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Evidence supporting the effectiveness of cognitive behavior therapy (CBT) for stress-related illness is growing, but little is known about its mechanisms of change. The aim of this study was to investigate potential mediators of CBT for severe stress in form of clinical burnout, using an active psychological treatment as comparator. We used linear mixed models to analyze data from patients (N = 82) with clinical burnout who received either CBT or another psychological treatment in a randomized controlled trial. Potential mediators (i.e., sleep quality, behavioral activation, perceived competence, and therapeutic alliance) and outcome (i.e., symptoms of burnout) were assessed weekly during treatment. The results showed that the positive treatment effects on symptoms of burnout favoring CBT (estimated between-group d = 0.93) were mediated by improvements in sleep quality, ab = -0.017, 95% CIasymmetric [-0.037, -0.002], and increase in perceived competence, ab = -0.037, 95% CIasymmetric [-0.070, -0.010]. Behavioral activation, ab = -0.004 [-0.016, 0.007], and therapeutic alliance, ab = 0.002 [-0.006, 0.011], did not significantly mediate the difference in effects between the treatments. Improving sleep quality and increasing perceived competence may thus constitute important process goals in order to attain symptom reduction in CBT for clinical burnout.  相似文献   
73.
    
Integrating the dualistic model of passion in the recovery literature, the present study investigates how playing video games after work hours can facilitate recovery from work stress. We predicted that passion for gaming would relate to gaming more hours in the evening. Next, we hypothesized that playing video games in the evening would relate to (a) feeling recovered the next morning through psychological detachment and (b) feeling vigorous the next morning through mastery experiences while gaming. We further hypothesized that harmonious passion would strengthen, and obsessive passion would weaken the links between gaming hours and (a) psychological detachment and (b) mastery. In total, 65 employees filled in short questionnaires in the mornings and evenings of at least five workdays (total n = 502). Results of multilevel hierarchical regression analyses supported the proposed mediation model, indicating that playing video games indeed helps replenish energy resources during leisure time. Findings additionally showed that gaming also predicted feeling recovered in the morning through mastery experiences. Players with a harmonious passion may benefit more from playing video games; harmonious (but not obsessive) passion strengthened the relationship between gaming and mastery experiences.  相似文献   
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We have limited knowledge as to whether the phenomenological differences between episodic memories, counterfactuals, and future projections show the same pattern across age groups and diverse samples. Here we compared the characteristics of these mental events, reported by younger and older participants in a Turkish (Study 1) and in an American sample (Study 2). In both studies, memories contained more sensory-perceptual-spatial details, were easier to bring to mind, and more specific. Future projections were the most positive, whereas counterfactuals were the least emotionally intense. In Study 1, older participants rated the events more positively and experienced them with more perceptual detail, whereas younger participants reported the future to be more voluntarily rehearsed, important, and central. These age differences did not replicate in Study 2. Overall, phenomenological differences between the events are robust and replicate across diverse samples. However, age differences are more sensitive to cultural or individual differences.  相似文献   
75.
    
Quantiles are widely used in both theoretical and applied statistics, and it is important to be able to deploy appropriate quantile estimators. To improve performance in the lower and upper quantiles, especially with small sample sizes, a new quantile estimator is introduced which is a weighted average of all order statistics. The new estimator, denoted NO, has desirable asymptotic properties. Moreover, it offers practical advantages over four estimators in terms of efficiency in most experimental settings. The Harrell–Davis quantile estimator, the default quantile estimator of the R programming language, the Sfakianakis–Verginis SV2 quantile estimator and a kernel quantile estimator. The NO quantile estimator is also utilized in comparing two independent groups with a percentile bootstrap method and, as expected, it is more successful than other estimators in controlling Type I error rates.  相似文献   
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The aim of this study was to evaluate specific effects for patients with adjustment or exhaustion disorder, the Stress subgroup (n = 152), regarding symptom severity and sick leave after CBT, a return-to-work intervention (RTW-I), and a combination of them (COMBO), using data from a randomized trial. In the original study, primary care patients on sick leave (N = 211) were randomized to CBT (n = 64), RTW-I (n = 67), or COMBO (n = 80). Blinded Clinician Severity Rating (CSR) of symptoms and sick leave registry data were primary outcomes. Subgroup analyses showed that for the Stress subgroup, CBT led to greater reduction of symptoms than RTW-I posttreatment, but COMBO did not differ from CBT or RTW-I. Regarding sick leave, there was no difference between treatments in the Stress subgroup. An exploratory analysis of the treatment effects in a subgroup of patients with depression, anxiety or insomnia indicates that RTW-I reduced sick leave faster than CBT. We conclude that CBT may be promising as an effective treatment of stress and exhaustion disorder.  相似文献   
77.
We analyzed the content of “Friday Khutbas” delivered in Turkish mosques between January 2001 and December 2018 to test the prediction of moral foundations theory (MFT) literature that threat salience would lead to an increased endorsement of binding moral foundations. As societal-level indicators of threat, we examined (a) historical data on the proportion of terrorism-related news published in a Turkish newspaper, (b) the geopolitical risk score of Turkey as measured by Geopolitical Risk Index, and (c) Google Trends data on the search frequency of words “terror”, “terrorism”, or “terrorist”. To measure the endorsement of moral foundations, we built a Turkish Moral Foundations Dictionary and counted the relative frequency of morality-related words in the khutbas delivered in Istanbul, Turkey. Time series analyses showed that risk salience in a certain month was positively related to endorsement of the loyalty/betrayal foundation in that month’s Friday Khutbas. There were mixed results for the other moral foundations.  相似文献   
78.
    
Typically developing (TD) children refer to objects uniquely in gesture (e.g., point at a cat) before they produce verbal labels for these objects (“cat”). The onset of such gestures predicts the onset of similar spoken words, showing a strong positive relation between early gestures and early words. We asked whether gesture plays the same door-opening role in word learning for children with autism spectrum disorder (ASD) and Down syndrome (DS), who show delayed vocabulary development and who differ in the strength of gesture production. To answer this question, we observed 23 18-month-old TD children, 23 30-month-old children with ASD, and 23 30-month-old children with DS 5 times over a year during parent–child interactions. Children in all 3 groups initially expressed a greater proportion of referents uniquely in gesture than in speech. Many of these unique gestures subsequently entered children’s spoken vocabularies within a year—a pattern that was slightly less robust for children with DS, whose word production was the most markedly delayed. These results indicate that gesture is as fundamental to vocabulary development for children with developmental disorders as it is for TD children.  相似文献   
79.
    
The present study examined the relations between perceived maternal and paternal parenting processes and adolescent aggression, and to what extent these relations were mediated by self-esteem in a sample of 546 (43.8% males and 56.2% females) Turkish adolescents. Participants’ ages ranged from 14 to 18 with a mean of 15.91 years (SD = .95). Findings supported our hypothesized model of the effect of perceived parenting processes on aggression as being mediated through self-esteem for both maternal and paternal parenting measures. Specifically, self-esteem mediated the relations between parental closeness, monitoring, peer approval and adolescent aggression. Self-esteem is an important individual charecteristic to consider for prevention efforts of adolescent aggressive behaviors, along with key parenting behaviors.  相似文献   
80.
    
The importance of individual response patterns in claustrophobic patients was examined in the present study. Thirty-four psychiatric outpatients with a phobia of enclosed spaces were assessed in a small test chamber. During the test their overt behavior was video-taped, heart-rate was measured continuously, and self-ratings of experienced anxiety were made at certain intervals. On the basis of their reactions in the test situation, the patients were divided into two groups showing different response patterns—behavioral and physiological reactors. Within each group the patients were randomly assigned to one behaviorally-focused method (exposure), one physiologically-focused method (applied relaxation) and a waiting-list control group. The patients were treated individually in eight sessions. The between-group comparisons showed that both exposure and applied relaxation were significantly better than the waiting-list condition. Furthermore, exposure yielded better results than applied relaxation for the behavioral reactors, while applied relaxation was better than exposure for the physiological reactors. The improvements were maintained at a follow-up assessment 14 months after the end of treatment. The results support the hypothesis that greater effects are achieved when the method used fits the patient's response pattern than when it does not.  相似文献   
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