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de Boer A, De Proost L, de Vries M, Hogeveen M, de Vries MC, Verweij EJTJ, Geurtzen R. Voices of experience: what Dutch parents teach us about values and intuition in periviable decisions. Arch Dis Child Fetal Neonatal Ed 2024:fetalneonatal-2024-327400. [PMID: 39153843 DOI: 10.1136/archdischild-2024-327400] [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: 05/14/2024] [Accepted: 07/26/2024] [Indexed: 08/19/2024]
Abstract
OBJECTIVE When extremely premature birth at the limits of viability is imminent, shared decision-making with parents regarding the infant's treatment is widely recommended. Aligning decisions with parental values can be challenging. So, this study aims to get insight into (1) what values parents considered important in their decision, (2) whether their decision was based on intuition and/or rational analysis and (3) parental suggestions on how to help explore and articulate values during prenatal counselling. DESIGN A qualitative study was performed among Dutch parents who experienced (imminent) extremely premature birth. Diversity was aimed for through purposive sampling. Semistructured interviews were conducted until saturation was achieved. Transcripts were coded and themes were derived from the data. RESULTS Nineteen interviews were performed. Results show what parents considered important in their decision, such as the infants' future, family life and 'giving a chance'. Most parents made their decision more intuitively rather than rationally, for others both coexisted. Particularly fathers and parents who opted for palliative comfort care experienced the decision as rational. Parents would have liked to explore values, but found it challenging. They suggested strategies and conditions to help explore and articulate their values during counselling, such as a multidisciplinary approach. CONCLUSIONS Various considerations and underlying values were found to be important. Parents recognise the influence of emotions and intuition in decision-making and struggle to articulate their values, emphasising the need for guidance. Healthcare providers should engage in open, personalised discussions to facilitate value exploration, enabling informed decisions aligned with parental values.
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Affiliation(s)
- Angret de Boer
- Department of Obstetrics, Leiden University Medical Center, Leiden, The Netherlands
- Department of Neonatology, Radboudumc Amalia Children's Hospital, Nijmegen, The Netherlands
| | - Lien De Proost
- Department of Ethics and Law, Leiden University Medical Center, Leiden, The Netherlands
| | - Marieke de Vries
- Institute for Computing and Information Sciences (iCIS), Radboud University, Nijmegen, The Netherlands
| | - Marije Hogeveen
- Department of Neonatology, Radboudumc Amalia Children's Hospital, Nijmegen, The Netherlands
| | - Martine C de Vries
- Department of Ethics and Law, Leiden University Medical Center, Leiden, The Netherlands
- Department of Pediatrics, Leiden University Medical Center, Leiden, The Netherlands
| | - E J T Joanne Verweij
- Department of Obstetrics, Leiden University Medical Center, Leiden, The Netherlands
| | - Rosa Geurtzen
- Department of Neonatology, Radboudumc Amalia Children's Hospital, Nijmegen, The Netherlands
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Marenus MW, Cahuas A, Hammoud D, Murray A, Friedman K, Ottensoser H, Sanowski J, Kumavarel V, Chen W. Web-Based Physical Activity Interventions to Promote Resilience and Mindfulness Amid the COVID-19 Pandemic: A Pilot Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:ijerph20085463. [PMID: 37107745 PMCID: PMC10139125 DOI: 10.3390/ijerph20085463] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 03/08/2023] [Revised: 04/06/2023] [Accepted: 04/07/2023] [Indexed: 05/11/2023]
Abstract
College students faced unique challenges during the COVID-19 pandemic. Implementing a physical activity intervention can help support the physical and mental health of college students. The purpose of this study was to examine the effectiveness of an aerobic-strength training exercise intervention (WeActive) and a mindful exercise intervention (WeMindful) in improving resilience and mindfulness among college students. Seventy-two students from a major public university in the Midwest participated in a two-arm experimental study over the course of ten weeks. One week before and after the 8-week interventions, participants completed the Five-Facet Mindfulness Questionnaire (FFMQ-15), Connor Davidson Resilience Scale (CD-RISC-10), and demographic and background questionnaire via Qualtrics. Both groups also participated in bi-weekly Peer Coaching sessions, which utilized reflective journaling and goal-setting exercises. ANCOVA showed a significant main effect of time for total mindfulness score (F = 5.177, p < 0.05, η2 = 0.070), mindfulness Acting with Awareness (F = 7.321, p < 0.05, η2 = 0.096), and mindfulness Non-Judging of Inner Experience (F = 5.467, p < 0.05, η2 = 0.073). No significant main effect of group and interaction effects of time with group were observed for the total mindfulness and the five facets of mindfulness as well as resilience. In addition, no significant main effect of time for resilience was found. We conclude that aerobic-strength exercises and mindful yoga exercises, together with reflective journaling, may be effective in increasing mindfulness in the college population.
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Affiliation(s)
| | - Ana Cahuas
- Department of Psychology, University of Michigan, Ann Arbor, MI 48109, USA
| | - Dianna Hammoud
- Department of Psychology, University of Michigan, Ann Arbor, MI 48109, USA
| | - Andy Murray
- School of Kinesiology, University of Michigan, Ann Arbor, MI 48109, USA
| | - Kathryn Friedman
- School of Kinesiology, University of Michigan, Ann Arbor, MI 48109, USA
| | - Haley Ottensoser
- School of Kinesiology, University of Michigan, Ann Arbor, MI 48109, USA
| | - Julia Sanowski
- School of Kinesiology, University of Michigan, Ann Arbor, MI 48109, USA
| | - Varun Kumavarel
- School of Kinesiology, University of Michigan, Ann Arbor, MI 48109, USA
| | - Weiyun Chen
- School of Kinesiology, University of Michigan, Ann Arbor, MI 48109, USA
- Correspondence: ; Tel.: +1-(734)-615-0376
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de Boer A, de Vries M, Berken DJ, van Dam H, Verweij EJ, Hogeveen M, Geurtzen R. A scoping review of parental values during prenatal decisions about treatment options after extremely premature birth. Acta Paediatr 2023; 112:911-918. [PMID: 36710530 DOI: 10.1111/apa.16690] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/30/2022] [Revised: 01/25/2023] [Accepted: 01/27/2023] [Indexed: 01/31/2023]
Abstract
AIM To describe what is known in the literature about parental perspectives in making prenatal decisions regarding treatment after birth at the limit of viability, as a better understanding of parental values can help professionals support parents as they decide. METHODS PubMed, Cochrane, Embase, CINAHL, PsycINFO and Web of Science were searched to identify relevant literature from 1 January 2010 to 22 April 2022 on parental decision making. Data were extracted from selected studies and organised into themes. The final themes were formed through collaboration with the parents of a premature infant born at 24 weeks. RESULTS Of the 15,159 papers examined, 17 were included. Parental perspectives were described in terms of long-term outcomes for the infant, survival, protection against the burden of neonatal treatment, long-term impact on the family, religion and spiritual beliefs, to do everything possible, hope, sense of responsibility, wanting the best, doing what is right, giving a chance and the influence of experience. CONCLUSION The extracted parental perspectives show the complexity of these decisions. Some perspectives were clear, but others were multi-interpretable. Increasing the understanding of common parental perspectives can help improve shared prenatal decisions and lead to further improvement and personalisation of the process.
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Affiliation(s)
- Angret de Boer
- Department of Neonatology, Radboud University Medical Center, Amalia Children's Hospital, Nijmegen, The Netherlands.,Department of Obstetrics & Gynecology, Leiden University Medical Center, Leiden, The Netherlands
| | - Marieke de Vries
- Institute for Computing and Information Sciences (iCIS), Radboud University, Nijmegen, The Netherlands
| | - Dirk-Jan Berken
- Parents of an extremely premature infant born at 24 week gestation, The Netherlands
| | - Hiske van Dam
- Parents of an extremely premature infant born at 24 week gestation, The Netherlands
| | - E Joanne Verweij
- Department of Obstetrics & Gynecology, Leiden University Medical Center, Leiden, The Netherlands
| | - Marije Hogeveen
- Department of Neonatology, Radboud University Medical Center, Amalia Children's Hospital, Nijmegen, The Netherlands
| | - Rosa Geurtzen
- Department of Neonatology, Radboud University Medical Center, Amalia Children's Hospital, Nijmegen, The Netherlands
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Grund A, Galla BM, Fries S. Achievement motivation in students' everyday lives: Its relationship to momentary positive and negative activation and the moderating role of mindfulness. LEARNING AND INDIVIDUAL DIFFERENCES 2022. [DOI: 10.1016/j.lindif.2022.102176] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Malekzad F, Jais M, Hernandez G, Kehr H, Quirin M. Not self-aware? Psychological antecedents and consequences of alienating from one’s actual motives, emotions, and goals. THEORY & PSYCHOLOGY 2022. [DOI: 10.1177/09593543221086598] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Philosophers and scientists have been puzzling over the potential antecedents and consequences of self-awareness or its relative absence since time immemorial. One major reason is the difficulty of identifying individuals’ actual needs, emotions, or goals and thus making statements about their level of self-awareness. Drawing on a “duality of mind” approach, we review our research that quantified discrepancies between first-person perspective and third-person perspective assessments of motives (“needs”), emotions, and goals as indicators of relative self-awareness. Also, we expand on their proximal causes related to personality–situation interactions and their emotional and motivational consequences. We discuss similarities among the three branches of research on motives, emotions, and goals and, lastly, provide an outlook for future research.
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Coping with the crisis: A mindfulness manipulation positively affects the emotional regulation of action crises. SOCIAL PSYCHOLOGICAL BULLETIN 2022. [DOI: 10.32872/spb.7225] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Action crises are the intrapsychic conflicts people face when hesitating between continuing and giving up on a goal after the accumulation of setbacks. They are detrimental to goal achievement and psychological health. While many predictors of action crises have been identified, including dispositional mindfulness, almost none have been investigated in terms of their helpfulness during an action crisis. This experimental laboratory study tested whether a 15-minute mindfulness meditation influenced the emotional regulation of imagined action crises. Participants (N = 121, 105 students, 44 men, M = 28.26 years) were randomly assigned to meditate with a body scan meditation recording or to read magazines after identifying their most important current personal goal. Those in the body scan condition reported more adaptive emotion regulation strategies after reading an action crisis scenario personalized with their goal than those in the control, magazine-reading, condition. This effect was found even when controlling for baseline action crisis and baseline autonomous and controlled motivation. No difference between the groups was found in terms of maladaptive emotion regulation. Results suggest that mindfulness training is a promising tool to help people cope with goal-related difficulties such as action crises.
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Bakaç C, Chen Y, Zyberaj J, Kehr HM, Quirin M. Perceived Intrinsic Motivation Mediates the Effect of Motive Incongruence on Job Burnout and Job Satisfaction. THE JOURNAL OF PSYCHOLOGY 2021; 156:12-32. [PMID: 34762556 DOI: 10.1080/00223980.2021.1980758] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
Abstract
Job burnout is a profound concern in modern society producing enormous financial and emotional costs for companies, health insurances, and the individual employee. In this study, we aimed at contributing to the literature on determinants of job burnout by investigating the indirect effects of implicit and explicit motive discrepancies (IED) through intrinsic motivation, with the aim of replicating previous findings from the literature. In addition, we extended this research by adding job satisfaction as an outcome variable in the mediation model, as well as volition as a moderator in these relationships. We preregistered our study and collected data from 136 participants (82 females; Mage = 29.33 years, SDage = 6.30) using indirect measures (for implicit motives) and self-report measures (for explicit motives, job burnout, job satisfaction and volition). IED was shown to have an indirect effect on both job burnout and job satisfaction through intrinsic motivation. Additionally, these indirect effects were mitigated by high levels volition. We discuss implications of our findings for research and practice.Supplemental data for this article is available online at https://doi.org/10.1080/00223980.2021.1980758.
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Misattribution of duties as free choices: The role of emotional awareness in self-infiltration. Acta Psychol (Amst) 2021; 220:103401. [PMID: 34425523 DOI: 10.1016/j.actpsy.2021.103401] [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] [Received: 05/04/2021] [Revised: 08/05/2021] [Accepted: 08/16/2021] [Indexed: 12/28/2022] Open
Abstract
Individuals sometimes mistake others' expectations or imposed duties for self-chosen goals, even though they are not congruent with their emotional preferences or integrated values-a phenomenon coined as self-infiltration. Previous studies demonstrated that self-infiltration is more likely to occur in individuals with reduced self-regulation abilities. Here, we investigated in a sample of 250 students whether this association may be mediated by trait emotional awareness, the ability to recognize and understand one's emotions. This mediation hypothesis could be confirmed. We discuss our findings with respect to their potential relevance for research on motivated goal pursuit and health and practical applications.
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ŞANAL KARAHAN F, BAKALIM O. The Mindfulness Levels of Adults During the Covid-19 Pandemic: The Role of Solution Focused Thinking and Valuing. SPIRITUAL PSYCHOLOGY AND COUNSELING 2021. [DOI: 10.37898/spc.2021.6.1.131] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
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Kao C, Chiou W. The Moderating Role of Agreeableness in the Relationship between Experiencing Anger and Creative Performance. JOURNAL OF CREATIVE BEHAVIOR 2019. [DOI: 10.1002/jocb.425] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Chien‐Che Kao
- Institute of Education National Sun Yat‐sen University Kaohsiung Taiwan
| | - Wen‐Bin Chiou
- Institute of Education National Sun Yat‐sen University Kaohsiung Taiwan
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Abdoun O, Zorn J, Poletti S, Fucci E, Lutz A. Training novice practitioners to reliably report their meditation experience using shared phenomenological dimensions. Conscious Cogn 2019; 68:57-72. [PMID: 30658238 PMCID: PMC6374282 DOI: 10.1016/j.concog.2019.01.004] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2018] [Revised: 01/06/2019] [Accepted: 01/07/2019] [Indexed: 10/29/2022]
Abstract
Empirical descriptions of the phenomenology of meditation states rely on practitioners' ability to provide accurate information on their experience. We present a meditation training protocol that was designed to equip naive participants with a theoretical background and experiential knowledge that would enable them to share their experience. Subsequently, novices carried on with daily practice during several weeks before participating in experiments. Using a neurophenomenological experiment designed to explore two different meditation states (focused attention and open monitoring), we found that self-reported phenomenological ratings (i) were sensitive to meditation states, (ii) reflected meditation dose and fatigue effects, and (iii) correlated with behavioral measures (variability of response time). Each of these effects was better predicted by features of participants' daily practice than by desirable responding. Our results provide evidence that novice practitioners can reliably report their experience along phenomenological dimensions and warrant the future investigation of this training protocol with a longitudinal design.
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Affiliation(s)
- Oussama Abdoun
- Lyon Neuroscience Research Centre, INSERM U1028, CNRS UMR5292, Lyon 1 University, Lyon, France
| | - Jelle Zorn
- Lyon Neuroscience Research Centre, INSERM U1028, CNRS UMR5292, Lyon 1 University, Lyon, France
| | - Stefano Poletti
- Lyon Neuroscience Research Centre, INSERM U1028, CNRS UMR5292, Lyon 1 University, Lyon, France
| | - Enrico Fucci
- Lyon Neuroscience Research Centre, INSERM U1028, CNRS UMR5292, Lyon 1 University, Lyon, France
| | - Antoine Lutz
- Lyon Neuroscience Research Centre, INSERM U1028, CNRS UMR5292, Lyon 1 University, Lyon, France.
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Grund A, Senker K. Motivational foundations of self-control and mindfulness and their role in study–leisure conflicts. LEARNING AND INDIVIDUAL DIFFERENCES 2018. [DOI: 10.1016/j.lindif.2018.10.007] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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13
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Grund A, Fries S, Rheinberg F. Know Your Preferences: Self-Regulation as Need-Congruent Goal Selection. REVIEW OF GENERAL PSYCHOLOGY 2018. [DOI: 10.1037/gpr0000159] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
Theory and research on self-regulation is dominated by a social–cognitive perspective that places an emphasis on postdecisional (i.e., volitional) control processes of goal-maintenance in response to dual-motive conflict. In the current contribution, we focus on research on self-regulation that acknowledges the affective fundamentals of motivated action, and we highlight processes of goal selection as vital parts of self-regulation. From our perspective of motivational competence, affective and cognitive processes work together rather than oppose each other in self-regulation, rendering effortless rather than effortful goal pursuit as the hallmark of efficient human action. A precondition for such motive- and self-congruent goal pursuits is that individuals have insight into their basic preferences and (can) act accordingly. Therefore, we address capacities, such as mindfulness, which may take effect in predecisional (i.e., motivational) action phases, thereby determining all subsequent action processes.
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Affiliation(s)
- Axel Grund
- Department of Psychology, Bielefeld University
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Roch RM, Rösch AG, Schultheiss OC. Enhancing Congruence between Implicit Motives and Explicit Goal Commitments: Results of a Randomized Controlled Trial. Front Psychol 2017; 8:1540. [PMID: 28955267 PMCID: PMC5600949 DOI: 10.3389/fpsyg.2017.01540] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2017] [Accepted: 08/24/2017] [Indexed: 11/13/2022] Open
Abstract
Objective: Theory and research suggest that the pursuit of personal goals that do not fit a person's affect-based implicit motives results in impaired emotional well-being, including increased symptoms of depression. The aim of this study was to evaluate an intervention designed to enhance motive-goal congruence and study its impact on well-being. Method: Seventy-four German students (mean age = 22.91, SD = 3.68; 64.9% female) without current psychopathology, randomly allocated to three groups: motivational feedback (FB; n = 25; participants learned about the fit between their implicit motives and explicit goals), FB + congruence-enhancement training (CET; n = 22; participants also engaged in exercises to increase the fit between their implicit motives and goals), and a no-intervention control group (n = 27), were administered measures of implicit motives, personal goal commitments, happiness, depressive symptoms, and life satisfaction 3 weeks before (T1) and 6 weeks after (T2) treatment. Results: On two types of congruence measures derived from motive and goal assessments, treated participants showed increases in agentic (power and achievement) congruence, with improvements being most consistent in the FB+CET group. Treated participants also showed a trend-level depressive symptom reduction, but no changes on other well-being measures. Although increases in overall and agentic motivational congruence were associated with increases in affective well-being, treatment-based reduction of depressive symptoms was not mediated by treatment-based agentic congruence changes. Conclusion: These findings document that motivational congruence can be effectively enhanced, that changes in motivational congruence are associated with changes in affective well-being, and they suggest that individuals' implicit motives should be considered when personal goals are discussed in the therapeutic process.
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Affiliation(s)
- Ramona M Roch
- Department of Psychology, Friedrich-Alexander University Erlangen-Nürnberg (FAU)Erlangen, Germany
| | - Andreas G Rösch
- Department of Psychology, Friedrich-Alexander University Erlangen-Nürnberg (FAU)Erlangen, Germany
| | - Oliver C Schultheiss
- Department of Psychology, Friedrich-Alexander University Erlangen-Nürnberg (FAU)Erlangen, Germany
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