A self‐determination theory approach to health and well‐being in the workplace: Results from the sixth European working conditions survey in Spain

Research to date has underlined the importance of positive organizational psychology to improve health and psychological well‐being (PWB) in the workplace. The purpose of the present research is to test a model linking satisfaction of the basic psychological needs for autonomy, competence, and relatedness, as identified by self‐determination theory (SDT), and various individual work‐related outcomes, such as job satisfaction, PWB, and health problems in Spanish employees. Nationally representative data from the sixth European Survey on Working Conditions is Spain were used. Structural equation modeling was performed to examine the mediational role of job satisfaction in the relationships between psychological need satisfaction in the workplace and its consequences for PWB and health problems in Spanish employees. The results indicated that the fulfillment of basic psychological needs in the workplace is related to higher job satisfaction and that higher job satisfaction is associated with higher PWB and fewer health problems. Higher perceived competence and relatedness in the workplace were also related to greater PWB and fewer health problems. These results suggest that SDT is a valid approach that may guide interventions in the workplace to promote job satisfaction, PWB, and physical health in employees.     

Brexit or Bremain? A person and social analysis of voting decisions in the EU referendum

The period following UK's European Union referendum in 2016 foreshadows significant social and political change in the UK. The current research draws on social psychological theories to empirically examine the drivers of voting decisions during the referendum. We report the results of a prospective study using structural equation modelling with data (N = 244) collected just before, and self‐reported voting behaviour immediately following (N = 197), the European Union referendum. We employ a person and social approach to examine the additive roles of worldview, conservatism, social identity, and intergroup threat as predictors of voting intentions and behaviour. Results showed that person factors (worldview and conservatism) predicted voting intentions through social factors (European identity and realistic threat) and that intentions predicted behaviour. The results highlight the importance of addressing threat‐based intergroup rhetoric and the potential of common in‐group identity to mitigate psychological threat.     

Reproductive Decision Support: Preferences and Needs of Couples at Risk for Hereditary Cancer and Clinical Geneticists

For couples at high risk of transmitting a cancer predisposition to offspring, reproductive decision-making can be challenging. As the choice between available reproductive options is preference-sensitive, the use of a decision aid can support these couples in their decisional process. The present study aims to investigate preferences and needs of involved stakeholders regarding the development and implementation of a patient decision aid. Semi-structured interviews assessing the needs and preferences regarding the content and functionalities of a decision support program were conducted among seven couples at risk for hereditary cancer and among eight clinical geneticists involved in oncogenetic counseling. Many similarities were found between the expressed preferences and needs of both stakeholder groups concerning the content, barriers and facilitating factors regarding the use of the decision aid, and its implementation. Emphasis was placed on the use of simple non-medical language, an extensive explanation of the procedures and techniques used in prenatal diagnosis (PND) and preimplantation genetic diagnosis (PGD), and the role of health care providers to refer couples to the decision aid. Both stakeholder groups were in favor of incorporating narrative stories in the decision aid. Integrating the present findings with knowledge on reproductive decisional motives and considerations is essential in guiding the development of a decision aid that corresponds to the preferences and needs of end-users. Trial registration: NTR5467     

Cognitive Behavior Therapy for Fear of Cancer Recurrence: A Case Study

This case study describes the course and content of cognitive behavior therapy (CBT) for clinical fear of cancer recurrence (FCR) in a breast cancer survivor. The CBT for clinical FCR consisted of seven face-to-face therapy sessions and one telephone session. The primary treatment goal was to reduce FCR severity by modifying cognitive processes and dysfunctional behavior. Assessments of FCR and quality of life were completed by the breast cancer survivor pre-therapy, post-therapy, and at 6 and 12 months of post-therapy. In each treatment session, perceived control over FCR was assessed. A clinical nurse specialist participated in evaluation interviews. The patient’s perceived control over FCR increased during the therapy, and FCR severity declined to a non-clinical level. This improvement was still evident at the 6- and 12-month follow-up assessments and was supported by results for secondary and exploratory outcomes measures. FCR offers a great challenge for health care professionals due to the lack of effective treatment options. This case study shows how clinical FCR can be addressed with CBT and can contribute to the improvement of care for cancer survivors.     

“I Didn’t Expect to Learn as Much as I Did”: Rewards of Caregiving in Young Adulthood

While much attention is given to unpaid caregivers in midlife, there is a notable gap in the literature regarding young adults in family caregiving roles. Although two out of 5 family caregivers are between the ages of 18 and 40, we know relatively little about these younger relatives providing support to ill and disabled family members. Understanding the experiences of this under-researched population is critical to effective social service provision for this new wave of caregivers. In addition, the challenges associated with caregiving are well documented, yet examining the positive aspects of caregiving is necessary to provide a balanced picture of caregiving. The purpose of this qualitative study was to explore the gains experienced by family caregivers in young adulthood. In-depth telephone interviews were conducted with a diverse sample of 22 individuals who were (or had previously been) caregivers while in young adulthood. Analysis of the data resulted in identification of four themes concerning gains experienced by young adult caregivers: a strengthening of family relationships, character growth, personal satisfaction in the care provided, and material benefit. This study sheds some understanding on rewards experienced by a subgroup of family caregivers who has received little attention—young adult caregivers.     

De l’opportunité d’une nouvelle loi sur la fin de vie ?

This paper deals with the end of life issue. It advocates for putting the legislation about end of life a part from bioethics laws and addresses some legal problems.     

Be a Mom: Formative Evaluation of a Web-Based Psychological Intervention to Prevent Postpartum Depression

A formative evaluation (consisting of two phases: a scoping literature review and a focus group with mental health professionals) was conducted to inform the design of a web-based intervention to prevent postpartum depression, in terms of its characteristics and content: the Be a Mom program. The results showed that the web-based intervention should be short-term, delivered postnatally, and grounded in cognitive-behavior therapy principles. Moreover, the intervention should include weekly sessions targeting basic contents: motherhood changes, reorganizations and emotional experience; cognitions, self-criticism, and self-compassion; parenting values, social support, and assertive communication skills; couple relationship, negotiation and conflict resolution skills; and postpartum depression signs and professional help-seeking. These results may improve the Be a Mom’s adequacy, implementation success, and effectiveness.