Interactive effects of emotional dissonance and self-control demands on burnout, anxiety, and absenteeism

Two specific sources of stress at work have recently received increasing attention in organizational stress research: emotional dissonance (ED) and self-control demands (SCDs). Both theoretical arguments and experimental findings in basic research strongly suggest that ED and different SCDs draw on a common limited regulatory resource. Consequently, both kinds of stressors should exert interactive effects on indicators of job strain and well-being. Drawing on two German samples (total N = 586), we tested this prediction by examining the interaction effects of ED and different dimensions of SCDs on burnout, anxiety, and absence behavior. Latent moderated structural equation modeling provided support for the hypothesized interactive effects of ED and dimensions of SCDs in predicting burnout, anxiety, and absence behavior. More specifically, with each pair of stressors the effects of one stressor were found to be amplified by the other. Finally, we discuss theoretical and practical implications of our results.     

Examining the association between psychological wellbeing with daily and intra-individual variation in subjective wellbeing

A number of studies identify distinct dimensions of psychological and subjective wellbeing. However, few investigations have examined how these distinctive wellbeing dimensions may be related over time. The present study aimed to contribute to this growing body of research by adopting a measurement burst design to examine the association between psychological functioning with daily and intra-individual variation in affect over a 14-day period, controlling for personality. Participants (N = 45) comprised a sample of Australian adults from Canberra, Australia who were observed on up to 14 days over a 2-week period (Mobs = 10.9 (SD = 3.1)). Maximum Likelihood (ML) estimates from a multi-level structural equation model identified psychological functioning as only weakly associated with daily positive affect, and unrelated to daily levels of negative affect and intra-individual variation in both affect domains when adjusting for demographic, personality and daily stressors. Positive and negative daily events were most strongly associated with positive and negative feelings, respectively. Post-hoc analysis within a Bayesian context confirmed our ML results whilst a Monte Carlo simulation identified sufficient statistical power of significant parameters. Overall, evidence for an association between psychological functioning and daily affect was not identified.     

A randomized controlled trial of strong minds: A school-based mental health program combining acceptance and commitment therapy and positive psychology

To date, most early intervention programs have been based on emotion regulation strategies that address dysfunctional cognitive appraisals, problem-solving skills, and rumination. Another emotion regulation strategy, ‘acceptance’ training, has largely been overlooked. To examine the efficacy of this strategy, a school-based mental health program combining positive psychology with acceptance and commitment therapy (Strong Minds) was evaluated in a randomized controlled trial with a sample of 267 Year 10 and 11 high-school students in Sydney, Australia. Mixed models for repeated measures examined whether the program led to reductions in symptoms amongst students who commenced the program with high depression, anxiety, and stress scores, and increased wellbeing scores amongst all students. Results demonstrated that compared to controls, participants in the Strong Minds condition with elevated symptom scores (n = 63) reported significant reductions in depression (p = .047), stress (p = .01), and composite depression/anxiety symptoms (p = .02) with medium to strong effect sizes (Cohen's d = 0.53, 0.74, and 0.57, respectively). Increased wellbeing (p = .03) in the total sample and decreased anxiety scores (p = .048) for students with elevated symptoms were significant for Year 10 students with medium effect sizes (Cohen's d = 0.43 and 0.54, respectively). This study tentatively suggests that including the emotion regulation strategy of acceptance in early intervention programs may be effective in reducing symptoms and improving wellbeing in high school students. Further research to investigate the generalizability of these findings is warranted.     

Three-way interaction of neuroticism,extraversion, and conscientiousness in the internalizing disorders: Evidence of disorder specificity in a psychiatric sample

It is well-established that neuroticism, extraversion, and conscientiousness are individually associated with internalizing disorders, but research suggests that these main effects may be qualified by a three-way interaction when predicting depression. The current study was the first to examine this three-way interaction in a psychiatric sample (N = 463) with a range of internalizing symptoms as the outcomes. Using two omnibus personality inventories and a diagnostic interview, the expected three-way interaction emerged most consistently for symptoms of major depression, and there was also evidence of synergistic effects for post-traumatic stress disorder and generalized anxiety disorder. Findings indicate that, even in a clinically-distressed and currently-disordered sample, high levels of extraversion and conscientiousness protect against distress disorders for those with high levels of neuroticism.     

Machiavellianism and sexual behavior: Motivations,deception and infidelity

The current study investigated the influence of Machiavellianism, a personality trait characterized by a manipulative interpersonal style and willingness to exploit others (Christie & Geis, 1970), on three areas of sexual behavior. Men (N = 90) and women (N = 192) aged 18–81 years (M = 25.82, SD = 9.85) completed the Mach IV (Christie & Geis, 1970), YSEX Questionnaire (Meston & Buss, 2007), Sexual Deception Scale (Marelich, Lundquist, Painter, & Mechanic, 2008) and Intentions Towards Infidelity Scale (Jones, Olderbak, & Figueredo, 2011). Those with high levels of Machiavellianism were more likely to engage in sexual behavior for physical reasons, goal attainment and insecurity. In particular, Machiavellian men and women endorsed stress reduction, experience seeking, resources, social status, revenge, utilitarian reasons, boosting self-esteem, duty/pressure, and mate guarding as motivations for sexual behavior. Machiavellianism was also a significant predictor of each form of sexual deception investigated (blatant lying, self-serving and avoiding confrontation) and intentions to engage in infidelity. Sex did not moderate the influence of Machiavellianism on sexual behavior.     

Expanding the Scope of Mindfulness-Based Cognitive Therapy: Evidence for Effectiveness in a Heterogeneous Psychiatric Sample

Mindfulness-based interventions (e.g., MBSR; Kabat-Zinn, 1990; MBCT; Segal, Williams, & Teasdale, 2002) have demonstrated effectiveness in a number of distinct clinical populations. However, few studies have evaluated MBCT within a heterogeneous group of psychiatric adult outpatients. This study examined whether a wider variety of patients referred from a large, tertiary mood and anxiety outpatient clinic could benefit from such a program. Twenty-three psychiatric outpatients with mood and/or anxiety disorders (mean age = 53.65 years, SD = 10.73; 18 women) were included in this study. Each participant completed the Structured Clinical Interview for Diagnosis Axis I and measures of mood, life stress, and mindfulness skills, prior to the start of group and immediately following its completion. Paired t-test analyses were conducted and results revealed a significant improvement in mood and mindfulness skills in addition to a significant reduction in severity and total number of perceived life stressors. In summary, our results indicate that MBCT can effectively be administered to a group of patients whose diagnoses and difficulties may vary, who have significant comorbidity, and who are currently experiencing significant symptoms. This has important practical implications for offering this treatment within broader psychological and psychiatric service systems.     

Interpersonal rejection sensitivity predicts burnout: A prospective study

We examined whether interpersonal rejection sensitivity (IRS) – the hallmark of atypical depression – prospectively predicted burnout, controlling for baseline symptoms, history of depressive disorders, antidepressant intake, gender, age, and length of employment (mean between-assessment duration: 21 months; n = 578; 74% female). IRS was related to a 119% increased risk of burnout at follow-up. Three of four burned out participants reported to be affected by IRS, or 2.5 times the rate observed in participants with no (or subthreshold) burnout symptoms. Our study highlights a dispositional factor in burnout’s etiology also known to be a key component of atypical depression’s etiology. The ontogenesis of individual vulnerabilities to burnout should be further examined in future research.     

Développement et validation de l’Inventaire francophone de l’Épuisement Professionnel (IFEP)

IntroductionThe prevention of burnout is a major issue for companies. However, they do not always have access to tools adapted to the implementation of prevention policies.ObjectiveThis study is part of a project to create a questionnaire adapted to employees’ needs in the field of burnout measurement.MethodThe survey was distributed online to French-speakers workers (N = 680).ResultsThe results of the exploratory and confirmatory factor analyses indicated two dimensions (exhaustion and interpersonal stress) with high internal consistency. This factorial structure was confirmed for men and women as well as for French and Belgian workers by means of measurement invariance analyses. Criterion validity was verified regarding the relationships between the scores on the IFEP dimensions and those obtained with the MBI-GS, the measure of the intent to quit, the subjective health scale and the number of days of sick.ConclusionThe overall results of the analyses performed in this study show satisfactory psychometric qualities of the French Burnout Inventory (IFEP), a new measure of burnout that can be used in many French-speakers work contexts.     

Costs of simultaneous coping with emotional dissonance and self-control demands at work: results from two German samples

In the present study, we examine interactive effects of emotional dissonance (ED) and self-control demands (SCDs; impulse control, resisting distractions, and overcoming inner resistances) on emotional exhaustion, depersonalization, depressive symptoms, and absenteeism. We derived the prediction of interactive effects from the well-founded theoretical argument that both sources of work stress draw on and compete for a common limited regulatory resource. On the basis of 2 German samples (1 cross-sectional and 1 longitudinal sample; NTOTAL = 367), 7 of the 8 interactions tested were found to explain significant proportions of variance in all 4 outcomes considered over and beyond that accounted for by demographic characteristics, outcome stability (longitudinal sample), and main effects. Consistent with our hypotheses, the positive relations of 1 of both stressors (ED or SCDs) to psychological strain and absenteeism were amplified as a function of the other stressor. Theoretical and practical implications of the findings are discussed.     

Maternal reflective functioning as a multidimensional construct: Differential associations with children’s temperament and externalizing behavior

Maternal reflective functioning (RF) has been associated with children’s behavioral development. This study examined maternal prenatal and postnatal RF, as measured by the Pregnancy Interview and Parent Development Interview, as multidimensional constructs. It was also examined whether the RF-dimensions were associated with children’s temperament and externalizing behavior, as assessed by several questionnaires. The sample consisted of 123 first-time mothers (M age = 22.85 years, SD = 2.21) and their children (M age = 19.97 months, SD = 0.85, 56% male). Two related but distinct dimensions were found for prenatal RF, termed self-focused and child-focused mentalization. Three dimensions were observed for postnatal RF, termed self-focused, child-focused, and relation-focused mentalization. Results showed that prenatal RF negatively related to reported child physical aggression. Postnatal self-focused RF was positively linked to externalizing behavior and negative emotionality in offspring, while relation-focused RF scores were negatively associated with child physical aggression. Findings show that it is important to also look at the specific RF-dimensions when examining the effects of maternal RF on children’s behavioral development, as differential associations with behavioral outcomes exist. Discussion further focuses on the importance of these findings in prevention and clinical practice, and suggestions are being made to further improve the measurement of maternal RF-dimensions.     

Body image in social anxiety disorder,obsessive–compulsive disorder,and panic disorder

Body dysmorphic disorder falls under the category of obsessive–compulsive and related disorders, yet research has suggested it may also be highly associated with social anxiety disorder. The current study examined body image variables among 68 outpatients with primary obsessive–compulsive disorder (OCD; n = 22), social anxiety disorder (SAD; n = 25), and panic disorder (PD; n = 21). Participants filled out self-report measures of body image disturbance, attitudes toward one's appearance, and anxiety. Body image disturbance and attitudes toward appearance did not significantly differ between the groups. However, SAD symptoms predicted body image disturbance, Appearance Evaluation and Body Areas Satisfaction, and OCD symptoms predicted Appearance Orientation. These findings suggest that SAD and OCD may be associated with different facets of body image. Implications for the treatment of anxiety disorders and for future research are discussed.     

Promoting an equitable and supportive school climate in high schools: The role of school organizational health and staff burnout

In response to persistent racial disparities in academic and behavioral outcomes between Black and White students, equitable school climate has drawn attention as a potential target for school reform. This study examined differences in Black and White students' experiences of school climate and explored whether indicators of school organizational health and staff burnout moderated differences in students' school experiences by race. Utilizing hierarchical linear modeling with a sample of 18,397 Black students (n = 6228) and White students (n = 12,169) and 2391 school staff in 53 schools, we found a consistent pattern of racial inequalities, such that Black students reported less positive experiences than White students across three indicators of school climate (caring γ = − 0.08, p < .001; equity γ = − 0.05, p = .007; and engagement γ = − 0.05, p < .001). In addition, we found significant, positive associations between aggregated staff-report of school organizational health and student-reported school climate (e.g., staff affiliation and student-perceived equity, γ = 0.07, p < .001). Surprisingly, a number of school organizational health indicators were more strongly associated with positive perceptions of school climate among White students than Black students, translating into greater racial disparities in perceived school climate at schools with greater organizational health (e.g., supportive leadership by race on student-perceived engagement, γ = − 0.03, p = .042). We also found negative associations between staff-reported burnout and students' experience of equity, such that the racial gap was smaller in schools with high ratings of burnout (γ = 0.04, p = .002). These findings have implications for educators and education researchers interested in promoting school social contexts that equitably support student engagement and success.     

Normal personality traits,rumination and stress generation among early adolescent girls

This study examined associations between personality and stress generation. Expanding upon prior work, we examined (a) the role of Positive Emotionality (PE), Negative Emotionality (NE), and Constraint (CON), and their lower-order facets, as predictors of acute and chronic interpersonal stress generation; (b) whether personality moderated effects of rumination on stress generation; and (c) whether personality increased exposure to independent (uncontrollable) stress. These questions were examined in a one-year study of 126 adolescent girls (M age = 12.39 years) using contextual stress interviews. NE predicted increases in acute and chronic interpersonal stress generation, but not independent stress. NE, CON and affiliative PE each moderated the effect of rumination on chronic interpersonal stress generation. These effects were driven by particular lower-order traits.     

Effects of preterm birth and gender on temperament and behavior in children

The aim of the present study was to assess the direct and interactive effects of premature birth and gender on temperament and behavioral problems in 80 children aged 18–36 months. The sample was composed of children born preterm (PT; n = 44) and children born full-term (FT; n = 36). The children's mothers completed temperament (ECBQ) and behavioral problem (CBCL 1.5–5) assessments. Analyses of variance (ANOVA 2 × 2) were performed. With regard to temperament, PT children exhibited significantly higher scores on high-intensity pleasure and perceptual sensitivity and lower scores on discomfort, cuddliness, and Attentional Focusing compared with FT children. Girls scored higher on fear and discomfort compared with boys. With concern to behavioral problems, PT children scored higher on attention problems compared with FT children. No interactive effect of premature birth and gender on temperament or behavioral problems was found.     

When are grandiose and vulnerable narcissists least helpful?

Grandiosity and vulnerability are distinct dimensions of narcissism, but little research has examined their differences regarding prosocial behavior. This investigation is the first to test the hypotheses that grandiose narcissism predicts withholding help under high social pressure, whereas vulnerable narcissism predicts withholding help under low social pressure. Undergraduate participants (N = 220, M_age = 19.5, 142 women) were partnered with a confederate for the supposed purpose of a mock counseling session. The confederate ruined the session by demonstrating inconsiderate behavior, after which the participant encountered two opportunities to help the confederate: one presented under high social pressure to help, the other presented under low social pressure to help. Measures also assessed participants’ prosocial emotions, including empathy for and forgiveness of the confederate. Consistent with hypotheses, grandiose narcissism predicted less helping under high social pressure, whereas vulnerable narcissism predicted less helping under low social pressure, the latter relationship being mediated by reduced forgiveness. Vulnerable narcissism was also associated with less empathy and forgiveness. Grandiose and vulnerable narcissism differentially predicted helping behavior depending on the amount of social pressure to help. These results conform to theoretical distinctions between grandiosity and vulnerability regarding social dominance and internalization.     

Transdiagnostic and Transcultural: Pilot Study of Unified Protocol for Depressive and Anxiety Disorders in Japan

Unified protocol (UP) is a transdiagnostic cognitive behavior therapy for emotional disorders. It remains unknown whether UP is applicable for use in non-Western countries and for depressive disorders. We therefore examined its feasibility for a Japanese clinical population using this clinical trial design, which is multicentered, open-labeled, and single-armed (Clinical registry: UMIN000008322). The primary outcome was severity of anxiety symptoms, as assessed using Structured Interview Guide for the Hamilton Anxiety Rating Scale. Secondary outcomes were depressive symptoms, clinical global impression, functioning, quality of life, affectivity, emotion regulation, and adverse events. Of the 28 prospective participants, 17 were eligible and enrolled (depressive disorders = 9, anxiety disorders = 8). Severity of anxiety symptoms, which decreased significantly after the intervention, remained low for 3 months (Hedges’ g = 1.29, 95% CI = 0.56–2.06). Similar tendencies were observed for secondary outcome measures. No severe adverse event occurred. Two participants dropped out of the intervention. High treatment adherence and interrater reliability were confirmed. Results suggest the feasibility of UP in the Japanese context sufficient to warrant a larger clinical trial.     

Mechanisms underlying the self-talk–performance relationship: The effects of motivational self-talk on self-confidence and anxiety

ObjectivesThe present study examined the effects of motivational self-talk on self-confidence, anxiety, and task performance in young athletes.MethodsParticipants were 72 tennis players. The experiment was conducted in five sessions: baseline assessment, three training sessions, and final assessment. After the baseline assessment participants were divided and assigned randomly into experimental and control groups. The two groups followed the same training program with the experimental group practicing the use of self-talk. In the last session, the final assessment took place. A forehand drive test was used to evaluate task performance, and the Competitive Anxiety Inventory-2R was used to assess self-confidence and anxiety.ResultsA two-way mixed model MANOVA revealed that task performance improved for the experimental group (p < .01) and remained stable for the control group; self-confidence increased (p < .01) and cognitive anxiety decreased (p < .05) for the experimental group, whereas no changes were observed for the control group. Correlation analysis revealed that changes in task performance were moderately related to changes in self-confidence (p < .05).ConclusionsThe results of the study showed that self-talk can enhance self-confidence and reduce cognitive anxiety. Furthermore, it is suggested that increases in self-confidence can be regarded as a viable function explaining the facilitating effects of self-talk on performance.     

Electrocortical Evidence of Enhanced Performance Monitoring in Social Anxiety

Self-focused attention is thought to be a key feature of social anxiety disorder. Yet few studies have used event-related potentials (ERPs) to examine whether socially anxious individuals display greater monitoring of their performance and attention to their errors. Similarly, only a few studies have used ERPs to examine how social anxiety is related to processing of performance feedback. Individuals with high (n = 26) and low (n = 28) levels of social anxiety completed a trial-and-error learning task. Self-focus was manipulated using false heart-rate feedback during a random subset of trials. Performance feedback was given using emotional and neutral faces in a positive context (correct = happy face; incorrect = neutral face) and negative context (correct = neutral face; incorrect = disgust face) in order to investigate biased interpretation and attention to feedback. Socially anxious subjects displayed enhanced amplitude of the ERN and CRN, suggesting greater response monitoring, and enhanced Pe amplitude, suggesting greater processing of errors relative to the low social anxiety group. No group differences were observed with respect to feedback processing. Before learning stimulus–response mappings in the negative context, the FRN was larger for self-focus compared to standard trials and marginally larger for socially anxious subjects compared to controls. These findings support cognitive models and suggest avenues for future research.     

Does Worrying Mean Caring Too Much? Interpersonal Prototypicality of Dimensional Worry Controlling for Social Anxiety and Depressive Symptoms

Worry, social anxiety, and depressive symptoms are dimensions that have each been linked to heterogeneous problems in interpersonal functioning. However, the relationships between these symptoms and interpersonal difficulties remain unclear given that most studies have examined diagnostic categories, not accounted for symptoms’ shared variability due to general distress, and investigated only interpersonal problems (neglecting interpersonal traits, interpersonal goals, social behavior in daily life, and reports of significant others). To address these issues, students (Study 1; N = 282) endorsed symptoms and interpersonal circumplex measures of traits and problems, as well as event-contingent social behaviors during one week of naturalistic daily interactions (N = 184; 7,036 records). Additionally, depressed and anxious patients (N = 47) reported symptoms and interpersonal goals in a dyadic relationship, and significant others rated patients’ interpersonal goals and impact (Study 2). We derived hypotheses about prototypical interpersonal features from theories about the functions of particular symptoms and social behaviors. As expected, worry was uniquely associated with prototypically affiliative tendencies across all self-report measures in both samples, but predicted impacting significant others in unaffiliative ways. As also hypothesized, social anxiety was uniquely and prototypically associated with low dominance across measures, and general distress was associated with cold-submissive tendencies. Findings for depressive symptoms provided less consistent evidence for unique prototypical interpersonal features. Overall, results suggest the importance of multimethod assessment and accounting for general distress in interpersonal models of worry, social anxiety, and depressive symptoms.     

Worry and the anxiety disorders: A meta-analytic synthesis of specificity to GAD

Although worry is central to the diagnosis of generalized anxiety disorder (GAD), it is also commonly observed in other anxiety disorders. In this meta-analytic review, we empirically evaluated the extent to which worry is specific to GAD relative to patients with other anxiety disorders, those with other psychiatric disorders, and nonpsychiatric controls. A total of 47 published studies (N = 8,410) were included in the analysis. The results yielded a large effect size indicating greater severity/frequency of worry, meta-worry, and domains of worry among anxiety disorder patients v. nonpsychiatric controls (d = 1.64). In contrast to the many differences emerging from comparisons between anxiety disordered patients and nonpsychiatric controls, when anxiety disordered patients were compared to people with other psychiatric disorders they differed only on severity/frequency and not on meta-worry or domains of worry. A large effect size indicating greater severity/frequency of worry, meta-worry, and domains of worry among patients with GAD v. nonpsychiatric controls was also found (d = 2.05). However, differences between GAD and those with other psychiatric disorders also emerged for severity/frequency of worry. GAD was associated with greater worry difficulties than other anxiety disorders, which generally did not differ from those with other psychiatric disorders and each other. The implications of these findings for conceptualizing worry in GAD and other anxiety disorders, and the potentially moderating effects of age and gender are discussed.