1
|
Kim JR, Park JA, Kim HJ, Yoon JE, Oh D, Park HJ, Paik SM, Lee WJ, Kim D, Yang KI, Chu MK, Yun CH. Association between grit and insomnia: A population-based study. Sleep Med 2024; 124:371-377. [PMID: 39383798 DOI: 10.1016/j.sleep.2024.10.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/11/2024] [Revised: 09/22/2024] [Accepted: 10/04/2024] [Indexed: 10/11/2024]
Abstract
BACKGROUND This study aimed to investigate the association of the grit scale, a personality trait characterized by perseverance and passion, with both the presence and the severity of insomnia in the Korean adult population. METHODS A nationwide population-based cross-sectional survey was conducted through face-to-face interviews using structured questionnaires between September and December 2018 in Korea. Grit was assessed by using the 8-item Short Grit Scale. Participants were categorized into insomnia and non-insomnia groups based on a threshold of 10 on the Insomnia Severity Index (ISI). The association between girt and insomnia was analyzed using multiple linear regression and multivariable logistic regression, controlling for sociodemographic factors, lifestyles, and comorbidities. RESULTS A total of 2453 participants (49.9 % male; aged 19-92 years) were enrolled in the study. Individual grit scores ranged from 1.75 to 5.00 points (mean [SD], 3.27 [0.42]), and insomnia was present in 16.5 % of the population. The insomnia group exhibited lower grit score compared to the non-insomnia group (3.11 [0.40] vs. 3.30 [0.42], p < 0.001, Cohen's d = 0.46). Grit was negatively associated with ISI scores (β = -0.15, 95 % CI = -0.19, -0.11, p < 0.001) and with having insomnia (OR 0.40, 95 % CI = 0.30, 0.55, p < 0.001), after controlling for covariates. CONCLUSIONS Individuals with higher grit were less likely to have insomnia. Clinicians should consider personality traits, such as grit, in the evaluation and the management of insomnia.
Collapse
Affiliation(s)
- Jae Rim Kim
- Department of Neurology, Seoul National University Bundang Hospital, Seongnam, Republic of Korea
| | - Jung-A Park
- Department of Neurology, Daegu Catholic University School of Medicine, Daegu, Republic of Korea
| | - Hong-Jik Kim
- Department of Neurology, Seoul National University Bundang Hospital, Seongnam, Republic of Korea
| | - Jee-Eun Yoon
- Department of Neurology, Soonchunhyang University Bucheon Hospital, Bucheon, Republic of Korea
| | - Dana Oh
- Department of Neurology, Seoul Medical Center, Seoul, Republic of Korea
| | - Hyo Jin Park
- Department of Neurology, Seoul National University Bundang Hospital, Seongnam, Republic of Korea
| | - Sang Min Paik
- Department of Neurology, Seoul National University Bundang Hospital, Seongnam, Republic of Korea
| | - Woo-Jin Lee
- Department of Neurology, Seoul National University Bundang Hospital, Seongnam, Republic of Korea
| | - Daeyoung Kim
- Department of Neurology, Chungnam National University Hospital, Chungnam National University School of Medicine, Chungnam, Republic of Korea
| | - Kwang Ik Yang
- Sleep Disorders Center, Department of Neurology, Soonchunhyang University Cheonan Hospital, Soonchunhyang University College of Medicine, Cheonan, Republic of Korea
| | - Min Kyung Chu
- Department of Neurology, Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea
| | - Chang-Ho Yun
- Department of Neurology, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
| |
Collapse
|
2
|
Fitzgerald C, Webb C, McNally C. Lift Yourself Up: The Short-Term Associations Between Strength Training and Mood States and the Longer Term Development of Physical Capital and "Grit" Among People Recovering From Substance Use Disorders. Health Promot Pract 2024; 25:845-854. [PMID: 38686654 DOI: 10.1177/15248399241245051] [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] [Indexed: 05/02/2024]
Abstract
Mind Body Connect is a charity that delivers community-based physical exercise (PE) classes to people in recovery from substance use disorders. This study aimed to identify the contribution that strength training played in the development of positive short- and long-term psychological attributes for people recovering from substance use disorders by assessing (a) the short-term associations between participation in group exercise classes (N = 43, t = 2,940) and (b) the prospective long-term association between strength development and individuals' self-assessed level of "grit" among participants for whom strength training became a habitual activity (N = 13, median 8 weeks supported training). Participants completed demographic, Profile of Mood States-Adapted Short Form, and Short Grit Scale questionnaires before and after each strength training session over a period of 45 noncompulsory training sessions between February 2020 and March 2021. Weekly training logs recording the weight lifted were normalized into a measure of physical capital development. Short-term associations were tested using multilevel regression models predicting change in mean Grit score with interactions for gender; long-term associations were assessed through the use of latent growth models. We found that training sessions were associated with weak to moderate reductions (β = -0.112 to -0.533) in many negative mood states but elevated fatigue (β MEN = 1.071, β WOMEN = 0.397). Latent growth in recorded strength was strongly associated with latent growth in self-assessed grit (β = 0.674). The findings suggest that PE classes and supported long-term strength training may assist with the development of recovery capital.
Collapse
|
3
|
Gao F, Wei Q, Dong X, Gao J, Lu S, Liu Y. Developing and validating a Domain-specific Grit Scale for College Athletic Students. Sci Rep 2024; 14:11897. [PMID: 38789483 PMCID: PMC11126736 DOI: 10.1038/s41598-024-62771-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2023] [Accepted: 05/21/2024] [Indexed: 05/26/2024] Open
Abstract
The aim of this study was to create and validate a ten-item Domain-specific Grit Scale for College Athletic Students (DGSCAS) to assess the level of grit among college athletic students. College athletic students from a single independent college located in a northern city in China (526 participants at time 1 and 589 participants at time 2) were assessed according to the scale. Various analyses were conducted in this study, including exploratory factor analysis (EFA), confirmatory factor analysis (CFA), and measurement invariance analysis across different sex and birthplaces. The results of the EFA revealed two factors: consistency of interests and perseverance of effort. The CFA results demonstrated acceptable fit indices (x2 = 160.048, df = 34, x2/df = 4.707, CFI = 0.983, TLI = 0.978, SRMR = 0.021, and RMSEA = 0.079). The scale exhibited satisfactory convergent validity and discriminant validity. The significant correlation of these factors with the Grit scale provided strong evidence of criterion-related validity. Measurement invariance analysis indicated that the scale performed consistently across different sex and birthplaces. Three limitations and corresponding recommendations were discussed, including sample heterogeneity, the lack of a unified test result as a criterion for predictive validity, and the cross-sectional design of the study. In conclusion, the DGSCAS is a practical and validated instrument that can be used to assess the level of grit among college athletic students in an educational context.
Collapse
Affiliation(s)
- Feng Gao
- Qinggong College, North China University of Science and Technology, Qinhuangdao, China
| | - Qiang Wei
- Department of Physical Education, Tangshan Normal University, Tangshan, China
| | - Xiyue Dong
- Department of Basic Courses, Tangshan Polytechnic College, Tangshan, China
| | - Jing Gao
- College of Physical Education, Yanshan University, Qinhuangdao, China
| | - Shan Lu
- Qinggong College, North China University of Science and Technology, Qinhuangdao, China.
| | - Yang Liu
- Qinggong College, North China University of Science and Technology, Qinhuangdao, China
| |
Collapse
|
4
|
Dupont M, Araghi K, Shinn D, Qureshi S, Iyer S. Are Grit and Self-Control Associated With Patient-Reported Outcomes Following Spine Surgery? HSS J 2024; 20:282-287. [PMID: 39282000 PMCID: PMC11393632 DOI: 10.1177/15563316221147193] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/26/2022] [Accepted: 10/21/2022] [Indexed: 09/18/2024]
Abstract
Background: Grit, defined as perseverance and passion for long-term goals, and self-control, defined as the capacity to regulate impulses in the presence of momentarily gratifying temptations or diversion, have shown to be predictors of professional achievement. Their role in health care outcomes is less well understood. Purpose: We sought to determine whether grit and self-control are associated with patient-reported outcome measures (PROMs) following spine surgery. Methods: We conducted a retrospective review of adult patients who underwent cervical or lumbar procedures by a single fellowship-trained spine surgeon between March 2017 and October 2020. We included patients who underwent anterior cervical discectomy and fusion, cervical disk replacement, minimally invasive laminectomy/laminoplasty (MI-D), or minimally invasive transforaminal lumbar interbody fusion (MI-TLIF) with minimum 1-year follow-up. Grit and self-control scores were collected 1 year after the surgery. PROMs were collected preoperatively and at 6 postoperative timepoints. Grit and self-control were compared between patients who achieved substantial clinical benefit (SCB) in either physical or mental health versus those who did not. The association between grit/self-control and change in PROMs was also assessed. Results: In the 129 patients included in the analysis, we found that patients who achieved SCB in mental health had significantly higher grit scores than those who did not. In bivariate analysis, self-control was associated with greater improvement in leg pain scores at 1-year and 2-year follow-up following an MI-D. For the MI-TLIF cohort, grit was associated with a smaller change in Short Form 12 mental component score at 6 weeks, and self-control was associated with a smaller change in Patient-Reported Outcome Measurement Information System Physical Function at the 6-month timepoint. Grit and self-control were not associated with PROMs at other timepoints. Conclusion: This retrospective review found that grit and self-control were not significantly associated with PROMs at most postoperative timepoints in patients who underwent spine surgery.
Collapse
Affiliation(s)
- Marcel Dupont
- Department of Orthopedic Surgery, Hospital for Special Surgery, New York, NY, USA
| | - Kasra Araghi
- Department of Orthopedic Surgery, Hospital for Special Surgery, New York, NY, USA
| | - Daniel Shinn
- Department of Orthopedic Surgery, Hospital for Special Surgery, New York, NY, USA
| | - Sheeraz Qureshi
- Department of Orthopedic Surgery, Hospital for Special Surgery, New York, NY, USA
| | - Sravisht Iyer
- Department of Orthopedic Surgery, Hospital for Special Surgery, New York, NY, USA
| |
Collapse
|
5
|
Delfel E, Hammond A, Shields GS, Moore DJ, Slavich GM, Thames AD. Psychological grit moderates the relation between lifetime stressor exposure and functional outcomes among HIV-seropositive and HIV-seronegative adults. Stress Health 2023; 39:1058-1071. [PMID: 36997157 PMCID: PMC10544691 DOI: 10.1002/smi.3245] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/18/2022] [Revised: 01/31/2023] [Accepted: 03/25/2023] [Indexed: 04/01/2023]
Abstract
The ability to maintain functional independence throughout the lifespan may be diminished among medically compromised and chronically stressed populations. People living with HIV are more likely to demonstrate functional impairment and report greater exposure to lifetime and chronic stressors than their seronegative counterparts. It is well-known that exposure to stressors and adversity is associated with functional impairment outcomes. However, to our knowledge, no studies have examined how protective factors such as psychological grit mitigate the negative effects of lifetime and chronic stressor exposure on functional impairment, and how this association differs by HIV-status. To address this issue, we studied associations between lifetime and chronic stressor exposure, grit, and functional impairment in 176 African American and non-Hispanic White HIV-seropositive (n = 100) and HIV-seronegative (n = 76) adults, aged 24-85 (M = 57.28, SD = 9.02). As hypothesised, HIV-seropositive status and lower grit, but not lifetime stressor exposure, were independently associated with more functional impairment. Moreover, there was a significant three-way interaction between HIV-status, grit, and lifetime stressor exposure, b = 0.07, p = 0.025, 95% CI [0.009, 0.135]. Specifically, lifetime stressor exposure was related to more functional impairment for HIV-seronegative-but not HIV-seropositive-adults who reported low levels of grit. These findings suggest that the protective effects of grit may differ across populations at risk for functional impairment.
Collapse
Affiliation(s)
- Everett Delfel
- Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, California, USA
- Department of Psychology, California State University, Long Beach, California, USA
| | - Andrea Hammond
- Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, California, USA
- Department of Psychology, California State University, Long Beach, California, USA
| | - Grant S. Shields
- Department of Psychological Science, University of Arkansas, Fayetteville, Arkansas, USA
| | - David J. Moore
- Department of Psychiatry, University of California San Diego, San Diego, California, USA
| | - George M. Slavich
- Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, California, USA
| | - April D. Thames
- Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, California, USA
| |
Collapse
|
6
|
Trinh CD, Griffin ML, Li V, McHugh RK, Weiss RD. Assessment of the Short Grit Scale in patients with substance use disorder: Psychometric properties and patient characteristics. THE AMERICAN JOURNAL OF DRUG AND ALCOHOL ABUSE 2023; 49:399-405. [PMID: 36972561 DOI: 10.1080/00952990.2023.2181702] [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: 08/11/2022] [Revised: 01/20/2023] [Accepted: 02/14/2023] [Indexed: 03/29/2023]
Abstract
Background: Recovery from substance use disorder requires sustained effort and perseverance. Hence, the resilience factor of grit may be important for people in recovery. Little research has been conducted on grit in patients with substance use disorder (SUD), especially in a large and varied sample.Objectives: To analyze the psychometric properties of the Short Grit Scale (Grit-S) in patients with SUD and to use demographic and clinical characteristics to predict variance in Grit-S scores.Methods: Participants completed the Grit-S and other self-report measures. Psychometric properties of the Grit-S were assessed in outpatients (N = 94, 77.7% male) and a hierarchical regression predicted Grit-S variance in inpatients (N = 1238, 65.0% male).Results: The Grit-S demonstrated good internal consistency (α=.75) and strong test-retest reliability (adjusted r = .79, p < .001). Mean Grit-S score was 3.15, lower than other clinical samples reported in the literature. Regression modeling indicated a moderate, statistically significant association between demographic and clinical characteristics and Grit-S scores (R2 = 15.5%, p < .001). Of particular interest, the positive factor of recovery protection showed the strongest association with Grit-S of all variables assessed (β=.185 vs. β = .052-.175 for the remaining significant independent variables).Conclusion: The psychometric properties of the Grit-S in patients with SUD support its use in this population. Moreover, the particularly low grit scores among inpatients with SUDs and the association of grit scores with substance use risk and recovery factors suggest that grit could be useful as a treatment target in this population.
Collapse
Affiliation(s)
- Catherine D Trinh
- Division of Alcohol, Drugs, and Addiction, McLean Hospital, Belmont, MA, USA
| | - Margaret L Griffin
- Division of Alcohol, Drugs, and Addiction, McLean Hospital, Belmont, MA, USA
- Department of Psychiatry, Harvard Medical School, Boston, MA, USA
| | - Vivian Li
- Division of Alcohol, Drugs, and Addiction, McLean Hospital, Belmont, MA, USA
| | - R Kathryn McHugh
- Division of Alcohol, Drugs, and Addiction, McLean Hospital, Belmont, MA, USA
- Department of Psychiatry, Harvard Medical School, Boston, MA, USA
| | - Roger D Weiss
- Division of Alcohol, Drugs, and Addiction, McLean Hospital, Belmont, MA, USA
- Department of Psychiatry, Harvard Medical School, Boston, MA, USA
| |
Collapse
|
7
|
Moderating roles of grit and locus of control on rumination and suicidality. J Affect Disord 2023; 330:250-258. [PMID: 36898504 DOI: 10.1016/j.jad.2023.02.148] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/23/2022] [Revised: 02/25/2023] [Accepted: 02/27/2023] [Indexed: 03/12/2023]
Abstract
Cognitive factors constitute an important risk factor to the development of suicidal thoughts and behaviors (STBs). Engaging in depressive and anger rumination are uniquely associated with elevated vulnerabilities to STBs. Variations in attentional focus and control may further modify the impacts of rumination. For one, grit resembles the inflexible thinking patterns inherent in rumination, potentially contributing to one's capability of persisting in carrying out suicidal behaviors despite fears of pain or death. In the context of rumination, locus of control may alter the perspectives to which individuals attribute negative experiences. The current study examines the moderating roles of grit and locus of control on the impact of depressive and anger rumination on suicidality. Participants (N = 322) completed a battery of self-report questionnaires measuring depressive rumination, anger rumination, grit, locus of control, and suicidal history (a history of suicidal ideation, history of suicidal attempts, or neither). Using hierarchical multinomial logistic regression in R, results revealed that, as opposed to working together, the proposed variables are more independently informative in distinguishing those with a history of suicidal ideation, suicidal attempts, or neither. Findings provide unique contribution to the suicide literature pertaining to how individuals may perceive of their own internal locus of control and grit following suicidal thoughts and beliefs. Clinical implications and future directions are provided as recommendations in line with current findings.
Collapse
|
8
|
Provost SE, Griffin ML, Hilton BT, McHugh RK, Taghian NR, Trinh CD, Weiss RD. Correlates of optimism among patients in substance use disorder inpatient treatment. Am J Addict 2022; 31:494-501. [PMID: 35975406 DOI: 10.1111/ajad.13324] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2022] [Revised: 06/28/2022] [Accepted: 07/31/2022] [Indexed: 01/31/2023] Open
Abstract
BACKGROUND AND OBJECTIVES Early recovery from substance use disorder (SUD) is often characterized by hopelessness and despair about the future. Optimism, or the expectation that good things will happen, may provide a buffer against despair, and motivate adaptive goal engagement and coping. Study objectives were to (1) compare levels of optimism among individuals in substance use disorder inpatient treatment to other populations and (2) examine correlates of optimism. METHODS This exploratory study utilized a cross-sectional survey design. Participants (n = 355) completed self-report measures assessing sociodemographic and clinical characteristics. The main variable of interest, optimism, was assessed by Life Orientation Test-Revised scores. Multivariate regression was used to examine the association among sociodemographic and clinical variables and optimism. RESULTS Our sample (n = 342) scored lower on optimism (mean = 11.7) than general population and SUD patients reported in the literature (range = 13.0-18.5). Optimism was higher for SUD inpatients who were college-educated and those with higher scores on the recovery protection factor, while greater anxiety severity was associated with lower optimism scores. CONCLUSIONS AND SCIENTIFIC SIGNIFICANCE This study contributes to emerging research on the association between optimism and SUDs. Optimism has not been previously studied among patients in acute, short-term inpatient SUD treatment and doing so may be clinically useful in addressing low optimism as an obstacle to motivation for treatment. Bolstering optimism may be a promising target for intervention and future research.
Collapse
Affiliation(s)
- Scott E Provost
- Division of Alcohol, Drugs, and Addiction, McLean Hospital, Belmont, Massachusetts, USA
| | - Margaret L Griffin
- Division of Alcohol, Drugs, and Addiction, McLean Hospital, Belmont, Massachusetts, USA.,Department of Psychiatry, Harvard Medical School, Boston, Massachusetts, USA
| | - Blake T Hilton
- Division of Alcohol, Drugs, and Addiction, McLean Hospital, Belmont, Massachusetts, USA.,Department of Psychiatry, Harvard Medical School, Boston, Massachusetts, USA
| | - R Kathryn McHugh
- Division of Alcohol, Drugs, and Addiction, McLean Hospital, Belmont, Massachusetts, USA.,Department of Psychiatry, Harvard Medical School, Boston, Massachusetts, USA
| | - Nadine R Taghian
- Division of Alcohol, Drugs, and Addiction, McLean Hospital, Belmont, Massachusetts, USA
| | - Catherine D Trinh
- Division of Alcohol, Drugs, and Addiction, McLean Hospital, Belmont, Massachusetts, USA
| | - Roger D Weiss
- Division of Alcohol, Drugs, and Addiction, McLean Hospital, Belmont, Massachusetts, USA.,Department of Psychiatry, Harvard Medical School, Boston, Massachusetts, USA
| |
Collapse
|
9
|
Protective Factor Predictors of Abstinence and Retention in Patients Receiving Methadone Treatment for Opioid Use Disorder. Int J Ment Health Addict 2022. [DOI: 10.1007/s11469-022-00893-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/29/2022] Open
|
10
|
Self-control or Flourishing? A Thematic Analysis of Experiences of Alcohol Users of the Rediscovery Process. Int J Ment Health Addict 2022. [DOI: 10.1007/s11469-021-00520-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
|
11
|
The relationship between stress and smartphone addiction among adolescents: the mediating effect of grit. CURRENT PSYCHOLOGY 2022. [DOI: 10.1007/s12144-022-03367-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
|
12
|
Aguerre NV, Gómez-Ariza CJ, Bajo MT. The relative role of executive control and personality traits in grit. PLoS One 2022; 17:e0269448. [PMID: 35731743 PMCID: PMC9216537 DOI: 10.1371/journal.pone.0269448] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2021] [Accepted: 05/21/2022] [Indexed: 11/18/2022] Open
Abstract
Although grit is predictive of wellbeing, educational achievement, and success in life, it has been conceptualized as largely distinct from cognitive ability. The present study investigated the link between grit and executive functions since regulation abilities might underlie the expression of grit. A hundred thirty-four people were administered personality questionnaires (grit, impulsiveness, and mindfulness) and four experimental tasks tapping into Miyake's and Braver's models of executive functioning (including measures of flexibility, inhibition, working memory, and control mode dimensions). Multivariate analyses showed that two composite scores (trait and executive functioning) were reliably predictive of grit, although it was the trait composite (characterized by low impulsivity and high mindfulness) that explained more variance. Importantly, gritty participants did not demonstrate enhanced executive functioning. Instead, they exhibited a different pattern of performance that might be reflecting a cautious profile of control, characterized by paying attention to all available information, less reliance on previous contextual cues but sensitive to conflicting information of the current context. These findings converge with Duckworth's idea that high grit people do not necessarily have a greater cognitive capacity. Rather, they use it in a different way.
Collapse
Affiliation(s)
- Nuria V. Aguerre
- Department of Experimental Psychology–Mind, Brain, and Behavior Research Center (CIMCYC), University of Granada, Granada, Spain
| | | | - M. Teresa Bajo
- Department of Experimental Psychology–Mind, Brain, and Behavior Research Center (CIMCYC), University of Granada, Granada, Spain
| |
Collapse
|
13
|
Siev J, Darst-Campbell M, Rouder IC, Schlaudt VA. Grit predicts less severe hoarding symptoms among patients seeking treatment at an anxiety disorders clinic. Bull Menninger Clin 2022; 86:20-34. [PMID: 35258345 DOI: 10.1521/bumc.2022.86.1.20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Grit is associated with positive outcomes in nonclinical samples. However, no studies have examined grit in relation to psychopathology in patients with clinical mood or anxiety disorders. Research and clinical experience suggest that individuals who hoard struggle with characteristics associated with grit, such as task persistence, impulsivity, and self-control. The authors tested the hypothesis that hoarding symptoms are associated with less grit in a sample of individuals (N = 72) presenting for treatment to an anxiety disorders clinic. After covarying symptoms of the four mood and anxiety disorders most commonly comorbid with hoarding disorder (viz. depression, generalized anxiety, social anxiety, and obsessive-compulsive disorder), the authors found that hoarding symptoms were associated with less grit, and the effects were medium-to-large. These results indicate that grit is worthy of investigation in individuals with hoarding disorder using methodologies that permit inferences about causality, and with attention to clinical implications for prevention or treatment.
Collapse
Affiliation(s)
- Jedidiah Siev
- Department of Psychology, Swarthmore College, Swarthmore, Pennsylvania
| | | | | | | |
Collapse
|
14
|
Goulet-Stock S, Leadbeater BJ. The Protective Role of Grit against Alcohol and Cannabis Use through Young Adulthood. Subst Use Misuse 2022; 57:1779-1787. [PMID: 36062353 DOI: 10.1080/10826084.2022.2115846] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
Abstract
Introduction: Problematic substance use in young adulthood is consistently related to negative outcomes later in life. Understanding the factors that protect against problematic substance provides opportunities for early preventive intervention. We examine the protective role of grit - passion and perseverance for long-term goals - on substance use through young adulthood, a period of heightening risks for substance use. Methods: In this research, we use cross-lagged panel models and data from the Victoria Healthy Youth Survey (N = 477, 52% female) to test the reciprocal within-time associations and the directional relationships between grit (passion and perseverance) and substance use (cannabis and alcohol) across three assessments (6 years, ages 18-29). All models controlled for sex and SES. Results: Significant findings show negative within-time associations between passions and perseverance and cannabis use at T1 (ages 18-24) and at T2 (ages 20-26), and significant, negative within-time associations between passion and perseverance and alcohol use (heavy episodic drinking) at T1 but not at T2. No significant across-time associations between passion and perseverance and substance use were found. Conclusion: Preventive interventions to enhance passion and perseverance may provide important targets for interventions for young adults to reduce current substance use. However, grit did not have an effect beyond the stability of cannabis use or alcohol use over time, suggesting effects may act by substituting proactive goals for current substance use.
Collapse
|
15
|
Aguerre NV, Gómez-Ariza CJ, Ibáñez-Molina AJ, Bajo MT. Electrophysiological Prints of Grit. Front Psychol 2021; 12:730172. [PMID: 34721192 PMCID: PMC8551368 DOI: 10.3389/fpsyg.2021.730172] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2021] [Accepted: 09/09/2021] [Indexed: 11/13/2022] Open
Abstract
While scientific interest in understanding the grit trait has grown exponentially in recent years, one important gap in the grit literature relates to its biological and neural substrate. In the present study, we adopted a hypotheses-driven approach in a large sample of young adults (N = 120) with diverse educational backgrounds and work experiences in order to investigate the electrophysiological correlates of grit both during rest and while performing a learning task. Additionally, we selected a measure of impulsiveness to better understand the neural similarities and differences between grit and related self-control constructs. Based on previous work that implicated the prefrontal cortex in grit, we hypothesized that high grit participants would have lower frontal theta/beta ratio (a broadly used index that reflects prefrontally-mediated top-down processes, which might indicate better control over subcortical information). Furthermore, we expected the perseverance of effort facet of grit to be linked to higher complexity during task engagement because previous research has shown complexity indexes (entropy and fractal dimension) to be linked to effort while performing cognitive tasks. Our results revealed that although there were no differences at rest as a function of grit, the participants with high grit and high consistency of interest scores exhibited lower frontal theta/beta ratios during the learning task. This pattern suggests that individual differences in grit might be more evident when top-down control processes are at work. Furthermore, there was a positive association between perseverance of effort and entropy at task, which might indicate more effort and engagement in the task. Finally, no association was found between the neural indexes (frontal theta/beta ratio, entropy, or fractal dimension) and impulsiveness, neither impulsiveness mediated between grit and brain measures. Finally, when controlling for impulsiveness and demographic variables (gender, age, education, and work experience) the effects at the facet level remained statistically significant. While there is still a long way to fully understand the neural mechanisms of grit, the present work constitutes a step toward unveiling the electrophysiological prints of grit.
Collapse
Affiliation(s)
- Nuria V. Aguerre
- Department of Experimental Psychology—Mind, Brain and Behavior Research Center (CIMCYC), University of Granada, Granada, Spain
| | | | | | - M. Teresa Bajo
- Department of Experimental Psychology—Mind, Brain and Behavior Research Center (CIMCYC), University of Granada, Granada, Spain
| |
Collapse
|
16
|
Yilmaz SK, Bohara AK. mHealth: Potentials and Risks for Addressing Mental Health and Well-Being Issues Among Nepali Adolescents. Front Public Health 2021; 9:563515. [PMID: 33968868 PMCID: PMC8102693 DOI: 10.3389/fpubh.2021.563515] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2020] [Accepted: 03/22/2021] [Indexed: 12/03/2022] Open
Abstract
Adolescents are slowly being recognized as a generation, worldwide, that may require different policy approaches to improve staggering statistics on their failing well-being, including mental health. By providing the support to allow the next generation to achieve better mental health outcomes, they are going to be more economically successful and the future economic growth of nations can be better assured. Adoption of mobile-based health interventions (e.g., mHealth) has garnered a lot of attention toward this end. While mHealth interventions are growing in popularity, many researchers/policy-makers appear to have neglected assessing potential (indirect) costs/negative consequences from their use. Evidence from the developed world shows strong associations between extensive cell phone use and negative mental health outcomes, but similar research is minimal in developing world contexts. Additionally, the bulk of work on the outcomes of mobile phone use is studied using a unidirectional approach with blinders to front-end motivations. Using primary data from a large-scale, school-based survey of older adolescents in southwestern Nepal (N = 539), this work investigates such a tension between mobile/smartphone usage as a true mobile health (mHealth) opportunity in Nepal or as a potential problem, introducing additional deleterious well-being effects from over-use. Founded in Basic Psychological Needs Theory (BPNT), robust results of analyses using full structural modeling approaches (and traditional regression-based sensitivity analyses) indicate support for the BPNT framework in explaining statistically significant positive associations between bullying and anxiety, as well as, negative associations between bullying and grit, including evidence to support the mediating role of problematic mobile phone use in these relationships. More than 56% of the sample showed indicators of mild to moderate anxiety and over 10% claim experiences of bullying, coupled with over 75% of the sample scoring above the midline of a problematic mobile phone use scale, all of which motivates the relevance of our findings. Potential policy implications of these findings, and mention of other intriguing avenues for future work are further discussed.
Collapse
Affiliation(s)
- Siobhan K. Yilmaz
- Department of Economics, University of New Mexico, Albuquerque, NM, United States
| | | |
Collapse
|
17
|
Datu JAD. Beyond Passion and Perseverance: Review and Future Research Initiatives on the Science of Grit. Front Psychol 2021; 11:545526. [PMID: 33584397 PMCID: PMC7873055 DOI: 10.3389/fpsyg.2020.545526] [Citation(s) in RCA: 25] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2020] [Accepted: 12/15/2020] [Indexed: 11/17/2022] Open
Abstract
Grit, which is originally conceptualized as passion and perseverance for long-term goals, has been associated with optimal performance. Although previous meta-analytic and systematic reviews summarized how grit relates to performance outcomes, they possess considerable shortcomings, such as (a) absence of summary on the association of grit with well-being outcomes; (b) absence of discussion on social, psychological, and emotional mechanisms linking grit to well-being; and (c) lack of elaboration on how alternative models can resolve fundamental problems in the grit construct. This integrative review provides a comprehensive summary on the link of grit to performance and well-being outcomes. Importantly, it elaborates how alternative models can potentially address flaws in the existing grit theory. Future research directions are discussed on how to move forward the science of grit.
Collapse
Affiliation(s)
- Jesus Alfonso D. Datu
- Department of Special Education and Counselling, Integrated Centre for Well-Being, The Education University of Hong Kong, Hong Kong, China
| |
Collapse
|
18
|
King CD, Hilton BT, Greenfield SF, McHugh RK, Griffin ML, Weiss RD, Ressler KJ. Anxiety sensitivity and grit as mediators between childhood abuse and relapse risk for substance use. CHILD ABUSE & NEGLECT 2020; 107:104568. [PMID: 32559552 DOI: 10.1016/j.chiabu.2020.104568] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/23/2019] [Revised: 05/20/2020] [Accepted: 05/26/2020] [Indexed: 06/11/2023]
Abstract
BACKGROUND Childhood abuse is prevalent in those with substance use disorders (SUDs), and can lead to adverse consequences, including relapse to substance use following treatment. OBJECTIVE To determine whether anxiety sensitivity (AS) and grit mediate associations between childhood abuse and substance use relapse risk. PARTICIPANTS AND SETTING Patients on an inpatient detoxification and stabilization unit seeking treatment for SUDs (N = 702). METHODS Participants were administered self-report measures assessing childhood physical and sexual abuse (CPA/CSA), AS, grit, and relapse risk. A parallel mediation model was used to investigate the association between childhood abuse and relapse risk as mediated by AS and grit. RESULTS Anxiety sensitivity was associated with greater relapse risk (β = 0.29, t = 8.24, p < 0.001). Indirect effects of CPA and CSA on relapse risk through AS were statistically significant (CPA: β = 0.05, 95 % C.I. = 0.02-0.08; CSA: β = 0.04, 95 % C.I. = 0.01-0.07), indicating AS significantly mediated effects of both CPA and CSA on relapse risk. Grit was not a mediator, however, higher grit score was significantly associated with decreased relapse risk (β = -0.17, t = -4.90, p < 0.001). CONCLUSIONS Anxiety sensitivity may be an important construct linking child abuse to relapse risk. Although grit may not mediate the effect of child abuse on relapse risk, it may be clinically relevant to relapse risk. As this sample consisted of treatment-seeking adults, the generalizability of results to other populations is uncertain. Future studies should investigate interventions targeting these constructs in this population.
Collapse
Affiliation(s)
| | - Blake T Hilton
- McLean Hospital, Belmont, MA, USA; Department of Psychiatry, Harvard Medical School, Boston, MA, USA
| | - Shelly F Greenfield
- McLean Hospital, Belmont, MA, USA; Department of Psychiatry, Harvard Medical School, Boston, MA, USA
| | - R Kathryn McHugh
- McLean Hospital, Belmont, MA, USA; Department of Psychiatry, Harvard Medical School, Boston, MA, USA
| | - Margaret L Griffin
- McLean Hospital, Belmont, MA, USA; Department of Psychiatry, Harvard Medical School, Boston, MA, USA
| | - Roger D Weiss
- McLean Hospital, Belmont, MA, USA; Department of Psychiatry, Harvard Medical School, Boston, MA, USA.
| | - Kerry J Ressler
- McLean Hospital, Belmont, MA, USA; Department of Psychiatry, Harvard Medical School, Boston, MA, USA
| |
Collapse
|
19
|
Kannangara CS, Allen RE, Carson JF, Khan SZN, Waugh G, Kandadi KR. Onwards and upwards: The development, piloting and validation of a new measure of academic tenacity- The Bolton Uni-Stride Scale (BUSS). PLoS One 2020; 15:e0235157. [PMID: 32701983 PMCID: PMC7377486 DOI: 10.1371/journal.pone.0235157] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2019] [Accepted: 06/09/2020] [Indexed: 11/19/2022] Open
Abstract
What factors determine success at University? For many years the construct of intelligence was felt to be critical. More recently, the construct of grit, has attracted the attention of many researchers, along with related concepts such as self-control, growth mind-sets and resilience. The authors of this paper have developed a specific measure of tenacity and self-composure, two constructs crucial to academic achievement. This measure comprises of 12 items drawn from the above constructs, but also including mental well-being and strengths use. In the first study, the authors report on the psychometric properties of the Bolton Uni-Stride Scale (BUSS). The new scale was administered to 1117 university students. Exploratory factor analysis (EFA) revealed two underlying factors, one labelled "tenacity" had seven items and accounted for 30% of the variance. The second was labelled "self-composure," and accounted for 14% of the variance. In the second study the BUSS was given to 340 undergraduate students along with the Grit Scale, the Self-Control Scale, the Mind-sets Quiz, the Connor Davidson Resilience Scale (CD-RISC 10) and the short Warwick Edinburgh Mental Well-being Scale (WEMWBS). This study presented evidence for good internal consistency reliability (.74) and test-retest reliability over three weeks was .70 for Tenacity and .77 for Self-composure. BUSS Academic Tenacity correlated highly with grit (.63), self-control (.59), resilience (.52), mind-sets (.35) and mental well-being (.54). The study also evidences good discriminative validity of the BUSS. A second study conducted confirmatory factor analysis (CFA), explaining a total of 44% of the variance. The authors have shown good support for the reliability and validity of the BUSS scale. It now needs to be tested in other universities and in different countries. It is the contention of the authors that academic tenacity will be a better measure of academic success than other competing measures, such as grit, on their own. Further research is needed to test this assertion.
Collapse
Affiliation(s)
| | | | | | | | - Gill Waugh
- University of Bolton, Bolton, United Kingdom
| | | |
Collapse
|
20
|
Marie L, Taylor SE, Basu N, Fadoir NA, Schuler K, McKelvey D, Smith PN. The protective effects of grit on suicidal ideation in individuals with trauma and symptoms of posttraumatic stress. J Clin Psychol 2019; 75:1701-1714. [PMID: 31141169 DOI: 10.1002/jclp.22803] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2019] [Revised: 05/03/2019] [Accepted: 05/04/2019] [Indexed: 02/04/2023]
Abstract
OBJECTIVE It is important to understand factors that moderate the likelihood of developing suicidal thoughts following traumatic exposure and posttraumatic stress symptoms. METHOD In this cross-sectional study, a moderated atemporal mediation analysis was conducted in a sample of 709 college students (71% female, M age = 19.90 years, 67% Caucasian) to test the associations between trauma, posttraumatic stress disorder (PTSD) symptoms, and suicidal ideation, with grit entered as a moderator of all paths in the equation. RESULTS PTSD symptoms mediated the association between trauma and suicidal ideation. Grit moderated the direct pathway from PTSD symptoms to suicidal ideation. CONCLUSIONS Grit and other constructs of resiliency may inform strength-focused interventions to remediate the impact of trauma and posttraumatic stress symptoms and potentially reduce suicidal thoughts and risk for suicide.
Collapse
Affiliation(s)
- Laura Marie
- Department of Psychology, University of South Alabama, Mobile, Alabama
| | - Sarah E Taylor
- Department of Psychology, University of South Alabama, Mobile, Alabama
| | - Natasha Basu
- Department of Psychology, University of South Alabama, Mobile, Alabama
| | - Nicholas A Fadoir
- Department of Psychology, University of South Alabama, Mobile, Alabama
| | - Kaitlyn Schuler
- Department of Psychology, University of South Alabama, Mobile, Alabama
| | - Daniel McKelvey
- Department of Psychology, University of South Alabama, Mobile, Alabama
| | - Phillip N Smith
- Department of Psychology, University of South Alabama, Mobile, Alabama
| |
Collapse
|
21
|
Walker WR, Alexander H, Aune K. Higher Levels of Grit Are Associated With a Stronger Fading Affect Bias. Psychol Rep 2019; 123:124-140. [PMID: 31126224 DOI: 10.1177/0033294119852579] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The affect associated with negative events fades faster than the affect associated with positive events (the fading affect bias). The fading affect bias is present in most participants and is thought to be evidence of a healthy coping mechanism operating in autobiographical memory. Prior research shows that the fading affect bias can be distorted by negative individual difference variables such as dysphoria and anxiety. The goal of this research is to link the fading affect bias to the positive individual difference variable of Grit. A total of 197 participants completed the short Grit Scale and were divided into four groups based on their Grit scores (i.e., low Grit to high Grit). Participants retrieved positive and negative event memories and then made affect ratings for the events. The results show that increased levels of Grit were associated with a stronger fading affect bias.
Collapse
Affiliation(s)
| | | | - Kine Aune
- Colorado State University-Pueblo, Pueblo, CO, USA
| |
Collapse
|
22
|
|
23
|
van Noordt SJ, Wu J, Thomas C, Schlund MW, Mayes LC, Crowley MJ. Medial frontal theta dissociates unsuccessful from successful avoidance and is modulated by lack of perseverance. Brain Res 2018; 1694:29-37. [DOI: 10.1016/j.brainres.2018.04.021] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2017] [Revised: 04/08/2018] [Accepted: 04/18/2018] [Indexed: 01/01/2023]
|
24
|
Kannangara CS, Allen RE, Waugh G, Nahar N, Khan SZN, Rogerson S, Carson J. All That Glitters Is Not Grit: Three Studies of Grit in University Students. Front Psychol 2018; 9:1539. [PMID: 30210389 PMCID: PMC6123604 DOI: 10.3389/fpsyg.2018.01539] [Citation(s) in RCA: 71] [Impact Index Per Article: 10.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2018] [Accepted: 08/02/2018] [Indexed: 11/13/2022] Open
Abstract
The present research looked at the importance of the concept of grit in University students based on a mixed-method approach. Study 1 comprised 440 University students. All were given the Grit Scale, the Perceived Stress Scale, the short Warwick-Edinburgh Mental Well-being Scale, the Office of National Statistics Well-being items and the Self-Control Scale. Levels of grit were significantly higher in female students, older students and postgraduates. Grit correlated highest with self-control. Study 2 looked at 340 University students. In addition to measuring self-control, mental well-being and grit, measures of resilience and mindsets were also added. A construct validity test of the Grit Scale showed that high grit scorers had significantly higher levels of self-control and mental well-being, were more resilient and were more likely to have a more growth oriented mindset. Grit varies with age and is most closely associated with the concept of self-control. The third study was a qualitative investigation with 10 successful graduates. Semi-structured interviews were coded using thematic analysis. Three broad themes emerged. The first, Passion and Perseverance, included themes of having short and long terms goals, resilience, dedication, and endurance. The second, Self-Control, included time management, self-awareness, prioritizing tasks and knowing strengths and weaknesses. The third theme identified was Positive Mindsets. This included having a positive attitude toward learning, the importance of feedback and constructive criticism and that success is not materialistic. The qualitative research has helped "unpack" concepts from the grit research and may enable University tutors to guide students better. Though these studies were only conducted in one English University, they have been stepping stones in our quest to discover what are the most important factors in determining student academic success? The development and piloting of our new Uni-Stride Scale, is the next step in this process.
Collapse
Affiliation(s)
| | - Rosie E. Allen
- Psychology, Faculty of Professional Studies, University of Bolton, Bolton, United Kingdom
| | - Gill Waugh
- Education, Faculty of Professional Studies, University of Bolton, Bolton, United Kingdom
| | - Nurun Nahar
- Institute of Management, University of Bolton, Bolton, United Kingdom
| | - Samia Zahraa Noor Khan
- Psychology, Faculty of Professional Studies, University of Bolton, Bolton, United Kingdom
| | - Suzanne Rogerson
- Psychology, Faculty of Professional Studies, University of Bolton, Bolton, United Kingdom
| | - Jerome Carson
- Psychology, Faculty of Professional Studies, University of Bolton, Bolton, United Kingdom
| |
Collapse
|
25
|
Borzikowsky C, Bernhardt F. Lost in virtual gaming worlds: Grit and its prognostic value for online game addiction. Am J Addict 2018; 27:433-438. [PMID: 29995331 DOI: 10.1111/ajad.12762] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2018] [Revised: 06/13/2018] [Accepted: 07/01/2018] [Indexed: 11/30/2022] Open
Abstract
BACKGROUND AND OBJECTIVES The personality construct grit is defined as the ability to be persistent in pursuit of long-term goals in spite of challenges or obstacles. Grit is an emerging concept in positive psychology and has gained much attention because of its relevance for success and well-being across different domains. The aim of the present study was to examine the prognostic value of grit for online game addiction. METHODS We surveyed German speaking online gamers (N = 305: 193 males and 112 females, Mage = 28.44 years, SDage = 8.88) in an online cross-sectional self-report study. We measured grit with the German version of the Short Grit Scale (BISS-8), online game addiction with the short version of the Game Addiction Scale (GAS), and participants' age and gender. RESULTS Structural equation modeling supported the higher-order factor structure of grit in our sample (χ2 [18] = 29.31, p < .05; CFI = .980; TLI = .969; RMSEA = .045; SRMR = .038). A logistic regression revealed that both grit (OR = 0.62, 95%CI [.42; .89], p < .05) as well as age (OR = .92, 95%CI [.88; .97], p < .01) significantly reduced the likelihood of being addicted to online games. DISCUSSION AND CONCLUSIONS In line with previous research on grit in patients with substance use disorders, we found grit to be a protective factor against online game addiction. We concluded that higher grit scores and older ages decrease the likelihood of being addicted to online games. SCIENTIFIC SIGNIFICANCE This study provides initial support for the clinical relevance of grit for online game addiction. (Am J Addict 2018;XX:1-6).
Collapse
|
26
|
Cho SH, Yun KS, Jung S. Factors Influencing Self-Efficacy, Grit, Symptom Clusters on Self-Care Agency in Brain Neoplasms Patients. ASIAN ONCOLOGY NURSING 2018. [DOI: 10.5388/aon.2018.18.4.188] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Affiliation(s)
- Sook Hee Cho
- Department of Nursing, Mokpo National University, Muan, Korea
| | | | - Shin Jung
- Depart of Neurosurgery, Chonnam National University Hwasun Hospital & Medical School, Hwasun, Korea
| |
Collapse
|