplishment aspect among teachers. Almost half of the included studies focused on organizational and social pressures such as administration workload, classroom management issues, lack of supervisor and team support, students' behaviour, and pressure from parents. The most used interventions to overcome stress were coping strategies and mindfulness training intervention tools. Conclusions The findings from the current scoping review will reveal the different stressors which impact psychological well-being. Focus on the most used interventions to overcome stress among schoolteachers. This will also provide recommendations to regulators and management to identify the factors causing stress among teachers and their relevance to their psychological well-being, overcome employee turnover and absenteeism issues. Also, different alternatives available to reduce the stress may benefit the stakeholders and policymakers to confirm a suitable intervention that will benefit the teaching profession.
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Affiliation(s)
- Shilpa Badrinath Bidi
- Department of Commerce, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India
| | - Varalakshmi Alapati
- Department of Commerce, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India
| | - Venisha Jenifer Dmello
- Department of Commerce, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India
| | - Edwin Weesie
- Lectorate Finance Economic Innovation, University of Applied Sciences,, Heidelberglaan 15, 3584 CS, Utrecht, Heidelberglaan, 85029 – 3508, Netherlands Antilles
| | - Mathew Thomas Gil
- Department of Commerce, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India
| | - Sandeep S Shenoy
- Department of Commerce, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India
| | - Simmy Kurian
- Management studies, Jain (Deemed-to-be University), Kochi campus, Kerala, India
| | - Ambigai Rajendran
- Department of Commerce, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India
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Schwarzer NH, Dietrich L, Gingelmaier S, Nolte T, Bolz T, Fonagy P. Mentalizing partially mediates the association between attachment insecurity and global stress in preservice teachers. Front Psychol 2023; 14:1204666. [PMID: 37671112 PMCID: PMC10475550 DOI: 10.3389/fpsyg.2023.1204666] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2023] [Accepted: 07/27/2023] [Indexed: 09/07/2023] Open
Abstract
Objective Considering the fact that the teaching profession is a highly stressful occupation and that teachers' ineffective coping strategies contribute to higher levels of stress, the objective of the present study was to investigate whether insecure attachment is related to global stress experiences in preservice student teachers. Furthermore, it was examined whether this link is mediated by the preservice teachers' mentalizing-the capacity to perceive and consider one's own and others' behavior based on intentional mental states. Methods Data of this cross-sectional study came from 202 preservice student teachers using self-report instruments (attachment: Expectation in Close Relationships; mentalizing: Reflective Functioning Questionnaire; stress: Trier Inventory of Chronic Stress). The hypotheses were tested using structural equation modelling. Results Anxious attachment was positively related to stress and impairments in mentalizing. In addition, the link between attachment-related anxiety and stress was partially mediated by mentalizing. Avoidant attachment was not associated with stress or mentalizing. Discussion Results indicate that anxious attachment is associated with higher perceived stress in preservice student teachers. Consequently, attachment-related anxiety may be a risk factor which, in turn, may foster perceptions of higher global stress experiences. Conclusion Additional research needs to focus on exploring the link between attachment insecurity and global stress experiences among preservice student teachers. An examination of preservice student teachers' own attachment experiences proves to be useful, for example in the context of mentalization-based supervision or reflective practice.
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Affiliation(s)
| | - Lars Dietrich
- Humboldt University of Berlin, Berlin, Baden-Wurttemberg, Germany
| | | | - Tobias Nolte
- Anna Freud National Centre for Children and Families, London, United Kingdom
| | - Tijs Bolz
- University of Oldenburg, Oldenburg, Lower Saxony, Germany
| | - Peter Fonagy
- University College London, London, England, United Kingdom
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Lassri D. Psychological distress among teaching staff during the COVID-19 pandemic: A transdiagnostic perspective on profiles of risk and resilience. TEACHING AND TEACHER EDUCATION 2023; 128:104143. [PMID: 37041992 PMCID: PMC10080283 DOI: 10.1016/j.tate.2023.104143] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/15/2022] [Revised: 02/12/2023] [Accepted: 04/01/2023] [Indexed: 06/19/2023]
Abstract
Teaching staff are especially vulnerable to COVID-19-related stress, due to the significant demands they have experienced. Yet, many have shown resilience-good mental health despite stress exposure. The current study used a person-centered approach to identify distinct profiles according to individual differences in psychosocial risk and protective factors. Latent Profile Analysis and ANOVAs were employed among 350 Israeli teaching staff during the fourth wave of COVID-19. Two distinct profiles, "risk" (55%) and "resilience" (45%) were identified. While groups showed no differences in COVID-19-related stress outcomes, they consistently differed in their psychological reaction to COVID-19 (psychopathology, compassion fatigue, and compassion satisfaction).
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Affiliation(s)
- Dana Lassri
- The Paul Baerwald School of Social Work and Social Welfare, The Hebrew University of Jerusalem, Israel
- Research Department of Clinical, Educational and Health Psychology, UCL (University College London), UK
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Safiye T, Gutić M, Dubljanin J, Stojanović TM, Dubljanin D, Kovačević A, Zlatanović M, Demirović DH, Nenezić N, Milidrag A. Mentalizing, Resilience, and Mental Health Status among Healthcare Workers during the COVID-19 Pandemic: A Cross-Sectional Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:ijerph20085594. [PMID: 37107876 PMCID: PMC10138377 DOI: 10.3390/ijerph20085594] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/03/2023] [Revised: 04/01/2023] [Accepted: 04/13/2023] [Indexed: 05/10/2023]
Abstract
The COVID-19 pandemic has caused unprecedented stress on healthcare professionals worldwide. Since resilience and mentalizing capacity play very important preventive roles when it comes to mental health, the main goal of this study was to determine whether the capacity for mentalizing and resilience could explain the levels of depression, anxiety, and stress among healthcare workers during the COVID-19 pandemic. The study was conducted in Serbia on a sample of 406 healthcare workers (141 doctors and 265 nurses) aged 19 to 65 (M = 40.11, SD = 9.41). The participants' mental health status was evaluated using the Depression, Anxiety, and Stress Scale-DASS-42. The Reflective Functioning Questionnaire was used to evaluate the capacity for mentalizing. Resilience was assessed using the Brief Resilience Scale. The results of the correlation analysis showed that there were negative correlations between resilience and all three dimensions of mental health status: depression, anxiety, and stress. Hypermentalizing was negatively correlated with depression, anxiety, and stress, while hypomentalizing was positively correlated. Hierarchical linear regression analysis showed that both resilience and hypermentalizing were significant negative predictors of depression, anxiety, and stress, and that hypomentalizing was a significant positive predictor of depression, anxiety, and stress. Furthermore, socioeconomic status was a significant negative predictor of depression, anxiety, and stress. Marital status, number of children, and work environment were not statistically significant predictors of any of the three dimensions of mental health status among the healthcare workers in this study. There is an urgent need to establish and implement strategies to foster resilience and enhance the capacity for mentalizing among healthcare workers in order to minimize the devastating effects of the COVID-19 pandemic on mental health.
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Affiliation(s)
- Teodora Safiye
- Faculty of Medical Sciences, University of Kragujevac, Svetozara Markovića 69, 34000 Kragujevac, Serbia
- Correspondence:
| | - Medo Gutić
- Faculty of Medical Sciences, University of Kragujevac, Svetozara Markovića 69, 34000 Kragujevac, Serbia
- Public Health Institution Health Center “Dr Branko Zogovic”, Hridska bb, 84325 Plav, Montenegro
- Faculty of Medicine, University of Belgrade, Dr Subotića 8, 11000 Belgrade, Serbia
| | - Jakša Dubljanin
- Faculty of Medical Sciences, University of Kragujevac, Svetozara Markovića 69, 34000 Kragujevac, Serbia
- Department of Cardiology, University Clinical Hospital Center Zemun, Vukova 9, 11080 Belgrade, Serbia
| | - Tamara M. Stojanović
- Faculty of Philology and Arts, University of Kragujevac, Jovana Cvijića bb, 34000 Kragujevac, Serbia
| | - Draško Dubljanin
- Faculty of Medical Sciences, University of Kragujevac, Svetozara Markovića 69, 34000 Kragujevac, Serbia
- Department of Pulmonology, University Clinical Hospital Center Zvezdara, Dimitrija Tucovića 161, 11120 Belgrade, Serbia
| | - Andreja Kovačević
- Faculty of Medical Sciences, University of Kragujevac, Svetozara Markovića 69, 34000 Kragujevac, Serbia
- Department of Cardiopulmonary Rehabilitation, Institute for Rehabilitation Belgrade, Sokobanjska 17, 11000 Belgrade, Serbia
| | - Milena Zlatanović
- Faculty of Medical Sciences, University of Kragujevac, Svetozara Markovića 69, 34000 Kragujevac, Serbia
- Department of Medical Studies Ćuprija, Academy of Educational and Medical Vocational Studies Kruševac, Bulevar Vojske bb, 35230 Ćuprija, Serbia
| | - Denis H. Demirović
- Department of Psychology, Faculty of Philoshopy and Arts, State University of Novi Pazar, Vuka Karadžića 9, 36300 Novi Pazar, Serbia
| | - Nemanja Nenezić
- Department of Medical Studies Ćuprija, Academy of Educational and Medical Vocational Studies Kruševac, Bulevar Vojske bb, 35230 Ćuprija, Serbia
| | - Ardea Milidrag
- Faculty of Medical Sciences, University of Kragujevac, Svetozara Markovića 69, 34000 Kragujevac, Serbia
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Levante A, Petrocchi S, Bianco F, Castelli I, Lecciso F. Teachers during the COVID-19 Era: The Mediation Role Played by Mentalizing Ability on the Relationship between Depressive Symptoms, Anxious Trait, and Job Burnout. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:859. [PMID: 36613181 PMCID: PMC9820251 DOI: 10.3390/ijerph20010859] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/24/2022] [Revised: 12/23/2022] [Accepted: 12/26/2022] [Indexed: 06/17/2023]
Abstract
BACKGROUND The COVID-19 outbreak caused severe changes in school activities over the past two years. Teachers underwent a re-planning of their teaching approaches, shifting from face-to-face teaching formats to remote ones. These challenges resulted in high levels of burnout. The identification of risk/protective factors contributing to burnout is crucial in order to inform intervention programs. Thus, we hypothesized a mediation role of teachers' mentalizing ability (processing of emotions, a component of mentalized affectivity) on the relationship between depression, anxiety, and depersonalization (burnout dimension). Two reverse models were computed. Job satisfaction, teachers' age and gender, school grade, and length of teaching experience served as covariates. METHODS 466 (M(sd) = 46.2 (10.4) years) online questionnaires were completed by Italian teachers of primary (n = 204) and middle (n = 242) schools. Measures of burnout, depression, anxiety, and mentalization were administered. RESULTS The findings corroborated our hypotheses: in all models, processing emotions served as a mediator on the relationship between depression, anxiety, and depersonalization, and on the reciprocal one. Job satisfaction positively impacted processing emotion, and negatively impacted depression and depersonalization; women teachers reported high levels of the anxious trait. CONCLUSIONS Overall, it can be concluded that the ability to mentalize has a beneficial impact on teachers' well-being. Policymaking, clinical, and research implications were discussed.
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Affiliation(s)
- Annalisa Levante
- Department of Human and Social Sciences, University of Salento, 73100 Lecce, Italy
- Lab of Applied Psychology, Department of Human and Social Sciences, University of Salento, 73100 Lecce, Italy
| | - Serena Petrocchi
- Lab of Applied Psychology, Department of Human and Social Sciences, University of Salento, 73100 Lecce, Italy
- Faculty of Biomedical Sciences, Università della Svizzera Italiana, 6900 Lugano, Switzerland
| | - Federica Bianco
- Department of Human and Social Sciences, University of Bergamo, 24100 Bergamo, Italy
| | - Ilaria Castelli
- Department of Human and Social Sciences, University of Bergamo, 24100 Bergamo, Italy
| | - Flavia Lecciso
- Department of Human and Social Sciences, University of Salento, 73100 Lecce, Italy
- Lab of Applied Psychology, Department of Human and Social Sciences, University of Salento, 73100 Lecce, Italy
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Maerz J, Buchheim A, Rabl L, Riedl D, Viviani R, Labek K. The interplay of Criterion A of the Alternative Model for Personality Disorders, mentalization and resilience during the COVID-19 pandemic. Front Psychol 2022; 13:928540. [PMID: 35959052 PMCID: PMC9358045 DOI: 10.3389/fpsyg.2022.928540] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2022] [Accepted: 07/04/2022] [Indexed: 01/07/2023] Open
Abstract
Background and aims The COVID-19 pandemic has been accompanied by a worsening of mental health levels in some, while others manage to adapt or recover relatively quickly. Transdiagnostic factors such as personality functioning are thought to be involved in determining mental health outcomes. The present study focused on two constructs of personality functioning, Criterion A of the Alternative Model for Personality Disorders (AMPD, DSM-5) and mentalization, as predictors of depressive symptoms and life satisfaction during the COVID-19 pandemic. A second focus of the study was to examine whether this relationship was mediated by resilience. Methods Linear regression analyses were used to examine the relationship between personality functioning measured by Criterion A (AMPD, DSM-5) and mentalizing abilities as predictors, and depression and life satisfaction as mental health outcomes. To assess the hypothesis that this relationship is mediated by resilience a structural equation modeling approach was conducted. Data from N = 316 individuals from the general population were collected. Results Linear regression models revealed highly significant associations between Criterion A/mentalization and both outcome measures. Structural equation models showed a significant partial mediation by resilience of these relationships. Conclusion Our results support the hypothesis that mentalizing serves as a protective function by promoting resilience to the impact of stress and threats. Criterion A and mentalization performed similarly as predictors of mental health outcomes, providing empirically overlapping operationalizations of personality functioning. This finding emphasizes the importance of personality functioning in positive and negative mental health outcomes. Furthermore, our results are consistent with a mediating role of resilience.
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Affiliation(s)
- Jeff Maerz
- Institute of Psychology, University of Innsbruck, Innsbruck, Austria
| | - Anna Buchheim
- Institute of Psychology, University of Innsbruck, Innsbruck, Austria
| | - Luna Rabl
- Institute of Psychology, University of Innsbruck, Innsbruck, Austria
| | - David Riedl
- University Hospital of Psychiatry II, Medical University Innsbruck, Innsbruck, Austria
| | - Roberto Viviani
- Institute of Psychology, University of Innsbruck, Innsbruck, Austria
- Department of Psychiatry and Psychotherapy III, University of Ulm, Ulm, Germany
| | - Karin Labek
- Institute of Psychology, University of Innsbruck, Innsbruck, Austria
- *Correspondence: Karin Labek,
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Yu F, Mirza F, Chaudhary NI, Arshad R, Wu Y. Impact of Perceived Skillset and Organizational Traits on Digital Wellbeing of Teachers: Mediating Role of Resilience. Front Psychol 2022; 13:923386. [PMID: 35719496 PMCID: PMC9201954 DOI: 10.3389/fpsyg.2022.923386] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2022] [Accepted: 05/02/2022] [Indexed: 11/19/2022] Open
Abstract
Given the current unstable and unpredictable circumstances, especially due to the COVID-19 education system has evolved, requiring frequently distinct skills, and coping behavior. This study intended to empirically test the impact of perceived skillset and organizational traits on teachers' digital wellbeing with the mediating role of three levels of resilience. To serve the cause, non-probability convenience sampling was chosen, and data was gathered through an online survey from 336 on-duty teachers in the education sector of Pakistan. The results of the study have been drawn by using the PLS-SEM partial least squares structural equation modeling technique through the Smart-PLS software 3.0 version. The findings show that perceived skillset had a positive and significant impact on digital wellbeing and organizational traits had an insignificant effect on digital wellbeing. Moreover, results indicate that organizational resilience and employee resilience positively mediate the relationship between perceived skillset and organizational traits on digital wellbeing. Similarly, findings illustrate that team resilience positively mediates the relationship between perceived skillset and digital wellbeing. Furthermore, results show that team resilience negatively and insignificantly mediates the relationship between organizational traits and digital wellbeing. Lastly, discussion, theoretical and practical implications were also discussed in this research article.
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Affiliation(s)
- Fang Yu
- School of Economics and Management, Southeast University, Nanjing, China
| | - Farhan Mirza
- Knowledge Unit of Systems and Technology (KUST) Department, University of Management and Technology, Sialkot, Pakistan
| | | | - Rida Arshad
- Department of Business Administration, University of the Punjab, Lahore, Pakistan
| | - Yingyu Wu
- School of Economics and Management, Southeast University, Nanjing, China
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Safiye T, Vukčević B, Gutić M, Milidrag A, Dubljanin D, Dubljanin J, Radmanović B. Resilience, Mentalizing and Burnout Syndrome among Healthcare Workers during the COVID-19 Pandemic in Serbia. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19116577. [PMID: 35682162 PMCID: PMC9180446 DOI: 10.3390/ijerph19116577] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/13/2022] [Revised: 05/18/2022] [Accepted: 05/25/2022] [Indexed: 02/06/2023]
Abstract
The aim of this study was to examine whether the capacity for mentalizing and resilience among healthcare workers (HCWs) explains the degree of burnout syndrome during the COVID-19 pandemic in Serbia. The research was conducted on a sample of 406 healthcare workers (141 doctors and 265 nurses), aged 19 to 65 years (M = 40.11, SD = 9.41)—203 worked on the COVID-19 frontline, and 203 in regular clinical conditions. The Maslach Burnout Inventory was used to measure the burnout syndrome. Capacity for mentalizing was examined using the Reflective Functioning Questionnaire. The Brief Resilience Scale was used to measure resilience. The results indicated that there were negative correlations between resilience and the dimensions of burnout—emotional exhaustion (r = −0.38; p < 0.01) and depersonalization (r = −0.11; p < 0.05), and a positive correlation between resilience and personal accomplishment (r = 0.27; p < 0.01), as was expected. The analyses of hierarchical linear regression showed that hypomentalizing was a significant positive predictor of emotional exhaustion (ß = 0.12; p < 005) and depersonalization (ß = 0.15; p < 0.05), resilience was a significant negative predictor of emotional exhaustion (ß = −0.28, p < 0.01) and positive predictor of personal accomplishment (ß = 0.20; p < 0.01), and that the degree of explained variance of burnout dimensions was higher when resilience and hypomentalizing were included in regression models, in addition to sociodemographic variables. The findings suggest that being a woman and working on the COVID-19 frontline implies a higher burnout, while the level of burnout decreases with better socioeconomic status and more children. Resilience, capacity for mentalizing, and burnout syndrome among HCWs are interrelated phenomena, which have important professional implications.
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Affiliation(s)
- Teodora Safiye
- Faculty of Medical Sciences, University of Kragujevac, Svetozara Markovića 69, 34000 Kragujevac, Serbia; (M.G.); (A.M.); (D.D.); (J.D.); (B.R.)
- Correspondence:
| | - Branimir Vukčević
- High School of Culinary Arts and Tourism with Dormitory, Heroja Čajke 18, 36210 Vrnjacka Banja, Serbia;
| | - Medo Gutić
- Faculty of Medical Sciences, University of Kragujevac, Svetozara Markovića 69, 34000 Kragujevac, Serbia; (M.G.); (A.M.); (D.D.); (J.D.); (B.R.)
- Public Health Institution Health Center “Dr Branko Zogovic”, Hridska bb, 84325 Plav, Montenegro
- Faculty of Medicine, University of Belgrade, Dr Subotića 8, 11000 Belgrade, Serbia
| | - Ardea Milidrag
- Faculty of Medical Sciences, University of Kragujevac, Svetozara Markovića 69, 34000 Kragujevac, Serbia; (M.G.); (A.M.); (D.D.); (J.D.); (B.R.)
| | - Draško Dubljanin
- Faculty of Medical Sciences, University of Kragujevac, Svetozara Markovića 69, 34000 Kragujevac, Serbia; (M.G.); (A.M.); (D.D.); (J.D.); (B.R.)
- Department of Pulmonology, University Clinical Hospital Center Zvezdara, Dimitrija Tucovića 161, 11120 Belgrade, Serbia
| | - Jakša Dubljanin
- Faculty of Medical Sciences, University of Kragujevac, Svetozara Markovića 69, 34000 Kragujevac, Serbia; (M.G.); (A.M.); (D.D.); (J.D.); (B.R.)
- Department of Cardiology, University Clinical Hospital Center Zemun, Vukova 9, 11080 Belgrade, Serbia
| | - Branimir Radmanović
- Faculty of Medical Sciences, University of Kragujevac, Svetozara Markovića 69, 34000 Kragujevac, Serbia; (M.G.); (A.M.); (D.D.); (J.D.); (B.R.)
- Psychiatry Clinic, University Clinical Center Kragujevac, Zmaj Jovina 30, 34000 Kragujevac, Serbia
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Steinmair D, Fink B, Horvath E, Matuszak-Luss K, Löffler-Stastka H. Mentalisierungsfähigkeit und Empathie in der Psychiatrie – eine Sozialisationsfrage? PSYCHOPRAXIS. NEUROPRAXIS 2021. [PMCID: PMC8325535 DOI: 10.1007/s00739-021-00738-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
ZusammenfassungBerufliche Sozialisation entwickelt sich im Kontext der Persönlichkeitsentwicklung und vorhandener Bedingungen unterschiedlich. Das Aufrechterhalten der Mentalisierungsfähigkeit im beruflichen Alltag und vor allem in herausfordernden Situationen ist keine Selbstverständlichkeit, sondern abhängig von Umgebungsbedingungen. Die Übernahme von Verantwortung für die gewählte berufliche Tätigkeit erfordert eine Auseinandersetzung mit dem jeweils spezifischen Anforderungsprofil; es stellen sich Lern- und Entwicklungsaufgaben. Die Integration der beruflichen Identität im Rahmen förderlicher Umgebungsbedingungen bedeutet, sich als Teil dieser Gruppe(n) zu erleben. Aus gruppenpsychoanalytischer Sicht stellt die Identifikation mit einer Gruppe eine Verinnerlichung eines „guten Objekts“ dar, einer Gruppenrepräsentanz, welche in herausfordernden Situationen zugänglich ist. Dies kann die Mentalisierungsfähigkeit verbessern.
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Affiliation(s)
- D. Steinmair
- Klinik für Psychoanalyse und Psychotherapie, Medizinische Universität Wien, Währinger Gürtel 18–20, 1090 Wien, Österreich
- Klinische Abteilung für Augenheilkunde und Orbitachirurgie, Universitätsklinikum St. Pölten, Karl Landsteiner Privatuniversität für Gesundheitswissenschaften, St. Pölten, Österreich
| | - B. Fink
- Sektion Psychotherapie/AG Ambulante Psychotherapie, Österreichische Gesellschaft für Psychiatrie, Psychotherapie und Psychosomatik,
Wien
, Österreich
- Ordination, Auhofstraße 70/4, 1130 Wien, Österreich
| | - E. Horvath
- Sektion Psychotherapie/AG Ambulante Psychotherapie, Österreichische Gesellschaft für Psychiatrie, Psychotherapie und Psychosomatik,
Wien
, Österreich
- Ordination, Tellgasse 14/12, 1150 Wien, Österreich
| | - K. Matuszak-Luss
- Sektion Psychotherapie/AG Ambulante Psychotherapie, Österreichische Gesellschaft für Psychiatrie, Psychotherapie und Psychosomatik,
Wien
, Österreich
- Ordination für Psychiatrie, psychotherapeutische Medizin und Neurologie, Seckendorfstraße 6/1/6, 1140 Wien, Österreich
| | - H. Löffler-Stastka
- Klinik für Psychoanalyse und Psychotherapie, Medizinische Universität Wien, Währinger Gürtel 18–20, 1090 Wien, Österreich
- Sektion Psychotherapie/AG Ambulante Psychotherapie, Österreichische Gesellschaft für Psychiatrie, Psychotherapie und Psychosomatik,
Wien
, Österreich
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