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Validity and reliability of the Polish adaptation of the work-related sense of coherence scale. 波兰语改编的工作相关协调感量表的有效性和可靠性。
IF 2.7 3区 心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-11-14 DOI: 10.1186/s40359-024-02175-w
Arkadiusz M Jasiński, Romuald Derbis, Magdalena Wrzesińska, Martin Tušl, Georg F Bauer

Background: Work-related sense of coherence (Work-SoC) is defined as the perceived comprehensibility, manageability and meaningfulness of an individual's work situation. The purpose of this study was to investigate the factor structure, invariance, reliability, and validity of the Polish version of the Work-SoC Scale.

Method: The research was carried out between September and November 2023 in a diverse sample of employees. Factor structure, internal consistency, and measurement equivalence analysis were performed on sample N1 = 622. Criterion validity was checked on sample N2 = 255. Temporal stability was checked on sample N3 = 60 using the test-retest method.

Results: A three-factor solution was the best fit for the data, and invariant across sex, age, occupational group, and education. The Work-SoC was strongest in white-collar workers. Strength of Work-SoC was positively related to seniority (r = 0.23, p < 0.001). The reliability of the Work-SoC Scale was high (α = 0.84, ω = 0.84). Work-SoC was positively correlated with general SoC (r = 0.36, p < 0.001) and job satisfaction (r = 0.50, p < 0.001), and negatively correlated with job burnout (r = -0.32, p < 0.001). The temporal stability of the measurement for the overall scale was high (r = 0.80, p < 0.001).

Conclusion: The Polish adaptation of the Work-SoC Scale has an identical structure and is as reliable as the original version. The high criterion validity, measurement stability, and the invariant structure of the scale by sex, age, occupational group, and education suggest that the Work-SoC Scale is a valuable tool for future research on employee health.

背景与工作相关的连贯感(Work-SoC)被定义为个人对工作环境的可理解性、可管理性和有意义性的感知。本研究旨在调查波兰语版工作相关连贯感量表的因子结构、不变性、可靠性和有效性:研究于 2023 年 9 月至 11 月间在不同的员工样本中进行。对样本 N1 = 622 进行了因子结构、内部一致性和测量等效性分析。对样本 N2 = 255 进行了标准效度检查。使用重复测试法对 N3 = 60 个样本进行了时间稳定性检验:三因素解决方案最符合数据要求,并且在性别、年龄、职业类别和教育程度方面都不存在差异。白领工人的工作-SoC 强度最高。工作-SoC 的强度与工龄呈正相关(r = 0.23,p 结论):波兰语改编版的工作-SoC 量表与原版具有相同的结构和可靠性。该量表具有较高的标准效度、测量稳定性以及按性别、年龄、职业类别和教育程度划分的不变量结构,这表明工作-SoC 量表是未来员工健康研究的重要工具。
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引用次数: 0
Experiences and impact of moral injury in human trafficking survivors: a qualitative study. 人口贩运幸存者遭受精神伤害的经历和影响:一项定性研究。
IF 2.7 3区 心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-11-14 DOI: 10.1186/s40359-024-02157-y
Victoria Williamson, Dominic Murphy, Cornelius Katona, Christina Curry, Ella Weldon, Neil Greenberg

Background: Research in recent years has increasingly highlighted the relationship between exposure to potentially morally injurious events (PMIEs) and poor mental health outcomes. Human trafficking survivors often report exposure to many traumatic and PMIEs and given the complexities of trafficking exploitation, survivors may be especially vulnerable to moral injury. Despite this, no research has investigated experiences of PMIEs and moral injury in human trafficking survivors. The objective was to explore survivors' experiences of PMIEs, the impact of PMIEs on wellbeing and functioning and the factors that may influence outcomes following PMIEs.

Method: Participants were seven human trafficking survivors from diverse backgrounds who had settled in the UK. In-depth semi-structured interviews were conducted via telephone. Data were analysed using thematic analysis.

Results: Human trafficking survivors were found to experience multiple PMIEs, including transgressive acts committed by others and betrayal by trusted loved ones or those in positions of authority. Experiencing PMIEs contributed towards considerable psychological distress, including intense feelings of shame, anger and worthlessness, and negatively impacted survivors daily functioning. Formal support, especially practical help (e.g. warm clothing) and social support groups, were experienced as particularly beneficial.

Conclusions: This study provides some of the first evidence that human trafficking survivors may be vulnerable to moral injury and indicates the impact that exposure to PMIEs can have on functioning. Future work is needed to ensure that statutory organisations consider the potential for causing moral injury when interacting with human trafficking survivors and clinical care teams are equipped to provide tailored guidance and support.

背景:近年来的研究越来越多地强调了潜在精神伤害事件(PMIEs)与不良心理健康后果之间的关系。人口贩运幸存者通常会报告自己遭受过许多创伤和潜在精神伤害事件,鉴于人口贩运剥削的复杂性,幸存者可能特别容易受到精神伤害。尽管如此,还没有研究调查过人口贩运幸存者的 PMIEs 和精神伤害经历。本研究旨在探讨幸存者的PMIEs经历、PMIEs对福祉和功能的影响以及可能影响PMIEs后结果的因素:参与者为七名在英国定居、背景各异的人口贩运幸存者。通过电话进行了深入的半结构化访谈。采用主题分析法对数据进行分析:结果发现,人口贩运幸存者经历了多种 PMIEs,包括他人实施的越轨行为以及被信任的亲人或权威人士背叛。经历过 PMIEs 会导致相当大的心理压力,包括强烈的羞耻感、愤怒和无价值感,并对幸存者的日常运作产生负面影响。正式的支持,尤其是实际帮助(如御寒衣物)和社会支持团体,对幸存者尤其有益:本研究首次提供了一些证据,证明人口贩运幸存者可能容易受到精神伤害,并指出了接触 PMIEs 可能对其功能产生的影响。今后的工作需要确保法定组织在与人口贩运幸存者互动时考虑到造成精神伤害的可能性,并确保临床护理团队有能力提供有针对性的指导和支持。
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引用次数: 0
Religious beliefs and social class identification: micro evidence from China. 宗教信仰与社会阶层认同:来自中国的微观证据。
IF 2.7 3区 心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-11-14 DOI: 10.1186/s40359-024-02178-7
Jianyi Jiao, Fan Chen, Suwei Gao, Wenxing Hu

Background: Residents' sense of social class identity is of great significance for enhancing self-happiness and maintaining social stability. As a spiritual force, religious beliefs can significantly influence residents' subjective perceptions.

Methods: Based on this, using data from the 2021 Chinese General Social Survey (CGSS 2021), this paper explores the impact of religious beliefs on residents' sense of social class identity through the probit model and Ordinary Least Squares (OLS) method, and analyzes potential mechanisms.

Results: The baseline regression results indicate that religious beliefs significantly enhance residents' sense of social class identity(p < 0.05), a conclusion that holds true even after rigorous robustness tests. Furthermore, female residents(p < 0.05), residents with lower education levels(p < 0.05), and those who believe in domestic religions(p < 0.05) exhibit higher social class identification compared to those who believe in foreign religions. Mechanism analysis suggests that economic capital and social capital play mediating roles, indicating that religious beliefs enhance the economic(p < 0.01) and social capital of believers(p < 0.01), thereby increasing their sense of social class identity.

Conclusions: Therefore, this paper suggests respecting residents' religious beliefs, while religious organizations should actively adapt to the needs of social development, providing spiritual comfort and moral guidance to residents.

背景:居民的社会阶层认同感对于提升自我幸福感和维护社会稳定具有重要意义。宗教信仰作为一种精神力量,能够显著影响居民的主观感受:基于此,本文利用 2021 年中国社会总体调查(CGSS 2021)数据,通过 probit 模型和普通最小二乘法(OLS)方法,探讨宗教信仰对居民社会阶层认同感的影响,并分析其潜在机制:基线回归结果表明,宗教信仰能显著增强居民的社会阶层认同感(P 结论):因此,本文建议尊重居民的宗教信仰,同时宗教组织应积极适应社会发展的需要,为居民提供精神慰藉和道德引导。
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引用次数: 0
The association between the type of offline social participation and digital literacy among Korean older adults: a cross-sectional study. 韩国老年人线下社交参与类型与数字素养之间的关联:一项横断面研究。
IF 2.7 3区 心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-11-14 DOI: 10.1186/s40359-024-02146-1
Jinhyun Kim, Hyunkyu Kim, Eun-Cheol Park, Suk-Yong Jang

Background: Poor social connections are associated with poor digital literacy. Poor digital literacy could induce poor outcomes in daily life or health status, especially among older adults. This study aimed to investigate the effect of social participation based on its absolute magnitude on digital literacy and to confirm the well-known fact that social participations are good for digital literacy is applicable regardless of activity types in a sample of older Korean adults.

Methods: A total of 9,297 adults aged 65 years or older from the 2020 National Survey of Older Koreans were analyzed. All data were self-reported. Poor digital literacy was defined by limited usage of digital devices. Offline social participation was evaluated using seven different social activities: senior community activities, learning activities, religious activities, volunteer work, leisure, political groups, and club activities. Multivariable logistic regression analysis with covariate adjustment was used for the analysis.

Results: Engaging in more than two types of social participation was associated with higher digital literacy: adjusted odds ratio (aOR) 1.965, 95% confidence interval (CI) 1.567-2.465 for two types of participation, and aOR 2.558, 95% CI 2.040-3.208 for more than three types of participation. Additionally, social participation occurring less than once a month and most types of offline activities were associated with improved digital literacy. However, senior community activities were negatively associated with digital literacy (aOR 0.762; 95% CI 0.681-0.852).

Conclusions: In this sample of older Korean adults, it was found that the lower the social participation, the poorer the digital literacy. This association may induce the isolation of older adults from societies especially for older adults with senior community activities.

背景不良的社会关系与不良的数字素养有关。数字素养差会导致日常生活或健康状况不佳,尤其是在老年人中。本研究旨在调查社会参与的绝对规模对数字素养的影响,并在韩国老年人样本中证实众所周知的 "社会参与有利于提高数字素养 "这一事实适用于所有活动类型:对 2020 年韩国老年人全国调查中的 9297 名 65 岁及以上的成年人进行了分析。所有数据均为自我报告。数字素养差的定义是对数字设备的使用有限。离线社会参与度通过七种不同的社会活动进行评估:老年社区活动、学习活动、宗教活动、志愿者工作、休闲、政治团体和俱乐部活动。分析采用了带协变量调整的多变量逻辑回归分析:参与两种以上类型的社会活动与较高的数字素养有关:参与两种类型活动的调整赔率(aOR)为 1.965,95% 置信区间(CI)为 1.567-2.465;参与三种以上类型活动的调整赔率(aOR)为 2.558,95% 置信区间(CI)为 2.040-3.208。此外,每月少于一次的社会参与和大多数类型的线下活动都与数字素养的提高有关。然而,老年社区活动与数字素养呈负相关(aOR 0.762;95% CI 0.681-0.852):结论:在这一韩国老年人样本中发现,社会参与度越低,数字素养越差。这种关联可能会导致老年人与社会隔离,尤其是参加老年社区活动的老年人。
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引用次数: 0
The relationship between cumulative family risk and depression in left-behind children: a moderated mediation model. 留守儿童的家庭累积风险与抑郁之间的关系:调节中介模型。
IF 2.7 3区 心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-11-13 DOI: 10.1186/s40359-024-02095-9
Wanwan Yu, Ming Chen, Jing Yan, Yang Ding, Chunyan Zhu

Background: This study proposed a moderated mediation model to examine the mediating role of core self-evaluation in the relationship between cumulative family risk and depression among left-behind children, and whether this process was moderated by school climate.

Methods: A total of 415 rural left-behind children from 35 townships in Anhui Province (54.46% males; mean age = 12.53, SD = 2.27) were randomly conducted in June 2023 using convenience sampling. Data were processed and analyzed using SPSS 25.0 and PROCESS 3.3.

Results: After controlling for gender, age, grade, and left-behind type, cumulative family risk positively predicted depression in left-behind children (β = 0.18, p < 0.001). Core self-evaluation fully mediated the relationship between cumulative family risk and depression in left-behind children (indirect effect = 0.10, 95%CI = [0.06, 0.15]). Moreover, school climate moderated the relationship between cumulative family risk and core self-evaluation (the first half of the mediation pathway) (β =-0.13, p < 0.01). Specifically, as the school climate level increased, cumulative family risk became more predictive of core self-evaluation (Blow = - 0.001, p > 0.05; Bhigh = - 0.26, p < 0.001).

Conclusion: Creating a favourable family and school climate and improving core self-evaluation are beneficial to reduce depression in left behind children.

研究背景本研究提出调节中介模型,探讨核心自我评价在留守儿童家庭累积风险与抑郁关系中的中介作用,以及这一过程是否受到学校氛围的调节:采用方便抽样法,于2023年6月随机对安徽省35个乡镇的415名农村留守儿童(男性占54.46%;平均年龄=12.53,SD=2.27)进行了调查。数据采用 SPSS 25.0 和 PROCESS 3.3 进行处理和分析:在控制了性别、年龄、年级和留守类型后,累积家庭风险对留守儿童抑郁有正向预测作用(β = 0.18,p low = - 0.001,p > 0.05;Bhigh = - 0.26,p 结论:留守儿童的抑郁与家庭和学校环境有关:营造良好的家庭和学校氛围以及改善核心自我评价有利于减少留守儿童的抑郁情绪。
{"title":"The relationship between cumulative family risk and depression in left-behind children: a moderated mediation model.","authors":"Wanwan Yu, Ming Chen, Jing Yan, Yang Ding, Chunyan Zhu","doi":"10.1186/s40359-024-02095-9","DOIUrl":"10.1186/s40359-024-02095-9","url":null,"abstract":"<p><strong>Background: </strong>This study proposed a moderated mediation model to examine the mediating role of core self-evaluation in the relationship between cumulative family risk and depression among left-behind children, and whether this process was moderated by school climate.</p><p><strong>Methods: </strong>A total of 415 rural left-behind children from 35 townships in Anhui Province (54.46% males; mean age = 12.53, SD = 2.27) were randomly conducted in June 2023 using convenience sampling. Data were processed and analyzed using SPSS 25.0 and PROCESS 3.3.</p><p><strong>Results: </strong>After controlling for gender, age, grade, and left-behind type, cumulative family risk positively predicted depression in left-behind children (β = 0.18, p < 0.001). Core self-evaluation fully mediated the relationship between cumulative family risk and depression in left-behind children (indirect effect = 0.10, 95%CI = [0.06, 0.15]). Moreover, school climate moderated the relationship between cumulative family risk and core self-evaluation (the first half of the mediation pathway) (β =-0.13, p < 0.01). Specifically, as the school climate level increased, cumulative family risk became more predictive of core self-evaluation (B<sub>low</sub> = - 0.001, p > 0.05; B<sub>high</sub> = - 0.26, p < 0.001).</p><p><strong>Conclusion: </strong>Creating a favourable family and school climate and improving core self-evaluation are beneficial to reduce depression in left behind children.</p>","PeriodicalId":37867,"journal":{"name":"BMC Psychology","volume":"12 1","pages":"652"},"PeriodicalIF":2.7,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11562531/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142629959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The two-stage processing of judgment of confidence: evidence from ERP. 信心判断的两阶段处理:来自 ERP 的证据。
IF 2.7 3区 心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-11-13 DOI: 10.1186/s40359-024-02147-0
Zhaolan Li, Wenwu Dai, Ning Jia

Background: The judgment of confidence (JOC) refers to the confidence in the accuracy of the target item individuals have just retrieved and is a typical retrospective metacognitive monitoring process. In the classical paradigm of JOC, JOC occurs after the recognition or recall task. While initially viewed as a single-stage monitoring process, recent research on JOC suggests its internal mechanisms may be more complex, potentially encompassing both retrieval and monitoring processes. This study aims to delve into these mechanisms concerning neural temporal processes.

Methods: In this study, event-related potential (ERP) was used to compare N400 and slow-wave ERPs of high and low JOCs at different time windows using a classic JOC paradigm.

Results: Behavioral results showed an inverted-U shaped relationship between response time (RT) and JOCs, peaking at magnitude 3 before declining. There were significantly longer RT for low JOCs compared with high JOCs, along with lower recognition scores. The ERP results showed that low JOCs induced larger N400 in the right frontal lobe and right central area, while high JOCs induced larger slow-wave components (500 ~ 700ms) in the right frontal lobe.

Conclusions: Based on these findings, the present study suggests that JOC involves two processing stages. N400 reflects the process of cue acquisition, while the slow-wave component reflects the process of cue application. Furthermore, a two-stage model was proposed and validated, enriching the study of metacognition monitoring mechanisms, offering insights into the processing mechanisms of retrospective metacognitive monitoring.

背景:信心判断(JOC)指的是个体对刚刚检索到的目标项目的准确性的信心,是一种典型的回溯性元认知监测过程。在经典的 JOC 范式中,JOC 发生在识别或回忆任务之后。虽然 JOC 最初被视为一个单一阶段的监控过程,但最近的研究表明,其内部机制可能更为复杂,有可能同时包含检索和监控过程。本研究旨在深入探讨这些与神经时间过程有关的机制:本研究采用经典的 JOC 范式,使用事件相关电位(ERP)比较高、低 JOC 在不同时间窗的 N400 和慢波 ERP:行为结果表明,反应时间(RT)与 JOCs 之间呈倒 U 型关系,在量级 3 时达到峰值,然后下降。低JOCs的反应时间明显长于高JOCs,同时识别得分也较低。ERP结果显示,低JOC在右额叶和右中央区诱发较大的N400,而高JOC在右额叶诱发较大的慢波成分(500 ~ 700ms):基于这些发现,本研究认为 JOC 涉及两个处理阶段。N400 反映了线索获取的过程,而慢波成分则反映了线索应用的过程。此外,本研究还提出并验证了一个两阶段模型,丰富了元认知监测机制的研究,为回溯性元认知监测的加工机制提供了启示。
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引用次数: 0
Portuguese version of the citizenship fatigue scale: adaptation and evidence of validity. 葡萄牙语版公民疲劳量表:适应性和有效性证据。
IF 2.7 3区 心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-11-13 DOI: 10.1186/s40359-024-02150-5
Paula C Neves, Cláudia Andrade, Lia Alves

Background: Citizenship fatigue has been identified as a negative consequence of performing organizational citizenship behaviors and has been studied due to its undesirable effects on employees and organizations. This article aims to present the results of adapting the citizenship fatigue scale to Portuguese language and to provide evidence of its validity.

Methods: The research methodology involved multiple stages. Initially, the Citizenship Fatigue Scale was translated into Portuguese using a robust back-translation process involving three bilingual translators to ensure semantic accuracy. Subsequently, for psychometric testing, the Citizenship Fatigue Scale and Compulsory Citizenship Behavior Scale were administered to a sample of 406 employees from different economic sectors (103 male; 303 female), aged 18 to 70 years. Reliability and validity indicators were calculated from the CFA structure, employing the maximum likelihood estimation with bootstrapping. Gender invariance was examined at three different levels: [1] configural invariance [2], factor loading invariance and [3] factor loading and intercept invariance.

Results: The internal consistency, of the whole scale, measured by Cronbach's alpha, was 0.94. The composite reliability value was also very satisfactory (CF = 0.94). The variance extracted from mean (AVE) value of 0.79 was higher than the required limit of 0.50, indicating an adequate fit of the model. The confirmatory analysis supported a single-factor model and showed good to very good fit indexes (CFI = 1.00; GFI = 0.99; RMSEA ≤ 0.01). The model was successfully replicated with a male and female sample.

Discussion: The results confirm that the Portuguese version of the Citizenship Fatigue Scale is a reliable instrument for research with Portuguese speaking samples and international research.

背景:公民疲劳已被确定为实施组织公民行为的负面后果,由于其对员工和组织的不良影响,人们对其进行了研究。本文旨在介绍将公民疲劳量表改编为葡萄牙语的结果,并提供其有效性的证据:研究方法包括多个阶段。起初,为了确保语义的准确性,公民疲劳量表被翻译成了葡萄牙语,翻译过程中使用了强有力的回译程序,有三位双语翻译参与其中。随后,对来自不同经济部门的 406 名雇员(103 名男性;303 名女性)进行了公民疲劳量表和强制性公民行为量表的心理测试,这些雇员的年龄在 18 岁至 70 岁之间。信度和效度指标是根据 CFA 结构,采用最大似然估计和引导法计算得出的。性别不变性在三个不同层面上进行了检验:[1] 配置不变性[2]、因子载荷不变性以及[3] 因子载荷和截距不变性:结果:整个量表的内部一致性(Cronbach's alpha)为 0.94。综合信度值也非常令人满意(CF = 0.94)。从平均值中提取的方差(AVE)值为 0.79,高于所要求的 0.50,表明模型的拟合度很高。确证分析支持单因素模型,并显示出良好至非常好的拟合指数(CFI = 1.00;GFI = 0.99;RMSEA ≤ 0.01)。该模型成功地在男性和女性样本中进行了复制:讨论:研究结果证实,葡萄牙语版公民疲劳量表是一种可靠的工具,适用于葡萄牙语样本研究和国际研究。
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引用次数: 0
Religiosity, perceived family support, and gender disclosure of LGBTQ + medical students in Thailand. 泰国 LGBTQ + 医学生的宗教信仰、感知到的家庭支持和性别披露。
IF 2.7 3区 心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-11-13 DOI: 10.1186/s40359-024-02170-1
Pakawat Wiwattanaworaset, Papan Vadhanavikkit, Sorawit Wainipitapong, Maytinee Srifuengfung, Awirut Oon-Arom, Mayteewat Chiddaycha, Teeravut Wiwattarangkul

Background: The well-being of LGBTQ + medical students can be influenced by religiosity, family support, and the disclosure of their gender identity or sexual orientation. These factors have frequently been overlooked and warrant further consideration in creating a supportive environment for all students.

Methods: This multicenter study investigated two main outcomes including the differences in religiosity and perceived family support between LGBTQ + and non-LGBTQ + medical students in Thailand, and the gender disclosure to family among LGBTQ + medical students. It was conducted among students from five medical schools across Thailand, using online questionnaires during the academic year 2021-2022. Data were collected on demographic characteristics, religiosity, gender identity/sexual orientation disclosure to family, and perceived family support. Comparisons between groups were conducted using chi-square test and Wilcoxon rank-sum test.

Results: Of the 1,322 participants, 31.2% identified themselves as LGBTQ+, among whom 81.8% were Buddhists. The proportion of non-religious LGBTQ + students was significantly higher (vs. non-LGBTQ+; 15.0% vs. 8.4%, respectively; p = 0.001). However, there was no statistical difference in religiosity between LGBTQ + and non-LGBTQ + students as well as between LGBTQ + subgroups. Although, 74% of LGBTQ + students reported good family support, significantly more LGBTQ + students perceived poor family support (vs. non-LGBTQ+, 7.0% vs. 4.7%; p = 0.002). Regarding the disclosure of gender identity or sexual orientation to the family, the majority of LGBTQ + individuals indicated either a non-disclosure or uncertainty. There were significant associations between perceived family support and the likelihood of disclosing one's identity to family members, as better perceived support was associated with higher disclosure rates.

Conclusions: No statistically significant difference in religiosity was found between LGBTQ + and non-LGBTQ + students. The majority of LGBTQ + medical students reported receiving good family support; however, among those who perceived their family's support to be lacking, there was a greater tendency to conceal their gender identity from their families. For future studies, it is crucial to investigate whether this concealment extends to other spheres of their lives and to assess the potential impact on their well-being, including mental health and quality of life.

背景:LGBTQ+医学生的幸福感可能会受到宗教信仰、家庭支持以及性别认同或性取向披露的影响。这些因素经常被忽视,因此在为所有学生创造支持性环境时需要进一步考虑:这项多中心研究调查了两个主要结果,包括泰国 LGBTQ + 和非 LGBTQ + 医学生在宗教信仰和感知到的家庭支持方面的差异,以及 LGBTQ + 医学生向家庭披露性别的情况。该研究在 2021-2022 学年期间通过在线问卷对泰国五所医学院的学生进行了调查。收集的数据包括人口统计学特征、宗教信仰、向家人公开性别认同/性取向以及感知到的家庭支持。组间比较采用卡方检验(chi-square test)和Wilcoxon秩和检验(Wilcoxon rank-sum test):在 1,322 名参与者中,31.2% 的人认为自己是 LGBTQ+,其中 81.8% 是佛教徒。无宗教信仰的 LGBTQ+ 学生比例明显更高(与非 LGBTQ+ 相比,分别为 15.0% 和 8.4%;P = 0.001)。不过,LGBTQ + 学生与非 LGBTQ + 学生之间以及 LGBTQ + 亚群之间在宗教信仰方面没有统计学差异。虽然有 74% 的 LGBTQ + 学生表示家庭支持良好,但认为家庭支持不佳的 LGBTQ + 学生要多得多(与非 LGBTQ + 相比,7.0% 对 4.7%;p = 0.002)。关于向家人公开性别认同或性取向的问题,大多数 LGBTQ+ 表示不公开或不确定。感知到的家庭支持与向家庭成员披露个人身份的可能性之间存在重要关联,因为感知到的支持越好,披露率越高:LGBTQ + 学生和非 LGBTQ + 学生在宗教信仰方面没有明显的统计学差异。大多数 LGBTQ + 医学生表示得到了良好的家庭支持;然而,在那些认为缺乏家庭支持的学生中,他们更倾向于向家人隐瞒自己的性别认同。对于未来的研究而言,至关重要的是调查这种隐瞒是否会延伸到他们生活的其他领域,并评估对他们的福祉(包括心理健康和生活质量)的潜在影响。
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引用次数: 0
A cross-sectional study on post-stroke depression and the quality of life. 一项关于中风后抑郁和生活质量的横断面研究。
IF 2.7 3区 心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-11-12 DOI: 10.1186/s40359-024-02143-4
Qian-Ying Hu, Ya-Jing Chen, Juan Liu, Xue-Ping Zhao, Wen-Ya Feng, Jian-Bin Tian, Su-Juan Sun, Zi-Ning Li

Background: Post-stroke depression (PSD) is a common mood disorder associated with stroke. By investigating the differences in life quality factors among stroke survivors, the results of this study offer insights into how to better prevent and manage the onset and progression of depression.

Methods: This study is a cross-sectional study that selected patients receiving treatment in the Department of Rehabilitation Medicine at Hebei University Affiliated Hospital from September 1 to November 30, 2023. The inclusion criteria for this study were as follows: 1. Age ≥ 18 years; 2. Diagnosis of hemorrhagic or ischemic stroke confirmed by imaging examination. The exclusion criteria included: 1. A history of psychiatric disorders such as depression or anxiety prior to the onset of the illness; 2. History of psychiatric medication use before the onset; 3. Functional impairments, such as speech, cognitive, or consciousness disorders, that hinder cooperation with the survey questionnaire. Ultimately, a total of 131 patients were included in the study. Based on the results of the Patient Health Questionnaire-9 (PHQ-9), patients were divided into the PSD group and the non-PSD group. The primary evaluation metrics included the General Self-Efficacy Scale (GSES), Visual Analogue Scale (VAS), modified Rankin Scale (mRS), and Fatigue Assessment Scale (FAS), allowing for a comparison of demographic, clinical data, and evaluation metrics between the two groups. Statistical analysis was performed using SPSS version 25.0, and GraphPad Prism version 9.0 was used for graphical representations.

Results: The morbidity rate of PSD in this study was 48%, which was slightly higher than the global statistical data. The demographic data did not show any statistical differences in terms of age, sex, history of smoking and drinking, or occupation, but they did show a significant difference in terms of education level (p < 0.05), which was primarily related to low education level in the PSD group. In contrast, the clinical data did not show any differences in terms of stroke type, pathogenic site, or medical history (p > 0.05).

Conclusion: In this study, statistical results indicated no significant difference in the mRS between the two groups. However, the GSES, VAS, and FAS showed significant differences. This suggests a strong correlation between GSES, VAS, and FAS with the occurrence of PSD, indicating that these factors may serve as predictors for PSD. In medical practice, focusing on patients' self-efficacy, pain, and fatigue levels could facilitate recovery. When developing rehabilitation plans, it is crucial to minimize patients' feelings of self-defeat, enhance their self-efficacy, and manage fatigue effectively. Furthermore, reinforcing pain management throughout the rehabilitation process may promote more effective patient recovery.

背景:脑卒中后抑郁(PSD)是一种与脑卒中相关的常见情绪障碍。通过调查脑卒中幸存者生活质量因素的差异,本研究的结果为如何更好地预防和控制抑郁症的发生和发展提供了启示:本研究是一项横断面研究,选取 2023 年 9 月 1 日至 11 月 30 日在河北大学附属医院康复医学科接受治疗的患者作为研究对象。本研究的纳入标准如下:1.年龄≥18岁;2.经影像学检查确诊为出血性或缺血性脑卒中。排除标准包括1.1.发病前有抑郁或焦虑等精神病史;2.发病前有精神科药物使用史;3.有语言、认知或意识障碍等妨碍配合调查问卷的功能障碍。最终,共有 131 名患者被纳入研究。根据患者健康问卷-9(PHQ-9)的结果,患者被分为 PSD 组和非 PSD 组。主要评估指标包括一般自我效能量表(GSES)、视觉模拟量表(VAS)、改良兰金量表(mRS)和疲劳评估量表(FAS),以便对两组患者的人口统计学、临床数据和评估指标进行比较。统计分析采用 SPSS 25.0 版,图形表示采用 GraphPad Prism 9.0 版:结果:本研究中 PSD 的发病率为 48%,略高于全球统计数据。人口统计学数据在年龄、性别、吸烟饮酒史或职业方面未显示出任何统计学差异,但在教育程度方面显示出显著差异(P 0.05):本研究的统计结果表明,两组患者的 mRS 无明显差异。结论:本研究的统计结果显示,两组患者的 mRS 无明显差异,但 GSES、VAS 和 FAS 有明显差异。这表明 GSES、VAS 和 FAS 与 PSD 的发生有很强的相关性,表明这些因素可能是 PSD 的预测因素。在医疗实践中,关注患者的自我效能感、疼痛和疲劳程度可促进康复。在制定康复计划时,关键是要尽量减少患者的自我挫败感,提高他们的自我效能感,并有效控制疲劳。此外,在整个康复过程中加强疼痛管理可促进患者更有效地康复。
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引用次数: 0
The effectiveness of multimedia mental health self-care program based on cyber space on the mental health of infertile women: a randomized controlled trial. 基于网络空间的多媒体心理健康自我保健计划对不孕妇女心理健康的影响:随机对照试验。
IF 2.7 3区 心理学 Q1 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-11-12 DOI: 10.1186/s40359-024-02139-0
Fatemeh Yahyavi Koochaksaraei, Masoumeh Simbar, Mahbobeh Faramarzi, Mehrnoosh Khoshnoodifar, Malihe Nasiri

Background: So far, some training interventions have been carried out to improve the mental health in women with infertility, but designing the need and evidence-based, as well as multimedia mental health self-care interventions based on cyber space has received less attention. Due to the spread of the internet and the role of self-care in improving mental disorders, this study was conducted to evaluate the effectiveness of the multimedia mental health self-care program on mental health and to assess the users' satisfaction.

Methods: This study is a randomized controlled trial with pretest-posttest follow-up design. The sample was selected using a convenience sampling method (n = 90). The random number function was used to assign random numbers. The research instruments include a demographic, psychological Well-being, depression, anxiety, perceived stress, fertility problems and satisfaction with training questionnaire. Six weeks of intervention was conducted following the pre-test and the link of each session's content was sent to the participants, based on the training schedule, through Eitaa Messenger. The post-test and follow-up were conducted 1 week and 1 month post intervention. The data were analyzed using independent t-test and repeated measures ANOVA.

Results: A statistically significant difference was observed between the intervention and control group in the mean score of psychological well-being, perceived stress and infertility stress 1 week and 1 month post intervention and in the mean score of depression and anxiety 1 month post intervention. The intervention group scored higher than the control in psychological well-being but lower in perceived stress, depression, anxiety and infertility stress. The intervention had a positive effect and reduced the score of perceived stress, depression, anxiety and infertility in the intervention group over time. The score reduction continued until the follow-up stage. No significant time-interaction effect was observed on psychological well-being and on the control group. Satisfaction with the program and subscales was desirable.

Conclusion: This program could significantly reduce the depression, anxiety, perceived stress and infertility stress and desirable satisfaction with the program was observed among users. This program can be used in designing the experimental and therapeutic interventions to improve mental-health self-care behaviors.

Trial registration: RCT Registry: Iranian Registry of Clinical Trials; RCT registration number: IRCT20210526051410N1; Registration date: 2022-11-06. Last update: 2023-01-28 https://irct.behdasht.gov.ir/trial/57874.

背景:迄今为止,已经开展了一些培训干预措施来改善不孕症妇女的心理健康,但设计基于网络空间的需求和循证以及多媒体心理健康自我保健干预措施却较少受到关注。鉴于网络的普及和自我保健在改善精神障碍方面的作用,本研究旨在评估多媒体心理健康自我保健项目对心理健康的有效性,并评估使用者的满意度:本研究是一项随机对照试验,采用前测-后测跟踪设计。样本采用方便抽样法选出(n = 90)。使用随机数功能分配随机数。研究工具包括人口统计学、心理健康、抑郁、焦虑、感知压力、生育问题和培训满意度问卷。前测后进行了为期六周的干预,并根据培训计划通过 Eitaa Messenger 向参与者发送了每节课的内容链接。干预后 1 周和 1 个月分别进行了后测和随访。数据采用独立 t 检验和重复测量方差分析:干预后 1 周和 1 个月,干预组与对照组在心理幸福感、感知压力和不孕不育压力的平均得分,以及干预后 1 个月抑郁和焦虑的平均得分方面存在统计学差异。干预组在心理健康方面的得分高于对照组,但在感受到的压力、抑郁、焦虑和不孕压力方面得分低于对照组。随着时间的推移,干预产生了积极的效果,降低了干预组在感知压力、抑郁、焦虑和不孕症方面的得分。得分的降低一直持续到后续阶段。在心理健康和对照组中,没有观察到明显的时间交互效应。对该计划和分量表的满意度令人满意:结论:该项目可明显减轻抑郁、焦虑、感知压力和不孕不育压力,用户对项目的满意度令人满意。该程序可用于设计实验和治疗干预措施,以改善心理健康自我保健行为:RCT 注册:伊朗临床试验登记处;RCT 登记号:IRCT20210526051410N1;登记日期:2022-11-06。最后更新日期:2023-01-28 https://irct.behdasht.gov.ir/trial/57874。
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