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‘Crushed all over again’: the professional experiences of early career counselling psychologists in South Africa 重蹈覆辙":南非初入职场的心理咨询师的职业经历
IF 1.9 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2023-12-29 DOI: 10.1177/00812463231218002
P. Haine, Duane D. Booysen, Charles Young
Counselling psychology in South Africa has recently emerged from a tumultuous period, stemming from regulatory efforts in 2011, which negatively impacted on the profession’s status and viability. While the definition and scope of counselling psychology arguably demonstrate improvements in aligning with global practices, concerns persist surrounding the work opportunities and professional experiences of counselling psychologists, particularly those in the early stages of their careers. This study aimed to gain an in-depth understanding of the professional experiences of early career counselling psychologists in South Africa. The pool of participants were 10 early career counselling psychologists (females = 7, males = 3, period in service = 1–10 years). The participants completed semi-structured interviews on their early career professional experiences, as well as the meanings they attributed to these experiences. An interpretative phenomenological analysis of the data revealed three group experiential themes: (1) the complexity of finding and securing work; (2) navigating an array of personal, professional, and systemic challenges; and (3) self-acquiring support. The findings suggest that despite the unique and valuable skills and knowledge counselling psychologists possess, the participants struggled to successfully transition into the workforce, resulting in feelings of anxiety, frustration, and professional disillusionment. The findings indicate enhanced support is needed at various levels to address the needs and bolster the wellbeing, utilisation, and retention of counselling psychologists in their transition into the South African workforce.
南非的咨询心理学最近刚刚走出一段动荡时期,2011 年的监管工作对该行业的地位和生存能力产生了负面影响。虽然咨询心理学的定义和范围在与全球实践接轨方面有所改进,但人们对咨询心理学家,尤其是处于职业生涯早期阶段的咨询心理学家的工作机会和职业经历的担忧依然存在。本研究旨在深入了解南非早期职业咨询心理学家的职业经历。参与者包括 10 名职业生涯初期的心理咨询师(女性 7 人,男性 3 人,工作年限 1-10 年)。参与者完成了半结构化访谈,了解了他们的早期职业经历,以及他们对这些经历所赋予的意义。对数据进行的解释性现象学分析揭示了三组经验主题:(1) 寻找和获得工作的复杂性;(2) 应对一系列个人、专业和系统挑战;(3) 自我获取支持。研究结果表明,尽管心理咨询师拥有独特而宝贵的技能和知识,但参与者在成功过渡到劳动力大军的过程中仍步履维艰,从而产生了焦虑、挫败感和职业幻灭感。研究结果表明,需要在各个层面加强支持,以满足咨询心理学家的需求,提高他们的福利、利用率和留用率,帮助他们过渡到南非的劳动力队伍。
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引用次数: 0
Exploring primary mental health care nurses’ perceptions of the post-treatment needs of women admitted for psychiatric treatment 探讨初级精神保健护士对接受精神病治疗的妇女治疗后需求的看法
IF 1.9 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2023-12-29 DOI: 10.1177/00812463231219932
Khelsey Fraser, Hannah Lukic, Koketso Nelly Mamabolo, Amy-Jean Viljoen, Shannen Ferreira, Xolisa Gwadiso, Sinesipho Jenkins, Warona Mateane, Munene Nkuna, T. Adonis, Maria Florence, S. Isaacs, Kyle Jackson
Primary mental health care nurses are an essential workforce that provide necessary inpatient psychiatric treatment. Continuity of care has become a significant aspect of the provision of mental health services. However, caring for South African healthcare users comes with challenges, including difficulties accompanying the provision of care for acutely ill patients with complex mental health problems. Therefore, this study explored the perceptions and experiences of primary mental healthcare nurses concerning the continuity of care required in post-inpatient psychiatric treatment for mental health users from low-income communities in the Western Cape. Through undertaking a study using a qualitative exploratory design and purposive sampling technique, and in which nine primary mental healthcare nurses from two psychiatric hospitals in the Western Cape were interviewed, the researchers were able to obtain a deeper understanding of the participants’ experiences. Four themes were identified during the reflexive thematic analysis namely: the roles and responsibilities of primary mental healthcare nurses, the lack of support within the current continuity-of-care system, barriers to continuity of care for women patients, and suggested improvements for quality of mental healthcare. It was evident that both women patients and primary mental healthcare nurses experienced various forms of marginalisation, discrimination, and gendered oppression. This intersectionality accentuates systemic issues within the current public healthcare system and highlights the stigmatisation of mental illness, especially among women. Overall, primary mental healthcare nurses have a plethora of roles and responsibilities within the primary healthcare sector, which hinder their ability to provide mental health services to women patients. Their reports highlight the needs of a specific patient population that first need to translate into changes that will assist in improving their roles as primary mental healthcare nurses. Their shared experiences of a lack of support from South Africa’s healthcare system were the focal points of this study.
初级精神健康护理护士是提供必要的精神科住院治疗的重要力量。持续护理已成为提供心理健康服务的一个重要方面。然而,为南非的医疗用户提供护理服务也面临着挑战,其中包括为有复杂精神健康问题的急性病患者提供护理服务时遇到的困难。因此,本研究探讨了基层精神保健护士对西开普省低收入社区精神健康使用者住院后精神治疗所需的持续性护理的看法和经验。通过采用定性探索设计和目的性抽样技术进行研究,并对来自西开普省两家精神病医院的九名初级精神保健护士进行访谈,研究人员得以深入了解参与者的经历。在反思性主题分析过程中确定了四个主题,即:初级精神保健护士的角色和责任、当前持续护理系统中缺乏支持、女性患者持续护理的障碍以及精神保健质量的改进建议。很明显,女性患者和初级心理保健护士都经历了各种形式的边缘化、歧视和性别压迫。这种交叉性凸显了当前公共医疗体系中的系统性问题,并强调了精神疾病的污名化,尤其是在女性中。总的来说,初级心理保健护士在初级医疗保健部门中承担着大量的角色和责任,这阻碍了她们为 女性患者提供心理保健服务的能力。她们的报告强调了特定患者群体的需求,而这些需求首先需要转化为有助于改善她们作为初级心理保健护士角色的变化。她们共同的经历是缺乏南非医疗保健系统的支持,这也是本研究的重点。
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引用次数: 0
Bodies, bruises, and blisters, and the struggle for/of the feminine/muscular body: the ways in which women CrossFitters transgress gendered boundaries 身体、瘀伤和水泡,以及为女性化/肌肉化的身体而奋斗:女性混合健身者跨越性别界限的方式
4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2023-10-30 DOI: 10.1177/00812463231207363
Candice R Leith, Nicholas Munro
Gender is a fundamental element of social life but is premised on the notions of socially and culturally constructed differences which are almost always hierarchical in nature, imbued with power(lessness), and reinforced by binary thinking. Sport is one domain where gendered hierarchies, power struggles, and binaries have been most notable. CrossFit is a relatively new sport which is said to offer women a space for alternative gender performances. This article draws on autophotographical and photo-elicitation interview data generated with 13 women CrossFitters. Informed by feminist poststructuralism and using reflexive thematic analysis, the researchers generated two paradoxical themes which illustrate the ways in which women CrossFitters can transgress but also inadvertently reinforce gendered boundaries. We present and interrogate the themes of bodies, bruises, and blisters, and the struggle for/of the feminine/muscular body as paradoxical processes for women CrossFitters. These paradoxical processes permit women CrossFitters to experiment with performances of both femininity and masculinity that could be transformational and non-gendered and allow these women to transgress normative bodily ideals and gendered norms.
性别是社会生活的一个基本要素,但其前提是社会和文化建构的差异概念,这些差异在本质上几乎总是等级分明,充满权力(无权力),并被二元思维所强化。体育是性别等级、权力斗争和二元对立最为显著的一个领域。混合健身是一项相对较新的运动,据说它为女性提供了一个替代性别表演的空间。本文利用了13名女性crossfitter的自拍照和照片激发访谈数据。在女权主义后结构主义和反身性主题分析的指导下,研究人员产生了两个矛盾的主题,它们说明了女性混合健身者可以越过性别界限的方式,但也无意中加强了性别界限。我们呈现和质疑身体、瘀伤和水泡的主题,以及对女性/肌肉身体的斗争,作为女性混合健身者的矛盾过程。这些矛盾的过程允许女性混合健身者尝试女性气质和男性气质的表演,这些表演可以是转型的和非性别的,并允许这些女性超越规范的身体理想和性别规范。
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引用次数: 0
South African fathers’ experiences with healthcare providers during their partners’ medically high-risk pregnancy and childbirth 南非父亲在其伴侣医学上高风险的怀孕和分娩期间与医疗保健提供者的经历
4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2023-10-30 DOI: 10.1177/00812463231207511
Pascal Richardson, Michelle Andipatin
Obstetric research in sub-Saharan Africa largely focuses on the material, physical, and psychosocial aspects of pregnancy and childbirth in relation to mothers. This research aimed to address a research gap in terms of fathers’ experiences of pregnancy and childbirth, particularly in the context of a medically high-risk pregnancy. Specifically, this article focuses on fathers’ interactions with the healthcare system and healthcare professionals throughout the antenatal and neonatal periods. This study was exploratory and qualitative in nature. Eight fathers whose partners had experienced at least one medically high-risk pregnancy participated in semi-structured interviews that were examined using interpretive phenomenological analysis. The findings indicate that fathers’ experiences vacillated between healthcare providers being supportive and informative versus them being uncompassionate and not conveying adequate information. Importantly, the distinctions were largely attributed to the type of healthcare facility (i.e. public or private) that was attended. This research offers recommendations to healthcare workers to enhance fathers’ experiences during pregnancy and childbirth, especially in potentially traumatic situations.
撒哈拉以南非洲的产科研究主要集中在与母亲有关的怀孕和分娩的物质、身体和社会心理方面。这项研究的目的是解决在父亲怀孕和分娩经历方面的研究差距,特别是在医学上高风险怀孕的情况下。具体地说,这篇文章的重点是父亲在整个产前和新生儿时期与医疗保健系统和医疗保健专业人员的互动。本研究为探索性质的研究。有八位父亲的伴侣至少经历过一次医学上高风险的怀孕,他们参加了半结构化的访谈,并使用解释现象学分析进行了检查。研究结果表明,父亲的经历在医疗服务提供者的支持和信息与他们的无情和没有传达足够的信息之间摇摆不定。重要的是,这些差异主要归因于所就诊的医疗机构类型(即公立或私立)。这项研究为医疗工作者提供了建议,以提高父亲在怀孕和分娩期间的经验,特别是在潜在的创伤情况下。
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引用次数: 0
The well-being correlates of religious commitment amongst South African and Kenyan students 在南非和肯尼亚学生中,幸福感与宗教信仰相关
4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2023-09-30 DOI: 10.1177/00812463231199960
Itumeleng P Khumalo, Sahaya G Selvam, Angelina Wilson Fadiji
Religious commitment is a prominent feature in the lives of many students in Africa. The present study investigated the well-being correlates (emotional well-being, social contribution, and depression) of religious commitment, and compared them across sex. A cross-sectional sample of 471 students from South Africa and Kenya (men = 244; women = 227; with an average age of 22.8 years) completed the Religious Commitment Inventory, Patient Health Questionnaire, Social Well-being Scale, and Mental Health Continuum Short-Form. Structural equation modelling in Mplus was used to estimate direct effects of religious commitment on emotional well-being, social contribution and depression, and comparison across sex. The results showed significant direct effects, attesting to the association of religious commitment with higher emotional well-being and social contribution, and lower depression, with no significant sex differences. In addition to insight into positive and negative intra- and interpersonal well-being correlates of religious commitment, the absence of sex differences shows uniformity in how religious commitment is related to well-being for male and female students.
宗教信仰是许多非洲学生生活中的一个突出特点。本研究对宗教信仰的幸福感相关因素(情绪幸福感、社会贡献和抑郁感)进行了调查,并进行了性别间的比较。来自南非和肯尼亚的471名学生的横断面样本(男性= 244;女性= 227;平均年龄22.8岁)完成了宗教承诺量表、患者健康问卷、社会幸福感量表和心理健康连续量表。采用Mplus的结构方程模型来估计宗教信仰对情绪幸福感、社会贡献和抑郁的直接影响,并进行跨性别比较。结果显示了显著的直接影响,证明了宗教信仰与更高的情感幸福感和社会贡献,以及更低的抑郁之间的联系,没有显著的性别差异。除了深入了解宗教承诺与内部和人际幸福感之间的积极和消极关系外,性别差异的缺失表明,宗教承诺与男女学生幸福感之间的关系是一致的。
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引用次数: 0
Interviewing older men at an interdisciplinary pain clinic: the journey to chronic pain and treatment experience 在跨学科疼痛诊所采访老年男性:慢性疼痛的旅程和治疗经验
IF 1.9 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2023-09-07 DOI: 10.1177/00812463231198059
David Blackbeard, Colleen Aldous
The relationship between sources of acute pain and its persistence as chronic pain is complex, involving multiple systems that include emotional, cognitive, and interpersonal functioning. This study explored the lived experiences of male patients ( N = 14) at an interdisciplinary chronic pain clinic and is based on two major themes: (1) the journey to chronic pain; and (2) experiences within treatment settings. The purpose of the study was to investigate the lived experiences of men living with chronic pain conditions in relation to masculine identity in their everyday contexts. Interview material was collected in 2019 from 14 male patients at a chronic pain clinic using a life-world interviewing approach. Participant validation interviews took place to verify the findings. Team data analysis, thematic network diagrams, and tabulations were used for thematic analysis of transcripts and interview data. The narratives included distress, losses, adjustment, and other psychosocial sequelae linked to the meaning of living with chronic pain in relation to masculine identity and ageing. The men experienced the chronic pain clinic to be supportive and helpful, although with significant challenges of access and treatment, which they associated with having to adjust and adapt. The affective, cognitive, and social components were highly relevant in the participants’ accounts and therefore crucial considerations for the effective, contextualized, and responsive management of chronic pain among persons living with chronic pain.
急性疼痛的来源与其作为慢性疼痛的持续存在之间的关系是复杂的,涉及包括情感、认知和人际功能在内的多个系统。本研究探讨了一个跨学科慢性疼痛诊所的男性患者(N = 14)的生活经历,并基于两个主要主题:(1)慢性疼痛之旅;(2)在治疗环境中的经历。这项研究的目的是调查患有慢性疼痛的男性在日常生活中与男性身份的关系。访谈材料于2019年从一家慢性疼痛诊所的14名男性患者中收集,采用了生活世界访谈法。进行了参与者验证访谈以验证研究结果。使用团队数据分析、专题网络图和表格对笔录和访谈数据进行专题分析。这些叙述包括痛苦、损失、调整和其他社会心理后遗症,与男性身份和衰老相关的慢性疼痛生活的意义有关。这些男性经历了慢性疼痛诊所的支持和帮助,尽管在进入和治疗方面面临着重大挑战,他们不得不调整和适应。情感、认知和社会因素在参与者的描述中高度相关,因此对于慢性疼痛患者的有效、情境化和反应性管理至关重要。
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引用次数: 0
What motivates South African students to attend university? A cross-sectional study on motivational orientation 是什么激励南非学生上大学?动机取向的横断面研究
IF 1.9 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2023-09-06 DOI: 10.1177/00812463231196297
Kyle Jackson, B. Faroa, Nicolaas Adriaan Augustyn, A. Padmanabhanunni
Students’ reasons for attending university are likely to impact their participation, academic engagement, and learning outcomes. This study aims to investigate undergraduate students’ motivations for attending a South African university and its association with specific socio-demographic factors. The study used a cross-sectional survey design. Participants were undergraduate students ( N = 220) who completed a socio-demographic survey and the Student Motivations for Attending University Questionnaire-Revised scale. Descriptive statistics, correlations, and analysis of variance were used to determine associations between the study variables. The reasons for attending university were significantly related to racial identity, student generational status, parental educational status, and family characteristics. Students in their first and second years of study were motivated to attend university to prove their self-worth. Students who identified as Black as well as those coming from a single- or double-parent household and students whose parents had a school-level education were more likely to attend university to help their families. The findings suggest that students are motivated beyond the immediate benefits of employment and personal earnings and that the upliftment of their families is a central reason for attending university. For universities striving to connect with their students, understanding students’ motivational orientation can inform intervention efforts aimed at enhancing retention and throughput.
学生上大学的原因可能会影响他们的参与度、学术参与度和学习成果。本研究旨在调查本科生就读南非大学的动机及其与特定社会人口因素的关系。该研究采用了横断面调查设计。参与者为本科生(N = 220)完成了一项社会人口学调查和学生上大学动机问卷修订量表。使用描述性统计、相关性和方差分析来确定研究变量之间的相关性。上大学的原因与种族认同、学生世代状况、父母教育状况和家庭特征显著相关。在学习的第一年和第二年,学生们被激励上大学,以证明他们的自我价值。被认定为黑人的学生、单亲或双亲家庭的学生以及父母受过学校教育的学生更有可能上大学帮助家人。研究结果表明,学生的动机超出了就业和个人收入的直接利益,家庭的幸福感是上大学的核心原因。对于努力与学生建立联系的大学来说,了解学生的动机取向可以为旨在提高保留率和吞吐量的干预努力提供信息。
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引用次数: 0
Experiences of Xhosa women providing Kangaroo mother care in a tertiary hospital in the Western Cape, South Africa 科萨妇女在南非西开普省一家三级医院为袋鼠妈妈提供护理的经验
IF 1.9 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2023-08-31 DOI: 10.1177/00812463231193167
Sibongile Mpongwana-Ncetani, R. Roomaney, A. Lachman
Kangaroo mother care has been recognized as an intervention to improve preterm birth outcomes by the World Health Organization. Kangaroo mother care requires high user engagement and consists of continuous skin-to-skin contact between the mother and infant and exclusive breastfeeding. We conducted a qualitative study of Xhosa women ( n = 10) practicing Kangaroo mother care in a tertiary hospital in the Western Cape, South Africa. All interviews were conducted in isiXhosa, audio-recorded, and transcribed. The transcribed data were analysed using thematic analysis. Four themes emerged: (1) Kangaroo mother care, a beneficial but foreign concept; (2) distress in the Kangaroo mother care ward; (3) the missing umbilical cord: cultural experiences of mothers in the Kangaroo mother care ward; and (4) the Kangaroo mother care village: interpersonal relations in the ward. Our study showed that cultural practices still pose a challenge to fully accepting Kangaroo mother care. We suggest more studies on cultural sensitivity to encourage acceptance of interventions that affect culturally diverse groups.
世界卫生组织认为,袋鼠妈妈护理是一种改善早产结果的干预措施。袋鼠妈妈护理需要高度的用户参与度,包括母婴之间持续的皮肤接触和纯母乳喂养。我们对科萨妇女(n = 10) 在南非西开普省的一家三级医院进行袋鼠妈妈护理。所有采访都是在伊西科萨进行的,录音并转录。转录的数据采用专题分析法进行分析。出现了四个主题:(1)袋鼠妈妈护理,一个有益但陌生的概念;(2) 袋鼠妈妈护理病房的痛苦;(3) 丢失的脐带:袋鼠母亲护理病房母亲的文化体验;(4)袋鼠妈妈护理村:病房内的人际关系。我们的研究表明,文化习俗仍然对完全接受袋鼠妈妈的照顾构成挑战。我们建议对文化敏感性进行更多的研究,以鼓励接受影响文化多样性群体的干预措施。
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引用次数: 0
Fertility preservation among women diagnosed with cancer in South Africa 南非被诊断为癌症妇女的生育能力保护
IF 1.9 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2023-08-05 DOI: 10.1177/00812463231191437
Charlene Purdy, R. Roomaney
There is a growing trend worldwide to offer fertility preservation to newly diagnosed cancer patients, but little research exploring the experience of fertility preservation among this population exists. Our aim was to explore fertility preservation among female cancer survivors in South Africa. We conducted interviews with 10 women who received fertility preservation at fertility clinics in Cape Town and Johannesburg. Interviews lasted between 38 and 76 min and were audio recorded, transcribed, and then entered into ATLAS.ti. We analysed the interviews using reflexive thematic analysis. Four themes were constructed, namely (1) entering fertility preservation: motivation and risk, (2) an emotional rollercoaster, (3) needing more information, and (4) a costly source of hope. Participants reflected on choosing between cancer treatment and delaying the cancer treatment to accommodate for fertility preservation, with the importance of biological motherhood reported as a key factor. Both the cancer diagnosis and hormones taken as part of treatment resulted in participants feeling highly emotional. Participants expressed a need for more information on fertility preservation. Finally, even though the process was costly, participants reported that it was a worthwhile endeavour as it instilled in them a sense of hope. Our findings indicate that there is a need to increase awareness of fertility preservation in South Africa. Moreover, considering the pressure that patients are under, their emotional states, and their lack of adequate information, it is important for healthcare professionals to pay careful attention to the needs of patients throughout the process and provide patients with referrals to psychological services when needed. Our findings also indicate gaps in the informed consent process between patients and healthcare professionals that must be addressed by the latter.
在世界范围内,为新诊断的癌症患者提供保留生育能力的趋势越来越大,但对这一人群中保留生育能力经验的研究很少。我们的目的是探索南非癌症女性幸存者的生育能力保护。我们采访了10名在开普敦和约翰内斯堡的生育诊所接受生育保护的妇女。访谈持续时间为38至76 min和被录音、转录,然后输入ATLAS.ti。我们使用反射性主题分析来分析访谈。构建了四个主题,即(1)进入生育保护:动机和风险,(2)情绪过山车,(3)需要更多信息,以及(4)代价高昂的希望来源。与会者思考了在癌症治疗和推迟癌症治疗之间做出选择,以适应生育能力的保持,据报告,生物学母亲的重要性是一个关键因素。癌症的诊断和作为治疗一部分的激素都导致参与者情绪高度激动。与会者表示需要更多关于保持生育能力的信息。最后,尽管这一过程代价高昂,但与会者报告说,这是一项值得的努力,因为它给他们带来了希望。我们的研究结果表明,有必要提高南非对保持生育能力的认识。此外,考虑到患者所承受的压力、他们的情绪状态以及他们缺乏足够的信息,医疗保健专业人员在整个过程中仔细关注患者的需求,并在需要时为患者提供心理服务转诊,这一点很重要。我们的研究结果还表明,患者和医疗保健专业人员在知情同意过程中存在差距,后者必须加以解决。
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引用次数: 0
Repetitive negative thinking mediates the relationship between experiential avoidance and emotional distress among South African university students 南非大学生重复消极思维在经验回避与情绪困扰之间起中介作用
IF 1.9 4区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2023-07-23 DOI: 10.1177/00812463231186340
Kimberley Munsamy, S. Walker, L. McHugh
The psychological processes contributing to emotional distress among university students in South Africa have not been extensively researched. The current study sought to examine the mediating role of repetitive negative thinking on the relationship between experiential avoidance and student emotional distress. A convenience sample of 419 students from a large public university in South Africa participated in this study. The results indicated that experiential avoidance and repetitive negative thinking positively predict emotional distress. Furthermore, repetitive negative thinking partially mediates the interaction between experiential avoidance and emotional distress. These findings highlight the importance of targeting experiential avoidance and repetitive negative thinking in the alleviation and management of emotional distress among students in the South African higher education environment.
导致南非大学生情绪困扰的心理过程尚未得到广泛研究。本研究试图检验重复性消极思维在体验回避和学生情绪困扰之间关系中的中介作用。来自南非一所大型公立大学的419名学生参加了这项研究。结果表明,经验回避和重复消极思维对情绪困扰有正向预测作用。此外,重复的消极思维在一定程度上调节了体验回避和情绪困扰之间的互动。这些发现强调了在南非高等教育环境中,针对体验式回避和重复性消极思维在缓解和管理学生情绪困扰方面的重要性。
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引用次数: 0
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South African Journal of Psychology
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