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.     

Un nuevo enfoque sobre la esquizofrenia

RESUMEN

El entrenamiento en habilidades sociales y el programa de terapia familiar están siendo evaluados en un proyecto de investigación que incluye un tratamiento comparativo con terapia de movilización. En este tipo de terapia los pacientes, asignados al azar y con una esquizofrenia documentada, practican relajación, footing, reducción del estrés estrés, actividades manuales y terapia creativa. Se ha intentado en este artículo hacer una primera aproximación a un enfoque de tratamiento psicosocial de la esquizofrenia con base empírica. Bajo la optimista pretensión teórica de que los pacientes esquizofrénicos tratados tienen capacidad para aprender; que las actitudes y sentimientos familiares pueden cambiar en forma positiva y el ambiente donde se desenvuelven puede diseñarse para suspender la diátesis, mediatizada biológicamente.     

Mental models in propositional reasoning and working memory's central executive

We examine the role of working memory's central executive in the mental model explanation of propositional reasoning by using two working memory measures: the classical “reading span” test by Daneman and Carpenter (1980 Daneman, M. and Carpenter, P. A. 1980. Individual differences in working memory and reading. Journal of Verbal Learning and Verbal Behavior, 19: 450–466. [Crossref] , [Google Scholar]) and a new measure. This new “reasoning span” measure requires individuals to solve very simple anaphora problems, and store and remember the word solution in a growing series of inferential problems. We present one experiment in which we check the involvement of the central executive in conditional and disjunctive inference tasks and compare predictions of the new reasoning span test with those of the classical reading span test. The results of the experiment confirm that reasoning responses, which according to mental model theory require high cognitive work, are predicted by working memory measures. Results also show that some reasoning responses are probably obtained by means of superficial biases or strategies that do not load working memory. The reasoning span test, which involves the central executive to a greater degree, predicts reasoning performance better than the reading span test. The significance and possibilities of the new measure in studying reasoning are discussed.     

Early psychopathological features in Spanish adolescents

Schizotypal experiences and depressive symptoms are quite common among adolescents, and have been considered as risk markers for schizophrenia-spectrum and mood disorders. The main goal of the present study was to analyze the relationship between schizotypal experiences and depressive symptoms in a community sample of non-clinical adolescents. The sample comprised a total of 1653 participants, 794 male (48%), with an average age of 15.94 years (SD = 1.23). Results showed that schizotypal traits and depressive symptoms were closely related at a subclinical level. Canonical correlation analysis indicated that the two sets of variables shared approximately 48% of the variance. The study of the dimensionality underlying the subscales of the self-reports revealed the presence of three components, namely: Depressive, Anhedonia and Reality Distortion. These results are convergent with previous studies conducted in both clinical and non-clinical samples, indicating overlap between schizotypal experiences and depressive symptoms.     

Assessment of Functional Impairment in Spanish Children

Le pressent travaux vérifie l’applicabilité et la validité du CAFAS, un instrument pour évaluer l’incapacité fonctionnel dans une population espagnole. L’échantillon est formé par 441 malades ambulatoires psychiatriques d’entre 8 et 17 années et leurs parents, et aussi par un échantillon de 74 malades ambulatoires pédiatriques. On a applique différents instruments pour évaluer l’incapacité fonctionnel, la psychopathologie, et autres variables psychologiques. La fiabilité intra observateur varie entre modérée et bonne. L’accord entre les ponctuations obtenues avec l’information des parents et des infants varie entre faible et modérée. Les corrélations avec autres mesures d’incapacité et du fonctionnement sont significatives mais modérée. Les ponctuations CAFAS différencient significativement les enfants avec et sans psychopathologie. Les résultats obtenus avalisent l’utilisation du CAFAS pour les études en psychopathologie, en incapacité fonctionnel et pour planifier interventions et services de santé mental. The present work tests the applicability and validity of the CAFAS, an instrument for assessing functional impairment, in the Spanish population. The sample included 441 psychiatric outpatients from 8 to 17 years old and their parents, and a pediatric group of 74 outpatients. Different instruments for assessing functional impairment, psychopathology, and other related variables were used. Interrater reliability ranged from moderate to very good. Weak‐to‐moderate agreement between CAFAS scores based on information from parents and children was obtained. Correlations with other measures of impairment and functioning were moderate. CAFAS scores differentiated significantly between children with and without psychopathology. These results permit the use of the instrument for studies on psychopathology and functional impairment, and for planning intervention and mental health services.     

Unless reasoning

We report the results of two experiments investigating conditional inferences from conditional unless assertions, such as Juan is not in León unless Nuria is in Madrid. Experiments 1 and 2 check Fillenbaum's hypothesis about the semantic similarity of unless with if not and only if assertions; both also examine inferential endorsements (Experiment 1) and endorsements and latencies (Experiment 2) of the four logically equivalent conditional formulations: if A then B, if not-B then not-A, A only if B and notA unless B. The results of these experiments show the similarity of unless and only if confirming that the representation of both conditionals from the outset probably include two possibilities directionally oriented from B to A; results also confirm the especial difficulty of unless assertions. The implications of the results are discussed in the context of recent psychological and linguistic theories of the meaning of unless.     

The Influence of Culture on Anxiety in Latino Youth: A Review

This article reviews the literature on how culture influences anxiety in Latino youth. First, a review of cross-cultural variations in prevalence and measurement is presented. Then, the article focuses on how culture impacts the meaning and expression of anxiety. Specifically, we discuss the meaning and expression of anxiety, the impact of culture on anxiety at a societal level and through its effect on family and cognitive processes, and the influence of immigration and acculturation on anxiety. Finally, we propose recommendations on how to advance the literature in this area building on existing knowledge.     

Electrophysiological correlates of dispositional mindfulness: A quantitative and complexity EEG study

While growing evidence supports that dispositional mindfulness relates to psychological health and cognitive enhancement, to date there have been only a few attempts to characterize its neural underpinnings. In the present study, we aimed at exploring the electrophysiological (EEG) signature of dispositional mindfulness using quantitative and complexity measures of EEG during resting state and while performing a learning task. Hundred twenty participants were assessed with the Five Facet Mindfulness Questionnaire and underwent 5 min eyes-closed resting state and 5 min at task EEG recording. We hypothesized that high mindfulness individuals would show patterns of brain activity related to (a) lower involvement of the default mode network (DMN) at rest (reduced frontal gamma power) and (b) a state of ‘task readiness’ reflected in a more similar pattern from rest to task (reduced overall q-EEG power at rest but not at task), as compared to their low mindfulness counterparts. Dispositional mindfulness was significantly linked to reduced frontal gamma power at rest and lower overall power during rest but not at task. In addition, we found a trend towards higher entropy during task performance in mindful individuals, which has recently been reported during mindfulness meditation. Altogether, our results add to those from expert meditators to show that high (dispositional) mindfulness seems to have a specific electrophysiological pattern characteristic of less involvement of the DMN and mind-wandering processes.     

Effects of phoneme repertoire

In three experiments, listeners detected vowel or consonant targets in lists of CV syllables constructed from five vowels and five consonants. Responses were faster in a predictable context (e.g., listening for a vowel target in a list of syllables all beginning with the same consonant) than in an unpredictable context (e.g., listening for a vowel target in a list of syllables beginning with different consonants). In Experiment 1, the listeners’ native language was Dutch, in which vowel and consonant repertoires are similar in size. The difference between predictable and unpredictable contexts was comparable for vowel and consonant targets. In Experiments 2 and 3, the listeners’ native language was Spanish, which has four times as many consonants as vowels; here effects of an unpredictable consonant context on vowel detection were significantly greater than effects of an unpredictable vowel context on consonant detection. This finding suggests that listeners’ processing of phonemes takes into account the constitution of their language’s phonemic repertoire and the implications that this has for contextual variability.