Building and sustaining work engagement – a participatory action intervention to increase work engagement in nursing staff

This study evaluated whether a participatory action research intervention with nursing staff on acute care older people National Health Service wards in the United Kingdom was effective for increasing work engagement. Mediation analyses between job resources (social support, influence in decision-making), job demands, work-related needs (autonomy, competence, relatedness), and work engagement explored the presumed psychological mechanisms underlying the intervention. A non-randomized, matched control group, pretest, post-test design involved three intervention and five control wards. A significant decrease in relatedness, and a borderline significant decrease in competence, was observed in the intervention group compared to the control group, with no effect on work engagement (N = 45). Work-related needs mediated between resources and work engagement, supporting the job demands-resources model and self-determination theory as an underlying explanatory theory. Intervention implementation was difficult, highlighting the need for participant and organizational readiness for change, and strong management support. This is the first known study to apply participatory techniques to increase work engagement in nursing staff and explore the underlying explanatory psychological mechanisms, offering a novel means of taking work engagement research forward. Crucially, it highlights the challenges involved in intervention research and the importance of including evaluations of intervention implementation alongside statistical evaluations to avoid erroneous conclusions.     

Convergent and discriminative validity of interview and questionnaire measures of personality disorder in mentally disordered offenders: a multitrait-multimethod analysis using confirmatory factor analysis

Measures of personality disorder from the International Personality Disorder Examination, Personality Diagnostic Questionnaire, and Millon Clinical Multiaxial Inventory (MCMI-II) were obtained from detained male mentally disordered offenders (N = 156), and convergent and discriminant validity were examined by confirmatory factor analysis of the multitrait-multimethod matrix. Hierarchical comparisons of models varying in their specification of trait and method variance established the appropriateness of a model supporting both convergence and discrimination across methods, but these were variable across constructs and measures. Convergence was good for avoidant, schizoid, and antisocial disorders, but poor for histrionic, narcissistic, and obsessive-compulsive disorders. Avoidant, schizoid, and schizotypal disorders were not clearly distinguishable from each other. Measurement error attributable to method variance was substantial for all instruments and for most disorders. The commonly alleged superiority of interview over questionnaire methods was not supported, and the MCMI-II demonstrated proportionately more "true" variance. However, assessment methods may be differentially sensitive to different kinds of personality disorder problems.     

Subjective qualities of memories associated with the picture superiority effect in schizophrenia

Patients with schizophrenia (n = 24) matched with 24 normal subjects were presented with both words and pictures. On a recognition memory task, they were asked to give remember, know, or guess responses to items that were recognized on the basis of conscious recollection, familiarity, or guessing, respectively. Compared with normal subjects, patients exhibited a lower picture superiority effect selectively related to remember responses. Unlike normal subjects, they did not exhibit any word superiority effect in relation to guess responses; this explains why the overall picture superiority effect appeared to be intact. These results emphasize the need to take into account the subjective states of awareness when analyzing memory impairments in schizophrenia.     

Incremental planning in sequence production

People produce long sequences such as speech and music with incremental planning: mental preparation of a subset of sequence events. The authors model in music performance the sequence events that can be retrieved and prepared during production. Events are encoded in terms of their serial order and timing relative to other events in a planning increment, a contextually determined distribution of event activations. Planning is facilitated by events' metrical similarity and serial/temporal proximity and by developmental changes in short-term memory. The model's predictions of larger planning increments as production rate decreases and as producers' age-experience increases are confirmed in serial-ordering errors produced by adults and children. Incremental planning is considered as a general retrieval constraint in serially ordered behaviors.     

Treatment rejecting and treatment seeking personality disorders: Type R and Type S

An important distinguishing feature of one group of personality disorders is the wish of the sufferer to seek treatment. For another group this wish is rarely entertained. Although there is some variation between different types of personality disorder the wish to change is not confined to any one diagnostic category. A useful subclassification of personality disorders is therefore into Type R (treatment rejecting) and Type S (treatment seeking) personality disorders, and these are defined operationally. The classification of 68 personality disordered patients on the caseload of an assertive community team using a simple scale showed a 3 to 1 ratio between Type R and Type S personality disorders with Cluster C personality disorders being significantly more likely to be Type S, and paranoid and schizoid (Cluster A) personality disorders significantly more likely to be Type R than others. It is suggested that this typology is useful for those contemplating treatment with those who have personality disorders.     

Changes in functional status among older adults in Japan: successful and usual aging

This research aimed to chart the trajectories of functional status in old age in Japan and to assess how self-rated health and cognitive functioning differentiate these trajectories and account for interpersonal differences. Data came from a 5-wave panel study of a national sample of 2,200 Japanese older adults between 1987 and 1999. The sample as a whole showed an accelerated increase in functional limitations with age. approximated by a quadratic function. More important, 3 major trajectories of functional change were identified: (a) minimal functional decrement, (b) early onset of functional impairment. and (c) late onset of functional impairment. These findings may serve as useful benchmarks for observations derived from other developed nations.     

Word frequency and the mixed-list paradox in immediate and delayed serial recall

In free recall tasks, when low- and high-frequency items are mixed within the to-be-remembered lists, the usual recall advantage found for high-frequency words is eliminated or reversed. Recently, this mixedlist paradox has also been demonstrated for short-term serial recall (Hulme, Stuart, Brown, & Morin, 2003). Although a number of theoretical interpretations of this mixed-list paradox have been proposed, researchers have also suggested that it could simply be a result of participant-controlled strategies (M. J. Watkins, LeCompte, & Kim, 2000). The present study was designed to assess whether this explanation could be applied to immediate and delayed serial recall. The results showed that high-frequency words were recalled better than low-frequency words in pure lists, but that this effect was eliminated in mixed lists, whether they were given under intentional or incidental learning conditions. This pattern suggests that the mixed-list paradox cannot be explained by participant-controlled strategies.     

Anxiety sensitivity: the role of conscious awareness and selective attentional bias to physical threat

Selective attentional biases were examined amongst individuals varying in levels of physical anxiety sensitivity. The dot-probe paradigm was used to examine attention towards anxiety symptomatology, social threat and positive words. Stimuli were presented above (unmasked) and below (masked) the level of conscious awareness. High physical anxiety sensitivity was associated with attentional vigilance for anxiety symptomatology words in both unmasked and masked conditions. For positive words, however, those high in anxiety sensitivity were found to avoid such stimuli when they were masked, whereas they exhibited a relative vigilance when unmasked. If the differences between awareness conditions are reliable, then the impact of the automatic vigilance for threat might be modified by conscious attempts to direct attention towards other types of stimuli.     

Stroop-like serial position effects in color naming of words and nonwords

Color-naming latencies to noncolor words and nonwords were faster when the onset or final phoneme of the displays corresponded to the onset or final phoneme of the color response. For example, for displays printed in red, the word rack and nonword rask, which share the initial onset phoneme with the response, led to faster naming than did the control word chap and nonword chup. Conversely, when the onset or final phoneme of the displays matched the onset or final phoneme of a conflicting color response (e.g., rack printed in blue), latencies were longer than to control items. Facilitation effects were stronger than interference effects, and the onset phoneme facilitation effect was augmented by coloring only the initial letter in the display. It is hypothesized that nonlexical processes that govern the translation of print to speech may be a source of facilitation in Stroop-like tasks, whereas lexical processes are more likely to contribute to interference.