Temporal Changes in Individualism and Their Ramification in Japan: Rising Individualism and Conflicts with Persisting Collectivism

Cultural values, parenting and child adjustment in Kenya

Children's, mothers' and fathers' reports were used to assess whether mothers' and fathers' individualism, collectivism and conformity values are significantly related to parenting behaviours and child adjustment during middle childhood. A sample of 95 children, 95 mothers and 94 fathers was recruited from Kisumu, Kenya. Our results indicated that controlling for child gender and parents' education, mothers' and fathers' higher collectivism values were associated with higher expectations regarding children's family obligations. Children of mothers who were more individualistic perceived that less was required of them in terms of family obligations. Mothers' conformity values were associated with more maternal and paternal warmth, and higher maternal expectations regarding children's family obligations, controlling for child gender and mothers' education. Mothers' education was significantly associated with more maternal and paternal warmth, more parental knowledge solicitation and higher paternal expectations regarding children's family obligations. Fathers' and mothers' individualism was associated with lower expectations regarding children's family obligations. Fathers' individualism was positively correlated with knowledge solicitation and more rules/limit-setting. Fathers' higher conformity values were correlated with more maternal warmth, more paternal warmth, more knowledge solicitation and mothers' and fathers' higher expectations regarding children's family obligations.

Cultural values, parenting and child adjustment: Introduction to the special issue

This introduction provides an overview of the major constructs that are the focus of this Special Issue. Individualism and collectivism have been the cornerstones of theoretical work on cultural values in psychological science, and conformity is an important component of theories related to motivational values. Individualism, collectivism and conformity values are reviewed in relation to parenting (warmth, knowledge solicitation, rules/limit-setting, parents' expectations regarding children's family obligations) and children's adjustment (internalising and externalising behaviours). Background on the Parenting Across Cultures project, a study of children, mothers and fathers, in nine countries (China, Colombia, Italy, Jordan, Kenya, the Philippines, Sweden, Thailand and the United States) is provided as a prelude to the country-specific papers from each of these countries that follow in the rest of the Special Issue before a final concluding paper that focuses on between-country versus within-country variation in cultural values, parenting and children's adjustment.

Pain of Threatened Self: Explicit and Implicit Self-Esteem, Cortisol Responses to a Social Threat and Pain Perception

Background: Rejection, injustice, and exclusion from meaningful interpersonal relationships are often extremely painful and stress-generating experiences. This study aimed to define the role of explicit and implicit self-esteem in pain perception as a component of the physiological-psychological system that regulates the body's response to stress associated with the threat of social rejection. Methods: In total, 360 individuals participated in this study. The measurement of cortisol in saliva, the assessment of pain thresholds using thermal stimuli, the IAT to assess implicit self-esteem, and a questionnaire on global self-esteem and social pain were used. The study included three measurements: baseline and 15 and 45 min after the application of a laboratory socially threatening stimulus (the Trier Social Stress Test). Results: People experiencing chronic social pain (CSP) are more likely to have fragile self-esteem, higher pain thresholds, and tend to experience reduced pain tolerance in situations of acute social threat than people without CSP experience. In people with CSP and fragile self-esteem, after the introduction of a social threat, an increase in pain tolerance was observed along with a longer-lasting increase in cortisol levels. Conclusions: Fragile self-esteem, along with feelings of chronic exclusion, injustice, and rejection, may prolong stress reactions and produce a hypoalgesic effect.

Historical changes in baby names in China

Based on previous research on names and naming practices, I propose three suggestions to Bao et al. (2021), which investigated historical changes in given names of Han Chinese in China between 1920 and 2005. Their study analyzed a one-shot cross-sectional survey conducted in 2005 and reported that unique names increased from 1920 to 2005. The authors concluded that China became more individualistic over time for the period. However, three questions have remained unanswered in Bao et al. (2021). First, were the samples of older birth cohorts truly representative? Second, did unique names increase only after the 1970s? Third, how are the historical changes in average name length interpreted? Answering these three questions would contribute to a further understanding of the historical changes in given names and their underlying psychological/cultural shifts in China.

Shame and anger differentially predict disidentification between collectivistic and individualistic societies

In the present research we tested the differential effects of anger versus shame as emotional predictors of ingroup disidentification in one rather collectivistic (Japan) and two rather individualistic societies (Germany, Canada). We tested the idea that individuals cope with socially undesired emotions by disidentifying from their group. Specifically, we predicted that after a group conflict, anger, an undesired emotion in Japan, would elicit disidentification in Japan, whereas shame, an undesired emotion in Canada and Germany, would elicit disidentification in Germany and Canada. Study 1 (N = 378) found that anger, but not shame, was related to disidentification in Japan, whereas shame, but not anger, was related to disidentification in Canada and Germany. Study 2 (N = 171) shows that, after group conflict, Japanese disidentified more when imagining to feel angry, whereas Germans disidentified more when imagining to feel ashamed. Implications for these findings are discussed.

"Unpacking" cultural differences in social anxiety between Japanese and European Americans: the roles of threat appraisal and attentional bias

Introduction

Cultural differences in self-reported social anxiety between people of East Asian heritage and European heritage may be related to differences in independent and interdependent self-construals, which potentially influence the processing of social threat.

Methods

We examined the roles of two different aspects of threat bias: threat appraisal (Study 1) and attentional bias (Study 2) to explain cultural group differences in social anxiety between Japanese and European American college students.

Results

Study 1 demonstrated that sequential mediations of lower independent self-construal and higher appraisal of threat among Japanese could explain their higher social anxiety compared to European Americans. However, Study 2 failed to find the relation between cultural group differences in self-construals and attentional bias. In addition, the cultural group differences in attentional bias were unexpectedly due to stronger selective attention toward neutral stimuli among European Americans, rather than bias toward social threat among Japanese. After selective attention was experimentally manipulated, there were significant cultural group differences in self-reported social anxiety and anxious behavior in a speech task.

Discussion

These conflicting findings suggested that an alternative theoretical framework other than the self-construal theory might be needed to fully account for cultural differences in attentional bias in explaining cultural group differences in social anxiety.

Exposure to household dysfunction at childhood and later number of teeth among older Japanese adults: A life course study from the Japan Gerontological Evaluation Study

OBJECTIVES

The aim of this retrospective cohort study was to investigate the life course association between exposure to two household dysfunctions (father violence against mother and parental divorce) at childhood (≤18 years) with later number of remaining teeth (≥65 years) in functionally independent older Japanese population. This was the first study to investigate this research question in the Asian context.

METHODS

The Japan Gerontological Evaluation study (JAGES) self-reported retrospective data gathered in 2013 was used (n = 21,604). Each household dysfunction was binary variable (Yes/No), while the five categories of the number of remaining teeth were ≥20, 10-19, 5-9, 1-4, and no teeth. Sex-stratified ordered logistic regression models were used to calculate the odds ratios (OR) of having fewer teeth. The models were adjusted for age, economic adversity in childhood, educational attainment, comorbidities, and smoking status.

RESULTS

Overall, 46.4% were men and a total of 1149 participants (5.3%) experienced household dysfunction at childhood [men = 642 (6.4%), women = 507 (4.4%)]. The regression models showed higher OR of having fewer teeth among men who experienced a household dysfunction [OR = 1.16; 95% Confidence interval (CI) = 1.00-1.36] than men who did not. This association was not observed among women [OR = 0.94; 95% CI = 0.79-1.13]. Similar magnitude and direction of the association was observed among men but not among women when the two components of household dysfunction were used separately and aggregately as exposure variables.

CONCLUSION

An exposure to a household dysfunction at childhood was associated with having fewer teeth in later life among men but not among women.

Chinese culture became more individualistic: Evidence from family structure, 1953-2017

Previous research has indicated that some aspects of Chinese culture became more individualistic. However, prior studies have suggested a decrease in individualism in other aspects of China. Thus, it was unclear whether China became more individualistic. Therefore, the current research investigated whether Chinese culture became more individualistic by examining historical changes in family structure. Specifically, I analyzed temporal shifts in the divorce rate and household size, which have been confirmed as valid representative indicators of individualism. Results showed that the divorce rate increased between 1978 and 2017 and household size decreased between 1953 and 2017, indicating a rise in individualism. Moreover, analyses suggested that the one-child policy was unlikely the sole and major factor in the decrease in household size. Additionally, the aggregated score of divorce rate and household size demonstrated a clear increase in individualism. Therefore, the present research provided further evidence of the rise in individualism in China.

Developing and validating a Japanese version of the Weight Self-Stigma Questionnaire

PURPOSE

Weight bias internalization (WBI) is significantly associated with negative physiological and psychological consequences. Given its negative effects, appropriate measurement of WBI is required for weight management and mental and physical health in people with weight problems. One of the most reliable and frequently used questionnaires to assess WBI is the Weight Self-Stigma Questionnaire (WSSQ). However, a Japanese version of the WSSQ has not yet been developed. Thus, the current study aimed to develop a Japanese version of the WSSQ (WSSQ-J) and validate its psychometric properties in the Japanese context.

METHODS

A total of 1454 Japanese participants (age 34.44 ± 6.92; male = 498) with diverse weight statuses (Body mass index: 21.44 ± 3.52, 13.79-41.40 kg/m²) completed an online survey for the WSSQ-J. The internal consistency of the WSSQ-J was estimated by calculating Cronbach's α. Confirmatory factor analysis (CFA) was then carried out to confirm that the factor structure of the WSSQ-J was the same as that of the subscales of the original WSSQ.

RESULTS

The WSSQ-J had a Cronbach's α of 0.917, indicating good internal consistency. In CFA, the comparative fit index was 0.945, the root mean square error of approximation was 0.085, and the standardized root mean square residual was 0.040, indicating that the two-factor model showed satisfactory goodness-of-fit.

CONCLUSION

This study replicated the original findings related to the WSSQ, showing that the WSSQ-J is a reliable WBI questionnaire consisting of two factors. Therefore, the WSSQ-J would be a reliable tool for assessing WBI among Japanese.

LEVEL OF EVIDENCE

Level V, descriptive cross-sectional study.

The relationship between leisure activities and mental health: The impact of resilience and COVID-19

Engaging in leisure activities promotes mental health. The effect is likely associated with resilience as the broaden-and-build theory suggests positive emotions elicited from leisure increase mental resources for stress coping. The present research examined whether participating in different leisure activities at a given time increases the level of resilience, which in turn reduces psychological problems. It also investigated the changes in people's leisure activities due to the COVID-19 outbreak and the impact of these changes on their mental health. Japanese participants (N = 300) responded to two online surveys conducted before (January 2020) and after the outbreak (February 2021). They selected the leisure activities they had engaged in from 100 choices and reported their levels of resilience and depressive symptoms. An analysis of covariates revealed that the total number of selected activities significantly reduced in the second survey, but the levels of resilience and depressive symptoms remained constant. Regression analysis showed that the reduction in leisure activities did not predict depressive symptoms. However, structural equation modeling established that the relationship between leisure and depression was mediated by resilience, supporting the initial hypothesis. Importantly, this relationship slightly differed by age group, likely because popular activities and their psychological impacts vary depending on age.

Nature and happiness in an individualist and a collectivist culture

According to the attention restoration theory, exposure to nature (ETN) renews one's capacity to focus attention, which decreases cognitive fatigue and therefore may increase positive emotions. Indeed, natural settings have been associated with high prevalence of happy facial expressions (HFE). However, how universal the association is, remains unclear. We explored the ETN-HFE association in Boston, US, representing a less collectivistic culture, and Yokohama, Japan, representing a more collectivistic one. Evidence from satellite images and social network data, using geoinformatics and statistical tools, revealed that individuals from both societies exhibited more happiness when they were photographed in more natural settings. These associations varied with temporal variations expressed through weekly and annual effects. In addition, we found that the presence of others was also associated with prevalence of HFE in natural settings at Yokohama and Boston but the relation was significantly stronger in Boston. Despite some relatively minor differences between the countries, these results support the universality of the association between ETN and HFE.

Common writings of baby names in Japan, 1989–2003: Explanation of survey data

Previous research on Japanese names has analyzed the surveys on baby names conducted by Meiji Yasuda Life Insurance Company. The company displayed the yearly top 10 common writings of baby names between 1989 and 2003. However, it was unclear how the surveys for those 15 years were conducted. The data are necessary to evaluate the usableness of the surveys and conduct empirical research. Therefore, I asked the company for further data about the surveys. The methods of the surveys were consistent not only between 1989 and 2003, but also consistent with those between 2004 and 2018. The analyses on the annual sample sizes by gender showed that the surveys between 1989 and 2003 are comparable to the surveys between 2004 and 2018. The company is unable to access the raw data of these surveys, which makes it impossible to provide results other than the top 10 most common writings.

Ethnic differences in names in China: A comparison between Chinese Mongolian and Han Chinese cultures in Inner Mongolia

I propose two suggestions on Stojcic et al.’s (2020) Study 3, which examined ethnic differences in individualism between Chinese Mongolian and Han Chinese cultures in China. The authors analyzed the names of all residents in the Inner Mongolia Autonomous Region of China and found that the percentages of common names among Chinese Mongolians were smaller than those among Han Chinese. The authors concluded that Chinese Mongolians are more independent than Han Chinese. However, two questions remain unanswered. First, although the authors analyzed the names of people in all age groups together and did not analyze the names by birth year, how was the effect of time controlled? Second, although the authors treated name indices, which have been used as group-level indicators in previous research, as individual-level indicators, how did the authors confirm whether name indices can be used as individual-level indicators? Addressing these two questions would contribute to a better understanding of ethnic differences in individualism in China.

What Affected Primary Care Patients' Decisions to Receive the Seasonal Influenza Vaccine in the 2020 to 2021 Season?

Introduction/objectives:

A primary care patient’s decision to undergo seasonal influenza vaccination may have been different during the global COVID-19 pandemic in the 2020 to 2021 season. The purpose of this study is to investigate what affected primary care patients’ decisions to undergo seasonal influenza vaccination in the 2020 to 2021 season.

Methods:

Semi-structured interviews were conducted in a primary care clinic in Ibaraki, Japan. We used a purposive sampling strategy to reach individuals aged 20 years or older who underwent influenza vaccination. The transcripts were analyzed using thematic analysis.

Results:

Twenty-one patients completed the interview. Two main themes emerged: the desire to avoid risks to one’s health and being a part a community in coexistence with others. The first theme included desire to avoid influenza and expectations that vaccination will prevent severe disease. The second theme included concerns about the consequences of one’s own influenza infection on others in the community and necessity of vaccination based on the surroundings and others.

Conclusions:

Raising awareness of risk factors such as older age and comorbidities, and the expectations of community members might be effective in promoting influenza vaccination.

Culture and Social Change in Mothers' and Fathers' Individualism, Collectivism and Parenting Attitudes

Cultures and families are not static over time but evolve in response to social transformations, such as changing gender roles, urbanization, globalization, and technology uptake. Historically, individualism and collectivism have been widely used heuristics guiding cross-cultural comparisons, yet these orientations may evolve over time, and individuals within cultures and cultures themselves can have both individualist and collectivist orientations. Historical shifts in parents' attitudes also have occurred within families in several cultures. As a way of understanding mothers' and fathers' individualism, collectivism, and parenting attitudes at this point in history, we examined parents in nine countries that varied widely in country-level individualism rankings. Data included mothers' and fathers' reports (N = 1338 families) at three time points in China, Colombia, Italy, Jordan, Kenya, Philippines, Sweden, Thailand, and the United States. More variance was accounted for by within-culture than between-culture factors for parents' individualism, collectivism, progressive parenting attitudes, and authoritarian parenting attitudes, which were predicted by a range of sociodemographic factors that were largely similar for mothers and fathers and across cultural groups. Social changes from the 20th to the 21st century may have contributed to some of the similarities between mothers and fathers and across the nine countries.

Does culture or self-directed learning drive online performance?

Purpose

The foundations of internally driven discipline are similar to self-directed learning (SDL). This study examines the effect of cultural orientation and SDL on the online performance of college students. It investigates how college students pursue SDL while maintaining a collectivist cultural orientation in their learning experience. It explains why students prefer SDL to learning constrained by an externally enforced discipline.

Design/methodology/approach

The explanatory sequential mixed-method design uses a quantitative method, followed by qualitative enquiry. The research was conducted in an undergraduate non-credit online course in China.

Findings

The findings show that cultural orientation has no impact on students' online performance, while SDL abilities are positively related to it. When fully mediated by SDL, a horizontal-collectivist culture has a positive effect on students' online performance.

Research limitations/implications

Data were collected in a non-credit online college course, where the final assessment used a peer-rating approach and team members shared the same final score. This scoring method may not fully reflect each student's online performance.

Practical implications

The findings suggest that, when considering cultural influence on student performance, researchers should consider learning contexts, including educational level and learning mode. This study validates that colleges should focus on ability and skill development that enhance internal motivation to improve students' online performance, rather than focussing on their beliefs.

Originality/value

This paper introduces evidence to support the impact of culture on college students' online performance, showing that SDL abilities can drive performance.

Cross-Generational Differences in Independence and Interdependence: Discrepancies Between Their Actual and Ideal Selves in the Japanese Cultural Context

The current study examined cross-generational differences in both independent and interdependent self-construal. Two studies using samples from across Japan that included a wide age range demonstrated that, with increasing age, Japanese respondents scored higher on independence, which was measured by a self-expression scale, and lower on interdependence, as measured by a rejection avoidance scale. Furthermore, these cross-over effects were not observed with regard to participants' preferences (i.e., the ideal state of the self), but were only observed in their actual selves (i.e., the actual state of the self). These results suggest that the Japanese, especially younger generations, cannot help but behave in an interdependent way despite being eager to be independent.

The Influence of Tertiary Education Disciplines on Self-Construals and Conflict Management Tendencies

While cultural difference on self-construal are well-documented, how acculturation to a new cultural environment could change an individual’s self-construal remains under-explored. In this research, how tertiary education disciplines could be associated with the endorsement of self-construals which, in turn, affect students’ conflict management tendencies were explored. Study 1 revealed that across the United States and Singapore, college students from business and social science disciplines exhibited the trend of endorsing more independent and interdependent self-construal respectively, regardless of the different dominant self-construals in the two countries. Study 2 explored how tertiary education disciplines is associated with individuals’ conflict management tendencies via the endorsement of different self-construals among Singaporeans. Findings showed that individuals from business discipline possess a more independent self-construal and in turn endorsed more of a competing conflict management style than those from social sciences. Different disciplinary cultures could link to conflict management tendencies via the endorsement of self-construals, yielding significant theoretical and practical implications.

Baby names in Japan, 2004-2018: common writings and their readings

Objectives

To conduct empirical research on Japanese names, actual name data including both writings and readings are necessary. However, there was no database available that met these conditions. Therefore, in the present article, I provided raw data of approximately 8000 names of Japanese babies born between 2004 and 2018.

Data description

The data include common writings of baby names and their readings generated from annual surveys on baby names conducted by a Japanese private company. The data have advantages: (1) they include both writings and readings of baby names, (2) they were collected under the same conditions over 15 years, (3) their sample sizes are relatively large, and (4) they are open to the public. In contrast, the data have limitations: their samples are neither highly representative nor very large. Overall, this article will be useful for empirical research on Japanese names and people in general (especially for medical and educational service workers).

Unique Names in China: Insights From Research in Japan-Commentary: Increasing Need for Uniqueness in Contemporary China: Empirical Evidence

By comparing naming practices between China and Japan, I propose three suggestions on Cai et al.'s (2018) Study 2, which examined historical changes in baby names in China. Their study found that the average daily frequencies of Chinese characters used in baby names decreased between 1950 and 2009. The authors concluded that unique names increased for this period and suggested a rise in the need for uniqueness and individualism in China. However, there are three questions that have remained unanswered. First, did the Chinese characters that were used in names indeed become more unique over time? Second, did the number of Chinese characters in names increase over time? Third, did the reading (pronunciation) of names become more unique over time? Answering these three questions would further increase the validity and impacts of the article and contribute to a better understanding of cultural changes in China.

The experiences and needs of Asian older adults who are socially isolated and lonely: A qualitative systematic review

PURPOSE

To examine the experiences and needs of Asian older adults who are socially isolated and lonely living in Asian and western countries.

MATERIALS AND METHODS

Six databases were searched for qualitative studies from each database's inception to December 2019. Qualitative data were meta-summarized and then meta-synthesized.

RESULTS

Fourteen studies were included in this review. Five themes emerged: (1) association with older adults' well-being, (2) loss of social support, (3) dealing with social isolation and loneliness (4) unique experiences of Asian older adults in western countries, and (5) wish list of older adults. The older adults felt psychologically down and experienced a lack of social support from their family members. They coped using strategies such as religious reliance and social engagement with peers. Asian older adults in western countries faced cultural barriers and tried to form ethnic communities. The older adults wished for more community resources and care.

CONCLUSION

There were multiple associations of social isolation and loneliness on the Asian older adults' well-being and social support. Coping mechanisms such as acceptance and social engagement were adopted. They expressed support needs such as social programs and healthcare services. More geographically distributed studies are needed to gather a more comprehensive and causality-related perspectives of socially isolated and lonely older adults. Lay-led programs, technology, and active coping strategies are proposed and can be incorporated in healthcare services and social programs to assist these older adults.

Servant Leadership in Japan: A Validation Study of the Japanese Version of the Servant Leadership Survey (SLS-J)

PURPOSE

The purpose of this study is to develop and validate a Japanese version of the Servant Leadership Scale and to clarify the relationship between servant leadership (SL) and well-being among Japanese workers.

METHODS

After the Japanese version of the SLS (SLS-J) and of its short form (SLS-J-short) were developed in conformity with the guidelines (Wild et al., 2005), a web-based survey was administered to 516 Japanese employees (20 or older and have a supervisor). Confirmatory factor analysis (CFA) was conducted to evaluate a construct validation of the SLS-J and the SLS-J-short. Convergent validity was estimated with theoretically related constructs (e.g., transformational leadership, supervisory support, and interpersonal justice) and potential consequences of SL (e.g., affective commitment, work engagement, job satisfaction, organizational citizenship behavior (OCB), psychological distress, and work performance). Intraclass correlation coefficient (ICC) using the test-retest method was conducted with 104 of the initial respondents to assess internal consistency reliability. Additionally, the effects of SL on employees' work engagement and the mediating role of employees' affective commitment were estimated.

RESULTS

CFA confirmed that an eight-factor model (SLS-J) and a five-factor model (SLS-J-short) had the most satisfactory fits for the two scales with Japanese workers. Tests of convergent validity and reliability showed sufficiency for each of the dimensions of SLS-J and SLS-J-short. Additionally, it was revealed that SL has an impact on employees' work engagement through a mediation of affective commitment at a cross-sectional level, and the indirect association between SL and work engagement via affective commitment remained afterward.

CONCLUSION

SLS-J and SLS-J-short were confirmed to have good reliability and validity for Japanese workers. Also, this study found that SL has an important role in enhancing the engagement of workers.

Regional Differences in Individualism in Japan: Scoring Based on Family Structure

The present article reported regional (prefecture-level) differences in individualism in Japan based on family structure in 2005, 2010 and 2015. Previous research calculated 2005 prefecture-level scores of individualism-collectivism in Japan by analyzing five validated indicators of individualism-collectivism (divorce rate, percentage of people living alone, percentage of elderly people aged over 65 living alone, percentage of nuclear family households, and percentage of three-generation households). However, only the scores for 2005 had been presented. The scores and their regional differences may have changed over time. Therefore, the current article calculated individualism scores for 2010 and 2015 following previous research. Analyses showed that the scores were stable over time, indicating that regional differences in individualism were maintained for this period. This report is useful for understanding regional differences in psychological phenomena and validating new indicators at the regional level.

The Developmental Trajectory of Self-Esteem Across the Life Span in Japan: Age Differences in Scores on the Rosenberg Self-Esteem Scale From Adolescence to Old Age

We examined age differences in global self-esteem in Japan from adolescents aged 16 to the elderly aged 88. Previous research has shown that levels of self-liking (one component of self-esteem) are high for elementary school students, low among middle and high school students, but then continues to become higher among adults by the 60s. However, it did not measure both aspects of self-esteem (self-competence and self-liking) or examine the elderly over the age of 70. To fully understand the developmental trajectory of self-esteem in Japan, we analyzed six independent cross-sectional surveys. These surveys administered the Rosenberg Self-Esteem Scale, which measured both self-competence and self-liking, on a large and diverse sample (N = 6,113) that included the elderly in the 70s and 80s. Results indicated that, consistent with previous research, for both self-competence and self-liking, the average level of self-esteem was low in adolescence, but continued to become higher from adulthood to old age. However, a drop of self-esteem was not found over the age of 50, which was inconsistent with prior research in European American cultures. Our research demonstrated that the developmental trajectory of self-esteem may differ across cultures.

Response Rates in Online Surveys With Affective Disorder Participants

Abstract. A meta-analysis was performed to determine whether response rates to online psychology surveys have decreased over time and the effect of specific design characteristics (contact mode, burden of participation, and incentives) on response rates. The meta-analysis is restricted to samples of adults with depression or general anxiety disorder. Time and study design effects are tested using mixed-effects meta-regressions as implemented in the metafor package in R. The mean response rate of the 20 studies fulfilling our meta-analytic inclusion criteria is approximately 43%. Response rates are lower in more recently conducted surveys and in surveys employing longer questionnaires. Furthermore, we found that personal invitations, for example, via telephone or face-to-face contacts, yielded higher response rates compared to e-mail invitations. As predicted by sensitivity reinforcement theory, no effect of incentives on survey participation in this specific group (scoring high on neuroticism) could be observed.

Factors associated with influenza vaccination in Japanese elderly outpatients

BACKGROUND

Elderly patients benefit from influenza vaccination, but the number of Japanese elderly patients who are vaccinated is insufficient. Several factors are associated with influenza vaccination acceptance, but little is known about Japanese elderly outpatients. The purpose of this study was to examine factors associated with influenza vaccination in elderly outpatients in Japan.

METHODS

During the 2017-2018 influenza season, outpatients from one hospital and one clinic in Kitaibaraki City, Ibaraki, Japan, participated in this study. Patients answered a self-report questionnaire exploring factors such as their vaccination status during the 2017-2018 season, past influenza vaccination, perceived susceptibility to influenza and adverse events of the vaccine, perceived vaccine efficacy, physician recommendations. Multivariable logistic regression analyses were conducted to identify factors associated with vaccination.

RESULTS

Of 377 patients, 316 (83.8%) responded, and the vaccination rate was 57%. Eighty-three patients (27.0%) reported that their physician recommended the influenza vaccine. In multivariate analysis, influenza vaccination was associated with higher age (odds ratio (OR) 1.09, 95% confidence interval (CI) 1.03-1.14), physician recommendations (OR 2.49, 95% CI 1.18-5.25), low perceived susceptibility to vaccine-related adverse events (OR 0.33, 95% CI 0.15-0.74), and belief in vaccine efficacy (OR 4.73, 95% CI 2.08-10.8).

CONCLUSIONS

Influenza vaccination was associated with belief in vaccine efficacy, perceived susceptibility to vaccine-related adverse events, physician recommendations, and older age. Increasing the frequency of physician recommendations may lead to increased vaccination coverage.

Causes of Ineligibility for Recipients in Living Kidney Transplantation

BACKGROUND

Even if a living donor candidate exists, there are some cases that do not result in kidney transplantation (KTx) due to problems on the recipient side. The aim of this study was to clarify causes of ineligibility for KTx in these cases, so as to make RTx more applicable for patients.

METHODS

We targeted 470 patients with end-stage renal disease who applied for the primary kidney KTx from 2010 to 2012. Then we selected those who were not applicable for KTx and investigated recipient causes of ineligibility for KTx or not receiving KTx.

RESULTS

The average age of recipients was 47.6 ± 12.9 (7-82) years. A majority of the 470 patients were male (n = 305, 64.9%). Two hundred ninety-seven patients intended to receive a living donor KTx and the others hoped for a deceased donor KTx. Of the 297 patients, 207 (70.0%) underwent KTx and 9 (1.9%) were being prepared for KTx at the time of the survey. Eighty-three patients (27.9%) did not receive a living KTx, with 59 of these due to recipient-related problems and 30 due to donor-related problems. We further classified the reasons for these 59 recipients not undergoing KTx as follows: (1) unclear reasons (35.6%); (2) insufficient intention to receive transplant (13.6%); (3) heart disease (10.2%); (4) malignancy (8.5%); (5) immunologic risks (5.1%); (6) death during the waiting period (5.1%); (7) cerebrovascular events (5.1%); (8) cardiovascular problems (5.1%); (9) psychiatric disorders (3.4%); and (10) infections (3.4%).

CONCLUSION

Nearly 50% of the reasons for ineligibility as a recipient were related to their intention to receive KTx, with 94.9% of the nontransplanted cases due to nonimmunologic reasons. Thanks to the recent advances in immunosuppressive therapy, there were only 3 patients who could not undergo KTx due to immunologic risks. Based on these results, transplant surgeons should not only emphasize physical evaluation but should also pay careful attention to the recipient's intention to receive KTx.

Implications of a Culturally Evolved Self for Notions of Free Will

Most schools in psychology have emphasized individual choice despite evidence of genetic and cultural determinism. It is suggested in this paper that the rejection of classical behaviorism by psychology and other humanities flowed from deeply held cultural assumptions about volition and free will. While compatibilists have suggested that notions of free will and determinism are not mutually exclusive, the psychological mechanisms by which such an accommodation could be explained have been inadequately explored. Drawing on research into classical cultures, this paper builds an argument that the notion of free will was adaptive flowing from culturally evolved changes to the self, and that this “evolved self,” containing assumptions of personal volition, continuity, and reason, became benchmarks of what it means to be human. The paper proposes a model of a culturally evolved self that is compatible with understandings of free will and determinism. Implications for therapeutic practice and future research are discussed.