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Zhao L, Li Y, Ke S, Lee K. Self-efficacy and cheating among young children. J Exp Child Psychol 2024; 241:105843. [PMID: 38271850 DOI: 10.1016/j.jecp.2023.105843] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2023] [Revised: 12/03/2023] [Accepted: 12/19/2023] [Indexed: 01/27/2024]
Abstract
This research, comprising three preregistered studies, investigated the link between self-efficacy and cheating on an academic test in 5- and 6-year-old children. Study 1 assessed children's general self-efficacy and found it to be unrelated to their cheating behavior. Study 2 assessed task-specific self-efficacy, which was not found to be associated with cheating. In Study 3, children were randomly assigned to either an experimental group, which received brief positive feedback on task-specific self-efficacy, or a control group, which received no feedback. The experimental group demonstrated significantly less cheating. These findings, for the first time, identify a specific connection between young children's self-efficacy and academic dishonesty and suggest that positive feedback on task-specific efficacy could be a simple effective strategy for fostering academic integrity early on.
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Affiliation(s)
- Li Zhao
- Zhejiang Philosophy and Social Science Laboratory for Research in Early Development and Childcare, Hangzhou Normal University, Hangzhou 311121, People's Republic of China; Department of Psychology, Hangzhou Normal University, Hangzhou 311121, People's Republic of China.
| | - Yaxin Li
- Department of Psychology, Hangzhou Normal University, Hangzhou 311121, People's Republic of China
| | - Shiqi Ke
- Department of Psychology, Hangzhou Normal University, Hangzhou 311121, People's Republic of China
| | - Kang Lee
- Dr. Erick Jackman Institute of Child Study, University of Toronto, Toronto, Ontario M5R 2X2, Canada
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Zhang G, Feng W, Zhao L, Zhao X, Li T. The association between physical activity, self-efficacy, stress self-management and mental health among adolescents. Sci Rep 2024; 14:5488. [PMID: 38448518 PMCID: PMC10917799 DOI: 10.1038/s41598-024-56149-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2023] [Accepted: 03/01/2024] [Indexed: 03/08/2024] Open
Abstract
This study aimed to explore the interplay between physical activity, self-efficacy, stress self-management and mental health among adolescents. The study gathered data from an online survey conducted among 400 Chinese middle school students (mean age = 13.74 years). The collected data were analyzed using SPSS 27.0 and PROCESS 4.1. The findings indicated a positive and significant relationship between physical activity, self-efficacy, stress self-management, and mental health. Notably, the association between physical activity and mental health was entirely mediated by self-efficacy and stress self-management. Moreover, self-efficacy and stress self-management exhibited a chain mediation effect on the relationship between physical activity and mental health. It is suggested that interventions focusing on physical activity should prioritize strategies for enhancing students' self-efficacy and stress self-management skills as integral components of promoting adolescents' mental health. Future research should delve into identifying specific types of physical activities that have a greater potential to enhance self-efficacy and stress self-management abilities.
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Affiliation(s)
- Ge Zhang
- School of Physical Education, Shandong University, Jinan, 250061, China
| | - Wanxuan Feng
- School of Physical Education, Shandong University, Jinan, 250061, China
| | - Liangyu Zhao
- School of Physical Education, Shandong University, Jinan, 250061, China
| | - Xiuhan Zhao
- School of Physical Education, Shandong University, Jinan, 250061, China
| | - Tuojian Li
- School of Physical Education, Shandong University, Jinan, 250061, China.
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Nadeem T, Hamid S, Bhamani SS, Pirani S, Mughal FB, Shahid A, Asad N. Testing an educational intervention to enhance resilience and self-efficacy among schoolteachers in Karachi Pakistan. BMC Res Notes 2024; 17:24. [PMID: 38225610 PMCID: PMC10790435 DOI: 10.1186/s13104-024-06683-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2023] [Accepted: 01/03/2024] [Indexed: 01/17/2024] Open
Abstract
OBJECTIVE A pilot study using a pre-post interventional design, was carried out to evaluate the effectiveness of a resilience-based training workshop on the self-efficacy and resilience of schoolteachers in a peri-urban area of Karachi, Pakistan. Four in person workshops were held at the school's location during January to June 2022. RESULTS A total of 14 teachers participated in the workshop. The effectiveness of interventions was evaluated by assessing self-efficacy and resilience in pre- and post-teaching modules. The Wilcoxon Signed Rank Test determined a significant difference between the pre- to post-module scores of Self Efficacy (p = 0.016) and resilience (p = 0.006). The pre-median scores with IQR of Self-Efficacy were 28 (10), and Resilience scores 76 (12); and post-scores for Self-Efficacy and Resilience scores increased to 35 (5.5) and 88 (14) respectively. This indicated significant improvement in general self-efficacy and resilience skills after four weeks of training. This pilot study showed that building knowledge regarding mental health struggles in students and oneself, learning ways to cope with stress and manage student behavior, and forming a peer support system are crucial in building self-efficacy and resilience in teachers.
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Affiliation(s)
- Tania Nadeem
- Department of Psychiatry, Aga Khan University, Stadium road, 74800, Karachi, PO Box 3500, Pakistan.
| | - Sahar Hamid
- Social Sciences and Liberal Arts Institute of Business Administration, Karachi, Pakistan
| | | | - Shahina Pirani
- Department of Psychiatry, Aga Khan University, Stadium road, 74800, Karachi, PO Box 3500, Pakistan
| | | | | | - Nargis Asad
- Department of Psychiatry, Aga Khan University, Stadium road, 74800, Karachi, PO Box 3500, Pakistan
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Galiana L, Sánchez-Ruiz J, Gómez-Salgado J, Larkin PJ, Sansó N. Validation of the Spanish version of the five-item General Self-Efficacy (GSE) scale in a sample of nursing students: Evidence of validity, reliability, longitudinal invariance and changes in general self-efficacy and resilience in a two-wave cross-lagged panel model. Nurse Educ Pract 2024; 74:103865. [PMID: 38128375 DOI: 10.1016/j.nepr.2023.103865] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2023] [Revised: 10/25/2023] [Accepted: 11/27/2023] [Indexed: 12/23/2023]
Abstract
AIM The aim of this study is to validate the Spanish version of the five-item General Self-Efficacy scale in a sample of nursing students, by: 1) offering evidence of validity and reliability; 2) studying the longitudinal measurement invariance of the scale; 3) providing evidence on the changes in the levels of self-efficacy that occur after one year of nursing education; and 4) offering longitudinal evidence on the relationship between nursing students' self-efficacy and resilience levels. BACKGROUND Nurses' general self-efficacy has been related to both personal and organizational outcomes. In Spain, some competencies the students must acquire during the Degree in Nursing implicitly refer to self-efficacy. For the measurement of general self-efficacy, the General Self-Efficacy Scale is one of the most widely used in Europe. DESIGN A longitudinal design was used. Research took place at the University of Valencia and the University of the Balearic Islands (Spain). Participants were 324 nursing students, in the first year of the Nursing Degree. METHODS The five-item General Self-Efficacy scale and the Brief Resilience Coping Scale were used. Analyses included descriptive statistics, reliability estimates, confirmatory factor analysis, a longitudinal measurement invariance routine and several competing cross-lagged models. RESULTS Evidence of reliability shown by the scale was adequate and a one-factor solution for the structure was found. Additionally, the five-item GSE showed evidence of invariance over time. A causal effect of self-efficacy on nursing students' levels of resilience was found. CONCLUSIONS The Spanish version of the five-item General Self-Efficacy scale is a brief instrument that can contribute to the assessment of some of the basic competencies of the Degree in Nursing, which improve during their education and how these changes are related to other skills important for the nursing profession, such as resilience.
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Affiliation(s)
- Laura Galiana
- Advanced Research Methods Applied to Quality of Life promotion - ARMAQoL, Department of Methodology for the Behavioral Sciences, University of Valencia, Spain
| | - Javier Sánchez-Ruiz
- Advanced Research Methods Applied to Quality of Life promotion - ARMAQoL, Department of Methodology for the Behavioral Sciences, University of Valencia, Spain
| | - Juan Gómez-Salgado
- Department of Sociology, Social Work and Public Health, Faculty of Labour Sciences, University of Huelva, Huelva, Spain; Safety and Health Postgraduate Programme, Universidad Espíritu Santo, Guayaquil, Ecuador
| | - Philip J Larkin
- Chair of Palliative Care Nursing. Palliative and Supportive Care Service, Lausanne University Hospital and University of Lausanne, Switzerland
| | - Noemí Sansó
- Balearic Islands Health Research Institute (IDISBA). Valldemossa Road, Km 7.5, Palma 07122, Spain; Department of Nursing and Physiotherapy, University of Balearic Islands, Palma, Spain.
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Dong RB, Dou KY, Luo J. Construction of a model for adolescent physical and mental health promotion based on the multiple mediating effects of general self-efficacy and sleep duration. BMC Public Health 2023; 23:2293. [PMID: 37986158 PMCID: PMC10662560 DOI: 10.1186/s12889-023-17197-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2023] [Accepted: 11/09/2023] [Indexed: 11/22/2023] Open
Abstract
We developed a model for promoting adolescent physical and mental health (MH) to investigate the integrated pathways of physical activity (PA), MH, general self-efficacy (GSE), and sleep duration (SD) promotion among adolescents in China. The research hypotheses were tested using questionnaires, descriptive statistics, and validated factor analysis. The mean age of the respondents was 14.94 ± 1.76 years, the PA level was 2.49 [95% confidence interval (CI): 2.46-2.53], the GSE score was 2.60 (95% CI: 2.57-2.64), the SD was 436.52 min/day (95% CI: 432.89-440.15), and the total mean MH score was 1.72 (95% CI: 1.69-1.76) (model fitness index: χ2/df = 1.295, comparative fit index = 0.999, Tucker-Lewis index = 0.997, root mean square error of approximation = 0.014, standardized root mean square residual = 0.007). The SD accounted for 46.85% of the mediating effect. The adolescents exhibited moderately low PA levels, severe SD deficits, and high rates of overall MH abnormalities. Consequently, the constructed model for promoting adolescent physical health and MH was confirmed to be reliable; GSE and SD are significant factors mediating MH promotion.
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Affiliation(s)
- Ru-Bao Dong
- School of Physical Education, Guizhou Normal University, Guizhou, China.
| | - Kai-Yun Dou
- School of Physical Education, Guizhou Normal University, Guizhou, China
| | - Jie Luo
- School of Psychology, Guizhou Normal University, Guizhou, China
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Fischer IC, Davis LW, Cyders MA, Salyers MP, Rand KL. Posttraumatic stress and depressive symptoms and symptom clusters in a sample of treatment-seeking US veterans: Longitudinal associations with meaning in life and general self-efficacy. J Affect Disord 2023; 339:781-787. [PMID: 37479042 DOI: 10.1016/j.jad.2023.07.100] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/08/2023] [Revised: 07/17/2023] [Accepted: 07/18/2023] [Indexed: 07/23/2023]
Abstract
OBJECTIVES To quantify the associations between general self-efficacy, subjective meaning in life, and posttraumatic stress and depressive symptoms and symptom clusters in US veterans, both cross-sectionally and longitudinally. METHODS Data from a Veteran Affairs (VA) funded intervention study (n = 191) were examined. Self-report measures of depressive symptoms, general self-efficacy, and meaning in life were collected, along with clinician-rated symptoms of PTSD. RESULTS Meaning in life was consistently inversely associated with posttraumatic stress and depressive symptoms and symptom clusters cross-sectionally, whereas general self-efficacy was only inversely associated with some aspects of depressive symptoms. Longitudinal analyses further revealed that meaning in life was inversely associated with the cluster D symptoms of PTSD and the cognitive-affective symptoms of depression. CONCLUSIONS Higher meaning in life is associated with less severe symptoms of posttraumatic stress and depressive symptoms, particularly those related to mood. Additional research is needed to determine whether interventions designed to increase meaning in life attenuate these symptoms.
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Affiliation(s)
- Ian C Fischer
- Indiana University-Purdue University at Indianapolis (IUPUI), Indianapolis, IN, USA.
| | - Louanne W Davis
- Richard L. Roudebush VA Medical Center, Indianapolis, IN, USA; Indiana University School of Medicine, Indianapolis, IN, USA
| | - Melissa A Cyders
- Indiana University-Purdue University at Indianapolis (IUPUI), Indianapolis, IN, USA
| | - Michelle P Salyers
- Indiana University-Purdue University at Indianapolis (IUPUI), Indianapolis, IN, USA
| | - Kevin L Rand
- Indiana University-Purdue University at Indianapolis (IUPUI), Indianapolis, IN, USA
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Han J, Wang Y, Qian J, Shi M. Delving into the role of creativity on meaning in life: A multiple mediation model. Heliyon 2023; 9:e16566. [PMID: 37274645 PMCID: PMC10238719 DOI: 10.1016/j.heliyon.2023.e16566] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2022] [Revised: 05/17/2023] [Accepted: 05/19/2023] [Indexed: 06/06/2023] Open
Abstract
How to enhance the sense of meaning in life is a topic deserving of extensive research. The impact of creativity on finding meaning in life, however, has not been thoroughly explored in empirical research. This paper studies the relationship between creativity and meaning in life, and the cognitive and emotional factors underlying this relationship. The participants of this study were 359 Chinese college students (38 males and 321 females; aged from 17 to 41 years) in learning English as a foreign language (EFL). Four instruments were utilized in the survey, namely, the Kaufman Domains of Creativity Scale (K-DOCS), the Positive Affect Scale, the General Self-Efficacy Scale (GSES), and the Meaning in Life Questionnaire (MLQ). The correlation analysis shows that creativity, positive affect, general self-efficacy, and meaning in life are all positively correlated. According to a bootstrap method to assess the significance of the indirect effect, general self-efficacy and positive affect play multiple mediating roles in the relationship between creativity and meaning in life via three mediating pathways: general self-efficacy alone, positive affect alone, and the effect of general self-efficacy on positive affect. The mediating effect accounts for nearly half (44.18%) of the total effect. This study examines the theoretical connection between creativity and meaning in life, and uncovers the psychological process that underlies this connection. On a practical level, these results indicate that stimulating Chinese college students to engage in creative activities in various fields can enhance their sense of meaning in life.
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Doğanülkü HA, Korkmaz O. The role of proactive personality and general self-efficacy in proactive career behavior: a mediation model. Int J Educ Vocat Guid 2023:1-25. [PMID: 37360274 PMCID: PMC10208558 DOI: 10.1007/s10775-023-09597-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 05/19/2022] [Accepted: 05/03/2023] [Indexed: 06/28/2023]
Abstract
The current study examined the mediating role of general self-efficacy in the relationship between university students' proactive career behavior and their proactive personality. The participants of the study consisted of 457 university students in Turkey. The Proactive Personality Scale-Short Form, the General Self-Efficacy Scale, and the Career Engagement Scale were used as data collection tools. Analysis results of the study showed that general self-efficacy had a mediating role in the relationship between proactive career behavior and proactive personality. In addition, proactive career behavior was found to have significant and positive relationships with proactive personality and general self-efficacy.
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Affiliation(s)
- Hacı Arif Doğanülkü
- Career Planning, Research and Application Center, Cukurova University, Adana, Turkey
| | - Ozan Korkmaz
- Faculty of Education, Career Planning, Research and Application Center, and Psychological Counseling and Guidance Application and Research Center, Karamanoglu Mehmetbey University, Karaman, Turkey
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Liu X, Ji X, Zhang Y. Trajectories of college students' general self-efficacy, the related predictors, and depression: A piecewise growth mixture modeling approach. Heliyon 2023; 9:e15750. [PMID: 37159689 PMCID: PMC10163656 DOI: 10.1016/j.heliyon.2023.e15750] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2022] [Revised: 04/12/2023] [Accepted: 04/20/2023] [Indexed: 05/11/2023] Open
Abstract
General self-efficacy plays a critical role in the development of college students, and mastering the development of students' general self-efficacy is helpful to explain students' behavior and psychological performance. Based on the data from the same cohort of college students for four consecutive years, this study used the piecewise growth mixture model to identify the developmental trajectories of general self-efficacy, built a multinomial logistic regression model to analyze the related predictors on different trajectories, and further compared the differences in depression symptoms in general self-efficacy trajectories. Three trajectories of college students' general self-efficacy were identified: stable-rising (8.7%), stable-decreasing (2.4%), and moderate and stable (88.9%). With the moderate and stable class as the reference, gender and extraversion are the predictors of students in the stable-increasing class; gender, extraversion, mother's education level, and university tier significantly predict students who fall into the stable-decreasing class. With the stable-increasing class as the reference, gender also has a significant predictive effect on students who belong to the stable-decreasing class. However, age, ethnicity, siblings, hometown location, father's education level, BMI, sleep, and major were not related predictors. Furthermore, mean differences in depression between latent classes of general self-efficacy trajectories were significant, and the depression scores of the stable-decreasing class were beyond the normal range in the third and fourth years. To promote college students' mental health, we suggest that colleges provide more specific psychological interventions to students based on the classification.
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Alemdar DK, Yilmaz G, Günaydin N. The Spiritual and Religious Coping of Mothers with Disabled Children in Turkey: Correlation Between Stress Coping Styles and Self-Efficacy. J Relig Health 2023; 62:888-905. [PMID: 35943641 DOI: 10.1007/s10943-022-01630-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 07/30/2022] [Indexed: 06/15/2023]
Abstract
This study aimed to determine the correlation between stress coping styles and self-efficacy with regard to the spiritual and religious coping of mothers with disabled children. The descriptive and relational screening model was used in this study. The research was completed with 227 mothers in a private rehabilitation center at Turkey. The data were collected using Maternal Spiritual Coping, Religious Coping Styles, Stress Coping Styles Scales (SCSS), and General Self-Efficacy Scales. As a result of the study, there was a statistically advanced degree of significant correlation in a positive direction between effective coping with stress and spiritual coping (p < 0.001), and a negative significant correlation between ineffective coping with stress and general self-efficacy (p < 0.05). Additionally, there was a negative significant correlation between the SCSS-effective coping dimension with the SCSS-ineffective coping points (p < 0.05). The high level of spiritual coping of mothers and its effect on coping with stress is an important result. For the participation of children with disabilities and their parents in society, it is essential to identify components such as mental health and spiritual coping that will improve mothers' mental health so that mothers can effectively cope with the difficulties they experience.
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Affiliation(s)
| | - Gamze Yilmaz
- Ağrı İbrahim Çeçen University Health Science Faculty, Ağrı, Turkey
| | - Nevin Günaydin
- Ordu University Health Science Faculty, 52200, Ordu, Turkey
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Liu L, Sun Y, Wang Y, Luo N, Bai R, Pan M, Song Y, Zhang Y, Wu H. Impact of alexithymia on suicidal ideation among patients with ovarian cancer: a moderated mediation model of self-perceived burden and general self-efficacy. Support Care Cancer 2023; 31:177. [PMID: 36802242 DOI: 10.1007/s00520-023-07610-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2022] [Accepted: 01/24/2023] [Indexed: 02/23/2023]
Abstract
PURPOSE Suicidal ideation (SI) and alexithymia are common psychological problems among patients with cancer. Studying how alexithymia predicts SI is helpful for its intervention and prevention strategies. The present study aimed to investigate whether self-perceived burden (SPB) mediates the impact of alexithymia on SI and if general self-efficacy moderates the associations of alexithymia with SPB and SI. METHODS To measure SI, alexithymia, SPB, and general self-efficacy, 200 patients with ovarian cancer at all stages regardless of the type of treatment completed the Chinese version of the Self-Rating Idea of Suicide Scale, Toronto Alexithymia Scale, Self-Perceived Burden Scale, and General Self-Efficacy Scale in a cross-sectional study. The PROCESS macro for SPSS v4.0 procedure was applied to perform moderated mediation analysis. RESULTS SPB significantly mediated the positive impact of alexithymia on SI (a×b = 0.082, 95% confidence interval [CI]: 0.026, 0.157). General self-efficacy significantly moderated the positive association between alexithymia and SPB (β = -0.227, P < 0.001). The mediating role of SPB was gradually reduced as general self-efficacy grew (low: 0.087, 95% CI: 0.010, 0.190; medium: 0.049, 95% CI: 0.006, 0.108; high: 0.010, 95% CI: -0.014, 0.046). Thus, a moderated mediation model involving SPB and general self-efficacy for explaining how alexithymia causes SI was supported. CONCLUSION Alexithymia could cause SI by inducing SPB among patients with ovarian cancer. General self-efficacy could attenuate the association between alexithymia and SPB. Interventions aimed at reducing SPB and enhancing general self-efficacy could reduce SI by partially preventing and attenuating the impact of alexithymia.
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Zhang J, Cao M, Ma D, Zhang G, Shi Y, Chen B. Exploring effect of psychological first aid education on vocational nursing students: A quasi-experimental study. Nurse Educ Today 2022; 119:105576. [PMID: 36206634 DOI: 10.1016/j.nedt.2022.105576] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/27/2021] [Revised: 09/07/2022] [Accepted: 09/18/2022] [Indexed: 06/16/2023]
Abstract
BACKGROUND Psychological first aid (PFA) is an internationally recognized approach to providing initial psychological support to the general public by both professionals and non-professionals. With increasing psychological care needs under frequent global disasters, it is urgent to provide PFA training to community rescuers in resource-limited countries. Vocational nursing students account for the largest proportion of the reserve workforce serving the community. However, they were scarcely educated about PFA in public emergencies. OBJECTIVES To evaluate the impacts of PFA training on knowledge and competency, general self-efficacy, and resilience among vocational nursing students. DESIGN A quasi-experimental study with pre-posttest comparison. SETTING A provincial vocational college in XXXX. PARTICIPANTS One hundred and three sophomore vocational nursing students were recruited from a vocational college. METHODS The eligible participants were provided with the PFA educational program developed from international and national PFA guidelines. Before and after the intervention, researchers used the PFA of Orientation Pre/Post Test questionnaire, the General Self-Efficacy Scale, and the Connor-Davidson Resilience Scale to evaluate participants' learning outcomes. The paired t-test and Wilcoxon signed-rank test were used to compare the difference in outcomes between the pre- and post-test. RESULTS After the PFA educational intervention, the participants' scores on PFA-related knowledge and competence significantly increased (p < .001). There were also statistically significant differences in general self-efficacy, total resilience, tenacity, and optimism scores observed between the pre- and post-test (p < .001). However, there was no significant increase in strength scores after the intervention. CONCLUSIONS The PFA training effectively improved vocational nursing students' knowledge and competency, general self-efficacy, and resilience. Further studies with a control group and follow-ups are needed to explore the long-term effects of PFA education.
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Affiliation(s)
- Jun Zhang
- Wuhan University School of Nursing, Wuhan, China.
| | - Mi Cao
- Wuhan University School of Nursing, Wuhan, China
| | - Denghui Ma
- The Third Affiliated Hospital of Zhengzhou University, Zhengzhou, China
| | - Guai Zhang
- Wuhan University School of Nursing, Wuhan, China
| | - Yuxin Shi
- Wuhan University School of Nursing, Wuhan, China
| | - Bowen Chen
- Department of Social and Behavioural Sciences, City University of Hong Kong, Kowloon, Hong Kong
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Samulowitz A, Hensing G, Haukenes I, Bergman S, Grimby-Ekman A. General self-efficacy and social support in men and women with pain - irregular sex patterns of cross-sectional and longitudinal associations in a general population sample. BMC Musculoskelet Disord 2022; 23:1026. [PMID: 36447177 PMCID: PMC9707264 DOI: 10.1186/s12891-022-05992-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/10/2022] [Accepted: 11/16/2022] [Indexed: 11/30/2022] Open
Abstract
BACKGROUND The study of sex and gender patterns in psychosocial resources is a growing field of interest in pain research with importance for pain rehabilitation and prevention. The aims of this study were first, to estimate cross-sectional differences in psychosocial resources (general self-efficacy and social support) across men and women in a population with frequent musculoskeletal pain (pain in the back or neck/shoulder nearly every day or now and again during the week for the last 12 months) and to compare these differences with a population with no frequent pain. Second, to examine if psychosocial resources at baseline were associated with pain at follow-up among men and women in the frequent pain population. METHODS This study was based on survey data from the Swedish Health Assets Project, including The General Self-Efficacy Scale and social support questions. Participants (n = 4010, 55% women) were divided into no frequent pain (n = 2855) and frequent pain (n = 1155). General self-efficacy and social support were analyzed (cross-sectional and longitudinal data) with linear and logistic regressions. RESULTS Men, with and without frequent pain, had higher general self-efficacy than the corresponding groups in women. Women, with and without frequent pain, had stronger emotional social support than the corresponding groups in men. Men with no frequent pain had weaker instrumental social support than women with no frequent pain (OR = 0.64 (95% CI 0.47-0.87)), men with frequent pain did not (OR = 1.32 (95% CI 0.86-2.01)). In the frequent pain population, the interaction between sex and strong (compared to weak) emotional social support was statistically significant (p = 0.040) for no frequent pain at follow-up, with women having OR = 1.81 and men OR = 0.62. Among women, strong emotional social support was associated with no frequent pain at follow-up. Among men, strong emotional social support was associated with frequent pain at follow-up. CONCLUSION Some of the associations between general self-efficacy, social support and musculosceletal pain showed unexpected sex patterns. Gendered expectations might have relevance for some of the results.
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Affiliation(s)
- Anke Samulowitz
- grid.8761.80000 0000 9919 9582School of Public Health and Community Medicine, Institute of Medicine, The Sahlgrenska Academy, University of Gothenburg, Box 463, 40530 Gothenburg, Sweden
| | - Gunnel Hensing
- grid.8761.80000 0000 9919 9582School of Public Health and Community Medicine, Institute of Medicine, The Sahlgrenska Academy, University of Gothenburg, Box 463, 40530 Gothenburg, Sweden
| | - Inger Haukenes
- grid.509009.5Research Unit for General Practice, NORCE Norwegian Research Centre, Bergen, Norway ,grid.7914.b0000 0004 1936 7443Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway
| | - Stefan Bergman
- grid.8761.80000 0000 9919 9582School of Public Health and Community Medicine, Institute of Medicine, The Sahlgrenska Academy, University of Gothenburg, Box 463, 40530 Gothenburg, Sweden ,Spenshult Research and Development Centre, Halmstad, Sweden
| | - Anna Grimby-Ekman
- grid.8761.80000 0000 9919 9582School of Public Health and Community Medicine, Institute of Medicine, The Sahlgrenska Academy, University of Gothenburg, Box 463, 40530 Gothenburg, Sweden
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14
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Li X, Yang K, An Y, Liu M, Yan C, Huang R. General self-efficacy and frailty in hospitalized older patients: The mediating effect of loneliness. Geriatr Nurs 2022; 48:315-319. [PMID: 36356532 DOI: 10.1016/j.gerinurse.2022.10.019] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2022] [Revised: 10/24/2022] [Accepted: 10/26/2022] [Indexed: 11/09/2022]
Abstract
This study aimed to explore the relationship between general self-efficacy and frailty in hospitalized older adults with chronic diseases, and to examine the mediating role of loneliness. A total of 327 hospitalized older patients aged 60 years or above with chronic diseases were recruited. Cross-sectional data on the patients' general self-efficacy, frailty and loneliness were collected using questionnaires. The PROCESS macro of the bias correction bootstrapping method was used to test the mediation model. The results showed that the significant mediating role of loneliness between general self-efficacy and frailty (B = -0.735, 95% CI [-0.923, -0.564]) explained 42.4% of the total effect of general self-efficacy on frailty. These findings highlighted the importance of loneliness in older patients with chronic diseases in hospital, especially those with low general self-efficacy.
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Affiliation(s)
- Xuejia Li
- School of Nursing, Dali University, Dali, Yunnan, China
| | - Kaiqing Yang
- School of Nursing, Dali University, Dali, Yunnan, China; Department of Hospital Unions, Dali Bai Autonomous Prefecture People's Hospital, Dali, Yunnan, China.
| | - Yangxin An
- Department of Geriatrics, Dali Bai Autonomous Prefecture People's Hospital, Dali, Yunnan, China
| | - Min Liu
- School of Nursing, Dali University, Dali, Yunnan, China
| | - Chunyan Yan
- School of Nursing, Dali University, Dali, Yunnan, China
| | - Rong Huang
- School of Nursing, Dali University, Dali, Yunnan, China
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15
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Hamama L. Modeling linkages between self-efficacy, normalization, and well-being factors among Israeli mothers of children with neurodevelopmental disorders. Res Dev Disabil 2022; 128:104295. [PMID: 35777249 DOI: 10.1016/j.ridd.2022.104295] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/15/2022] [Revised: 06/16/2022] [Accepted: 06/22/2022] [Indexed: 06/15/2023]
Abstract
BACKGROUND AND AIMS Parents' well-being may be challenged by the neurodevelopmental disorders (NDs) of their children. This study explored general self-efficacy (personal resource) and normalization (coping strategy) and their possible association with mothers' well-being (satisfaction with life/SWL, positive affect, and presence of meaning in life/P-MIL). METHOD Data were obtained from 127 Israeli mothers, ages 23-63, of children (M = 12.08, SD = 3.39) with NDs (autism spectrum disorder, intellectual disability, cerebral palsy). All participants completed online self-report questionnaires. RESULTS After controlling for the effects of group, mother's age, and child's gender, bivariate associations showed that general self-efficacy was positively correlated with SWL (r =.46, p <.001), positive affect (r =.43, p <.001), and P-MIL (r =.37, p <.001). The study's mediation model was partly supported: General self-efficacy was related to normalization, which was related to SWL and positive affect, but not to P-MIL. CONCLUSIONS AND IMPLICATIONS This study contributes to the empirical knowledge on well-being in mothers raising children with NDs. Findings revealed that mothers' general self-efficacy alongside their strategy to adopt normalcy substantially contributed to their well-being. Hence, psychosocial services should strengthen general self-efficacy in this cohort and support their normalization efforts.
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Affiliation(s)
- L Hamama
- The Bob Shapell School of Social Work, Tel Aviv University, Ramat Aviv 69978, Israel.
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Kokou-Kpolou CK, Derivois D, Rousseau C, Balayulu-Makila O, Hajizadeh S, Birangui JP, Guerrier M, Bukaka J, Cénat JM. Enacted Ebola Stigma and Health-related Quality of Life in Post Ebola Epidemic: A Psychosocial Mediation Framework Through Social Support, Self-Efficacy, and Coping. Appl Res Qual Life 2022; 17:2809-2832. [PMID: 35966804 PMCID: PMC9362404 DOI: 10.1007/s11482-022-10039-x] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/01/2021] [Revised: 12/08/2021] [Accepted: 01/24/2022] [Indexed: 05/31/2023]
Abstract
On-site experiences and reports have shown that the multiple outbreaks of Ebola virus disease (EVD) in the Democratic Republic of the Congo (DRC) resulted in pervasive experience of stigma against many people who have recovered from EVD as well as their families and close relatives. Three evidence-based protective factors which are supposed to mitigate the impact of enacted Ebola stigma on health-related quality of life (HRQoL) of individuals in this epidemic context were identified. We expected that positive religious coping, perceived social support, and general self-efficacy would mediate the relationship between enacted Ebola stigma and HRQoL. These hypotheses were tested through multiple mediation model using the structural equation modeling among a large sample of adult populations (N = 1614; 50% women) in the province of Equateur in the DRC, in the aftermath of the 9th Ebola outbreak. The mediation model yielded adequate fit statistics and the results provided strong evidence that higher levels of enacted Ebola stigma were associated with lower HRQoL. They confirmed the synergetic mediating effects of positive religious coping, perceived social support from family (but not from others sources) and general self-efficacy. Futher exploratory findings revealed that the perceived social support from family buffered the impact of enacted Ebola stigma on HRQoL. If replicated by a longitudinal study, our findings lay a solid foundation for empirical-based community mental health interventions for reducing enacted Ebola stigma and promoting HRQoL during epidemics, especially in the DRC.
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Affiliation(s)
- Cyrille Kossigan Kokou-Kpolou
- School of Psychology, University of Ottawa, 136 Jean-Jacques-Lussier 5045, Vanier Hall, K1N 6N5 Ottawa, Ontario Canada
- School of Psychology, Laval University, Pavillon Félix-Antoine-Savard ; 2325, rue des Bibliothèques, G1V 0A6, Québec, Canada
| | - Daniel Derivois
- Laboratory of Psychology Psy-DREPI, Université Bourgogne Franche Comté, 7458 Dijon, EA France
| | - Cécile Rousseau
- Division of Social and Transcultural Psychiatry, McGill University, Montreal, Canada
| | - Oléa Balayulu-Makila
- Laboratory of Psychology Psy-DREPI, Université Bourgogne Franche Comté, 7458 Dijon, EA France
- Department of psychology, University of Kinshasa, Kinshasa, Democratic Republic of Congo
| | - Saba Hajizadeh
- School of Psychology, University of Ottawa, 136 Jean-Jacques-Lussier 5045, Vanier Hall, K1N 6N5 Ottawa, Ontario Canada
| | - Jean-Pierre Birangui
- Department of psychology, University of Lubumbashi, Lubumbashi, Democratic Republic of Congo
| | - Mireille Guerrier
- School of Psychology, University of Ottawa, 136 Jean-Jacques-Lussier 5045, Vanier Hall, K1N 6N5 Ottawa, Ontario Canada
| | - Jacqueline Bukaka
- Department of psychology, University of Kinshasa, Kinshasa, Democratic Republic of Congo
| | - Jude Mary Cénat
- School of Psychology, University of Ottawa, 136 Jean-Jacques-Lussier 5045, Vanier Hall, K1N 6N5 Ottawa, Ontario Canada
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Mishali M, Kisner M. Psycho-behavioral Factors Related to Weight Regain After Bariatric Surgery. Obes Surg 2022; 32:3041-3046. [PMID: 35819696 DOI: 10.1007/s11695-022-06195-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2021] [Revised: 06/28/2022] [Accepted: 06/28/2022] [Indexed: 10/17/2022]
Abstract
OBJECTIVE The purpose of this study was to examine the connection between weight regain 2 to 5 years after bariatric surgery and three psycho-behavioral factors: mental health, general health efficacy, and emotional regulation. METHOD A convenience sample of 120 participants was recruited, 80 of whom had already had bariatric surgery 2 to 5 years earlier, whereas 40 were candidates for such procedure but did not undergo it yet. Each participant filled a consent form, a socio-demographic one, and extra three questionnaires related to socio-behavioral characteristics: Mental Health Inventory (MHI), General Self-efficacy (GSE), and Difficulty in Emotional Regulation Scale (DERS). SPSS version 25 was used to analyze the data, and a one-sample Kolmogorov-Smirnov test was conducted to examine the distribution of the continuous variables. RESULTS Those in the non-reducers group experienced (2.19 ± 0.63) greater difficulties than the reducers group (1.82 ± 0.39) when it came to their emotional regulation, whereas the candidate group (1.96 ± 0.47) were situated in-between the groups already operated in terms of their DERS scores (p = 0.008). The reducers group had higher GSE scores (2.75 ± 0.35) than the non-reducers group (2.59 ± 0.39) (p = 0.03). CONCLUSIONS Effective emotional regulation is linked to weight loss maintenance after bariatric surgery. Difficulties in emotional regulation are negatively correlated with maintaining weight loss among bariatric patients who undergo surgery. General self-efficacy is positively correlated with weight loss maintenance after bariatric surgery.
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Affiliation(s)
- Moshe Mishali
- School of Public Health, University of Haifa, 199 Aba Khoushy Ave., Mount Carmel, ZIP Code 3498838, Haifa, Israel
| | - Mirit Kisner
- A. Mishali Counselling Services, Remez St. 47, ZIP Code 3604447, Kiryat Tivon, Israel.
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Zhang W, Gao W, Liu X. Does attending elite colleges matter in the relationship between self-esteem and general self-efficacy of students in China? Heliyon 2022; 8:e09723. [PMID: 35756109 PMCID: PMC9218378 DOI: 10.1016/j.heliyon.2022.e09723] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2022] [Revised: 04/19/2022] [Accepted: 06/09/2022] [Indexed: 11/19/2022] Open
Abstract
This study analyzed the reciprocal relationship between self-esteem and general self-efficacy among students from both the elite and non-elite universities in China. Descriptive statistics showed that the levels of general self-efficacy remained stable among Chinese college students albeit with minor fluctuations, while their self-esteem continuously declined during the four academic years; students from elite universities had higher self-esteem than their counterparts from non-elite universities. Moreover, the general self-efficacy of students was significantly and positively correlated with their self-esteem at college. Using a four-wave cross-lagged model, we found that the self-esteem and general self-efficacy among elite university students reinforced each other from the freshman to the junior years, whereas the self-esteem of their equivalents from non-elite universities monodirectionally predicted their subsequent general self-efficacy levels from the sophomore to the senior years. The study adds to the literature by (1) exploring the directionality of the relationship between self-esteem and generalized self-efficacy with four-wave panel data, and (2) discussing the heterogeneity of the relationship among sub-groups of the college students. The study proposed that institutions of different tiers should take targeted interventions to boost students’ self-esteem and general self-efficacy. The general self-efficacy of college students fluctuated over the four years. Self-esteem and general self-efficacy were significantly positively correlated. The two variables were evidenced to have reciprocal interactions with each other. The relationships were heterogeneous regarding the elite university attendance. Colleges should take targeted interventions to build general self-efficacy.
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Affiliation(s)
- Wenjie Zhang
- Graduate School of Education, Peking University, Beijing 100871, China
| | - Wenjuan Gao
- Institute of Higher Education, Beihang University, Beijing 100191, China.,School of Public Administration, Beihang University, Beijing 100191, China
| | - Xinqiao Liu
- School of Education, Tianjin University, Tianjin 300350, China
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Hurst C, Rakkapao N, Malacova E, Mongkolsomlit S, Pongsachareonnont P, Rangsin R, Promsiripaiboon Y, Hartel G. Psychometric properties of the general self-efficacy scale among Thais with type 2 diabetes: a multicenter study. PeerJ 2022; 10:e13398. [PMID: 35646480 PMCID: PMC9135036 DOI: 10.7717/peerj.13398] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2021] [Accepted: 04/17/2022] [Indexed: 01/14/2023] Open
Abstract
Background Type 2 diabetes (T2D) is one of the most common chronic diseases in the world. In recent decades the prevalence of this disease has increased alarmingly in lower to middle income countries, where their resource-limited health care systems have struggled to meet this increased burden. Improving patient self-care by improving diabetes knowledge and diabetes management self-efficacy represents a feasible way of ameliorating the impact of T2D on the patient, and the health care system. Unfortunately, the relationships between self-efficacy, diabetes self-management, and thereafter, patient outcomes, are still far from well understood. Although a domain-specific measure of diabetes management self-efficacy, the Diabetes Management Self-Efficacy Scale (DMSES), has been validated in the Thai T2D population, more general measures of self-efficacy, such as the General Self-Efficacy scale (GSE) have not been validated in this population. In this paper we translate and examine the psychometric properties of the GSE in Thais living with T2D. Methods In this nation-wide study we examined the psychometric properties of the GSE in 749 Thais diagnosed with T2D within the last five years, and evaluated its relationship with the DMSES along with other patient characteristics. Reliability of GSE was assessed using Cronbach's alpha, and the construct validity was examined using confirmatory factor analysis, along with GSE's convergence and discrimination from DMSES. Results The Thai version of the GSE was shown to have good psychometric properties in Thais living with T2D. Cronbach's alpha was shown to be 0.87 (95% CI [0.86, 0.88]). We also demonstrated the structural validity of the GSE (Tucker-Lewis Index = 0.994, Cumulative Fit Index = 0.995, Adjusted Goodness of Fit Index = 0.998, Root Mean Square Error of Approximations = 0.025, 95% CI [0.06-0.039]), and that this instrument has a similar structure in Thais as in other populations. GSE was also shown to have some overlap with the DMSES with correlations among GSE and the DMSES domains ranging from 0.18 to 0.26, but also the GSE has substantial discrimination from DMSES (Disattenuated correlation coefficient = 0.283, 95% CI [0.214-0.352], p < 0.001). This suggests that while general and diabetes management self-efficacy are somewhat associated, there are aspects of diabetes management self-efficacy not captured by the more stable general self-efficacy. Conclusions We demonstrate that the Thai GSE is a reliable and valid measure. We believe the GSE may represent a useful tool to examine the efficacy of proposed and existing diabetes self-management, and management self-efficacy interventions.
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Affiliation(s)
- Cameron Hurst
- Biostatistics Group, QIMR Berghofer Medical Research Institute, Brisbane, Queensland, Australia
- Faculty of Public Health, Thammasat University, Rangsit, Prathumthani, Thailand
- Molly Wardaguga Research Centre, Charles Darwin University, Brisbane, Queensland, Australia
| | - Nitchamon Rakkapao
- Faculty of Public Health, Thammasat University, Rangsit, Prathumthani, Thailand
| | - Eva Malacova
- Biostatistics Group, QIMR Berghofer Medical Research Institute, Brisbane, Queensland, Australia
| | | | | | - Ram Rangsin
- Department of Military and Community Medicine, Phramongkutklao College of Medicine, Din Daeng, Bangkok, Thailand
| | - Yindee Promsiripaiboon
- Department of Public Health, Surat Thani Rajabhat University, Mueng, Surat Thani, Thailand
| | - Gunter Hartel
- Biostatistics Group, QIMR Berghofer Medical Research Institute, Brisbane, Queensland, Australia
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Abstract
Coronavirus-19 (COVID-19), which has influenced the world since the last months of 2019, has not only affected people physiologically, but also had serious adverse effects on mental health. Unavoidable increases in positive case numbers and loss of life have caused fear and anxiety, which is a psychological aspect of the COVID-19 outbreak. In this study, it was aimed to examine the mediating role of perceived social support in the relationship between teachers' general self-efficacy perceptions and their fear of COVID-19. The sample of the study consists of 322 Turkish teachers (198 women and 124 men; aged between 23 and 66 years). Data collection tools are the Fear of COVID-19 Scale, the General Self-Efficacy Scale, and the Perceived Multidimensional Social Support Scale. To test the model structural equation modeling and bootstrapping were used. In the study it was found that fear of COVID-19 has a negative impact on general self-efficacy and the perceived social support. Besides, it was found that perceived social support partially mediates the relationship between fear of COVID-19 and general self-efficacy. Thus, higher fear of COVID-19 was related to lower self-efficacy and perceived social support. In turn, higher perceived social support was associated with higher self-efficacy. The results were discussed within the framework of the literature, and implications presented.
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Affiliation(s)
- Emin Tamer Yenen
- Faculty of Education, Department of Educational Seciences, Nevşehir Hacı Bektaş Veli University, Nevşehir, Turkey
| | - Ersoy Çarkit
- Faculty of Education, Department of Educational Seciences, Psychological Counseling and Guidance, Nevşehir Hacı Bektaş Veli University, Nevşehir, Turkey
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21
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Iwanowicz-Palus G, Mróz M, Bień A. Quality of life, social support and self-efficacy in women after a miscarriage. Health Qual Life Outcomes 2021; 19:16. [PMID: 33413432 PMCID: PMC7791812 DOI: 10.1186/s12955-020-01662-z] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2020] [Accepted: 12/23/2020] [Indexed: 02/25/2023] Open
Abstract
Background Pregnancy loss is typically experienced as a traumatic, critical event, which may lead to secondary psychological health disorders. Its burden involves both the experience of loss and related medical issues, which are associated with pain, hospitalization, limitation in one’s social roles, decreased sense of security, and changes in one’s perceived quality of life. The purpose of the present study was to evaluate levels of quality of life (QoL), social support and self-efficacy among women who had suffered a miscarriage. Methods The study was performed using a diagnostic survey method with questionnaires administered to 610 patients hospitalized due to spontaneous pregnancy loss in hospitals in Lublin (Poland). The instruments used were: the Berlin Social Support Scales (BSSS), the Generalized Self-Efficacy Scale (GSES), the WHOQoL–BREF questionnaire, and a standardized interview questionnaire. Results Respondents rated their overall quality of life (3.90 points) higher than their overall perceived health (3.66). In terms of social support, the highest scores were noted for perceived available instrumental support (M = 3.78), perceived available emotional support (M = 3.68) and actually received support (M = 3.60). The mean generalized self-efficacy score among the women after pregnancy loss was 30.29. Respondents’ QoL was significantly correlated with multiple social support subscales and self-efficacy (p < 0.05). Conclusions Women after a miscarriage perceive their overall quality of life as better than their overall health, while reporting the poorest QoL in the psychological domain. They also have a high level of self-efficacy. Regarding the types of social support, perceived available support, both instrumental and emotional, and actually received support was rated highly. Social support and self-efficacy contributed to better perceived QoL among the respondents.
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Affiliation(s)
- Grażyna Iwanowicz-Palus
- Chair and Department of Development in Midwifery, Faculty of Health Sciences, Medical University of Lublin, Lublin, Poland
| | - Mariola Mróz
- Obstetrics and Gynecology Department and Clinic, Cardinal S. Wyszyński Regional Specialist Hospital, Lublin, Poland.
| | - Agnieszka Bień
- Chair and Department of Development in Midwifery, Faculty of Health Sciences, Medical University of Lublin, Lublin, Poland
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22
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Zakiei A, Vafapoor H, Alikhani M, Farnia V, Radmehr F. The relationship between family function and personality traits with general self-efficacy (parallel samples studies). BMC Psychol 2020; 8:88. [PMID: 32854775 PMCID: PMC7457252 DOI: 10.1186/s40359-020-00462-w] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2020] [Accepted: 08/21/2020] [Indexed: 12/14/2022] Open
Abstract
Background General Self-efficacy is a key variable in clinical, educational, social, developmental, health and personality psychology that can affect the outcomes of people’s lives. The present study aimed to investigate the relationship between family functions and personality traits with general self-efficacy among university students and the general population. Methods To conduct this two-part study, the first part was carried out on a sample of 500 students, and in the second part the study was repeated on a larger sample consisting of 1000 participants from the general population data were collected from the General Self-Efficacy Scale (GSE), Family Assessment Device (FAD), and the Revised NEO Personality Inventory (NEO PI-R). The analysis was performed using Pearson’s correlation coefficient, Fisher’s z test and regression analysis. Results The results of the present study revealed that all the subscales of family functions and all personality traits are significantly related to general self-efficacy among university students and general population (p < 0.001). But in the general population, there was no significant correlation between openness to experience with general self-efficacy) (p > 0.05). Furthermore, the results of regression analysis showed subscales of family functions and all personality traits together can predict 27 and 35% of the variance in general self-efficacy among university students and the general population, respectively. Conclusion Personality traits play a role in predicting general self-efficacy, but the personality trait of conscientiousness plays a greater role than other personality traits and also compared to family functioning, personality traits play a greater role in predicting general self-efficacy.
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Affiliation(s)
- Ali Zakiei
- Sleep Disorders Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Hosna Vafapoor
- Department of Psychology, Faculty of Social Sciences, Razi University, Kermanshah, Iran
| | - Mostafa Alikhani
- Substance Abuse Prevention Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Vahid Farnia
- Substance Abuse Prevention Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
| | - Farnaz Radmehr
- Substance Abuse Prevention Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.
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Kawaguchi K, Kawazoe H, Sakurai T, Nishida H, Kanno H, Naito S, Kato T, Konta T, Tsuchiya N, Sato W. Effect of general self-efficacy on promoting health-related quality of life during recovery from radical prostatectomy: a 1-year prospective study. Int J Clin Oncol 2020; 25:2122-2129. [PMID: 32797322 DOI: 10.1007/s10147-020-01765-z] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2020] [Accepted: 08/03/2020] [Indexed: 11/26/2022]
Abstract
BACKGROUND The decline of health-related quality-of-life (QOL) during the year after radical prostatectomy is severe. General self-efficacy (GSE) is an effective psychological factor for long-term regulation of patient behavior and emotions. GSE is expected to facilitate enhanced health-related quality of life. We evaluated changes in GSE and analyzed the relationship between GSE and prostate cancer-specific and general health-related QOL. METHODS We conducted a longitudinal survey with 104 patients who underwent radical prostatectomy and administered the General Self-efficacy Scale (GSES), Expanded Prostate Cancer Index Composite (EPIC), and SF8 Health Survey (SF-8). ANCOVA was performed to compare EPIC and SF-8 between GSES high and low-medium groups. RESULTS GSES scores increased significantly after 6 months. Regarding EPIC urinary summary scores, high GSES group was significantly higher than low-medium group at 1 month (mean score difference [MSD], 7.3; 95% CI 1.1-13.2, P = 0.016), 3 months (MSD, 6.8; 95% CI 0.7-12.8, P = 0.028), and 6 months (MSD, 6.3; 95% CI 0.9-11.7, P = 0.022). High GSES group had significantly higher SF-8 physical component summary score at 6 months (MSD, 3.2; 95% CI 1.4-5.0, P = 0.001), and significantly higher SF-8 mental component summary score at 1 month (MSD, 2.6; 95% CI 0.4-4.9, P = 0.022), 3 months (MSD, 2.7; 95% CI 0.8-4.6, P = 0.007), and 6 months (MSD, 2.8; 95% CI 1.0-4.6, P = 0.003). CONCLUSION This study suggests that high GSE was associated with better prostate cancer-specific and general health-related QOL after radical prostatectomy.
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Affiliation(s)
- Kansuke Kawaguchi
- School of Nursing, Yamagata University Graduate School of Medical Science and Faculty of Medicine, 2-2-2, Iida-nishi, Yamagata-shi, Yamagata, 990-9585, Japan.
| | - Hisashi Kawazoe
- Kawazoe Shimakita Urology & Physician Clinic, Yamagata, Japan
| | - Toshihiko Sakurai
- Department of Urology, Yamagata University Graduate School of Medical Science and Faculty of Medicine, 2-2-2, Iida-nishi, Yamagata-shi, Yamagata, 990-9585, Japan
| | - Hayato Nishida
- Department of Urology, Yamagata University Graduate School of Medical Science and Faculty of Medicine, 2-2-2, Iida-nishi, Yamagata-shi, Yamagata, 990-9585, Japan
| | - Hidenori Kanno
- Department of Urology, Yamagata University Graduate School of Medical Science and Faculty of Medicine, 2-2-2, Iida-nishi, Yamagata-shi, Yamagata, 990-9585, Japan
| | - Sei Naito
- Department of Urology, Yamagata University Graduate School of Medical Science and Faculty of Medicine, 2-2-2, Iida-nishi, Yamagata-shi, Yamagata, 990-9585, Japan
| | - Tomoyuki Kato
- Department of Urology, Yamagata University Graduate School of Medical Science and Faculty of Medicine, 2-2-2, Iida-nishi, Yamagata-shi, Yamagata, 990-9585, Japan
| | - Tsuneo Konta
- Department of Public Health and Hygiene, Yamagata University Graduate School of Medical Science and Faculty of Medicine, 2-2-2, Iida-nishi, Yamagata-shi, Yamagata, 990-9585, Japan
| | - Norihiko Tsuchiya
- Department of Urology, Yamagata University Graduate School of Medical Science and Faculty of Medicine, 2-2-2, Iida-nishi, Yamagata-shi, Yamagata, 990-9585, Japan
| | - Wakako Sato
- School of Nursing, Yamagata University Graduate School of Medical Science and Faculty of Medicine, 2-2-2, Iida-nishi, Yamagata-shi, Yamagata, 990-9585, Japan
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Gefenaite G, Björk J, Iwarsson S, Slaug B, Schmidt SM, Nilsson MH. Longitudinal association between housing accessibility and activities of daily living: the role of self-efficacy and control in people ageing with Parkinson's disease. BMC Geriatr 2020; 20:181. [PMID: 32450800 PMCID: PMC7249684 DOI: 10.1186/s12877-020-01574-z] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2019] [Accepted: 04/30/2020] [Indexed: 12/05/2022] Open
Abstract
Background External housing-related control beliefs (HCB) and general self-efficacy (GSE) influence different health outcomes in the general ageing population, but there is no information of their role in people ageing with Parkinson’s disease (PD). This study aimed to longitudinally assess the role of external HCB and GSE on the association between housing accessibility and activities of daily living (ADL) among people ageing with PD. Methods Baseline and 3-year follow-up data on 130 community-living participants from the Swedish project ‘Home and Health in People Ageing with PD’ were collected. Assessments addressed housing accessibility, external HCB, GSE, generic ADL and ADL specific to PD. The moderating effects of external HCB and GSE were assessed by including an interaction term in multivariable logistic regression. Results There were statistically significant interactions between housing accessibility and GSE on ADL (p = 0.03), and housing accessibility and external HCB on PD specific ADL (p = 0.03). After stratifying the analyses by GSE, housing accessibility problems led to more dependence and difficulty in ADL in participants with low GSE (OR 1.14; 95% CI 1.02–1.28). After stratifying by external HCB, housing accessibility increased dependence and difficulty in PD specific ADL in participants with low external HCB (OR 1.35; 95% CI 1.03–1.76). Discussion The results suggest that housing accessibility predicts ADL in people with PD with GSE and external HCB playing a moderating role for generic ADL and ADL specific to PD, respectively. Further longitudinal studies should validate these findings and explore their potential application in PD-related care and rehabilitation.
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Affiliation(s)
- Giedre Gefenaite
- Department of Health Sciences, Faculty of Medicine, Lund University, Box 157, 221 00, Lund, Sweden.
| | - Jonas Björk
- Clinical Studies Sweden, Forum South, Skåne University Hospital, Lund, Sweden.,Division of Occupational and Environmental Medicine, Lund University, Lund, Sweden
| | - Susanne Iwarsson
- Department of Health Sciences, Faculty of Medicine, Lund University, Box 157, 221 00, Lund, Sweden
| | - Björn Slaug
- Department of Health Sciences, Faculty of Medicine, Lund University, Box 157, 221 00, Lund, Sweden
| | - Steven M Schmidt
- Department of Health Sciences, Faculty of Medicine, Lund University, Box 157, 221 00, Lund, Sweden
| | - Maria H Nilsson
- Department of Health Sciences, Faculty of Medicine, Lund University, Box 157, 221 00, Lund, Sweden.,Clinical Memory Research Unit, Department of Clinical Sciences Malmö, Lund University, Lund, Sweden.,Memory Clinic, Skåne University Hospital, Malmö, Sweden
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25
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Cheng L, Cui Y, Chen Q, Ye Y, Liu Y, Zhang F, Zeng W, Hu X. Paediatric nurses' general self-efficacy, perceived organizational support and perceived professional benefits from Class A tertiary hospitals in Jilin province of China: the mediating effect of nursing practice environment. BMC Health Serv Res 2020; 20:12. [PMID: 31900156 PMCID: PMC6942354 DOI: 10.1186/s12913-019-4878-3] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2019] [Accepted: 12/27/2019] [Indexed: 02/08/2023] Open
Abstract
Background General self-efficacy is considered one of the most influential parameters affecting the quality of clinical practice and nurses’ perceived professional benefits (NPPB). Perceived organizational support (POS) is regarded as being central in understanding job-related attitudes, and it is important to enhance POS for nurses to maintain their current employment. NPPB can further reduce nurses’ job burnout and turn-over intention. Many studies have explored the relationships among general self-efficacy, POS, nursing practice environment (NPE) and NPPB. However, a moderating effect of NPE has not been fully explored in nurses, especially among paediatric nurses. Methods A descriptive cross-sectional study was conducted from July to October 2018 with 300 paediatric nurses from 3 Class A tertiary hospitals in Jilin Province. The respondents completed the General Self-Efficacy Scale, Perceived Organizational Support Scale, Practice Environment Scale and Nurses’ Perceived Professional Benefits Scale. The data were analyzed using path analysis and SPSS (version 23.0, IBM). Results General self-efficacy and POS were significantly positively associated with NPPB, which showed that the model had a good fit to the data. NPE was found to play a partial mediating role between POS and NPPB and also had a complete mediating role between general self-efficacy and NPPB. Conclusions The results suggest that general self-efficacy indirectly influences NPPB, and POS directly and indirectly influences NPPB by NPE. Effective measures should be taken to improve nurses’ practice environment in hospitals to raise nurses’ enthusiasm and confidence in their work.
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Affiliation(s)
- Linan Cheng
- West China Hospital/West China School of Nursing, Sichuan University, No. 37, Guoxue Alley, Chengdu, Sichuan, 610041, China
| | - Yajuan Cui
- Department of Hepatobiliary Pancreatic Surgery, First Hospital Bethune, Jilin University, No. 71, Xinmin Street, Changchun, Jilin, 130021, China
| | - Qian Chen
- West China Hospital/West China School of Nursing, Sichuan University, No. 37, Guoxue Alley, Chengdu, Sichuan, 610041, China
| | - Yansheng Ye
- West China Hospital/West China School of Nursing, Sichuan University, No. 37, Guoxue Alley, Chengdu, Sichuan, 610041, China
| | - Yingchun Liu
- Department of Hepatobiliary Pancreatic Surgery, First Hospital Bethune, Jilin University, No. 71, Xinmin Street, Changchun, Jilin, 130021, China
| | - Fengying Zhang
- West China Hospital/West China School of Nursing, Sichuan University, No. 37, Guoxue Alley, Chengdu, Sichuan, 610041, China
| | - Weiyan Zeng
- West China Hospital/West China School of Nursing, Sichuan University, No. 37, Guoxue Alley, Chengdu, Sichuan, 610041, China.,Quality Management Department, Pengzhou People's Hospital, No. 255, South Third Ring Road, Pengzhou, Sichuan, 611930, China
| | - Xiuying Hu
- West China Hospital/West China School of Nursing, Sichuan University, No. 37, Guoxue Alley, Chengdu, Sichuan, 610041, China.
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Taylor J, Wilson JC. Using our understanding of time to increase self-efficacy towards goal achievement. Heliyon 2019; 5:e02116. [PMID: 31417968 PMCID: PMC6690557 DOI: 10.1016/j.heliyon.2019.e02116] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2018] [Revised: 05/16/2019] [Accepted: 07/16/2019] [Indexed: 11/25/2022] Open
Abstract
This paper reports two studies that uniquely explore how time perspective (TP) predicts general self-efficacy (GSE) towards goal achievement. In Study 1, participants (N = 162) identified a goal they wished to achieve within the near future then completed questionnaires. For those who achieved their goal, the 'past positive' and 'future' TPs were found to positively predict GSE, whereas 'present fatalism' negatively predicted GSE. Study 2 explored whether accessing time related information that may not normally be used to determine GSE via a writing intervention can promote both near and distant-future goal achievement. Participants (N = 139) were randomly assigned to one of four writing conditions and results reveal that GSE towards goal achievement can increase with a focus on both a 'positive past' with a projective positive 'future' TP. Thus, focusing on particular TPs may function to enhance (or prevent) goal achievement.
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Affiliation(s)
- Jill Taylor
- Teesside University, Middlesbrough, Tees Valley, UK
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27
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Lu LY, Sheikholeslami N, Alokozai A, Eppler SL, Kamal RN. The Role of Patient Research in Patient Trust in Their Physician. J Hand Surg Am 2019; 44:617.e1-9. [PMID: 30366736 DOI: 10.1016/j.jhsa.2018.09.007] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/13/2017] [Revised: 07/31/2018] [Accepted: 09/10/2018] [Indexed: 02/02/2023]
Abstract
PURPOSE Trust is foundational to the patient-physician relationship. However, there is limited information on the patient characteristics and behaviors that are related to patient trust. We investigated whether the time patients spend researching their physician and/or symptoms before a clinic visit was correlated with patient trust in their hand surgeon. METHODS We conducted a prospective study of new patients (n = 134) who presented to a hand surgery clinic. We tested the null hypothesis that time spent researching the physician or symptom does not correlate with physician trust. Secondarily, we tested the association of a maximizing personality (a decision-making personality type defined as one who exhaustively searches for the "best option" as opposed to a "satisficer" who settles for the "good enough" decision) with time spent researching the hand surgeon and patient symptoms, general self-efficacy (one's ability to manage adversity), and patient trust. Patients completed a questionnaire assessing demographics, patient researching behavior, general self-efficacy (GSE-6), maximizing personality (Maximization Short Form), and physician trust (Trust in Physician Form). RESULTS The average age of our cohort was 50 ± 17 years, and men and women were equally represented. Patients spent more time researching their symptoms (median, 60 min; range, 5-1,201 min) than they did researching their physician (median, 20 min; range, 1-1,201 min). There was no correlation between time spent by patients seeking information on their hand surgeon and/or symptoms with patient trust in their physician. However, female patients were significantly more trusting of their physician than male patients. CONCLUSIONS Most patients research their symptoms before clinic, whereas about half research their physicians before meeting them. Time spent seeking information before clinic was not correlated with patient trust in their physician. However, in our study, female patients were more likely to trust their hand surgeon than male patients. Thus, modifying physician behavior rather than patient characteristics may be a stronger driver of patient trust. TYPE OF STUDY/LEVEL OF EVIDENCE Prognostic IV.
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Dutt AJ, Wahl HW. Future time perspective and general self-efficacy mediate the association between awareness of age-related losses and depressive symptoms. Eur J Ageing 2019; 16:227-236. [PMID: 31139036 DOI: 10.1007/s10433-018-0482-3] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023] Open
Abstract
Perceiving one's own aging process as associated with many losses is linked to an increase in depressive symptoms over 2.5 years. We investigated whether this pattern of associations also applies for a 4.5-year interval. No study has yet investigated the pathways underlying the association between perceived age-related losses and depressive symptoms. We examined the mediating role of future time perspective (FTP) and general self-efficacy (GSE) in this association. Analyses were based on a sample of 40-to-98-year-old adults (Time 1: 2012, N = 423) that was assessed at two additional points covering 4.5 years (Time 2: 2015, N = 356; Time 3: 2017, N = 299). Perceived age-related losses were operationalized via the loss dimension of the Awareness of Age-Related Change instrument; FTP, GSE, and depressive symptoms were assessed via established questionnaires. Data were analyzed by means of a cross-lagged panel model and longitudinal mediation model realized as a structural equation model. In line with prior findings, perceived age-related losses were associated with an increase in depressive symptoms over 4.5 years. A higher amount of perceived age-related losses dampened FTP and GSE 2.5 years later, which in turn increased the level of depressive symptoms a further 2 years later, controlling for age, sex, education, physical health, and neuroticism, and taking into account the stabilities and time-synchronous correlations of the study variables. Effects were comparable across middle-aged and older individuals. FTP and GSE are important resources for understanding how perceived age-related losses translate into depressive symptoms.
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Affiliation(s)
- Anne J Dutt
- 1Department of Psychological Aging Research, Heidelberg University, Bergheimer Straße 20, 69115 Heidelberg, Germany
| | - Hans-Werner Wahl
- 1Department of Psychological Aging Research, Heidelberg University, Bergheimer Straße 20, 69115 Heidelberg, Germany
- 2Network Aging Research, Heidelberg University, Heidelberg, Germany
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Lac A, Luk JW. Testing the Amotivational Syndrome: Marijuana Use Longitudinally Predicts Lower Self-Efficacy Even After Controlling for Demographics, Personality, and Alcohol and Cigarette Use. Prev Sci 2019. [PMID: 28620722 DOI: 10.1007/s11121-017-0811-3] [Citation(s) in RCA: 35] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
The marijuana amotivational syndrome posits that cannabis use fosters apathy through the depletion of motivation-based constructs such as self-efficacy. The current study pursued a two-round design to rule out concomitant risk factors responsible for the connection from marijuana intake to lower general self-efficacy. College students (N = 505) completed measures of marijuana use, demographics (age, gender, and race), personality (extraversion, agreeableness, conscientiousness, openness, and neuroticism), other substance use (alcohol and tobacco), and general self-efficacy (initiative, effort, and persistence) in two assessments separated by a month. Hierarchical regression models found that marijuana use forecasted lower initiative and persistence, even after statistically ruling out 13 pertinent baseline covariates including demographics, personality traits, alcohol use, tobacco use, and self-efficacy subscales. A cross-lagged panel model involving initiative, effort, persistence, alcohol use, cigarette use, and marijuana use sought to unravel the temporal precedence of processes. Results showed that only marijuana (but not alcohol or tobacco) intake significantly and longitudinally prompted lower initiative and persistence. Furthermore, in the same model, the opposite temporal direction of events from lower general self-efficacy subscales to marijuana use was untenable. Findings provide partial support for the marijuana amotivational syndrome, underscore marijuana as a risk factor for decreased general self-efficacy, and offer implications and insights for marijuana prevention and future research.
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Affiliation(s)
- Andrew Lac
- Department of Psychology, University of Colorado Colorado Springs, 1420 Austin Bluffs Pkwy, Colorado Springs, CO, 80918, USA.
| | - Jeremy W Luk
- Health Behavior Branch Division of Intramural Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, 6710B Rockledge Drive MSC 7004, Bethesda, MD, 20817, USA
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Bonsaksen T, Heir T, Ekeberg Ø, Grimholt TK, Lerdal A, Skogstad L, Schou-Bredal I. Self-evaluated anxiety in the Norwegian population: prevalence and associated factors. ACTA ACUST UNITED AC 2019; 77:10. [PMID: 30923612 PMCID: PMC6421651 DOI: 10.1186/s13690-019-0338-0] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2018] [Accepted: 02/18/2019] [Indexed: 11/10/2022]
Abstract
Background Self-evaluations of mental health problems may be a useful complement to diagnostic assessment, but are less frequently used. This study investigated the prevalence of self-evaluated current and lifetime anxiety in the general Norwegian population, and sociodemographic and psychological factors associated with current anxiety. Methods A cross-sectional population survey was conducted, using anxiety stated by self-evaluation as outcome. Single and multivariate logistic regression analyses were conducted to examine associations between sociodemographic and psychological variables and anxiety. Results One thousand six hundred eighty-four valid responses (34% of the eligible participants) were analysed in this study. One hundred and eleven participants (6.6%) reported current anxiety, while 365 (21.7%) reported lifetime anxiety. Adjusting for sociodemographic and psychological variables, higher age reduced the odds of current anxiety (OR = 0.87, 95% CI = 0.75-0.99), whereas higher levels of neuroticism increased the odds (OR = 2.04, 95% CI = 1.77-2.36). Conclusions The study concludes that higher age appears to protect against anxiety, whereas neuroticism appears to increase the odds of experiencing anxiety.
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Affiliation(s)
- Tore Bonsaksen
- Department of Occupational Therapy, Prosthetics and Orthotics, Faculty of Health Sciences, OsloMet, Oslo Metropolitan University, PO Box 4, St. Olavs Plass, 0130 Oslo, Norway.,2Faculty of Health Studies, VID Specialized University, Sandnes, Norway
| | - Trond Heir
- 3Norwegian Center for Violence and Traumatic Stress Studies, Oslo, Norway.,4Institute of Clinical Medicine, University of Oslo, Oslo, Norway
| | - Øivind Ekeberg
- 5Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway.,6Department of Behavioural Sciences in Medicine, University of Oslo, Oslo, Norway
| | - Tine K Grimholt
- Department of Nursing and Health Promotion, Faculty of Health Sciences, OsloMet, Oslo Metropolitan University, Oslo, Norway.,Department of General Practice, Institute of Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway
| | - Anners Lerdal
- 9Department for Patient Safety and Research, Lovisenberg Diakonale Hospital, Oslo, Norway.,Department of Nursing Science, Institute of Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway
| | - Laila Skogstad
- Department of Nursing and Health Promotion, Faculty of Health Sciences, OsloMet, Oslo Metropolitan University, Oslo, Norway
| | - Inger Schou-Bredal
- Department of Nursing Science, Institute of Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway.,11Department for Cancer, Oslo University Hospital, Oslo, Norway
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31
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Wang N, Wang S, Qian HZ, Ruan Y, Amico KR, Vermund SH, Yin L, Qiu X, Zheng S. Negative associations between general self-efficacy and anxiety/depression among newly HIV-diagnosed men who have sex with men in Beijing, China. AIDS Care 2018; 31:629-635. [PMID: 30466302 DOI: 10.1080/09540121.2018.1549721] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
To evaluate the association between general self-efficacy and depression/anxiety among newly HIV-diagnosed Chinese men who have sex with men (MSM) in Beijing, our study evaluated the baseline survey data of MSM taking part in a clinical trial among Chinese MSM in Beijing. The baseline survey of the trial was conducted between March 2013 and March 2014. General self-efficacy and depression/anxiety were measured using standard scales. Logistic regression and cumulative logistic regression were used to evaluate the associations between general self-efficacy and depression/anxiety. A total of 367 newly HIV-diagnosed Chinese MSM in Beijing were recruited. There were negative associations between general self-efficacy and depression/anxiety among the study population. As general self-efficacy increased by one unit, the odds of "likely" or "borderline" depression versus normal, or "likely" depression versus "borderline" depression or normal decreased by 12% [adjusted odds ratio (AOR): 0.88, 95% confidence interval (CI): 0.85-0.92] after adjusting for potential confounders. Similarly, general self-efficacy was negatively associated with anxiety (AOR: 0.89, 95% CI: 0.86-0.93). A higher level of general self-efficacy was associated with lower levels of depression and anxiety among newly HIV-diagnosed Chinese MSM. Interventions promoting overall health and wellness should address self-efficacy, depression and anxiety.
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Affiliation(s)
- Na Wang
- a School of Public Health , Guangxi Medical University , Nanning , People's Republic of China.,b School of Public Health , Guilin Medical University , Guilin , People's Republic of China
| | - Suhua Wang
- c School of Public Health , Baotou Medical College , Baotou , People's Republic of China
| | - Han-Zhu Qian
- d Vanderbilt Institute for Global Health, Vanderbilt University Medical Center , Nashville , TN , USA
| | - Yuhua Ruan
- e State Key Laboratory of Infectious Disease Prevention and Control, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, Chinese Center for Disease Control and Prevention , Beijing , People's Republic of China
| | - K Rivet Amico
- f Department of Health Behavior and Health Education, School of Public Health , University of Michigan , Ann Arbor , MI , USA
| | - Sten H Vermund
- d Vanderbilt Institute for Global Health, Vanderbilt University Medical Center , Nashville , TN , USA
| | - Lu Yin
- d Vanderbilt Institute for Global Health, Vanderbilt University Medical Center , Nashville , TN , USA
| | - Xiaoqiang Qiu
- a School of Public Health , Guangxi Medical University , Nanning , People's Republic of China
| | - Shimin Zheng
- g Department of Biostatistics and Epidemiology, College of Public Health , East Tennessee State University , Johnson City , TN , USA
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Yao Y, Zhao S, Gao X, An Z, Wang S, Li H, Li Y, Gao L, Lu L, Dong Z. General self-efficacy modifies the effect of stress on burnout in nurses with different personality types. BMC Health Serv Res 2018; 18:667. [PMID: 30157926 PMCID: PMC6114188 DOI: 10.1186/s12913-018-3478-y] [Citation(s) in RCA: 46] [Impact Index Per Article: 7.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/02/2018] [Accepted: 08/17/2018] [Indexed: 11/30/2022] Open
Abstract
Background Burnout is a health problem in nurses. Individuals with a certain personality are more susceptible to job-related burnout. General self-efficacy (GSE) is an important predictor of job-related burnout. The relationships between general self-efficacy, job-related burnout and different personality types are still not clear. This study aims to analyze the relationships of job-related burnout, stress, general self-efficacy and personality types, as well as their interactions in job-related burnout. Method A cross-sectional survey of 860 nurses was conducted between June and July 2015 in China. We measured their job-related burnout using the scale of the Maslach Occupational Burnout Scale, and personality, stress, and GSE. Machine learning of generalized linear model were performed. Results Maslach Burnout Inventory (MBI) professional efficacy was significantly associated with gender, marital status, age, job title and length of service. A machine learning algorithm showed that stress was the most important factor in job-related burnout, followed by GSE, personality type (introvert unstable), and job title. Individuals with low GSE and either introversion or unstable (high neuroticism) personality seemed to have stronger burnout when they faced stress (regardless of stress intensity) compared to others. Conclusion Stress, GSE and introvert unstable personality are the top three factors of job-related burnout. GSE moderates the effect of stress on burnout in nurses with extroversion or neuroticism personality. Reducing stress, increasing GSE, and more social support may alleviate job-related burnout in nurses. Nurses with introvert unstable personality should be given more social support in reducing stress and enhancing their GSE. Electronic supplementary material The online version of this article (10.1186/s12913-018-3478-y) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Yongcheng Yao
- School of Public Health, Xinxiang Medical University, Xinxiang, 453003, Henan, China. .,School of Basic Medical Sciences, Zhengzhou University, Zhengzhou, 450001, Henan, China.
| | - Shan Zhao
- School of Public Health, Xinxiang Medical University, Xinxiang, 453003, Henan, China
| | - Xia Gao
- School of Public Health, Xinxiang Medical University, Xinxiang, 453003, Henan, China
| | - Zhen An
- School of Public Health, Xinxiang Medical University, Xinxiang, 453003, Henan, China
| | - Shouying Wang
- School of Public Health, Xinxiang Medical University, Xinxiang, 453003, Henan, China
| | - Hongbin Li
- School of Public Health, Xinxiang Medical University, Xinxiang, 453003, Henan, China
| | - Yuchun Li
- School of Public Health, Xinxiang Medical University, Xinxiang, 453003, Henan, China
| | - Liyun Gao
- School of Public Health, Xinxiang Medical University, Xinxiang, 453003, Henan, China
| | - Lingeng Lu
- Department of Chronic Disease Epidemiology, Yale School of Public Health, School of Medicine, Yale Cancer Center, Yale University, 60 College Street, New Haven, CT, 06520-8034, USA
| | - Ziming Dong
- School of Basic Medical Sciences, Zhengzhou University, Zhengzhou, 450001, Henan, China
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Bonsaksen T, Grimholt TK, Skogstad L, Lerdal A, Ekeberg Ø, Heir T, Schou-Bredal I. Self-diagnosed depression in the Norwegian general population - associations with neuroticism, extraversion, optimism, and general self-efficacy. BMC Public Health 2018; 18:1076. [PMID: 30157827 PMCID: PMC6116443 DOI: 10.1186/s12889-018-5990-8] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2018] [Accepted: 08/23/2018] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Multi-item rating scales for depression informs about the level of depression, but does not allow individuals to state by self-evaluation whether they feel depressed or not. The insider perspective on depression is rarely assessed. This study investigated the prevalence of self-diagnosed depression in the Norwegian general population, and associations with sociodemographic and psychological factors. METHODS As part of a national survey, the General Self-Efficacy Scale, the Life Orientation Test-Revised, a short version of the Eysenck Personality Questionnaire and a one-item measure of self-diagnosed depression was administered to 5.500 persons in the general Norwegian population. Of the 4961 eligible participants ≥ 18 years of age, 1.787 (response rate 36%) participated in the survey, and 1.684 of these had valid scores on the relevant scales. The associations between sociodemographic factors and self-diagnosed depression were examined using univariate and multivariate logistic regression analyses. RESULTS One hundred and thirty-six participants (8.1%) reported depression during the preceding month. When adjusting for sociodemographic and psychological variables, higher age (OR = 0.82), being in work (OR = 0.57), and higher levels of general self-efficacy (OR = 0.67) and optimism (OR = 0.52) were associated with lower risk of self-diagnosed depression, whereas higher levels of neuroticism (OR = 1.97) was associated with higher risk. CONCLUSIONS The prevalence of self-diagnosed depression in the adult Norwegian population was higher for women than for men. Higher age, being in work and having higher levels of psychological resources appear to reduce the risk of self-diagnosed depression, whereas neuroticism increases the risk.
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Affiliation(s)
- Tore Bonsaksen
- Department of Occupational Therapy, Prosthetics and Orthotics, Faculty of Health Sciences, OsloMet - Oslo Metropolitan University, PO Box 4, St. Olavs Plass, 0130 Oslo, Norway
- Faculty of Health Studies, VID Specialized University, Sandnes, Norway
| | - Tine K. Grimholt
- Department of Acute Medicine, Oslo University Hospital, Oslo, Norway
| | - Laila Skogstad
- Department of Nursing and Health Promotion, Faculty of Health Sciences, OsloMet - Oslo Metropolitan University, Oslo, Norway
| | - Anners Lerdal
- Department for Patient Safety and Research, Lovisenberg Diakonale Hospital, Oslo, Norway
- Department of Nursing Science, Institute of Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway
| | - Øivind Ekeberg
- Division of Mental Health and Addiction, Oslo University Hospital, Oslo, Norway
- Department of Behavioural Sciences in Medicine, University of Oslo, Oslo, Norway
| | - Trond Heir
- Norwegian Center for Violence and Traumatic Stress Studies, Oslo, Norway
- Institute of Clinical Medicine, University of Oslo, Oslo, Norway
| | - Inger Schou-Bredal
- Institute of Health and Society, University of Oslo, Oslo, Norway
- Department for Cancer, Oslo University Hospital, Oslo, Norway
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Kärner Köhler A, Tingström P, Jaarsma T, Nilsson S. Patient empowerment and general self-efficacy in patients with coronary heart disease: a cross-sectional study. BMC Fam Pract 2018; 19:76. [PMID: 29843619 PMCID: PMC5975271 DOI: 10.1186/s12875-018-0749-y] [Citation(s) in RCA: 37] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/18/2018] [Accepted: 04/23/2018] [Indexed: 12/28/2022]
Abstract
Background In managing a life with coronary heart disease and the possibility of planning and following a rehabilitation plan, patients’ empowerment and self-efficacy are considered important. However, currently there is limited data on levels of empowerment among patients with coronary heart disease, and demographic and clinical characteristics associated with patient empowerment are not known. The purpose of this study was to assess the level of patient empowerment and general self-efficacy in patients six to 12 months after the cardiac event. We also aimed to explore the relationship between patient empowerment, general self-efficacy and other related factors such as quality of life and demographic variables. Methods A sample of 157 cardiac patients (78% male; age 68 ± 8.5 years) was recruited from a Swedish hospital. Patient empowerment was assessed using the SWE-CES-10. Additional data was collected on general self-efficacy and well-being (EQ5D and Ladder of Life). Demographic and clinical variables were collected from medical records and interviews. Results The mean levels of patient empowerment and general self-efficacy on a 0–4 scale were 3.69 (±0.54) and 3.13 (±0.52) respectively, and the relationship between patient empowerment and general self-efficacy was weak (r = 0.38). In a simple linear regression, patient empowerment and general self-efficacy were significantly correlated with marital status, current self-rated health and future well-being. Multiple linear regressions on patient empowerment (Model 1) and general self-efficacy (Model 2) showed an independent significant association between patient empowerment and current self-rated health. General self-efficacy was not independently associated with any of the variables. Conclusions Patients with a diagnosis of coronary heart disease reported high levels of empowerment and general self-efficacy at six to 12 months after the event. Clinical and demographic variables were not independently associated with empowerment or low general self-efficacy. Patient empowerment and general self-efficacy were not mutually interchangeable, and therefore both need to be measured when planning for secondary prevention in primary health care. Trial registration NCT01462799. Electronic supplementary material The online version of this article (10.1186/s12875-018-0749-y) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Anita Kärner Köhler
- Department of Social and Welfare Studies (ISV/OMV), Linköping University, Norrköping, Sweden.
| | - Pia Tingström
- Department of Medical and Health Sciences (IMH), Linköping University, Linköping, Sweden
| | - Tiny Jaarsma
- Department of Social and Welfare Studies (ISV/OMV), Linköping University, Norrköping, Sweden
| | - Staffan Nilsson
- Department of Medical and Health Sciences (IMH), Linköping University, Linköping, Sweden.,Primary Health Care, Region Östergötland, Linköping, Sweden
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Abstract
Post-stroke depression (PSD) is the most common psychiatric condition after stroke, affecting one third of survivors. Despite identification of meaningful predictors, knowledge about the interplay between these factors remains fragmentary. General self-efficacy (GSE) is closely linked to PSD, yet direction and magnitude of this relationship remains unclear. The authors assessed the relationship between GSE and depression during the first two years post-stroke while controlling for stable inter-individual differences using continuous time (CT) structural equation modelling (SEM). Patients of two German rehabilitation centres (N = 294, mean age = 63.78 years, SD = 10.83) were assessed six weeks after ischemic stroke and at four follow-ups covering two years. GSE Scale and Geriatric Depression Scale (GDS) were used to assess GSE and depression. CT-analysis revealed significantly higher within-person cross-effects of GSE on GDS (a21 = -.29) than vice versa (a12 = -.17). Maximal cross-lagged effects emerged six months post-stroke. Our results show that decreasing GSE led to increasing depressiveness, and only to a smaller extent vice versa. This suggests that fostering GSE by strengthening perceived control after stroke can counter PSD emersion and exacerbation. Six months post-stroke, when patients face social re-integration, programmes focusing on GSE could potentially help to prevent later PSD.
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Affiliation(s)
- Matthias Volz
- Department of Psychology, Humboldt Universität zu Berlin , Berlin , Germany
| | - Manuel C Voelkle
- Department of Psychology, Humboldt Universität zu Berlin , Berlin , Germany.,Max Planck Institute for Human Development, Center for Lifespan Psychology , Berlin , Germany
| | - Katja Werheid
- Department of Psychology, Humboldt Universität zu Berlin , Berlin , Germany.,Department of Neurology, Ernst von Bergmann Klinikum , Potsdam , Germany
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Sommaruga M, Casu G, Giaquinto F, Gremigni P. Self-perceived provision of patient centered care by healthcare professionals: The role of emotional intelligence and general self-efficacy. Patient Educ Couns 2017; 100:974-980. [PMID: 27986393 DOI: 10.1016/j.pec.2016.12.002] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/20/2016] [Revised: 12/01/2016] [Accepted: 12/10/2016] [Indexed: 05/17/2023]
Abstract
OBJECTIVE This study aimed to investigate whether healthcare professionals' emotional intelligence (EI) is associated with self-perceived provision of patient-centered care (PCC), taking into account the potential mediating effect of general self-efficacy (GSE). METHODS A sample of 318 healthcare professionals, recruited in 2015 among four hospitals in Italy, completed the Provider-Patient Relationship Questionnaire, the Emotional Intelligence Scale, and the General Self-Efficacy scale. A structural equation model was tested with GSE mediating the relationship between EI and self-perceived provision of PCC. Groups of participants based on gender, profession, and work setting were also compared on the study variables. RESULTS EI had direct effects on the self-perceived provision of PCC dimensions. GSE partially mediated only the relationship between EI and involving the patient in care. Healthcare professionals in rehabilitation units showed higher self-perceived provision of PCC than those in acute care or ambulatory services. CONCLUSION Self-perceived provision of PCC seems to have the potential to be improved by EI and to be distinguishable from GSE. PRACTICE IMPLICATIONS Since EI can be developed, findings of this study have potential implications for improving PCC through continuing education interventions for healthcare professionals.
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Affiliation(s)
- Marinella Sommaruga
- Clinical Psychology and Social Support Unit, Salvatore Maugeri Foundation, Milano, Italy
| | - Giulia Casu
- Department of Psychology, University of Bologna, Bologna, Italy
| | - Francesco Giaquinto
- Clinical Psychology and Social Support Unit, Salvatore Maugeri Foundation, Milano, Italy
| | - Paola Gremigni
- Department of Psychology, University of Bologna, Bologna, Italy.
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Nakagawa S, Takeuchi H, Taki Y, Nouchi R, Kotozaki Y, Shinada T, Maruyama T, Sekiguchi A, Iizuka K, Yokoyama R, Yamamoto Y, Hanawa S, Araki T, Miyauchi CM, Magistro D, Sakaki K, Jeong H, Sasaki Y, Kawashima R. Lenticular nucleus correlates of general self-efficacy in young adults. Brain Struct Funct 2017; 222:3309-3318. [PMID: 28353199 PMCID: PMC5585303 DOI: 10.1007/s00429-017-1406-2] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2016] [Accepted: 03/13/2017] [Indexed: 12/01/2022]
Abstract
General self-efficacy (GSE) is an important factor in education, social participation, and medical treatment. However, the only study that has investigated the direct association between GSE and a neural correlate did not identify specific brain regions, rather only assessed brain structures, and included older adult subjects. GSE is related to motivation, physical activity, learning, the willingness to initiate behaviour and expend effort, and adjustment. Thus, it was hypothesized in the present study that the neural correlates of GSE might be related to changes in the basal ganglia, which is a region related to the abovementioned self-efficacy factors. This study aimed to identify the brain structures associated with GSE in healthy young adults (n = 1204, 691 males and 513 females, age 20.7 ± 1.8 years) using regional grey matter density and volume (rGMD and rGMV), fractional anisotropy (FA) and mean diffusivity (MD) analyses of magnetic resonance imaging (MRI) data. The findings showed that scores on the GSE Scale (GSES) were associated with a lower MD value in regions from the right putamen to the globus pallidum; however, there were no significant association between GSES scores and regional brain structures using the other analyses (rGMD, rGMV, and FA). Thus, the present findings indicated that the lenticular nucleus is a neural correlate of GSE.
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Affiliation(s)
- Seishu Nakagawa
- Division of Psychiatry, Tohoku Medical and Pharmaceutical University, Sendai, Japan. .,Department of Human Brain Science, Institute of Development, Ageing and Cancer, Tohoku University, 4-1 Seiryo-machi, Aoba-ku, Sendai, 980-8575, Japan.
| | - Hikaru Takeuchi
- Division of Developmental Cognitive Neuroscience, Institute of Development, Ageing and Cancer, Tohoku University, Sendai, Japan
| | - Yasuyuki Taki
- Division of Developmental Cognitive Neuroscience, Institute of Development, Ageing and Cancer, Tohoku University, Sendai, Japan.,Division of Medical Neuroimaging Analysis, Department of Community Medical Supports, Tohoku Medical Megabank Organization, Tohoku University, Sendai, Japan.,Department of Nuclear Medicine and Radiology, Institute of Development, Ageing and Cancer, Tohoku University, Sendai, Japan
| | - Rui Nouchi
- Creative Interdisciplinary Research Division, Frontier Research Institute for Interdisciplinary Science (FRIS), Tohoku University, Sendai, Japan.,Smart Ageing International Research Center, Institute of Development, Ageing and Cancer, Tohoku University, Sendai, Japan
| | - Yuka Kotozaki
- Smart Ageing International Research Center, Institute of Development, Ageing and Cancer, Tohoku University, Sendai, Japan
| | - Takamitsu Shinada
- Department of Human Brain Science, Institute of Development, Ageing and Cancer, Tohoku University, 4-1 Seiryo-machi, Aoba-ku, Sendai, 980-8575, Japan
| | - Tsukasa Maruyama
- Department of Human Brain Science, Institute of Development, Ageing and Cancer, Tohoku University, 4-1 Seiryo-machi, Aoba-ku, Sendai, 980-8575, Japan
| | - Atsushi Sekiguchi
- Division of Medical Neuroimaging Analysis, Department of Community Medical Supports, Tohoku Medical Megabank Organization, Tohoku University, Sendai, Japan.,Department of Adult Mental Health, National Institute of Mental Health, National Center of Neurology and Psychiatry, Kodaira, Tokyo, Japan
| | - Kunio Iizuka
- Department of Psychiatry, Tohoku University Graduate School of Medicine, Sendai, Japan
| | - Ryoichi Yokoyama
- School of Medicine, Kobe University, Kobe, Japan.,Japan Society for the Promotion of Science, Tokyo, Japan
| | - Yuki Yamamoto
- Department of Human Brain Science, Institute of Development, Ageing and Cancer, Tohoku University, 4-1 Seiryo-machi, Aoba-ku, Sendai, 980-8575, Japan
| | - Sugiko Hanawa
- Department of Human Brain Science, Institute of Development, Ageing and Cancer, Tohoku University, 4-1 Seiryo-machi, Aoba-ku, Sendai, 980-8575, Japan
| | | | - Carlos Makoto Miyauchi
- Department of Human Brain Science, Institute of Development, Ageing and Cancer, Tohoku University, 4-1 Seiryo-machi, Aoba-ku, Sendai, 980-8575, Japan.,Graduate School of Arts and Sciences, The University of Tokyo, Tokyo, Japan
| | - Daniele Magistro
- National Centre for Sport and Exercise Medicine (NCSEM), Loughborough University, Leicester, UK.,The NIHR Leicester-Loughborough Diet, Lifestyle and Physical Activity Biomedical Research Unit, Leicester, UK.,School of Sport, Exercise, and Health Sciences, Loughborough University, Leicester, UK
| | - Kohei Sakaki
- Advanced Brain Science, Institute of Development, Aging and Cancer, Tohoku University, Sendai, Japan
| | - Hyeonjeong Jeong
- Department of Human Brain Science, Institute of Development, Ageing and Cancer, Tohoku University, 4-1 Seiryo-machi, Aoba-ku, Sendai, 980-8575, Japan.,Japan Society for the Promotion of Science, Tokyo, Japan
| | - Yukako Sasaki
- Advanced Brain Science, Institute of Development, Aging and Cancer, Tohoku University, Sendai, Japan
| | - Ryuta Kawashima
- Division of Developmental Cognitive Neuroscience, Institute of Development, Ageing and Cancer, Tohoku University, Sendai, Japan.,Advanced Brain Science, Institute of Development, Aging and Cancer, Tohoku University, Sendai, Japan
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Olsson LE, Hansson E, Ekman I. Evaluation of person-centred care after hip replacement-a controlled before and after study on the effects of fear of movement and self-efficacy compared to standard care. BMC Nurs 2016; 15:53. [PMID: 27616936 PMCID: PMC5017008 DOI: 10.1186/s12912-016-0173-3] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2015] [Accepted: 08/30/2016] [Indexed: 12/30/2022] Open
Abstract
BACKGROUND The goal of total hip arthroplasty (THA) is optimal pain relief and a normalized health-related quality of life. Anxious patients describe more pain and more difficulties than non-anxious patients during rehabilitation after THA. The aims of the present study were twofold: (1) to identify vulnerable patients using the general self-efficacy scale (GSES) and the Tampa scale for Kinesiophobia (TSK), and (2) to evaluate if person-centred care including the responses of the instruments made rehabilitation more effective in terms of shortening hospital length of stay. METHODS The design of the study was quasi-experimental. Patients scheduled for THA, a control group (n = 138) and an intervention group (n = 128) were consecutively recruited. The intervention was the provision of person-centred care which was designed to reduce the negative effects of low self-efficacy and high levels of pain-related fear of movement. RESULTS Patients with low GSES in the intervention group had shorter length of stay (LoS) by 1.6 days (95 % CI 0.16-3.15) p-value 0.03. Patients with high TSK in the intervention group had shorter LoS by 2.43 days (95 % CI 0.76-4.12) p-value 0.005. For patients who had both, the reduction of LoS was 2.15 days (95 % CI 0.24-4.04) p-value 0.028. CONCLUSIONS The GSES and the TSK instrument were found useful as tools to provide information to support patients which reduced the LoS by 1.67 days in the whole intervention group (95 % CI 0.72-2.62) p-value 0.001. More importantly, vulnerable patients such as ASA group 3 probably gained the most from the extra support, they had a reduction with 6.78 days (95 % CI 2.94-10.62) p-value 0.001.
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Affiliation(s)
- Lars-Eric Olsson
- Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Box 457, SE 405 30 Gothenburg, Sweden ; Gothenburg Centre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden ; Department of Orthopaedics, Sahlgrenska University Hospital, Gothenburg, Sweden
| | - Elisabeth Hansson
- Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Box 457, SE 405 30 Gothenburg, Sweden ; Department of Orthopaedics, Sahlgrenska University Hospital, Gothenburg, Sweden
| | - Inger Ekman
- Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Box 457, SE 405 30 Gothenburg, Sweden ; Gothenburg Centre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden
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Nickel F, Schmidt L, Bruckner T, Büchler MW, Müller-Stich BP, Fischer L. Influence of bariatric surgery on quality of life, body image, and general self-efficacy within 6 and 24 months-a prospective cohort study. Surg Obes Relat Dis 2016; 13:313-319. [PMID: 28029597 DOI: 10.1016/j.soard.2016.08.017] [Citation(s) in RCA: 48] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2016] [Revised: 07/20/2016] [Accepted: 08/12/2016] [Indexed: 01/07/2023]
Abstract
BACKGROUND It has been proven that bariatric surgery affects weight loss. Patients with morbid obesity have a significantly lower quality of life (QOL) and body image compared with the general population. OBJECTIVE To evaluate QOL, body image, and general self-efficacy (GSE) in patients with morbid obesity undergoing bariatric surgery within clinical parameters. SETTINGS Monocentric, prospective, longitudinal cohort study. METHODS Patients completed the short form 36 (SF-36) for QOL, body image questionnaire, and GSE scale 3 times: before surgery and within 6 months and 24 months after surgery. Influence of gender, age, and type of procedure, either laparoscopic sleeve gastrectomy (SG) or laparoscopic Roux-en-Y gastric bypass, were analyzed. RESULTS Thirty patients completed the questionnaires before and within 6 and 24 months after surgery. SF-36 physical summary score improved significantly from 34.3±11.0 before surgery to 46.0±10.4 within 6 months (P<.001) and to 49.8±8.2 within 24 months (P<.001) after surgery. SF-36 mental summary score improved significantly from 42.1±14.7 before surgery to 52.3±8.4 within 6 months (P<.001) and to 48.4±12.2 within 24 months (P<.001) after surgery. There were no significant differences between gender, age, and type of operation. Body image and GSE improved significantly after bariatric surgery (P<.001), and both correlated to the SF-36 mental summary score. CONCLUSION QOL, body image, and GSE improved significantly within 6 months and remained stable within 24 months after bariatric surgery. Improvements were independent of gender, age, and type of operation. Mental QOL was influenced by body image and GSE.
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Affiliation(s)
- Felix Nickel
- Department of General, Visceral and Transplant Surgery, University of Heidelberg, Heidelberg, Germany
| | - Lukas Schmidt
- Department of General, Visceral and Transplant Surgery, University of Heidelberg, Heidelberg, Germany
| | - Thomas Bruckner
- Institute for Medical Biometry and Informatics, University of Heidelberg, Heidelberg, Germany
| | - Markus W Büchler
- Department of General, Visceral and Transplant Surgery, University of Heidelberg, Heidelberg, Germany
| | - Beat-Peter Müller-Stich
- Department of General, Visceral and Transplant Surgery, University of Heidelberg, Heidelberg, Germany
| | - Lars Fischer
- Department of General, Visceral and Transplant Surgery, University of Heidelberg, Heidelberg, Germany.
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Miao L, Feng J, Wu L, Zhang S, Ge Z, Pan Y. The mediating role of general self-efficacy in the association between perceived social support and oral health-related quality of life after initial periodontal therapy. BMC Oral Health 2016; 16:68. [PMID: 27268419 PMCID: PMC4897808 DOI: 10.1186/s12903-016-0227-7] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2015] [Accepted: 05/30/2016] [Indexed: 01/08/2023] Open
Abstract
BACKGROUND Although initial periodontal therapy can ease some physical and psychological discomforts from periodontitis and improve patients' oral health-related quality of life (OHRQoL), it is also vital to find positive resources from psychological and social aspects to promote the overall OHRQoL. This study aims to explore the associations of perceived social support (PSS) and general self-efficacy with OHRQoL and the mediating role of general self-efficacy in PSS-OHRQoL association after initial periodontal therapy. METHODS A prospective case series study was conducted among consecutive outpatients with chronic periodontitis during the period of July 2014-April 2015. A total of 145 eligible patients responded to OHRQoL questionnaire and periodontal examination at baseline. About 4 to 5 weeks after initial periodontal therapy, 120 patients completed the second OHRQoL measurement and periodontal examination, along with PSS and general self-efficacy measurement. The Wilcoxon matched-pairs signed-rank test was used to determine the difference between baseline and post-treatment OHRQoL scores and periodontal parameters. Hierarchical linear regression analysis was used to explore the associations of PSS and general self-efficacy with post-treatment OHRQoL after adjusting for some demographic and periodontal variables. Asymptotic and resampling strategies were performed to explore the mediating role of general self-efficacy. RESULTS Initial periodontal therapy resulted in a significant improvement in the mean total score and all domains of OHRQoL and all periodontal parameters measured. In hierarchical linear regression analysis, clinical attachment loss (CAL) was significantly and positively associated with post-treatment OHRQoL score (β = 0.265, p < 0.01), while PSS (β = -0.303, p < 0.01) and general self-efficacy (β = -0.221, p < 0.01) were significantly and negatively associated with post-treatment OHRQL score, respectively. A significant mediating role of general self-efficacy (a*b = -0.139, BCa 95 % CI: -0.298, -0.011) in the association between PSS and post-treatment OHRQoL was revealed, and the proportion of the mediating role of general self-efficacy was 31.4 %. CONCLUSIONS Initial periodontal therapy could significantly improve all aspects of OHRQoL. PSS and general self-efficacy could be the positive resources for improving OHRQoL after initial periodontal therapy among patients with periodontitis. General self-efficacy partly mediated the association between PSS and post-treatment OHRQoL.
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Affiliation(s)
- Lei Miao
- Department of Periodontics and Oral Biology, School of Stomatology, China Medical University, No. 117 Nanjing North Street, Heping District, Shenyang, Liaoning, 110002, People's Republic of China
| | - Jingwen Feng
- Department of Periodontics and Oral Biology, School of Stomatology, China Medical University, No. 117 Nanjing North Street, Heping District, Shenyang, Liaoning, 110002, People's Republic of China
| | - Liuzhong Wu
- Department of Periodontics and Oral Biology, School of Stomatology, China Medical University, No. 117 Nanjing North Street, Heping District, Shenyang, Liaoning, 110002, People's Republic of China
| | - Shuwei Zhang
- Department of Periodontics and Oral Biology, School of Stomatology, China Medical University, No. 117 Nanjing North Street, Heping District, Shenyang, Liaoning, 110002, People's Republic of China
| | - Ziming Ge
- Department of Periodontics and Oral Biology, School of Stomatology, China Medical University, No. 117 Nanjing North Street, Heping District, Shenyang, Liaoning, 110002, People's Republic of China
| | - Yaping Pan
- Department of Periodontics and Oral Biology, School of Stomatology, China Medical University, No. 117 Nanjing North Street, Heping District, Shenyang, Liaoning, 110002, People's Republic of China.
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Schiele MA, Ziegler C, Holitschke K, Schartner C, Schmidt B, Weber H, Reif A, Romanos M, Pauli P, Zwanzger P, Deckert J, Domschke K. Influence of 5-HTT variation, childhood trauma and self-efficacy on anxiety traits: a gene-environment-coping interaction study. J Neural Transm (Vienna) 2016; 123:895-904. [PMID: 27145764 DOI: 10.1007/s00702-016-1564-z] [Citation(s) in RCA: 42] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2015] [Accepted: 04/27/2016] [Indexed: 11/29/2022]
Abstract
Environmental vulnerability factors such as adverse childhood experiences in interaction with genetic risk variants, e.g., the serotonin transporter gene linked polymorphic region (5-HTTLPR), are assumed to play a role in the development of anxiety and affective disorders. However, positive influences such as general self-efficacy (GSE) may exert a compensatory effect on genetic disposition, environmental adversity, and anxiety traits. We, thus, assessed childhood trauma (Childhood Trauma Questionnaire, CTQ) and GSE in 678 adults genotyped for 5-HTTLPR/rs25531 and their interaction on agoraphobic cognitions (Agoraphobic Cognitions Questionnaire, ACQ), social anxiety (Liebowitz Social Anxiety Scale, LSAS), and trait anxiety (State-Trait Anxiety Inventory, STAI-T). The relationship between anxiety traits and childhood trauma was moderated by self-efficacy in 5-HTTLPR/rs25531 LALA genotype carriers: LALA probands maltreated as children showed high anxiety scores when self-efficacy was low, but low anxiety scores in the presence of high self-efficacy despite childhood maltreatment. Our results extend previous findings regarding anxiety-related traits showing an interactive relationship between 5-HTT genotype and adverse childhood experiences by suggesting coping-related measures to function as an additional dimension buffering the effects of a gene-environment risk constellation. Given that anxiety disorders manifest already early in childhood, this insight could contribute to the improvement of psychotherapeutic interventions by including measures strengthening self-efficacy and inform early targeted preventive interventions in at-risk populations, particularly within the crucial time window of childhood and adolescence.
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Affiliation(s)
- Miriam A Schiele
- Center of Mental Health, Department of Psychiatry, Psychosomatics and Psychotherapy, University of Würzburg, Füchsleinstrasse 15, 97080, Würzburg, Germany.,Department of Psychology (Biological Psychology, Clinical Psychology and Psychotherapy), University of Würzburg, Würzburg, Germany
| | - Christiane Ziegler
- Center of Mental Health, Department of Psychiatry, Psychosomatics and Psychotherapy, University of Würzburg, Füchsleinstrasse 15, 97080, Würzburg, Germany
| | - Karoline Holitschke
- Department of Psychiatry and Psychotherapy, University of Münster, Münster, Germany
| | - Christoph Schartner
- Center of Mental Health, Department of Psychiatry, Psychosomatics and Psychotherapy, University of Würzburg, Füchsleinstrasse 15, 97080, Würzburg, Germany
| | - Brigitte Schmidt
- Center of Mental Health, Department of Psychiatry, Psychosomatics and Psychotherapy, University of Würzburg, Füchsleinstrasse 15, 97080, Würzburg, Germany
| | - Heike Weber
- Center of Mental Health, Department of Psychiatry, Psychosomatics and Psychotherapy, University of Würzburg, Füchsleinstrasse 15, 97080, Würzburg, Germany.,Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, Goethe-University Frankfurt, Frankfurt, Germany
| | - Andreas Reif
- Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, Goethe-University Frankfurt, Frankfurt, Germany
| | - Marcel Romanos
- Center of Mental Health, Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University of Würzburg, Würzburg, Germany
| | - Paul Pauli
- Department of Psychology (Biological Psychology, Clinical Psychology and Psychotherapy), University of Würzburg, Würzburg, Germany
| | - Peter Zwanzger
- kbo-Inn-Salzach-Hospital, Wasserburg am Inn, Germany.,Department of Psychiatry und Psychotherapy, Ludwig-Maximilians-University, Munich, Germany
| | - Jürgen Deckert
- Center of Mental Health, Department of Psychiatry, Psychosomatics and Psychotherapy, University of Würzburg, Füchsleinstrasse 15, 97080, Würzburg, Germany
| | - Katharina Domschke
- Center of Mental Health, Department of Psychiatry, Psychosomatics and Psychotherapy, University of Würzburg, Füchsleinstrasse 15, 97080, Würzburg, Germany.
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Blank ML, Connor J, Gray A, Tustin K. Alcohol use, mental well-being, self-esteem and general self-efficacy among final-year university students. Soc Psychiatry Psychiatr Epidemiol 2016; 51:431-41. [PMID: 26831492 DOI: 10.1007/s00127-016-1183-x] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/15/2015] [Accepted: 01/17/2016] [Indexed: 10/22/2022]
Abstract
PURPOSE We aimed to quantify associations between drinking and mental well-being, self-esteem and general self-efficacy among New Zealand university students approaching graduation. METHODS A web-based survey was conducted across all eight New Zealand universities in 2011. Participants were enrolled in their final year of a bachelor degree or a higher qualification and were aged 25 years and under (n = 5082, response level 65 %). Measures included the Alcohol Use Disorders Identification Test-Consumption, Warwick-Edinburgh Mental Well-being Scale, and items from the Rosenberg Self-esteem Scale and General Self-efficacy Scale. Linear regression models were used to estimate associations between the psychological measures and (1) drinking patterns for all participants (abstention/moderate/hazardous); and (2) consumption indicators for non-abstaining participants (frequency/quantity/heavy drinking frequency), adjusting for a range of individual, social and personality characteristics, separately for men and women. RESULTS Lower mental well-being was associated with a moderate or hazardous drinking pattern for men, and a hazardous pattern for women, compared to abstaining participants. Higher self-esteem was associated with any level of heavy drinking frequency for men, while the heaviest drinking women had a pattern of lower self-esteem. There was a general pattern of higher general self-efficacy for men and women who drank alcohol. CONCLUSIONS We observed that higher levels of drinking were associated with small, yet statistically significant, differences in psychological outcomes for men and women. Our findings are of uncertain clinical significance; however, they underscore the importance of investigating a fuller range of social and personality factors that may confound the association of drinking and psychological outcomes.
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