Burnout in Health Care: The Role of the Five Factors of Personality

Job burnout continues to plague organizations and individuals, resulting in costly consequences. In examining the antecedents to job burnout, prior research has primarily focused on role stressors present in the job environment. with little attention given to individual characteristics. The purpose of this field study was to examine the extent to which dimensions of an individual's personality have differential efects on the 3 components of burnout (emotional exhaustion, depersonalization. and diminished personal accomplishment) among nurses working in a hospital. After controlling for several demographic variables and 3 role stressors, findings indicate that specific dimensions of personality do significantly and differentially impact the experience of the 3 components of burnout.     

Personal Dispositions and Shift‐Work Tolerance: A Longitudinal Study of Municipality Shift Workers

The aim of this study was to investigate how dispositional resistance to change and neuroticism could predict shift‐work tolerance (SWT) over a period of 6 months. Electronic questionnaires were completed by 74 shift workers employed in a municipality in Norway in January 2013 (1st wave of data collection) and in June 2013 (2nd wave of data collection). The findings suggest that individual differences, especially neuroticism, can predict SWT over a period of 6 months.     

员工工作倦怠的发展模型:来自纵向研究的证据

采用Maslach工作倦怠量表对263名企业员工在一年时间内的三个等距时间点(T1,T2,T3)的工作倦怠进行测量,纵向研究中国文化背景下工作倦怠的发展规律,并比较工作倦怠发展的六种因果模型。研究结果表明,去人性化影响成就感降低,且这种影响具有跨时间一致性;但是情绪衰竭和去人性化相互影响的跨时间一致性较低,如T1情绪衰竭影响T2去人性化,但是T2情绪衰竭对T3去人性化的影响不显著;T1去人性化对T2情绪衰竭的影响不显著,但是T2去人性化影响T3情绪衰竭。去人性化在工作倦怠的发展中具有非常重要的作用。     

The Job Demands-Resources Model and Job Burnout: The Mediating Role of Personal Resources

The primary purpose of this study is to test whether the effect of workload on emotional exhaustion (health impairment process) and social support on depersonalization (motivation process) could be mediated by personal resources such as self-efficacy, self-esteem and optimism. Two multiple mediation models are tested separately, and then the point estimate and bias-corrected and accelerated 95 % confidence interval of the total and specific indirect effect are determined using the bootstrap approach with 1000 bootstrapped samples. The results show that workload positively affects emotional exhaustion, whereas social support negatively affects depersonalization, thus further corroborating the health impairment process and motivation process as assumed by the job demands-resources (JD-R) model. The total indirect effect is significant for both models, and self-esteem and optimism are the significant mediators for the health impairment process, whereas only optimism is the significant mediator for the motivation process.     

The Conditional Analysis of Dispositions and the Intrinsic Dispositions Thesis

The idea that dispositions are an intrinsic matter has been popular among contemporary philosophers of dispositions. In this paper I will first state this idea as exactly as possible. I will then examine whether it poses any threat to the two current versions of the conditional analysis of dispositions, namely, the simple and reformed conditional analysis of dispositions. The upshot is that the intrinsic nature of dispositions, when properly understood, doesn't spell trouble for either of the two versions of the conditional analysis of dispositions. Along the way, I will propose an extensionally correct and practically useful criterion for identifying nomically intrinsic dispositions and criticize one objection raised by Lewis against the simple conditional analysis of dispositions.     

Outdoor Behavioral Health Care: A Longitudinal Assessment of Young Adult Outcomes

This article details a 3‐year outdoor behavioral health care outcome study. Hierarchical linear modeling was used to analyze data from 186 young adults in a wilderness therapy program. Participants completed the Outcome Questionnaire–45.2 (Lambert et al., 2004 ) 6 times from Week 1 to 18‐month postdischarge follow‐up. Results indicated that clinically and statistically significant change occurred in treatment. Rates of change varied, and posttreatment scores remained stable, thus demonstrating that in‐treatment gains were maintained. Implications and recommendations for future research are discussed.     

Perceived Overqualification and Health: A Longitudinal Analysis

Abstract

The authors examined the effects of perceived overqualification on health and health decline by means of a 2-wave panel study of members of a midwestern American Postal Workers Union local. The 1st hypothesis was that overqualification was negatively related to health at Time 2 (T2); the second hypothesis was that overqualification was positively related to perceived health decline at T2. Neither was supported by the data. However, the relationships were in the expected direction for perceived mismatch but not for the perceived no grow dimension of overqualification. The results imply that perceived no grow may have immediate threats to health, whereas perceived mismatch may have longer term implications for health. The stability of perceived health between Time 1 (T1) and T2 could overshadow a longitudinal effect of overqualification on health and health decline at T2.     

Promoting Mental Health Equity: The Role of Integrated Care

People suffering from mental illness experience poor physical health outcomes, including an average life expectancy of 25 years less than the rest of the population. Stigma is a frequent barrier to accessing behavioral health services. Health equity refers to the opportunity for all people to experience optimal health; the social determinants of health can enable or impede health equity. Recommendations from the U.S. government and the World Health Organization support mental health promotion while recognizing barriers that preclude health equity. The United States Preventive Services Task Force recently recommended screening all adults for depression. The Satcher Health Leadership Institute at the Morehouse School of Medicine (SHLI/MSM) is committed to developing leaders who will help to reduce health disparities as the nation moves toward health equity. The SHLI/MSM Integrated Care Leadership Program (ICLP) provides clinical and administrative healthcare professionals with knowledge and training to develop culturally-sensitive integrated care practices. Integrating behavioral health and primary care improves quality of life and lowers health system costs.     

Gender Differences in Mental Health: The Mediating Role of Perceived Personal Discrimination

Why is women's mental health inferior to that of men? This study hypothesized that women's mental health is not as good as men's because women perceive more personal discrimination. It was confirmed that women obtained higher scores than did men on a subjective scale of psychological distress. Additionally, women perceived greater personal and group discrimination than did men. Perceived personal discrimination proved to be the more robust predictor of psychological distress. This was evident when results of a mediation analysis revealed that gender differences in subjective distress were mediated by the measure of perceived personal discrimination, but not by the measure of group discrimination.     

Quality Improvement in Health Care: The Role of Psychologists and Psychology

Quality Improvement (QI) is a health care interprofessional team activity wherein psychology as a field and individual psychologists in health care settings can and should adopt a more robust presence. The current article makes the argument for why psychology’s participation in QI is good for health care, is good for our profession, and is the right thing to do for the patients and families we serve. It reviews the varied ways individual psychologists and our profession can integrate quality processes and improve health care through: (1) our approach to our daily work; (2) our roles on health care teams and involvement in organizational initiatives; (3) opportunities for teaching and scholarship; and (4) system redesign and advocacy within our health care organizations and health care environment.     

Marital Conflict and Health in Taiwan: A Dyadic Longitudinal Analysis

Marital conflict is predictive of physical health; however, there are few studies that demonstrate this relationship in Chinese cultures. The purpose of this study was to test the effect of marital conflict on physical health among couples in Taiwan. This study utilized dyadic data of 239 married couples from three waves of a longitudinal study on work and family issues conducted in Taiwan. This study used participant’s reports of marital conflict at time 2, depressive symptoms at time 3, and physical health at time 4. Using a time-sequential method of analysis, results indicated that marital conflict was indirectly predictive of physical health 2 years later, with depressive symptoms fully mediating this relationship for husbands and wives. There were no significant partner effects or gender differences. The findings of this study provide evidence that the quality of marital relationships is important for the physical wellbeing of couples in Chinese cultures.     

国际健康目标与卫生改革的新导向——重视预防保健的作用

由于认识到卫生系统的大部分资源主要花费在疾病的治疗上,这种资源配置不当不仅导致巨额医疗费用负担和低效率,并没有获得好的健康结果;因此,近年许多发达国家的健康目标与卫生改革出现了一个新的导向,日益重视预防保健的作用;并采取优先选择的方式,确保资源优先配置给对人群健康最需要、资源投入最具有成本效果的保健服务.这种改革已取得了一些成效.这一改革导向对我国正在进行的医药卫生体制改革的制度设计与政策开发提供了启示.     

国际健康目标与卫生改革的新导向——重视预防保健的作用

由于认识到卫生系统的大部分资源主要花费在疾病的治疗上,这种资源配置不当不仅导致巨额医疗费用负担和低效率,并没有获得好的健康结果;因此,近年许多发达国家的健康目标与卫生改革出现了一个新的导向,日益重视预防保健的作用;并采取优先选择的方式,确保资源优先配置给对人群健康最需要、资源投入最具有成本效果的保健服务。这种改革已取得了一些成效。这一改革导向对我国正在进行的医药卫生体制改革的制度设计与政策开发提供了启示。     

社区卫生服务在医疗体制改革中的作用和地位—英国的经验与教训

社区卫生服务通过六位一体的服务可以合理疏导医疗服务需求,解决医疗服务的公平性和合理控制医疗费用增长过快,在医疗体制改革中扮演着制约医院服务的重要角色。没有社区卫生服务组织和全科医生的积极参与和强有力的制约,医疗市场很难形成有效的竞争,医疗体制改革的初衷就很难实现。英国在该方面的经验与教训,足以引起起我们的关注与警惕,结合中国国情来借鉴,渴望我国在该方面的发展更趋稳定和合理。     

手机依赖与青少年心理健康的关系:学业倦怠的中介作用和应对方式的调节作用

为探讨青少年手机依赖、学业倦怠、应对方式与心理健康的关系及作用机制,采用手机依赖指数量表、初中生学习倦怠问卷、简易应对方式问卷和SCL-90心理症状自评量表,对黑龙江、天津、山东、河南、江西8所高校的在校大学生以及河南省2所初中、2所高中的中学生共1191名青少年进行测查。结构方程模型的分析结果表明:(1)手机依赖对青少年心理健康有显著的负向预测作用;(2)学业倦怠在手机依赖和心理健康之间发挥部分中介作用;(3)消极应对方式调节了手机依赖通过学业倦怠影响青少年心理健康中介作用的后半段路径,相对于低消极应对的青少年,中介作用在高消极应对的青少年中更显著。该研究结果对维护和促进手机移动互联网时代青少年心理健康具有积极启示意义。     

Basic Personal Values,Core Political Values,and Voting: A Longitudinal Analysis

We theorize that political values express basic personal values in the domain of politics. We test a set of hypotheses that specify how the motivational structure of basic values constrains and gives coherence to core political values. We also test the hypothesis that core political values mediate relations of basic personal values to voting demonstrated in previous research. We measured the basic personal values, core political values, and vote of Italian adults both before (n = 1699) and after (n = 1030) the 2006 national election. Basic values explained substantial variance in each of eight political values (22% to 53%) and predicted voting significantly. Correlations and an MDS projection of relations among basic values and political values supported the hypothesized coherent structuring of core political values by basic values. Core political values fully mediated relations of basic values to voting, supporting a basic values—political values—voting causal hierarchy.     

Personal Violence in the Schools: The Role of the Counselor

The authors discuss interpersonal violence in the schools, along with specific roles that counselors can assume in intervening and creating solutions for change at different system levels.