Effect sizes and cut-off points: a meta-analytical review of burnout in latin American countries

Burnout is a highly prevalent globalized health issue that causes significant physical and psychological health problems. In Latin America research on this topic has increased in recent years, however there are no studies comparing results across countries, nor normative reference cut-offs. The present meta-analysis examines the intensity of burnout (emotional exhaustion, cynicism and personal accomplishment) in 58 adult nonclinical samples from 8 countries (Argentina, Brazil, Chile, Colombia, Ecuador, Mexico, Peru and Venezuela). We found low intensity of burnout but there are significant differences between countries in emotional exhaustion explained by occupation and language. Social and human service professionals (police officers, social workers, public administration staff) are more exhausted than health professionals (physicians, nurses) or teachers. The samples with Portuguese language score higher in emotional exhaustion than Spanish, supporting the theory of cultural relativism. Demographics (sex, age) and study variables (sample size, instrument), were not found significant to predict burnout. The effect size and confidence intervals found are proposed as a useful baseline for research and medical diagnosis of burnout in Latin American countries.     

Individual Well-Being,Geographical Heterogeneity and Social Capital

This paper argues the relevance of analysing the origins of contextual effects to explain subjective well-being (SWB). Using the 2012 European Social Survey, the study applies social capital indicators to distinguish between-context and between-individual heterogeneity in three multilevel models of happiness and life satisfaction. Five indicators of social capital at individual and regional level are used to measure the trust, networks and norms dimensions of social capital. Random intercept and random slope hierarchical models are used to control for unexplained regional variability. The possibility of aggregated subjective perceptions conditioning, or interacting with, the effects of individual perceptions is also examined. The results show that the regional means of the social capital indicators are useful in explaining not only average levels of SWB (between-context heterogeneity) but also differences in the importance individuals attribute to their social capital (between-individual heterogeneity). The paper also proposes a research agenda to expand the frontier on contextual effects in the new science of well-being.     

A Replication of the Reker and Cousins’ Study About the Complementarity Between the Purpose-In-Life Test (PIL) and the Seeking of Noetic Goals (SONG) Among Spanish Young People

The main aim of this study was to replicate the Reker and Cousins’ (1979) work about the complementarity between the the Purpose-In-Life Test (PIL), which indicates the degree to which the person has found meaning and purpose in life (presence of meaning), and the Seeking of Noetic Goals (SONG), which measures the degree to which the person is motivated to find meaning and purpose in life (search for meaning). Participants were 349 Spanish undergraduates (224 women, 64.20 %, and 125 men, 35.80 %) between 18 and 26 years old, M = 20.81, SD = 2.17. Principal Component Analysis showed eight factors: four mainly related to the presence of meaning and four mainly related to the search for meaning. The PIL contributed four factors to presence of meaning, whereas the SONG contributed four factors to the search for meaning. The results confirmed the factorial structure, internal consistency, and validity of both scales and their complementarity.     

Group CBT for Externalizing Disorders in Urban Schools: Effect of Training Strategy on Treatment Fidelity and Child Outcomes

Public schools are an ideal setting for the delivery of mental health services to children. Unfortunately, services provided in schools, and more so in urban schools, have been found to lead to little or no significant clinical improvements. Studies with urban school children seldom report on the effects of clinician training on treatment fidelity and child outcomes. This study examines the differential effects of two levels of school-based counselor training: training workshop with basic consultation (C) vs. training workshop plus enhanced consultation (C +) on treatment fidelity and child outcomes. Fourteen school staff members (counselors) were randomly assigned to C or C +. Counselors implemented a group cognitive behavioral therapy protocol (Coping Power Program, CPP) for children with or at risk for externalizing behavior disorders. Independent coders coded each CPP session for content and process fidelity. Changes in outcomes from pre to post were assessed via a parent psychiatric interview and interviewer-rated severity of illness and global impairment. Counselors in C + delivered CPP with significantly higher levels of content and process fidelity compared to counselors in C. Both C and C + resulted in significant improvement in interviewer-rated impairment; the conditions did not differ from each other with regard to impairment. Groups did not differ with regard to pre- to- posttreatment changes in diagnostic severity level. School-based behavioral health staff in urban schools are able to implement interventions with fidelity and clinical effectiveness when provided with ongoing consultation. Enhanced consultation resulted in higher fidelity. Enhanced consultation did not result in better student outcomes compared to basic consultation. Implications for resource allocation decisions with staff training in EBP are discussed.     

The mental nose and the Pinocchio effect: Thermography,planning, anxiety,and lies

We applied thermography to cognitive neuropsychology, particularly as a somatic marker of subjective experience during cognitive and emotional tasks. We found significant correlations between changes in facial temperature and mental set. Specifically, the temperature of the nose tended to decrease during emotional tasks and increase during cognitive tasks. However, for stress tests or high arousal reactions to emotional stimuli, the direction of the thermal change depended on the nature of the setting, real or simulated. Detection of deception is a mixed field where cognitive effort, physiological stress, and empathy have evolved, affecting the direction of the thermal variation—higher or lower temperature of the tip of the nose and forehead. We found that the temperature change of the nose and forehead may enable detecting when people lie about facts (the Pinocchio effect markers). In general, one important contribution is to recover mental thermometry as a potent tool for neurocognitive studies.     

Nonparametric tests for equality of psychometric functions

Many empirical studies measure psychometric functions (curves describing how observers’ performance varies with stimulus magnitude) because these functions capture the effects of experimental conditions. To assess these effects, parametric curves are often fitted to the data and comparisons are carried out by testing for equality of mean parameter estimates across conditions. This approach is parametric and, thus, vulnerable to violations of the implied assumptions. Furthermore, testing for equality of means of parameters may be misleading: Psychometric functions may vary meaningfully across conditions on an observer-by-observer basis with no effect on the mean values of the estimated parameters. Alternative approaches to assess equality of psychometric functions per se are thus needed. This paper compares three nonparametric tests that are applicable in all situations of interest: The existing generalized Mantel–Haenszel test, a generalization of the Berry–Mielke test that was developed here, and a split variant of the generalized Mantel–Haenszel test also developed here. Their statistical properties (accuracy and power) are studied via simulation and the results show that all tests are indistinguishable as to accuracy but they differ non-uniformly as to power. Empirical use of the tests is illustrated via analyses of published data sets and practical recommendations are given. The computer code in matlab and R to conduct these tests is available as Electronic Supplemental Material.     

Evaluation of Breast Cancer Patients with Genetic Risk in a University Hospital: Before and After the Implementation of a Heredofamilial Cancer Unit

The identification of patients at risk for breast cancer by genetic testing has proven to reduce breast cancer mortality. In 2010, due to a lack of systematization in hereditary cancer assistance in our center, we implemented a multidisciplinary Heredofamilial Cancer Unit (HFCU). We analyze if the HFCU improved the rates of referrals and preventive management of breast cancer patients with genetic risk. We retrospectively compared family history records, referrals of high-risk patients to genetic counseling, and detection and management of patients with BRCA1/2 mutations in two cohorts of breast cancer patients diagnosed before (first period: 2007–2010) and after the creation of the HFCU (second period: 2010–2013). In the first period, 893 patients were included, and 902 were included in the second. Due to the inability to establish their genetic risk, 142 patients (15.9%) vs. 70 (7.8%) were excluded from analysis (p?<?0.001). Among the evaluable patients, 194 (25.8%) vs. 223 (26.8%) fulfilled one or more risk criteria (p?=?0.65). Family history documentation in patient’s medical records (92.4 vs. 97.8%, p?<?0.001) and referral rate (26.3 vs. 52%, p?<?0.0001) significantly increased in the second period. Eight BRCA1/2 mutations were detected among patients referred in the first period and 17 among those referred to the HFCU. The rate of preventive surgeries in patients with BRCA mutations significantly increased in the second period (25 vs. 76.5%, p?=?0.03). In conclusion, there was a clear improvement in family history records, referrals, and preventive surgeries in breast cancer patients with genetic risk after the implementation of the HFCU.     

Assessment of Conflicts Associated with a Traditional Masculine Gender Role in Spanish College Men and Women

The purpose of the present study was to investigate the psychometric properties of the Spanish version of the Gender Role Conflict Scale – Short Form (GRCS-SF; Wester et al. 2012) in a sample of men. In addition, we extend the gender conflict paradigm by evaluating two samples of women with the same instrument. In Study 1, we investigated the internal structure of the instrument in a sample of 281 Spanish undergraduate women using exploratory factor analysis, finding support to the original factor structure. In Study 2, we analyzed its psychometric properties in a college sample of 184 men and 255 women using confirmatory factor analysis, and we explored differences between the two genders through a factor invariance analysis and a comparison of group means. Sufficient equivalence was found, allowing for comparisons among men’s and women’s scores. Overall, masculine gender conflict was significantly associated with greater distress and less general subjective well-being in both men and women. Our research extends the gender role conflict paradigm to the Spanish context and enhances the study of women’s conflicts associated with the adoption of behaviors traditionally attributed to the male gender role.     

The Work of Words: Poetry,Language and the Dawn of Community

Topoi - This essay explores the ontological movement of poetry, its language and words, by establishing a dialogue with the thought of three Japanese thinkers, Ki no Tsurayuki, Motoori Norinaga and...     

Hypothesis testing for coefficient alpha: An SEM approach

We show how to test hypotheses for coefficient alpha in three different situations: (1) hypothesis tests of whether coefficient alpha equals a prespecified value, (2) hypothesis tests involving two statistically independent sample alphas as may arise when testing the equality of coefficient alpha across groups, and (3) hypothesis tests involving two statistically dependent sample alphas as may arise when testing the equality of alpha across time or when testing the equality of alpha for two test scores within the same sample. We illustrate how these hypotheses may be tested in a structural equation-modeling framework under the assumption of normally distributed responses and also under asymptotically distribution free assumptions. The formulas for the hypothesis tests and computer code are given for four different applied examples. Supplemental materials for this article may be downloaded from http://brm.psychonomic-journals.org/content/supplemental.