Motivation and anxiety for dental treatment and dental attendance: The roles of the locus of causality personality and treatment styles

The purpose of the present study was to test a self-determination theory model with the following hypotheses: (1) Patients’ autonomous causality personality orientation and oral health care professionals’ autonomy-supportive treatment styles, as perceived by patients, would both be positively indirectly associated with dental attendance through patients’ autonomous motivation for dental treatment. (2) Patients’ controlled causality personality orientation and oral health care professionals’ controlling treatment styles, as perceived by patients, would both be positively indirectly associated with avoidance of making a dental clinic appointment through patients’ anxiety for dental treatment. A sample size of about 200 patients was estimated to be acceptable in detecting moderate effect sizes (independent variables: 5–6; power: .80; p < .05). Student patients (N = 226) responded to a survey with validated questionnaires. Using LISREL, both hypotheses were supported. In addition, patients’ perception of a controlling treatment style moderated the controlled personality—dental anxiety relation, so that a lower controlling treatment style mitigated dental anxiety substantially among patients with a high control orientation. Effect sizes were moderate to large. Analyses (Z-scores) also revealed that the autonomous personality is more strongly linked to situational autonomous motivation than situational autonomy support, whereas a controlled personality and a perceived controlling treatment style are equally and significantly associated to dental anxiety. Both patient personalities and oral health care professionals’ treatment styles are substantially linked to autonomous motivation and anxiety for dental treatment, which are relatively strongly associated with dental attendance and avoiding dental clinic appointments, respectively.     

Motivation for Dental Home Care: Testing a Self‐Determination Theory Model1

The present research developed the Self‐Regulation for Dental Home Care Questionnaire (SRDHCQ), based on self‐determination theory (SDT; Deci & Ryan, 2000 ), and used it in an SDT process model of dental health behaviors and self‐rated oral health. In this model, patients' perceptions of autonomy‐supportive (relative to controlling) dental professionals were expected to positively predict patients' psychological needs satisfaction in treatment. Needs satisfaction was expected to be positively related to autonomous motivation for dental home care and perceived dental competence, which were expected to be positively associated with self‐rated oral health and dental health behaviors. Confirmatory factor analysis of the 5‐factor SRDHCQ model fit the data very well, and a structural equation model supported the hypothesized process model.     

Oral health and dental well‐being: testing a self‐determination theory model

This study tested a self‐determination theory (SDT) process model of oral health and subjective dental well‐being. The results showed that: (1) patients' perceptions of autonomy‐supportive dental professionals were significantly positively predictive of patients' psychological needs satisfaction in treatment; (2) needs satisfaction was significantly related to perceived dental competence (positive), autonomous motivation (positive), and controlled motivation (negative) for dental care; (3) perceived competence was significantly positively, and controlled motivation was significantly negatively associated with self‐rated oral health and oral‐health‐related quality of life; (4) autonomous motivation for dental treatment was significantly positively associated with valuing continued dental treatment; and (5) the three oral‐health‐related variables were all significantly positively linked to subjective dental well‐being. A structural equation model supported the SDT process model.     

Motivation and anxiety for dental treatment: Testing a self-determination theory model of oral self-care behaviour and dental clinic attendance

The present study: (1) developed a Self-Regulation Questionnaire for Dental Treatment (SRQDT) based on Self-Determination Theory (SDT; Deci and Ryan, Psychol Inq 11:227–268, 2000), and (2) used it to test a SDT process model of oral self-care behaviours and dental clinic attendance. Patients’ perceptions of autonomy supportive (relative to controlling) dental professionals were expected to be positively associated with patients’ psychological needs satisfaction in treatment, which was expected to be positively related to relative autonomous motivation for dental treatment and perceived dental competence, and negatively related to anxiety for dental treatment. In turn, relative autonomous motivation for dental treatment and perceived dental competence were expected to be positively associated with oral self-care behaviours and dental clinic attendance. Anxiety for dental treatment was expected to be negatively related to dental clinic attendance and positively linked to putting off making a dental clinic appointment. Confirmatory factor analysis of the 5 factor SRQDT model fit the data very well, and a structural equation model supported the hypothesized process model.     

Predicting dental attendance from dental hygienists’ autonomy support and patients’ autonomous motivation: A randomised clinical trial

Objective: To test the hypothesis that a Self-Determination Theory (SDT) intervention designed to promote oral health care competence in an autonomy-supportive way would predict change in caries competence relative to standard care. Further, to test the SDT process path-model hypotheses with: (1) the intervention and individual differences in relative autonomous locus of causality (RALOC) predicting increases in caries competence, which in turn would positively predict dental attendance; (2) RALOC negatively predicting dental anxiety, which would negatively predict dental attendance; (3) RALOC and caries disease referred to the dentist after an autonomy-supportive clinical exam directly positively predicting dental attendance; and (4) the intervention moderating the link between RALOC and dental attendance.

Design: A randomised two-group experiment was conducted at a dental clinic with 138 patients (M_age = 23.31 yr., SD = 3.5), with pre- and post-measures in a period of 5.5 months.

Results: The experimental model was supported. The SDT path model fit the data well and supported the hypotheses explaining 63% of the variance in dental attendance.

Conclusions: Patients personality (RALOC) and hygienists promoting oral health care competence in an autonomy-supportive way, performance of autonomy-supportive clinical exams and reductions of anxiety for dental treatment have important practical implications for patients’ dental attendance.     

蒙汉族大学生父母教养方式、成人依恋与心理困扰的关系研究

通过整群抽样方法抽取了576名大学生,对其施测父母养育方式量表、亲密关系体验量表和心理困扰量表,运用结构方程模型技术,分别考察了父母养育方式的蒙汉族差异以及成人依恋模式在父母养育方式和心理困扰间的中介作用。结果表明:(1) 蒙古族父母对孩子的关爱程度和给孩子的自主性要显著高于汉族;(2) 汉族的成人依恋模式在父母过度保护与抑郁-焦虑-压力之间起着部分中介作用,而蒙古族成人依恋的中介作用不明显,但母亲的冷漠拒绝和过度保护会导致个体依恋回避和依恋焦虑,父亲的冷漠拒绝和过度保护会影响个体的抑郁和焦虑,母亲的过度保护和父亲的冷漠拒绝会影响个体的压力。     

Non‐Cognitive Constructs and Self‐Reported Creativity by Domain

The purpose of this study was to determine the extent to which non‐cognitive constructs (personality, thinking styles, motivation, and psychological well‐being) would predict self‐reported creativity across different domains among 266 college students. Consistent with hypotheses, openness, legislative thinking styles, and intrinsic motivation were significant predictors of overall self‐reported creativity and across several domains. Extraversion was also a key predictor. Some other relationships consistent with past research (such as disagreeableness and math/science creativity) were also noted.     

Prevention of school bullying: The important role of autonomy‐supportive teaching and internalization of pro‐social values

Background. This study examined students’ perceptions of autonomy‐supportive teaching (AST) and its relations to internalization of pro‐social values and bullying in class. Aims. We hypothesized that: (1) teachers’ AST, which involves provision of rationale and taking the student's perspective, would relate positively to students’ identified internalization of considerateness towards classmates, and would relate negatively to external regulation (considerateness to obtain rewards or avoid punishments); (2) students’ identified regulation would relate negatively to self‐reported bullying in class, whereas external regulation would relate positively to bullying; and (3) the relation between teachers’ AST and student bullying would be mediated by students’ identification with the value of considerateness towards others. Sample. The sample consisted of 725 junior high school students (50% females) in Grades 7 and 8 from 27 classes in four schools serving students from lower‐middle to middle‐class socioeconomic backgrounds. Method. The participants completed questionnaires assessing the variables of interest. Results. Correlational analysis supported the hypotheses. Moreover, mediational analyses using hierarchical linear modelling (HLM) demonstrated that identified regulation mediates the negative relation between AST and self‐reported bullying in class. The mediational hypothesis was supported at the between‐class level and at the within‐class level. Conclusions. The findings suggest that school policy aimed at bullying reduction should go beyond external control that involves external rewards and sanctions and should help teachers acquire autonomy‐supportive practices focusing on students’ meaningful internalization.     

Divergent Interpersonal Paths to Well‐Being for Insecurely Attached Emerging Adults

This study explored attachment, social support, and well‐being among 237 emerging adults. The model predicted that social support would (a) mediate the relationship between attachment anxiety and well‐being and (b) moderate the relationship between attachment avoidance and well‐being. All hypotheses were supported. Implications for counselors are discussed.     

Motivational Predictors of Change in Oral Health: An Experimental Test of Self-Determination Theory

We tested the hypothesis that a psychosocial dental intervention formulated in terms of self-determination theory would increase patients’ perceived competence and autonomous motivation for dental care and would decrease their plaque and gingivitis over a seven month period, compared to standard dental treatment. We also tested a process model in which the intervention was expected to increase perceived dental competence and autonomous motivation, that they would be positively associated with oral health behaviors (i.e., brushing and flossing), which was expected to decrease plaque and, in turn, decrease gingivitis. We also examined whether: changes in perceived competence and autonomous motivation would mediate the effect of the intervention on dental-health behaviors; dental-health behaviors would mediate the links from changes in perceived competence and autonomous motivation to change in plaque; and change in plaque would mediate the relation of dental health behaviors to change in gingivitis. Finally, we examined the fit of the overall model with structural equation modelling. Results supported all predictions.

Exploring the social side of self‐compassion: Relations with empathy and outgroup attitudes

Self‐compassion is a disposition involving compassionate attitudes toward the self when facing difficulties. We argued that specific self‐compassion components might influence indicators of openness to others, such as empathy and outgroup attitudes. We hypothesized that the component called common humanity versus isolation, involving the acknowledgement that one's sufferings are shared with all the other humans, would be positively related to the other‐oriented aspects of empathy, perspective taking and empathic concern, and to improved outgroup attitudes. We also hypothesized that the mindfulness versus over‐identification component, i.e., having a balanced view of one's situation avoiding exaggerations, would be associated with lowered personal distress. In three studies, with three independent samples, we regressed empathy and outgroup attitudes on self‐compassion components, while controlling for concurrent predictors such as self‐construal and attachment styles. Results supported our hypotheses, suggesting that improvements in empathy and outgroup attitudes may be fostered by positive individual dispositions.     

Peer support for women with breast cancer: the role of empathy and self‐disclosure

This study examined how women with breast cancer perceived different styles of peer helping. Forty recently diagnosed breast cancer patients evaluated three audiotaped conversations between a breast cancer patient and an (ex‐patient) volunteer helper; the conversations differed in terms of the empathy and self‐disclosure offered by the helper. The findings supported the first hypothesis, that a helping style involving high self‐disclosure would be positively evaluated only in the presence of high empathy. However, the findings did not support the second hypothesis, that in conversations where high empathy is present, a helping style involving high self‐disclosure would be evaluated more positively than one involving low self‐disclosure. Qualitative data suggested that the helper's ability to listen to the patient and the helper's appropriate sharing of her own experience of breast cancer were both perceived as important components of effective helping. Implications for the training and practice of volunteer helpers are discussed. Copyright © 1999 John Wiley & Sons, Ltd.     

Losing a self‐expanding relationship: Implications for the self‐concept

Previous research suggests that new relationships expand the self‐concept. The present research applies concepts from the self‐expansion model to examine the conditions under which relationship dissolution may influence the self‐concept. We hypothesized that the more expansion provided by a relationship predissolution, the greater the contraction of the working self‐concept postdissolution, and that this pattern would remain when controlling for predissolution closeness. These hypotheses were tested using recall of relationship qualities for recently dissolved relationships (Studies 1 and 2), as well as with a priming experiment (Study 3). The findings over the 3 studies supported both hypotheses. Those with higher levels of self‐expansion in predissolution relationships showed more detrimental impact on their working self‐concept postdissolution, even after controlling for predissolution closeness.     

We'll never get past the glass ceiling! Meta‐stereotyping,world‐views and perceived relative group‐worth

This article examines the implications of perceived negativity from members of a dominant outgroup on the world views and perceived relative group worth of members of disadvantaged groups. We hypothesized that concerns about the negative opinions a dominant outgroup is perceived to hold of the ingroup (i.e., meta‐stereotypes) would undermine group members' views about societal fairness. We expected this trend to be mediated by recall of previous personal experiences of discrimination. We further hypothesized that members' views about societal fairness would predict their perception of the ingroup's worth relative to the outgroup – such that undermined views about societal fairness would be associated with lower perceived ingroup worth relative to the outgroup. Taken jointly, results from two studies using two real intergroup contexts support these hypotheses and are discussed in terms of their implications for the social mobility of members of disadvantaged groups.     

Self‐construal and students’ math self‐concept,anxiety and achievement: An examination of achievement goals as mediators

This study examines the role of self‐construal in student learning by testing a mediation model: through math achievement goals, self‐construal predicts math self‐concept and anxiety, which further predict math achievement. A sample of 1196 students from 104 secondary classes in Singapore took a survey and a math achievement test. The results from multi‐group structural equation modelling support measurement invariance and equal path coefficients in the mediation model between boys and girls. Interdependent self‐construal positively predicted mastery approach and avoidance goals, through which interdependent self‐construal had a positive total indirect effect on math anxiety. Independent self‐construal positively predicted mastery approach, performance approach and performance avoidance goals, and through the two approach goals, high independent self‐construal was associated with high math self‐concept. Overall, self‐construal was not associated with math achievement. The findings enhance our understanding of achievement motivation from a sociocultural perspective and help explain East Asian students’ relatively higher anxiety and lower self‐concept in comparison with their Western counterparts as reported in international studies.     

PREDICTORS OF SELF‐REPORTED GAINS IN A RELATIONSHIP‐BASED HOME‐VISITING PROJECT FOR MOTHERS AFTER CHILDBIRTH

We assessed mothers’ self‐reported gains from a postpartum home‐visiting (HV) project in which home visitors are volunteer mothers from the community. Hypotheses were that gains are positively related to (a) mothers’ felt‐closeness with their home visitor, (b) mothers’ level of sociodemographic risk, and (c) the home visitors’ preproject training in support services for families or children (Professionalism). One hundred sixty‐four clients returned written evaluations of the HV project. Items assessing gains were reduced to two factors: Improved Well‐Being (“Self”) and Improved Infant Care (“Infant”). Repeated measures general linear models, with Gains (Self, Infant) as the repeated measure, and multiple regression analyses evaluated the hypotheses. Across the sample, gains on both factors were moderate, although gain scores were higher regarding Self than for Infant. Results show that (a) Mothers’ felt‐closeness with their volunteer was strongly related to mothers’ gains; (b) high‐risk mothers gained more from the project than did mothers of lower risk, particularly regarding Infant Care; and (c) mothers visited by volunteers who were professionals reported more substantial gains than did mothers visited by volunteers who were not professionals. Findings can help explain variance in mothers’ gains from such projects and could be useful in improving their efficacy.     

The relationship between the adult attachment and the tendency to judge others as liars

The relationship between 2 dimensions (anxiety and avoidance) of adult attachment and tendency to judge others as liars was examined in this study. We measured 308 participants' adult attachment and tendency to judge others as liars in self‐, other‐, or relationship‐oriented situations. Results supported our hypotheses by showing that (a) anxiety positively predicted the tendency to judge others as liars in self‐oriented situations and (b) avoidance moderated the relationship between anxiety and the tendency to judge others as liars in other‐ and relationship‐oriented situations. Attachment anxiety could positively predict the tendency to judge others as liars only when participants' avoidance was high. Theoretical implications and suggestions for future studies were discussed.     

Self‐confidence,anxiety, and post‐purchase dissonance: a panel study

This study proposes an integrated conceptual model of the antecedents of post‐purchase dissonance. Data were gathered via a two‐stage panel study among consumers who made purchase of technology items. Study results demonstrate that consumer chronic characteristics (i.e., trait anxiety and generalized self‐confidence) not only directly influence post‐purchase dissonance positively and negatively but also are mediated by consumers' temporary feelings (i.e., state anxiety and specific self‐confidence) toward a purchase situation, and then indirectly influence post‐purchase dissonance positively and negatively. Trait anxiety positively influences state anxiety and that generalized self‐confidence and specific self‐confidence negatively influence state anxiety. Furthermore, trait anxiety appears to negatively influence specific self‐confidence, and generalized self‐confidence appears to negatively influence trait anxiety and positively influence specific self‐confidence.     

Achievement Goals,Physical Self‐Concept,and Social Physique Anxiety in a Physical Activity Context1

Three studies tested relations between self‐related constructs and approach and avoidance achievement goals in a health‐related physical activity context. Physical self‐concept was hypothesized to be positively related, and social physique anxiety to be negatively related, to approach goals in physical activity. Achievement goals were also expected to mediate relations between the self‐related constructs and behavior. Structural equation models supported the hypothesized pattern of effects in a physical activity context (Study 1). The model for physical activity was invariant across collectivistic and individualistic cultures (Study 2). Relations between physical self‐concept, social physique anxiety, and achievement goals were stronger among regular gym and fitness center users than among nonusers (Study 3). The findings are discussed in relation to achievement goal theory.     

The relationship between psychological well- and ill-being,and perceived autonomy supportive and controlling interpersonal styles: A longitudinal study of sport coaches

The present study longitudinally explored sports coaches' psychological well-being (positive affect and integration of coaching with one's sense of self) and ill-being (negative affect and devaluation of coaching) as predictors of their perceived autonomy supportive and controlling interpersonal styles towards individuals under their instruction. Participants were 195 sport coaches who completed questionnaire measures at three time points across an eleven-month period. Controlling for social desirability, multilevel analyses revealed that within-person increases and individual differences in positive affect and integration were positively associated with autonomy support. Conversely, within-person increases and individual differences in negative affect, but not devaluation, were associated with increased use of interpersonal control. The indicators of well-being did not predict interpersonal control and the indicators of ill-being did not predict autonomy support. In their entirety, the present findings suggest that autonomy supportive and controlling interpersonal styles have unique correlates, and affective determinants may play a particularly central role in controlling interpersonal styles. Supporting the psychological health of coaches may lead them to create an adaptive interpersonal environment for their athletes.