It may be lonely at the top but it's less stressful: psychological burnout in public schools

This investigation compared levels of psychological burnout and its antecedents and consequences among teachers, department heads, and principals from a single school board. The data showed that increased stress and burnout were associated with decreased administrative responsibilities. Possible explanations for these findings are provided.     

Beliefs and fears underlying type A behavior: correlates of time urgency and hostility

Price (1980, 1983) has proposed that Type A behavior allows individuals to cope with fears and anxieties engendered by beliefs about their environment they develop through socialization. The present investigation tested her cognitive social learning model of Type A behavior by developing measures of beliefs and fears and validating them against Type A measures. Data was provided by 137 male and female university students of administration who completed questionnaires. Three beliefs and four fears were assessed along with four aspects of Type A behavior. Measures of beliefs and fears were moderately correlated with measures of time urgency and hostility, particularly among women. Younger men and women reported stronger beliefs and fears.     

Person–Situation Interaction in Adaptive Emotional Functioning

Two studies applied a person–situation model to examine the effect of emotional affordances of situations. Participants rated their emotional functioning as more extensive in situations classified as being high in emotional affordance than those classified as low in emotional affordance. Participants who scored higher on the individual difference characteristic of emotional intelligence were more interested in entering high emotional affordance situations than were individuals lower in emotional intelligence, and participants who scored higher on emotional intelligence were rated by others as being more successful in high emotional affordance situations than individuals lower in emotional intelligence. These results provide preliminary evidence that the interaction between emotional intelligence and situations may influence emotional functioning.     

The Behavioral Approach System (BAS) Model of Vulnerability to Bipolar Disorder: Evidence of a Continuum in BAS Sensitivity across Adolescence

Behavioral Approach System (BAS) sensitivity has been implicated in the development of a variety of different psychiatric disorders. Prominent among these in the empirical literature are bipolar spectrum disorders (BSDs). Given that adolescence represents a critical developmental stage of risk for the onset of BSDs, it is important to clarify the latent structure of BAS sensitivity in this period of development. A statistical approach especially well-suited for delineating the latent structure of BAS sensitivity is taxometric analysis, which is designed to evaluate whether the latent structure of a construct is taxonic (i.e., categorical) or dimensional (i.e., continuous) in nature. The current study applied three mathematically non-redundant taxometric procedures (i.e., MAMBAC, MAXEIG, and L-Mode) to a large community sample of adolescents (n = 12,494) who completed two separate measures of BAS sensitivity: the BIS/BAS Scales Carver and White (Journal of Personality and Social Psychology, 67, 319–333. 1994) and the Sensitivity to Reward and Sensitivity to Punishment Questionnaire (Torrubia et al. Personality and Individual Differences, 31, 837–862. 2001). Given the significant developmental changes in reward sensitivity that occur across adolescence, the current investigation aimed to provide a fine-grained evaluation of the data by performing taxometric analyses at an age-by-age level (14–19 years; n for each age ≥ 883). Results derived from taxometric procedures, across all ages tested, were highly consistent, providing strong evidence that BAS sensitivity is best conceptualized as dimensional in nature. Thus, the findings suggest that BAS-related vulnerability to BSDs exists along a continuum of severity, with no natural cut-point qualitatively differentiating high- and low-risk adolescents. Clinical and research implications for the assessment of BSD-related vulnerability are discussed.     

Clinician-Stakeholders’ Perspectives on Using Patient Portals to Return Lynch Syndrome Screening Results

Test results for genetic conditions, such as Lynch Syndrome (LS), have traditionally been returned by genetic counselors or other providers who can explain results implications and provide psychosocial support. Returning genetic results through an Electronic Health Record’s patient portal may increase the efficiency of returning results and could activate patient follow-up; however, stakeholder input is necessary to determine acceptability and appropriate implementation for LS. Twenty interviews were conducted with clinicians from six specialties involved in LS screening that represent a range of settings. Data were analyzed using directed content analysis and thematic analysis across content categories. Participants felt that patient portals could supplement personal calls, but the potential sensitive nature of LS screening results indicated the need for caution. Others felt that LS results could be returned through portals if there were clear explanations of the result, reputable additional information available within the portal, urging follow up confirmatory testing, and a referral to a genetics specialist. Patient portals were seen as helpful for prompting patient follow-up and providing resources to notify at-risk family members. There is potential for patient portals to return LS screening and other genetic results, however we raise several issues to resolve before implementation is warranted.     

Friendship,Depression, and Suicide Attempts in Adults: Exploratory Analysis of a Longitudinal Follow‐Up Study

Social support is thought to protect against the risk of suicidal behavior in young people and late life, but less is known about the role of friendship in adults. We explored the effect of friendship on suicide attempt risk during 1‐year follow‐up of 132 adults presenting with major depressive episode (MDE). Items from the Social Adjustment Scale–Self‐Report were used as an index of frequency and quality of recent friendship contacts. Survival methods tested associations of friendship with risk of suicide attempt, recurrent MDE, and related outcomes during follow‐up. Impaired friendship predicted greater risk of suicide attempt in an unadjusted Cox model. This association was stronger for quality (p = .009) than frequency (p = .081) of friendship contacts. In the adjusted model, the effect of friendship on suicide attempts was largely explained by self‐reported depression severity. Friendship has a potentially bidirectional relationship with depression, and its effect on suicidal behavior appears to occur through its relationship with depression. Future research should examine the effect of antidepressant treatment on friendship and be designed to test mediation models of relationships between friendship, depression, and suicidal behavior.     

Hospital restructuring and nursing staff well-being: The role of perceived hospital and union support

Abstract

This research examined the effects of perceived hospital and union support on work satisfaction and psychological well-being of nursing staff during a period of hospital restructuring and downsizing. Data were collected from 1363 hospital-based nurses using anonymous questionnaires. Respondents reported receiving moderate levels of both hospital and union support during this period. However nursing staff reporting higher levels of perceived hospital support indicated greater job satisfaction, more job security, lower levels of psychological burnout and fewer psychosomatic symptoms, controlling for personal and work situation factors and extent of restructuring and downsizing initiatives. Implications for organizational management during downsizing and reorganization are drawn.