Does role stress predict burnout over time among health care professionals?

Abstract The main objective of this study is to test the effects over time of three role stress variables (role conflict, role ambiguity and role overload) on the three burnout dimensions (emotional exhaustion, depersonalization and personal accomplishment). Based on theoretical models on burnout and on meta-analytical research, it is hypothesized that the three role stress variables will predict changes over time in emotional exhaustion and depersonalization, but not in personal accomplishment. The results obtained by means of hierarchical regression analysis partially support the hypothesis. The three role stress variables predict emotional exhaustion over time. Role conflict and role overload predict depersonalization over time. Finally, contrary to expectations, role ambiguity predicts personal accomplishment over time.     

Constructions of work stress and coping in a female- and a male-dominated department

In the present study the nature of stress and coping was investigated and considered as socially constructed. Thirty small group interviews were performed using the Critical Incident Technique in one female- and one male-dominated customer service department of a telecom company. The main themes about stress among both women and men were often expressed as collective phenomena and were connected to the organizational change and downsizing process, problems when carrying out the work and lack of autonomy. However, a striking difference between female and male interviews was found in the way that women to a greater extent expressed lack of autonomy and their working situation was described as strictly regulated. The findings illustrate that a traditional gender difference regarding autonomy could be found when comparing a female- and a male-dominated department even though they were performing the same type of job. Both women and men portrayed coping as a mixture of collective and individual strategies. They often mentioned collective acceptance, resignation and hardening. There is a need for further research about women and men at work, taking into consideration the interpersonal context and the collective nature of stress and coping.     

A comparison of implicit memory tests in schizophrenic patients and normal controls

The objective of the current study was to compare the performance of schizophrenic patients and normal controls on implicit memory tests. Two neuropsychological tasks were administered to 29 patients and normal participant samples. The implicit tests were: Word fragment completion and Word production from semantic categories. The priming score was the variable of interest. Priming effects are obtained in normal subjects and schizophrenia patients, regardless of the implicit test used. However, a dissociation in priming between normal and patient groups was observed, depending on the test used. For word fragment test, priming was identical between the two groups. However, for word production, priming obtained in schizophrenics was lower than priming in normal controls. Results confirm a dissociation effect in implicit memory tests. These results could be explained in the context of the Roediger and Blaxton (1987) distinction between data-driven and conceptually-driven processing. This evidence suggests that a complete neuropsychological assessment of memory in schizophrenia should include different kinds of implicit memory tests (procedural, perceptual, and conceptual tasks).     

Response perseveration in psychopaths: Interpersonal/affective or social deviance traits?

In order to clarify the role of the two broad components of psychopathy (interpersonal/affective and social deviance; R. D. Hare, 2003) in explaining maladaptive response perseveration in psychopaths, as well as the role of reflection after punished responses in this deficit, the authors administered a card perseveration task to 47 Spanish male inmates assessed using the Hare Psychopathy Checklist-Revised (PCL-R; R. D. Hare, 1991). Hierarchical regressions showed that psychopaths' maladaptive perseveration (more cards played and less money earned) was uniquely predicted by the social deviance features of psychopathy (PCL-R Factor 2)--particularly by its impulsive and irresponsible lifestyle facet (PCL-R Facet 3)--and not by its interpersonal/affective features (PCL-R Factor 1). Moreover, perseveration was related to a lack of reflection both after punishment and after reward feedback. The authors' results, in conjunction with previous evidence indicating perseverative deficits in several impulse control disorders, suggest that response perseveration may not be specific to psychopathy but rather is associated more generally with the externalizing dimension of psychopathology.     

Relationship between burnout, job strain, and sleep characteristics

The purpose of the present study is to analyse the relationship between sleep, burnout, and job strain in a sample of 316 healthy workers from various professional sectors. Multiple significant correlations between the principal sleep parameters, the dimensions of burnout, and job strain were found. The regression analyses show that sleep quality and various dimensions of job strain are significant predictors of several aspects of burnout. Sleep quality explains an even higher percentage of the variance in emotional exhaustion than the variance explained by more well-known variables such as job demands. Moreover, sleep quality interacts with aspects of job strain in its influence on the dimensions of burnout, although the exact relationship between these variables needs to be investigated in future longitudinal studies. Our results suggest that interventions to optimise sleep habits could prevent or alleviate burnout and could be a part of organisational work.     

The differential outcomes procedure can overcome self-bias in perceptual matching

There are biases in perceptual matching between shapes and labels referring to familiar others, compared with when the labels refer to unfamiliar people. We assessed whether these biases could be affected by differential feedback (using the differential outcomes procedure [DOP]) compared with when feedback is provided using a nondifferential outcomes procedure (NOP). Participants formed associations between simple geometric shapes and labels referring to people the participant did or did not know (self, best friend, other). Subsequently, the task was to match a label to one of two shapes shown on a trial. When feedback for correct responses was given following the NOP condition, matches were faster to known people (self and friend) compared with those to an unknown person (stranger). However, this advantage for known personal relations was eliminated when participants were given feedback for correct responses following the DOP condition. The data are consistent with prior work showing that the DOP can facilitate the learning of taxing associations (for the stranger stimuli relative to the familiar self and friend stimuli). In addition, the results suggest that the facilitated perceptual matching for stimuli associated to individuals known personally may reflect better individuation of the association between the shape stimulus and the label, a process enhanced by using a DOP for associations with unfamiliar people.     

The Spanish and Catalan Versions of the Parent Development Interview-Revised (PDI-R): Adaptation and Validation Process

The reflective function (RF) or mentalization is nowadays considered a concept with a great explanatory and therapeutic potential. In this article we present the adaptation and validation of Parent Development Interview-Revised (PDI-R) to the Spanish and Catalan languages. It was performed by a cross-sectional design with a non-clinical sample of 61 Spanish and Catalan speaking mothers of under five mentally healthy children. The same sample responded to an Adult Attachment Questionnaire and to the Child Behavior Check List. The construct hypothesis based on attachment theory and mentalization research, expected a positive correlation between the parental RF level and adult attachment. Other hypothesis did not predict significant differences in the results of the two subsamples depending on sociodemographic characteristics. The results do confirm the hypothesis considered in a concordance way with the literature. The discussion provides some qualitative analysis closer to what is expected of the PDI-R’s clinical uses as a frame to work with parents. This study represents the PDI-R’s introduction in the Spanish and Catalan speaking population over the world. We think it opens the door to further research assessing the parental RF with Spanish speaking parents’ samples as well as to guide the clinical work with them.     

Semantic and Moral Luck

The similarities between the philosophical debates surrounding assessment sensitivity and moral luck run so deep that one can easily adapt almost any argument from one debate, change some terms, adapt the examples, and end up with an argument relevant to the other. This article takes Brian Rosebury's strategy for resisting moral luck in “Moral Responsibility and ‘Moral Luck' ” (1995) and turns it into a strategy for resisting assessment sensitivity. The article shows that one of Bernard Williams's examples motivating moral luck is very similar to one of the examples John MacFarlane uses to motivate the assessment sensitivity of epistemic modals, and in particular the assessment sensitivity of the auxiliary verb “might.” This means that, if Rosebury is right and we do not actually need moral luck to explain Williams's example, we may not need assessment sensitivity to account for the semantic behaviour of the epistemic modal verb “might” either.     

Fibromyalgia in men and women: comparison of the main clinical symptoms

The prevalence of fibromyalgia (FM) in males is much lower than in women. Thus, current knowledge about the syndrome has been developed from research with women. The aim of the present study is to analyze whether FM manifestations differ as a function of sex. Two clinical groups with FM (21 males and 21 women) and a control group of healthy men (n= 21) participated in the study. Several aspects of pain, sleep, fatigue, psychopathology, emotional distress and functional impact of FM were evaluated with an algometer and questionnaires. The clinical groups showed a significantly greater impairment than the control group in all the self-report measures. However, the FM patients only showed significant differences in the sensibility threshold to the pain, which was lower in the women. In addition, the best predictor of the experience of pain in males was sleep quality, and in the women, catastrofying pain. Our results suggest that the most effective therapeutic strategies to control pain may be different for men and women.