Therapist attitudes and countertransference as predictors of professional quality of life and burnout among psychotherapists

This study aimed to examine the role of attitudes towards psychotherapy and countertransference dimensions as predictors of professional quality of life and burnout among psychotherapists in Iran. Participants were 259 psychotherapists who worked in mental health centres in Tehran (Iran), and they completed the Professional Quality of Life questionnaire, the Therapist Response Questionnaire and the Therapist Attitudes Scale. Professional quality of life was associated with countertransference dimensions and attitude towards psychotherapy. This study concludes that psychotherapists can benefit from working on their specific countertransference issues and re-evaluating their basic attitudes towards psychotherapy to achieve the highest levels of professional satisfaction. Culture may play a role in a specific therapist's attitude and difficulties in addressing certain aspects of countertransference.     

Self-efficacy moderates the relationship between stress appraisal and quality of life among rescue workers

Abstract

Rescue workers are frequently exposed to highly stressful situations during their everyday work activity. Stress and coping theory emphasizes the interaction between primary and secondary appraisal in determining coping responses to stressful events and quality of life. According to Social Cognitive Theory, stress reactions depend on self-appraisal of coping capabilities.

The present study investigated whether self-efficacy moderates the relationship between stress appraisal and professional quality of life. A self-administered questionnaire was submitted to a sample of 451 Italian rescue workers (firefighters, paramedics, and medical technicians), including the Professional Quality of Life Scale, which measures three dimensions of emergency workers' quality of working life: compassion fatigue, burnout, and compassion satisfaction. Multiple regression analyses indicated that the relationship between stress appraisal and professional quality of life was significant only among rescue workers with low levels of self-efficacy but not among those with higher levels of self-efficacy. These results confirmed the expectations based on Social Cognitive Theory that self-efficacy buffers the impact of perceived stressful encounters on professional quality of life. Results suggest the usefulness of interventions aimed at increasing rescue workers' psychosocial skills.     

Self-efficacy and its relationship with satisfaction with life and happiness among university students

This study set out to examine the relationship between self-efficacy and satisfaction with life and happiness among university students in South Africa. The sample comprised 334 students (female = 222, male = 112, black = 96%, mean age = 23 years). The students completed a general self-efficacy scale, the satisfaction with life scale and the subjective happiness scale. Data were analysed utilising regression approaches to predict students’ satisfaction with life and happiness from self-efficacy. The results revealed higher self-efficacy scores to predict both higher satisfaction with life and happiness in both males and females. Self-efficacy seems to facilitate both satisfaction with life and happiness in general.     

The effect of diabetes knowledge and attitudes on self-management and quality of life among people with type 2 diabetes

We examined the effect of diabetes knowledge and attitudes on self-management and quality of life (QoL) of people with type 2 diabetes mellitus (T2DM). We employed a cross-sectional study design. A total of 137 female and 129 male participants with T2DM completed the diabetes knowledge scale (DKN), Diabetes Integration Scale-19 (ATT19), Summary of Diabetes Self-care Activities (SDSCA) scale, and Diabetes Quality of Life (DQoL) scale, measuring diabetes knowledge, attitudes, self-management, and QoL respectively. The SDSCA scale measures diet, exercise, blood glucose monitoring, and foot care. The DQoL scale measures satisfaction and impact of QoL. An initial path model that tested the inter-relationships of the study variables was first identified based on previous research. Then, the path model was tested using Mplus 7.3. In the final model, diabetes knowledge was a significant predictor of attitudes and self-management in terms of blood glucose monitoring and foot care. Attitudes was a significant predictor of impact of QoL. Self-management in terms of blood glucose monitoring was a significant predictor of impact of QoL and diet was a significant predictor of satisfaction and impact of QoL. Exercise and foot care aspects of Self-management were significant predictors of satisfaction and impact of QoL respectively. The final model showed a good fit to the data: RMSEA = .045 (90% CI: .009, .071; Clfit = .601), CFI = .950, SRMR = .058. The findings suggest a theoretical basis to direct the development of appropriate health programs and interventions for improving QoL in people with T2DM and warrant replication in diverse samples.     

Burnout,compassion fatigue and compassion satisfaction among nurses in the context of maternal and perinatal deaths

This study investigated the prevalence and levels of burnout, compassion fatigue and compassion satisfaction among nurses with exposure to maternal and perinatal deaths. A convenience sample of 83 nurses was selected for participation from six hospitals in Limpopo province, South Africa, comprising 98% females with an age range of 21 to 62 years, and 15 to 18 mean years of experience in maternal and perinatal care. The nurses completed the Professional Quality of Life Scale (ProQOL R-IV), which is a measure of burnout, compassion fatigue and compassion satisfaction. The analysis examined the prevalence and level of burnout, compassion fatigue and compassion satisfaction among the nurses. Most of the respondents (92%) reported with moderate burnout scores, and about 67% reported with moderate to high compassion fatigue scores, whilst 82% reported with compassion satisfaction scores. Moderate levels of high burnout and compassion fatigue can co-occur with relatively high compassion satisfaction among nurses in critical-care health services.     

Exploring the relationship between secondary traumatic stress,professional identity and career factors for counsellors

This study used a correlational research design to explore the relationship between secondary traumatic stress, counsellor professional identity and career factors, including work setting and amount of counselling experience, among counsellor practitioners. A sample of 1,218 counsellors completed an online survey including the Secondary Traumatic Stress Scale (STSS), Professional Identity Scale in Counseling and career factors. Career factors included context of work environments including years of experience, licence status, type of practice and work setting. Multiple regression analysis with forward selection demonstrated that, out of all the variables, professional identity emerged as the best predictor of secondary traumatic stress. One-way ANOVA showed significant group differences in the level of counsellors' secondary traumatic stress based on work setting, level of experience, type of practice and gender. Discussion explores how career and personal factors impact counsellor experiences of professional identity and secondary trauma in mental health settings.     

Physical activity and psychosomatic-related health problems as correlates of quality of life among university students

This study aimed to investigate the role of psychosomatic problems in the relationship between physical activity and healthrelated quality of life. Participants were a convenience sample of 703 students from a South African university (males = 38.8%, females = 61.2%, mean age = 19.6 years, SD = 1.26 years). The students completed measures of physical activity, psychosomatic-related health problems and quality of life-related. The hypothesised model was tested using structural equation modelling (SEM). The empirical findings revealed that psychosomatic problems mediated the relationship between physical activity and quality of life. In fact, the mediation analyses showed a partial effect of physical activity on quality of life in that those students with less self-reported activity experienced several psychosomatic-related health problems.     

The role of coping in the relationship between stressful life events and quality of life in persons with cancer

Objective: Stressful life events (SLEs) impact the quality of life (QOL) of cancer patients. This study investigated the mediation of the relationship between SLEs and QOL (Model 1: Emotional-EQOL and Model 2: Physical/Functional-PFQOL by three types of coping: Action/Planning, Support/Advise-Seeking, and Disengagement/Denial). Design and Main Measures: 662 persons with cancer completed a Stressful Life Events Checklist, the Brief COPE scale, the FACT Emotional, Physical, and Functional Scales, and the Physical Impact Scale of the Sickness Impact Profile. Results: SLEs were positively associated with Action/Planning (Model 1: B?=?0.195, 95% CI = [0.089, 0.304]; Model 2: B?=?0.192, 95% CI = [0.086, 0.289]) and Disengagement/Denial (Model 1: B?=?0.394, 95% CI = [0.281, 0.513]; Model 2: B = .392, 95% CI = [0.285, 0.508]) but not Support/Advice-Seeking; however, only Disengagement/Denial was related to Emotional-QOL (Model 1: B = ?0.659, 95% CI = [?0.848, ?0.498]) and Physical/Functional-QOL (Model 2: B = ?1.460, 95% CI = [?1.856, ?1.069]). Thus, only Disengagement/Denial mediated the relationship between SLEs and QOL. Conclusions: The results indicated that SLEs represent a class of events for which there may be only one dominant coping response, disengagement. SLEs may not be controllable or predictable and reduce capacity for active coping with serious illness. However, SLEs may be detected at any point in the cancer trajectory so that supportive services might be provided.     

Compassion satisfaction,compassion fatigue,and burnout in a national sample of trauma treatment therapists

Abstract

For behavioral health professionals working with traumatized clients, continuous and prolonged exposure to the stress of working with the myriad of trauma-related stressors experienced by their clients can lead to various responses including burnout, compassion fatigue, and compassion satisfaction. The present study investigates the impact of using evidence-based practices on compassion fatigue, burnout, and compassion satisfaction in a random, national sample of self-identified trauma specialists (N=532). The 30-item Professional Quality of Life Scale (Stamm, 2005) and the 19-item Trauma Practices Questionnaire (Craig & Sprang, 2009) were included in a survey to licensed social workers and psychologists from professional membership rosters. Age and years of experience proved to be powerful predictors of only two of the three criterion variables, with younger professionals reporting higher levels of burnout and more experienced providers endorsing higher levels of compassion satisfaction. The utilization of evidence-based practices predicted statistically significant decreases in compassion fatigue and burnout, and increases in compassion satisfaction. The utility of these findings in understanding the process of trauma transmission between therapist and client as well as directions for future research are discussed.     

Socio-ecological influences of attitudes toward disability among Kenyan undergraduate students

This study examined personal and contextual variables as predictors of attitudes toward disability at a Kenyan higher education setting. Participants were a convenience sample of 309 undergraduate students at a Kenyan university enrolled in Sociology, Social Work, Psychology, Political Science, and Public Administration majors. Data on attitudes were collected using the Attitudes Towards Disabled Persons scale (ATDP: Antonac & Livneh, 1988). A cross-sectional survey design was employed for data collection, and a multiple regression analysis was used for data analysis. Results revealed that the model was significant: F (9, 250)?=?2.784, p?=?0.004. However, only age (β?=?0.173, p?=?0.044) significantly predicted attitudes towards disability, indicating older students held more positive attitudes than their younger counterparts. Older students had a more favourable attitude towards people with disabilities than younger students. Seniority, by age, is highly valued in Africa than perhaps anywhere in the world. Kenyan older adults may be key to enhancing favourable attitudes toward individuals with disabilities in Kenya as well as interventions aimed at changing negative attitudes towards people with disabilities.     

Enhancing quality of life by shifting importance perception among life domains

The purpose of this study was to (1) construct an index to indicate the strength of a tendency to upgrade importance of life domains with lower have–want discrepancy and downgrade importance of life domains with larger have–want discrepancy for an individual (termed shifting tendency) and (2) use this index to test if shifting tendency has a positive correlation with global life satisfaction. The dataset was gain from Wu and Yao, 2006, Social Indicators Research, 79, 485–502), in which 332 undergraduate students at National Taiwan University participated in the survey. The mean age was 19.80 years (SD = 1.98). They completed a quality of life questionnaire, which contains 12 life domains. Satisfaction, importance and perceived have–want discrepancy were measured for 12 different life domains. Global life satisfaction was measured as well. Results showed that shifting tendency had a positive and significant correlation with average domain satisfaction and global life satisfaction. In addition, shifting tendency and have–want discrepancy had unique effects in predicting average domain satisfaction and global life satisfaction, suggesting that shifting tendency itself can contribute to a better QOL. The role of shifting tendency on QOL was discussed.     

大学生生活事件与抑郁的关系：有调节的中介作用

基于当前抑郁的实证和理论研究现状,对大学生抑郁的形成过程进行探究。采用大学生生活事件量表、流调中心用抑郁量表、自尊量表、多维度多归因因果量表、大五人格神经质分量表,以882名大学生为被试展开调查。结果发现：（1）大学生生活事件、自尊、抑郁、神经质、归因方式等两两显著相关;（2）大学生抑郁的形成过程是多路径的,多层次的,既有生活事件对抑郁的直接作用,又有生活事件对抑郁的间接作用;既有归因方式的简单中间作用,又有归因方式和自尊的链式中介作用,并且神经质在自尊到抑郁的路径中起调节作用。结果表明,大学生生活事件对抑郁的影响是有调节的中介作用,对此进行有针对性的干预可以减少抑郁的发生。     

Religious coping,stress, and quality of life of Muslim university students in New Zealand

Most of the research on religious coping has been conducted with Christian participants from Western cultures, although in recent years increasingly more studies have been conducted with Muslim participants. For university students in Muslim countries, religiosity is positively correlated with a variety of indices of mental health and psychological well-being, but only a small number of studies investigated coping in Muslims living and studying in a non-Muslim country. The present study thus explored the relationship between perceived stress, quality of life (QOL), and religious coping in a sample of 114 Muslim university students in New Zealand. International Muslim students had higher levels of spirituality/religiousness than domestic Muslim students, and used more positive and negative religious coping methods. For international students, positive religious coping was positively related to QOL and lack of stress, while, for domestic students, negative religious coping was negatively related to the QOL and increased stress. This different pattern may relate to the ethnic background of the participants, and the results of the present study thus highlight that Muslims studying at universities overseas can certainly not be considered as a homogenous group.     

Age and burnout syndrome in nursing professionals: moderating role of emotion-focused coping

This study examined whether the association between age and the three burnout dimensions (emotional exhaustion, depersonalisation and reduced personal accomplishment) depend on the extent of nursing professionals’ use of emotion-focused coping strategy. Participants were 283 nurses (Mage = 35 years, SD = 8.17, Range = 23–66 years) from a tertiary healthcare institution in south-eastern Nigeria. They completed self-report measures of relevant variables in paper and pencil form. Increased age was associated with reduced personal accomplishment for nurses with high emotion-focused coping, but not for those who were low or moderate in use of emotion-focused coping. Such moderation effects were not found for emotional exhaustion and depersonalisation. Findings clarify the conditions under which age may be associated with reduced sense of achievement at work among nursing professionals. The study adds to knowledge in combating burnout in nursing and could guide health managers in developing strategies that might prevent or ameliorate nurses’ burnout.     

The relationship between beliefs about emotions and quality of life in irritable bowel syndrome

Suppression of undesirable emotions, as well as beliefs about the unacceptability of experiencing and expressing emotions, have both been shown to be related to poorer health-related outcomes in several clinical groups. Potential models through which these variables relate have yet to be tested in those with irritable bowel syndrome (IBS) and are therefore examined in the current article. Online questionnaires were administered to people with IBS (n = 84) to test a mediation model in which beliefs about the unacceptability of emotions are associated with greater emotional suppression, which in turn relates to increased affective distress and consequently poorer quality of life. An alternate model to test the direction of effect along with two further models using support-seeking as mediators of the same predictor and outcome were also tested. Emotional suppression and affective distress (in that particular order) mediate the relationship between beliefs about emotions and quality of life IBS. The models using support-seeking as mediators of the relationship between beliefs about emotions and the two outcomes were not supported. These findings suggest a role for emotional processing in medically unexplained symptoms and imply the need to address such beliefs about emotions in psychological therapies.     

Age moderates the link between relationship desire and life satisfaction among singles

Higher desire for a romantic partner has been shown to be associated with lower life satisfaction for singles, but research has not considered whether the strength of this association might vary across age groups. We collected data from single participants (N = 3057) across a broad age range (18 to 75 years of age, mean = 36.12, standard deviation [SD] = 12.34) to examine age as a moderator of the relationship between desire for a partner and singles' life satisfaction. Our results suggest that having greater desire for a partner is associated with lower life satisfaction for older (1 SD above the mean or 48.46 years) versus younger (1 SD below the mean or 23.78 years) individuals. We also found some evidence that this age-dependent association was stronger for women than men. Further, this interaction effect remained largely unchanged controlling for participants' attachment anxiety or avoidance. This study highlights the importance of considering how singlehood may play out differently for individuals at different life stages.     

The relationship between post-trauma problem reporting and carer quality of life after severe head injury

Abstract

Head injury is a significant cause of death and disability. This study examined the quality of life of carers of individuals following severe head injury from the acute neurosurgical care period to one year post discharge from hospital. The contribution of patterns of problem reporting by patients and their carers to quality of life was examined. Carer psychosocial adjustment and individual quality of life evaluations were significantly poorer than general population levels and did not change over a one year period. However, significant increases in the number of problems reported were noted over time. No significant differences were found between patients and carers in the numbers of problems identified at each of three assessments, although the level of agreement about problems identified was quite low. Female patients reported significantly more problems than male patients. Carer problem reporting was found to significantly predict carer quality of life and psychosocial functioning to a greater extent than patient problem reporting, a pattern which emerged after the patient had been discharged from hospital. The study demonstrates increasing problem profiles and differing perceptions of patients and carers over time. Combined with a lack of improvement in carer quality of life over a one year recovery period, this highlights the need for longer-term professional support and advice services aimed at both patients and carers.     

Gender differences in life satisfaction and spiritual health among the junior immigrant and local Hong Kong secondary students

This article examines differences in life satisfaction and spiritual health (SH) between male and female and between immigrant and local Chinese junior secondary students in Hong Kong. Both the Multi-Dimensional Students’ Life Satisfaction Scale (MSLSS) and Spiritual Health and Life Orientation Measure (SHALOM) were employed. The sample comprised 6917 junior secondary students, aged 12–15. Results indicate that gender differences exist in specific domain scores of MSLSS and SHALOM. Overall, girls reported higher levels of life satisfaction and SH than boys. Segmented and differentiated interaction effects were identified. Greater interaction effects with regard to religious affiliation were noted among SA students compared to Hong Kong Chinese and CIS. Religious Chinese immigrant boys scored higher on their personal–communal combined life satisfaction but lower on their transcendental well-being compared to their Hong Kong counterparts. Significant parental education and family income moderation effects were only observed on the SH of local Chinese girls.     

Life Satisfaction and Violent Behaviors among Middle School Students

We explored relationships between violent behaviors and perceived life satisfaction among 2,138 middle school students in a southern state using the CDC Middle School Youth Risk Behavior Survey (MSYRBS) and the Brief Multidimensional Student Life Satisfaction Scale (BMSLSS). Logistic regression analyses and multivariate models constructed separately revealed significant race by gender results. Odds ratios and 95% confidence intervals were calculated for the variables of interest. Having ever carried a gun, ever carried a knife/club, physical fighting and physical fighting with need for medical treatment were associated (p ≤ .05) with reduced life satisfaction for specific race/gender groups, while controlling for SES and grade. Results suggest implications for school-community based violence prevention programs. Future research should consider measures of life satisfaction as a component of comprehensive assessments of middle school student violence and aggressive behaviors in fieldwork, intervention research and program evaluation.