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Wang H, Jia R, Zhang M, Fan W. The influence of stress on mental health among Chinese college students: The moderating role of psychological suzhi. Heliyon 2024; 10:e26699. [PMID: 38444499 PMCID: PMC10912246 DOI: 10.1016/j.heliyon.2024.e26699] [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: 05/12/2023] [Revised: 02/08/2024] [Accepted: 02/19/2024] [Indexed: 03/07/2024] Open
Abstract
Depending on its duration, stress can be divided into chronic and acute stress, both of which can be detrimental to an individual's mental health. Psychological suzhi may act as a protective factor that buffers the adverse effects of stress. This study aimed to explore the moderating role of psychological suzhi in the relationship between these two types of stress and mental health based on a dual-factor model of mental health. Study 1 explored the moderating role of psychological suzhi on the relationship between chronic stress and mental health using the Adolescent Self-Rating Life Events Check List, College Student Psychological Suzhi Scale Brief Mental Health Version, Satisfaction With Life Scale, and 12-item General Health Questionnaire to investigate 919 Chinese college students. A hierarchical regression model was used to examine the moderating effects. Study 2 examined the moderating role of psychological suzhi on the relationship between acute stress and mental health. Participants (N = 56) were classified into high (N = 30) and low (N = 26) psychological suzhi groups based on the Psychological Suzhi Scale. They completed the Trier Social Stress Test for Groups and a specific control condition, and their state anxiety and happiness levels were assessed. Data were analyzed using a mixed-design repeated-measures ANOVA. The results of Study 1 revealed that psychological suzhi moderated the influence of chronic stress on the negative indicator of mental health (psychological symptoms) (β = -0.18, t = -6.90, p < 0.001). The results of Study 2 showed that psychological suzhi moderated the effect of acute stress on the negative indicator of mental health (state anxiety) [F (1, 54) = 4.79, p < 0.05, η2 = 0.08]. Psychological suzhi can moderate the influence of both chronic and acute stress on the negative indicators of college students' mental health but cannot moderate the influence on the positive indicators of mental health.
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Affiliation(s)
- Huixin Wang
- Department of Applied Psychology, Binzhou Medical University, Yantai, China
| | - Ruxue Jia
- Psychological Center, Xinghua Fourth People's Hospital, Taizhou , China
| | - Min Zhang
- Department of Applied Psychology, Binzhou Medical University, Yantai, China
| | - Wenyi Fan
- Department of Applied Psychology, Binzhou Medical University, Yantai, China
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Romanenko A, Bielka K. LABOUR ANALGESIA AND THE RISK OF POSTPARTUM DEPRESSION. WIADOMOSCI LEKARSKIE (WARSAW, POLAND : 1960) 2023; 75:2948-2952. [PMID: 36723308 DOI: 10.36740/wlek202212109] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
Abstract
OBJECTIVE The aim: To find association between postpostpartum depression incidence and mode of labour analgesia. PATIENTS AND METHODS Materials and methods: This is a prospective observational study conducted at the Kyiv City Maternity Hospital №5 (from March 2020 to May 2021). Using google-form and face-to-face interviews, 321 women completed Childbirth Experience Questionnaire on the 2- 3-rd day in the postpartum period. After the first survey, only 35% of women agreed to screen for postpartum depression (PPD) by Edinburgh Postnatal Depression Scale. Univariate logistic regression method was used to assess the risk relation between PPD and factors. RESULTS Results: Women who used nitrous oxide (50:50) and non-pharmacological methods of labour analgesia were associated with the decreased risk of PPD (p = 0,044), OR = 2.83 (95% CI 1,03-7,79), compared to women with patient-control epidural analgesia. On the other hand, there are factors which do not have impact on the risk of depressive symptoms, such as age (p = 0,266); parity (p = 0,713); mode of delivery (p=0,959); pain intensity (p=0,931). CONCLUSION Conclusions: Our findings confirmed the association between nitrous oxide and the alternative methods of labour analgesia usage and decreased risk of development PPD.
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Fan H, Xue L, Zhang J, Qiu S, Chen L, Liu S. Victimization and depressive symptoms among Chinese adolescents: A moderated mediation model. J Affect Disord 2021; 294:375-381. [PMID: 34315099 DOI: 10.1016/j.jad.2021.07.022] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/09/2021] [Revised: 04/26/2021] [Accepted: 07/10/2021] [Indexed: 11/26/2022]
Abstract
BACKGROUND Victimization as an inducing factor of depressive symptoms has been confirmed in previous studies. However, little is known about how and when it induces depressive symptoms in adolescents. METHODS In total, 1174 Chinese adolescents were recruited to complete the Juvenile Victimization Questionnaire, Security Questionnaire, Positive Psychological Capital Questionnaire, and the Chinese version of the Center for Epidemiologic Studies Depression Scale. RESULTS After controlling for gender and school type, the sense of security partially mediated the association between victimization and depressive symptoms. Moreover, direct association and the mediating effect of the sense of security were moderated by psychological capital. The moderating effect occurred in the second half of the mediating effect. LIMITATIONS Causal conclusions cannot be drawn based on cross-sectional research design. All measures were based on participant self-report. CONCLUSIONS The mediating model constructed in this study emphasized the important influence of stress, emotion, and psychological diathesis on adolescent depressive symptoms.
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Affiliation(s)
- Hang Fan
- Department of Psychology, Renmin University of China, No. 59 Zhongguancun Street, Haidian District, Beijing 100872, PR China
| | - Lulu Xue
- Department of Psychology, Renmin University of China, No. 59 Zhongguancun Street, Haidian District, Beijing 100872, PR China
| | - Jue Zhang
- Department of Psychology, Renmin University of China, No. 59 Zhongguancun Street, Haidian District, Beijing 100872, PR China
| | - Shengqiang Qiu
- Lixian Education Bureau, Aba Autonomous Prefecture, PR China
| | - Lipeng Chen
- Department of Psychology, Renmin University of China, No. 59 Zhongguancun Street, Haidian District, Beijing 100872, PR China.
| | - Shen Liu
- School of Humanities and Social Sciences, University of Science and Technology of China, No. 96 Jinzhai Road, Baohe District, Hefei 230022, PR China.
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Peng J, Zhang J, Zhao K, Wang X, Wu Y, Fang P, Lv J. The Impact of Attachment on Depression in Married Seniors: Chain Mediating Effects of Self-Esteem and Rumination. Front Psychol 2021; 12:677015. [PMID: 34456792 PMCID: PMC8387878 DOI: 10.3389/fpsyg.2021.677015] [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: 03/07/2021] [Accepted: 07/20/2021] [Indexed: 11/23/2022] Open
Abstract
In this study, we discuss the effects of attachment on depression and the mediating roles of self-esteem and rumination in Chinese seniors. We assessed 431 using the Experiences in Close Relationships Inventory, the Rosenberg Self-Esteem Scale, the Ruminative Responses Scale, and the Short Form of Center for Epidemiologic Studies Depression Scale. Both attachment anxiety and attachment avoidance significantly predicted depression in seniors. Attachment anxiety and attachment avoidance positively predicted rumination but negatively predicted self-esteem. Structural equation models showed that rumination and self-esteem fully mediated the effects of attachment anxiety and attachment avoidance on depression. The attachment of seniors is related to depression, and self-esteem and rumination have chain mediating effects between attachment and depression.
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Affiliation(s)
- Jiaxi Peng
- College of Teachers, Chengdu University, Chengdu, China
| | - Jiaxi Zhang
- Department of Political Theory, Xi'an Research Institute of High Technology, Xi'an, China
| | - Kangwei Zhao
- College of Teachers, Chengdu University, Chengdu, China
| | - Xin Wang
- College of Teachers, Chengdu University, Chengdu, China
| | - Yi Wu
- College of Teachers, Chengdu University, Chengdu, China
| | - Peng Fang
- Department of Military Medical Psychology, Air Force Medical University, Xi'an, China
| | - Jing Lv
- The Second Medical Center & National Clinical Research Center for Geriatric Diseases, Chinese PLA General Hospital, Beijing, China
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Levels and Instability of Daily Self-Esteem in Adolescents: Relations to Depressive and Anxious Symptoms. Res Child Adolesc Psychopathol 2021; 49:1083-1095. [PMID: 33675492 DOI: 10.1007/s10802-021-00802-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/28/2021] [Indexed: 10/22/2022]
Abstract
The current study examined whether individual differences in depressive and anxious symptoms relate to level of daily self-esteem and instability of daily self-esteem in adolescence. Participants were a racially and ethnically diverse sample of adolescents (79 girls, 65 boys; M age = 13.53 years). Adolescents reported on their depressive and anxious symptoms during a baseline home visit. Then, adolescents reported on their daily self-esteem over the course of 12 consecutive days. Using hierarchical linear modeling analyses, level of daily self-esteem was negatively associated with depressive but not anxious symptoms. In addition, a positive relation emerged between instability of daily self-esteem and depressive symptoms when controlling for level of self-esteem; a similar relation did not emerge for anxious symptoms. The differential findings that emerged between both level and instability of daily self-esteem and depressive versus anxious symptoms may be linked to differences in the temporal orientation of these two types of internalizing symptoms; specifically, depressive symptoms result from backward-looking rumination over previous experiences, whereas anxious symptoms emerge from forward-looking worry about future events (Wenze et al., 2012).
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Roth M, Altmann T. A Comparison of the Predictive Validity of Self-Esteem Level and Directly Measured Self-Esteem Stability in the Temporal Prediction of Psychological Distress. Front Psychol 2020; 11:1770. [PMID: 32849049 PMCID: PMC7396498 DOI: 10.3389/fpsyg.2020.01770] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2019] [Accepted: 06/26/2020] [Indexed: 11/13/2022] Open
Abstract
In contrast to the widely used assessment approach in which self-esteem stability is measured as the standard deviation of repeated measurements, direct measurements of self-esteem stability have hardly ever been implemented in longitudinal studies. The primary goal of the present study was to examine the temporal stability and predictive validity of a direct assessment of self-esteem stability compared with the trait level of self-esteem with respect to the prediction of psychological distress (PD). We examined a sample of 136 employees who completed self-report measures of both self-esteem level [Rosenberg Self-Esteem Scale (RSES)] and self-esteem stability [Self-Esteem Stability Scale (SESS)] along with a measure of PD (SCL-90) at two time points across an interval of 1 year. The results underline the relevance of perceived self-esteem stability in the temporal prediction of PD: After controlling for initial PD, we found that self-esteem stability predicted PD better than self-esteem level did. Therefore, we recommend that the RSES be expanded by adding the three SESS items that directly measure the stability of self-esteem.
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Affiliation(s)
- Marcus Roth
- Department of Psychology, University of Duisburg-Essen, Essen, Germany
| | - Tobias Altmann
- Department of Psychology, University of Duisburg-Essen, Essen, Germany
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Zhang Y, Lv S, Li C, Xiong Y, Zhou C, Li X, Ye M. Smartphone use disorder and future time perspective of college students: the mediating role of depression and moderating role of mindfulness. Child Adolesc Psychiatry Ment Health 2020; 14:3. [PMID: 31988657 PMCID: PMC6969420 DOI: 10.1186/s13034-020-0309-9] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/01/2019] [Accepted: 01/02/2020] [Indexed: 01/07/2023] Open
Abstract
BACKGROUND Smartphone use disorder (SUD) of college students has drawn increasing attention. Although future time perspective (FTP) may be an important protective factor for individual SUD, the moderating and mediating mechanisms underlying this relationship remain unknown. We tested the individual roles of depression and mindfulness as moderators of this relationship. METHODS A cross-sectional study was conducted in two colleges in Shandong and Chongqing in China using a sample of 1304 college students recruited by stratified cluster sampling. Data were collected through a validated self-report instrument. A moderation-mediation model was constructed, and an SPSS PROCESS macro was used to analyse the data. RESULTS The correlation analyses showed that FTP was negatively associated with SUD of college students. The mediation model revealed that depression partially mediated the link between FTP and SUD of college students. The moderation-mediation model suggested that mindfulness moderates two direct paths: FTP to depression and depression to SUD. In the first path (FTP to depression), a high level of mindfulness among college students had weakened the relationship between FTP and depression. Here, the relationship is strengthened by a low level of mindfulness. In the second path (depression to SUD), low levels of mindfulness strengthen the link between depression and FTP. In contrast, significant association was not found with high levels of mindfulness. CONCLUSIONS Results suggest that interventions, such as improving the individual level of FTP and mindfulness, should be conducted. These interventions, in turn, help control the level of depression in college students and ultimately decrease their level of SUD.
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Affiliation(s)
- Yangchang Zhang
- 0000 0000 8653 0555grid.203458.8Department of Epidemiology and Health Statistics, School of Public Health and Management, Chongqing Medical University, Chongqing, 400016 China ,0000 0000 8653 0555grid.203458.8The Innovation Centre for Social Risk Governance in Health, Chongqing Medical University, Chongqing, 400016 China
| | - Shuai Lv
- School of Modern Logistics, Qingdao Harbour Vocational and Technical College, Qingdao, 266404 Shandong China
| | - Cunya Li
- 0000 0000 8653 0555grid.203458.8The Innovation Centre for Social Risk Governance in Health, Chongqing Medical University, Chongqing, 400016 China
| | - Yang Xiong
- 0000 0000 8653 0555grid.203458.8Department of the First Clinical Medicine, Chongqing Medical University, Chongqing, 400016 China
| | - Chenxi Zhou
- grid.452206.7The First Affiliated Hospital of Chongqing Medical University, Chongqing, China
| | - Xuerui Li
- grid.452206.7The First Affiliated Hospital of Chongqing Medical University, Chongqing, China
| | - Mengliang Ye
- 0000 0000 8653 0555grid.203458.8Department of Epidemiology and Health Statistics, School of Public Health and Management, Chongqing Medical University, Chongqing, 400016 China ,0000 0000 8653 0555grid.203458.8The Innovation Centre for Social Risk Governance in Health, Chongqing Medical University, Chongqing, 400016 China
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Duman EA, Atesyakar N, Ecevitoglu A. Multilevel Impact of Prenatal Risk and Protective Factors on Stress Biology and Infant Development: Study protocol of BABIP prospective birth cohort from Turkey. Brain Behav Immun Health 2020; 1:100005. [PMID: 38377425 PMCID: PMC8474236 DOI: 10.1016/j.bbih.2019.100005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2019] [Accepted: 10/03/2019] [Indexed: 11/19/2022] Open
Abstract
Prenatal environment has long-lasting effects on offspring development and health. Research on prenatal stress identified various mechanisms of these effects, from changes in epigenetic and gene expression profiles to Maternal-Placental-Fetal (MPF) stress biology. There is also evidence for the role of additional risk and protective factors influencing the impact of prenatal stress on maternal and infant outcomes. Considering these findings, we present the study protocol of BABIP, a prospective birth cohort from Turkey. The aim of the project is to investigate the effect of prenatal stress on MPF stress biology (i.e. neuroendocrine, immune and metabolic systems), differential DNA methylation and gene expression patterns, and infant birth and developmental outcomes. We are recruiting 150 pregnant women and their babies for a longitudinal project with 4 time points: 20-24 (T1) and 30-34 (T2) weeks of pregnancy, and 1-month (T3) and 4-months (T4) after giving birth. Maternal early and prenatal environment (prenatal stress, early life stress, psychosocial resources, and health-related behaviors) are assessed during pregnancy with MPF stress biology, DNA methylation and gene expression measures. Infant birth outcomes, DNA methylation and development are assessed postpartum. BABIP is the first prospective birth cohort from Turkey with extensive measures on prenatal environment and health. Through investigating the multilevel impact of prenatal stress and related risk and protective factors during and after pregnancy, BABIP will contribute to our understanding of the mechanisms by which prenatal environment influences infant development and health. Being the first such cohort from Turkey, it may also allow identification of prenatal risk and protective factors specific to the context and population in Turkey.
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Affiliation(s)
- Elif Aysimi Duman
- Department of Psychology, Bogazici University, Istanbul, Turkey
- Center for Life Sciences and Technologies, Bogazici University, Istanbul, Turkey
| | - Nilay Atesyakar
- Department of Psychology, Bogazici University, Istanbul, Turkey
| | - Alev Ecevitoglu
- Department of Psychology, Bogazici University, Istanbul, Turkey
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A Review of the Effects of Physical Therapy on Self-Esteem in Postpartum Women With Lumbopelvic Dysfunction. JOURNAL OF OBSTETRICS AND GYNAECOLOGY CANADA 2019; 41:1485-1496. [DOI: 10.1016/j.jogc.2018.07.015] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2018] [Revised: 06/11/2018] [Accepted: 07/11/2018] [Indexed: 12/30/2022]
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Nelis S, Bukowski WM. Daily Affect and Self-Esteem in Early Adolescence: Correlates of Mean Levels and Within-Person Variability. Psychol Belg 2019; 59:96-115. [PMID: 31328013 PMCID: PMC6625554 DOI: 10.5334/pb.467] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2018] [Accepted: 01/30/2019] [Indexed: 11/20/2022] Open
Abstract
Emotions and self-esteem are critical components of well-being and adaptation during adolescence. People differ in their average levels of affect and self-esteem, as well as in how much their affect and self-esteem fluctuate from moment to moment. Fluctuations in affect in particular have not been extensively examined in relation to adolescent-relevant variables. The present study investigates internalizing symptoms, social functioning, and overt and relational aggression as correlates of average levels and within-person variability in daily positive and negative affect (PA and NA) and self-esteem. Crucially, unique association were examined controlling for the other variables. Early adolescents (mean age 10.8 years, N = 94) completed daily diaries across four days on PA, NA, and self-esteem. They also completed general questionnaires, as did peers. Some key findings were that more internalizing symptoms were significantly associated with more variability in NA. The importance of peer relationships for adolescents' daily mean levels of PA and NA were shown. Peer-perceived social functioning was associated with less fluctuations in self-esteem. Some unexpected, non-significant, findings for aggression appeared. Finally, higher mean NA were associated with more NA fluctuations, whereas higher mean PA and self-esteem were associated with less fluctuations.
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Shi P, Ren H, Li H, Dai Q. Maternal depression and suicide at immediate prenatal and early postpartum periods and psychosocial risk factors. Psychiatry Res 2018; 261:298-306. [PMID: 29331710 DOI: 10.1016/j.psychres.2017.12.085] [Citation(s) in RCA: 46] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/07/2016] [Revised: 07/01/2017] [Accepted: 12/31/2017] [Indexed: 01/27/2023]
Abstract
Maternal depression has been intensively explored; however, less attention has been paid to maternal suicide. No studies to date have observed maternal depression and suicide at immediate prenatal and early postpartum stages. In total, 213 Chinese women were recruited in hospitals after they were admitted for childbirth. All completed a short-term longitudinal survey at perinatal stages. Women reported lower depression scores (6.65) and higher suicidal ideation incidence (11.74%) after childbirth. Prenatal depression raised the possibility of prenatal suicidal ideation, while prenatal depression and suicidal ideation increased postpartum depression and suicidal ideation. At immediate prenatal stage, marital satisfaction protected women from depression, while miscarriage experiences and self-esteem increased the risk. At early postpartum stage, in contrast, being first-time mother, marital satisfaction, and harmony with mother-in-law prevented them from depression. Our study is among the first to confirm that women have decreased depression but increased suicidal ideation at early postpartum, and a causal relationship between them, which are worthy of public attention. Potential protective (marital satisfaction, being first-time mother, and harmony with mother-in-law) or risk factors (miscarriage experiences and self-esteem) of maternal depression and suicidal ideation are identified at perinatal stages. This offers reliable guidance for clinical practice of health care.
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Affiliation(s)
- Peixia Shi
- Department of nursing psychology, the Third Military Medical University, Chong qing 400038, China
| | - Hui Ren
- Department of nursing, the Third Military Medical University, Chong qing 400038, China
| | - Hong Li
- Psychology & Social College, Shenzhen University, Shenzhen 518060, China
| | - Qin Dai
- Department of nursing psychology, the Third Military Medical University, Chong qing 400038, China; Psychology & Social College, Shenzhen University, Shenzhen 518060, China.
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Schubert N, Bowker A. Examining the Impostor Phenomenon in Relation to Self-Esteem Level and Self-Esteem Instability. CURRENT PSYCHOLOGY 2017. [DOI: 10.1007/s12144-017-9650-4] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Xu S, Martinez LR, Van Hoof H, Eljuri MI, Arciniegas L. Fluctuating emotions: relating emotional variability and job satisfaction. JOURNAL OF APPLIED SOCIAL PSYCHOLOGY 2016. [DOI: 10.1111/jasp.12390] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Affiliation(s)
- Shi Xu
- School of Hospitality Management; The Pennsylvania State University
| | | | - Hubert Van Hoof
- School of Hospitality Management; The Pennsylvania State University
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