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How Is Rejection Sensitivity Linked to Non-Suicidal Self-Injury? Exploring Social Anxiety and Regulatory Emotional Self-Efficacy as Explanatory Processes in a Longitudinal Study of Chinese Adolescents. 拒绝敏感性与非自杀性自伤有何关联?探索中国青少年纵向研究中社交焦虑和调节性情绪自我效能感的解释过程。
IF 2.5 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-10-14 DOI: 10.3390/bs14100943
Junyan Zhao, Anna Li, Kunlin Li, Fengqing Zhao

Early adolescents are at high risk for non-suicidal self-injurious behavior (NSSI). Based on the Rejection Sensitivity Model, the Experiential Avoidance Model, and the Affect Regulation Model of Self-Injury, this study aimed to explain how rejection sensitivity was related to NSSI among adolescents by unraveling the mediating role of social anxiety and the moderating role of regulatory emotional self-efficacy (RESE) in this relationship. A three-wave longitudinal investigation with a three-month interval was conducted among 726 adolescents (Mage = 13.47, SD = 0.95; 46.0% girls) from a middle school in North China. The Cross-Lagged Panel Models (RI-CLPMs) were utilized to estimate the associations among the study variables. The results indicated that the incidence rates of NSSI in the three measurements among adolescents were 33.3%, 30.3%, and 24.1%, respectively. Adolescents' rejection sensitivity and NSSI showed a declining trend over time. Furthermore, rejection sensitivity predicted NSSI through the longitudinal mediating effect of social anxiety. RESE played a protective role in adolescents' NSSI, but its moderating effect was not significant. The findings increase our understanding of the association between rejection sensitivity and NSSI in adolescents, and they benefit educators in conducting targeted interventions through improving adolescents' rejection sensitivity and social anxiety to reduce the risk of NSSI.

青少年早期是非自杀性自伤行为(NSSI)的高风险人群。本研究基于 "拒绝敏感性模型"、"经验回避模型 "和 "自伤情绪调节模型",旨在通过揭示社交焦虑的中介作用和调节情绪自我效能感(RESE)的调节作用,解释拒绝敏感性与青少年非自杀性自伤行为的关系。我们对华北某中学的726名青少年(年龄=13.47,SD=0.95;女生占46.0%)进行了为期三个月的三波纵向调查。研究采用交叉滞后面板模型(RI-CLPMs)来估计研究变量之间的关联。结果显示,在三次测量中,青少年NSSI的发生率分别为33.3%、30.3%和24.1%。随着时间的推移,青少年的拒绝敏感度和 NSSI 呈下降趋势。此外,拒绝敏感性通过社交焦虑的纵向中介效应预测了NSSI。RESE对青少年的NSSI起到保护作用,但其调节作用并不显著。这些发现加深了我们对青少年拒绝敏感性与NSSI之间关系的理解,有利于教育工作者通过提高青少年的拒绝敏感性和社交焦虑来进行有针对性的干预,从而降低NSSI的风险。
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引用次数: 0
Methodological Variations to Explore Conflicting Results in the Existing Literature of Masking Smile Judgment. 用不同的方法探讨现有文献中关于假笑判断的矛盾结果。
IF 2.5 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-10-14 DOI: 10.3390/bs14100944
Annalie Pelot, Adèle Gallant, Marie-Pier Mazerolle, Annie Roy-Charland

Although a smile can serve as an expression of genuine happiness, it can also be generated to conceal negative emotions. The traces of negative emotion present in these types of smiles can produce micro-expressions, subtle movements of the facial muscles manifested in the upper or lower half of the face. Studies examining the judgment of smiles masking negative emotions have mostly employed dichotomous rating measures, while also assuming that dichotomous categorization of a smile as happy or not is synonymous with judgments of the smile's authenticity. The aim of the two studies was to explore the judgment of enjoyment and masking smiles using unipolar and bipolar continuous rating measures and examine differences in the judgment when instruction varied between judgments of happiness and authenticity. In Experiment 1, participants rated smiles on 7-point scales on perceived happiness and authenticity. In Experiment 2, participants rated the smiles on bipolar 7-point scales between happiness and a negative emotion label. In both studies, similar patterns were observed: faces with traces of fear were rated significantly less happy/authentic and those with traces of anger in the brows were rated significantly happier/more authentic. Regarding varied instruction type, no effect was found for the two instruction types, indicating that participants perceive and judge enjoyment and masking smiles similarly according to these two instructions. Additionally, the use of bipolar scales with dimensions between a negative emotion label and happiness were not consistently effective in influencing the judgement of the masking smile.

虽然微笑可以表达真正的快乐,但它也可以用来掩饰负面情绪。这类微笑中的负面情绪痕迹会产生微表情,即面部肌肉在上半部或下半部的微妙运动。对掩盖负面情绪的微笑进行判断的研究大多采用二分法评分,同时也假定将微笑分为开心与否的二分法等同于对微笑真实性的判断。这两项研究的目的是使用单极和双极连续评定方法来探索对享受性和掩饰性微笑的判断,并研究在对快乐和真实性的判断进行不同指导时的判断差异。在实验 1 中,受试者用 7 点量表对微笑的幸福感和真实性进行评分。在实验 2 中,受试者在幸福感和负面情绪标签之间用 7 分双向量表对微笑进行评分。在这两项研究中,都观察到了类似的模式:带有恐惧痕迹的面孔的快乐/真实性评分明显较低,而眉宇间带有愤怒痕迹的面孔的快乐/真实性评分明显较高。至于不同的指令类型,两种指令类型没有发现任何影响,这表明根据这两种指令,受试者对快乐和掩饰性微笑的感知和判断是相似的。此外,使用介于消极情绪标签和快乐之间的双极性量表并不能持续有效地影响对掩饰性微笑的判断。
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引用次数: 0
Just-World Beliefs, System Justification, and Their Relationship with People's Health-Related Well-Being: A Narrative Review. 正义世界信念、系统合理性及其与人们健康福祉的关系:叙述性评论。
IF 2.5 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-10-14 DOI: 10.3390/bs14100941
Camilo Silva, Víctor Pedrero, Jaime Barrientos, Jorge Manzi, Katiuska Reynaldos

Beliefs about a social system help people understand and evaluate their environment and are related to their behavior within a society. When people believe that they live in a just social system and develop positive attitudes about the social and political environment, they experience greater satisfaction and well-being. This phenomenon is known as a palliative effect. Two theoretical approaches that explain support for social and political systems are the beliefs in a just world and system justification approaches. The objective of this review was to analyze the literature published between 2019 and 2023 that addressed the associations of beliefs in a just world and system justification with health-related well-being. The search yielded 2064 potentially eligible articles, 26 of which were ultimately selected. The results showed that beliefs in a just world are associated with a more positive perception of the world and better health outcomes. In addition, people with a greater propensity to justify the system experience higher levels of health-related well-being. This positive association is consistently observed across different social groups and contexts. These findings support the phenomenon of palliative effects attributable to beliefs in a just world and system justification.

对社会制度的信念有助于人们理解和评价他们所处的环境,并与他们在社会中的行为有关。当人们相信自己生活在一个公正的社会体系中,并对社会和政治环境持积极态度时,他们就会体验到更大的满足感和幸福感。这种现象被称为缓和效应。解释对社会和政治制度支持的两种理论方法是对公正世界的信念和制度合理性方法。本综述旨在分析 2019 年至 2023 年间发表的有关公正世界信念和制度合理性与健康相关幸福感之间关系的文献。检索结果显示,有 2064 篇文章可能符合条件,最终选择了其中的 26 篇。结果显示,对公正世界的信念与对世界更积极的看法和更好的健康结果有关。此外,更倾向于为制度辩护的人,其健康相关福祉水平更高。这种积极的关联在不同的社会群体和背景下都能被持续观察到。这些研究结果支持对公正世界和制度合理性的信念所产生的缓和效应现象。
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引用次数: 0
Conceptualizing Sleep Satisfaction: A Rapid Review. 睡眠满意度的概念化:快速回顾。
IF 2.5 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-10-14 DOI: 10.3390/bs14100942
Cleo Protogerou, Valerie Frances Gladwell, Colin R Martin

Good, satisfying, sleep is a key indicator and determinant of health and wellness. However, there is no consensus about how to define and measure good sleep. The present research aimed to define sleep satisfaction through the extant literature and disentangle it from sleep quality, a conceptually similar construct. Systematic review methods were adapted for a rapid review approach. The entire review was completed in eight weeks. Tabulation coding with content analysis was used to identify key categories and synthesize findings. A systematic process for generating construct definitions was followed. Database search yielded 51 eligible studies (N > 218,788), representing diverse adult populations, in 20 countries. Designs varied in rigour. Sleep satisfaction was defined as a personal, introspective, and global judgment about one's feelings of contentment with one's sleep, at a particular point in time. Sleep satisfaction was understood as an indicator of general health, impacted by and varied as a function of one's sleep environment and individual-level characteristics. This rapid review contributes to the literature by providing the first systematically generated definition of sleep satisfaction, with strong implications for measurement, research, and practice.

良好、令人满意的睡眠是健康和幸福的关键指标和决定因素。然而,对于如何定义和衡量良好睡眠,目前还没有达成共识。本研究旨在通过现有文献对睡眠满意度进行定义,并将其与概念相似的睡眠质量区分开来。系统性综述方法被调整为快速综述方法。整个综述在八周内完成。采用表格式编码和内容分析来确定关键类别并综合研究结果。同时还采用了一个系统化的过程来生成结构定义。通过数据库搜索获得了 51 项符合条件的研究(N>218,788),这些研究代表了 20 个国家的不同成人群体。研究设计的严谨程度各不相同。睡眠满意度被定义为个人在某一特定时间点对睡眠满意度的个人、内省和整体判断。睡眠满意度被理解为一种总体健康指标,受个人睡眠环境和个体特征的影响,并因之而异。本快速综述首次系统地提出了睡眠满意度的定义,对睡眠满意度的测量、研究和实践具有重要意义,为相关文献做出了贡献。
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引用次数: 0
Intimate Partner Violence and Mental Distress, Post-Traumatic Stress Symptoms and Life Satisfaction in Colombian Women. 亲密伴侣暴力与哥伦比亚妇女的精神压力、创伤后应激症状和生活满意度。
IF 2.5 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-10-14 DOI: 10.3390/bs14100940
Janneth E Molina, M Pilar Matud

Intimate partner violence (IPV) against women is a major global public health and human rights issue, with significant consequences for women's health and well-being. This study aimed to determine the relevance of IPV on women's mental distress, post-traumatic stress symptoms and life satisfaction, and to examine whether age, education, socioeconomic status, social support and self-esteem are associated with mental health and well-being. The sample consisted of 255 women aged 18 to 71 living in Colombia who were assessed using six self-reported questionnaires. Hierarchical multiple regression analyses showed that more IPV was associated with women's increased mental distress, post-traumatic stress symptoms and decreased life satisfaction. Although self-esteem and, to a lesser extent, social support were important predictors of women's mental distress and well-being, psychological IPV was the main predictor of women's post-traumatic stress symptoms, followed by lower self-esteem and younger age. The most important predictor of women's mental distress was lower self-esteem, followed by more psychological IPV and lower social support. The main predictor of women's life satisfaction was high self-esteem, followed by high social support, less psychological IPV and higher age and education. It is concluded that IPV, especially psychological IPV, is a serious threat to women's mental health and well-being, while high self-esteem and, to a lesser extent, high social support are associated with better mental health and well-being.

针对妇女的亲密伴侣暴力(IPV)是一个重大的全球公共卫生和人权问题,对妇女的健康和福祉产生了重大影响。本研究旨在确定 IPV 对妇女精神痛苦、创伤后应激症状和生活满意度的影响,并探讨年龄、教育程度、社会经济地位、社会支持和自尊是否与精神健康和幸福相关。样本包括 255 名居住在哥伦比亚、年龄在 18 至 71 岁之间的妇女,她们通过六份自我报告问卷接受了评估。层次多元回归分析表明,更多的 IPV 与妇女精神痛苦、创伤后应激症状和生活满意度下降的增加有关。虽然自尊和社会支持(在较小程度上)是预测妇女精神痛苦和幸福的重要因素,但心理 IPV 是预测妇女创伤后应激症状的主要因素,其次是较低的自尊和较年轻的年龄。预测妇女精神痛苦的最重要因素是较低的自尊,其次是较多的心理 IPV 和较低的社会支持。预测妇女生活满意度的主要因素是高自尊,其次是高社会支持、较少的心理 IPV 以及较高的年龄和教育程度。结论是,IPV,尤其是心理 IPV 严重威胁着妇女的心理健康和幸福,而高自尊和较低程度上的高社会支持则与较好的心理健康和幸福相关。
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引用次数: 0
The Impact of Online Pandemic-Related Information on Prosocial Behavior among Healthcare Students: The Role of Emotional Contagion and Epistemic Motivation. 网上流行病相关信息对医学生亲社会行为的影响:情感传染和认识动机的作用。
IF 2.5 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-10-14 DOI: 10.3390/bs14100945
Shiyu Zhou, Jing Chang, Yang Yang, Yue Han, Chang Liu, Yuchen Jiao, Yao Meng, Yan Ji

Prosocial behavior is fundamental for healthcare students, shaped by their traits and the external environment. Online information seeking is the most commonly used way for healthcare students to access pandemics; however, it is unclear whether the willingness of healthcare students to help others will be affected by pandemic information via the Internet environment. The current study takes the COVID-19 pandemic as an example, investigating how 81 healthcare students with varying prosocial tendencies behaved helpfully after being exposed to pandemic-related pictures online. Study 1 measured the influence of emotional contagion (positive emotion/negative emotion) from online information on students' prosocial behavior; Study 2 examined online information's influence on prosocial behavior by controlling individuals' epistemic motivation (goal-directed task/no-goal-directed task) to gain pandemic information. The results indicated that negative pandemic information was more likely to influence students with low prosocial tendencies, which would then lead to a decrease in prosocial actions (F = 7.842, p = 0.005). Further, students with low prosocial tendencies were more likely to engage in prosocial behavior when they did not aim goal-directed attention to the pandemic-related information, compared to those with goal-directed attention (F = 9.159, p = 0.003). Participants with high prosocial tendencies did not differ much in helping others (p > 0.05). The results indicated that only healthcare students with limited prosocial tendencies were less inclined to assist others after receiving negative information about the pandemic. Thus, reducing their deliberate approach to online information related to the pandemic will increase their chances of taking prosocial behavior.

亲社会行为是医学生的基本行为,受其特质和外部环境的影响。网络信息搜索是医学生获取大流行病信息最常用的途径,但医学生帮助他人的意愿是否会受到网络环境中大流行病信息的影响,目前尚不清楚。本研究以 COVID-19 大流行为例,调查了 81 名具有不同亲社会倾向的医学生在网上接触到大流行相关图片后的助人行为。研究一测量了网络信息的情绪传染(积极情绪/消极情绪)对学生亲社会行为的影响;研究二通过控制个体获取大流行信息的认识动机(目标导向任务/非目标导向任务),考察了网络信息对亲社会行为的影响。结果表明,负面的大流行病信息更有可能影响亲社会倾向低的学生,进而导致亲社会行为的减少(F = 7.842,p = 0.005)。此外,与有目标定向注意的学生相比,亲社会倾向低的学生在没有目标定向注意大流行病相关信息时更有可能参与亲社会行为(F = 9.159,p = 0.003)。高亲社会倾向的参与者在帮助他人方面没有太大差异(P > 0.05)。结果表明,只有亲社会倾向有限的医学生在接收到有关大流行病的负面信息后较少倾向于帮助他人。因此,减少他们对与大流行病相关的网络信息的刻意接触将增加他们采取亲社会行为的机会。
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引用次数: 0
Determinants of Fertility Intentions among South Koreans: Systematic Review and Meta-Analysis. 韩国人生育意愿的决定因素:系统回顾与元分析》。
IF 2.5 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-10-14 DOI: 10.3390/bs14100939
Eungyung Kim, Jee-Seon Yi

(1) Background/objectives: This study aims to systematically review and conduct a meta-analysis of factors influencing fertility intentions among South Koreans. This research is crucial given South Korea's lowest-in-the-world fertility rate of 0.72 in 2023, necessitating rapid and effective policies to address this demographic challenge; (2) Methods: Articles published from database inception through April 2024 were collected from five Korean databases using keywords based on the PEO (Population, Exposure, Outcome) framework. Following PRISMA guidelines, 35 articles were selected. The effect sizes and network of predictors related to fertility intention were analyzed using the R statistical package; (3) Results: A meta-analysis of the effect sizes of factors influencing fertility intentions revealed that the husband's involvement in parenting (ESr = 0.131), women's education level (ESr = 0.127), socioeconomic status (ESr = 0.116), and the expected gender of the child (ESr = 0.068) showed statistically significant positive effects. Conversely, women's age (ESr = -0.175), parental stress (ESr = -0.146), and household labor ratio (ESr = -0.117) showed statistically significant negative effects. The network analysis further elucidated the complex interrelationships among these factors; (4) Conclusions: This study suggests the need for multifaceted policy approaches to address Korea's low fertility, emphasizing promoting men's participation in parenting, supporting women's education and career development, reducing parenting stress, supporting work-family balance, and ensuring economic stability. These findings provide important insights for policymakers and researchers addressing the complex issue of low fertility in South Korea and may inform more effective interventions to boost fertility rates.

(1) 背景/目的:本研究旨在对影响韩国人生育意愿的因素进行系统回顾和荟萃分析。鉴于韩国的生育率将在 2023 年达到 0.72 的世界最低水平,这项研究至关重要,因此有必要制定快速有效的政策来应对这一人口挑战;(2)方法:使用基于 PEO(人口、暴露、结果)框架的关键词,从五个韩国数据库中收集了从数据库建立之初到 2024 年 4 月期间发表的文章。根据 PRISMA 指南,共筛选出 35 篇文章。(3) 结果:生育意愿影响因素效应大小的荟萃分析表明,丈夫参与养育子女(ESr = 0.131)、女性受教育程度(ESr = 0.127)、社会经济地位(ESr = 0.116)和预期子女性别(ESr = 0.068)在统计学上有显著的正效应。相反,妇女的年龄(ESr = -0.175)、父母的压力(ESr = -0.146)和家庭劳动比率(ESr = -0.117)在统计上显示出显著的负效应。网络分析进一步阐明了这些因素之间复杂的相互关系;(4)结论:这项研究表明,要解决韩国的低生育率问题,需要采取多方面的政策措施,强调促进男性参与养育子女、支持女性的教育和职业发展、减轻养育子女的压力、支持工作与家庭的平衡以及确保经济稳定。这些研究结果为政策制定者和研究人员解决韩国低生育率这一复杂问题提供了重要启示,并可能为提高生育率提供更有效的干预措施。
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引用次数: 0
The Perils of Perfection: Navigating the Ripple Effects of Organizational Perfectionism on Employee Misbehavior through Job Insecurity and the Buffering Role of AI Learning Self-Efficacy. 完美的危险:通过工作不安全感和人工智能学习自我效能感的缓冲作用,驾驭组织完美主义对员工不当行为的涟漪效应。
IF 2.5 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-10-12 DOI: 10.3390/bs14100937
Byung-Jik Kim, Hyun-Joo Oh, Min-Jik Kim, Dong-Gwi Lee

This study investigates the complex interplay between organizationally prescribed perfectionism (OPP), job insecurity, counterproductive work behavior (CWB), and self-efficacy in learning artificial intelligence (AI) in the context of modern organizations. Based on several theories, the current research suggests and tests a moderated mediation model. Using a three-wave time-lagged design with data collected from 412 workers across various South Korean corporations, we examine how OPP influences CWB both directly and indirectly through job insecurity, and how self-efficacy in AI learning moderates the OPP-job insecurity link. Our results show that OPP is positively linked to CWB, and this association is partially mediated by job insecurity. Moreover, AI learning self-efficacy functions as a moderator in the OPP-job insecurity link, such that the positive link is weaker for members with higher levels of AI learning self-efficacy. These findings extend our understanding of perfectionism in organizational settings and highlight the role of technological self-efficacy in mitigating the negative impacts of perfectionist cultures. This research may contribute to the literature on perfectionism, CWB, and technological adaptation at work, and has important implications for managing high-performance cultures in the period of rapid technological advancement.

本研究探讨了在现代组织背景下,组织规定的完美主义(OPP)、工作不安全感、逆反工作行为(CWB)和学习人工智能(AI)的自我效能感之间复杂的相互作用。基于多种理论,本研究提出并检验了一个调节中介模型。我们采用三波时滞设计,收集了韩国多家企业 412 名员工的数据,研究了 OPP 如何通过工作不安全感直接或间接影响 CWB,以及人工智能学习的自我效能感如何调节 OPP 与工作不安全感之间的联系。我们的研究结果表明,OPP 与 CWB 呈正相关,而这种关联在一定程度上受到工作不安全感的调节。此外,人工智能学习自我效能感在 OPP 与工作不安全感的联系中起着调节作用,因此对于人工智能学习自我效能感水平较高的成员来说,这种正向联系较弱。这些发现拓展了我们对组织环境中完美主义的理解,并强调了技术自我效能感在减轻完美主义文化负面影响方面的作用。这项研究可能有助于完善有关完美主义、CWB 和工作中的技术适应性的文献,并对在技术快速发展时期管理高绩效文化具有重要意义。
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引用次数: 0
The Moderating Role of the Five-Factor Model of Personality in the Relationship between Job Demands/Resources and Work Engagement: An Online Cross-Sectional Study. 人格五因素模型在工作要求/资源与工作投入关系中的调节作用:一项在线横断面研究
IF 2.5 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-10-12 DOI: 10.3390/bs14100936
Toshiki Fukuzaki, Noboru Iwata

When organizations or managers utilize personality assessments for their workers, it is crucial to consider not only personality profiles but also the interaction between these profiles and the psychosocial environmental factors in the workplace. The present study aimed to examine the moderating effects of the five-factor model (FFM) of personality traits on the relationship between job demands/resources and work engagement (WE). A cross-sectional online survey was conducted between November and December 2022, targeting full-time workers in Japan. Data were collected from 1500 participants (757 men and 743 women). The survey included demographic variables, job demands and resources (job control, supervisor, and coworker support), WE, and the FFM. The primary statistical analysis was hierarchical regression analysis, which tested the interactions between job demands/resources and each personality trait. Four significant interactions were found: job demands and neuroticism, control and neuroticism, control and conscientiousness, and supervisor support and extraversion. High conscientiousness was associated with higher WE when job control was abundant. Moreover, low levels of both neuroticism and extraversion were linked to higher WE. The results suggest that managers can enhance WE by aligning workplace factors with employee personality traits. These insights can be applied to organizational staffing decisions.

组织或管理者在对员工进行人格评估时,不仅要考虑人格特征,还要考虑这些特征与工作场所的社会心理环境因素之间的相互作用,这一点至关重要。本研究旨在探讨人格特质的五因素模型(FFM)对工作要求/资源与工作投入(WE)之间关系的调节作用。本研究于 2022 年 11 月至 12 月期间进行了一项横断面在线调查,调查对象为日本的全职工作者。共收集了 1500 名参与者(757 名男性和 743 名女性)的数据。调查内容包括人口统计学变量、工作需求和资源(工作控制、上司和同事支持)、WE 和 FFM。主要的统计分析是分层回归分析,该分析测试了工作要求/资源与每种人格特质之间的交互作用。结果发现了四种明显的交互作用:工作要求与神经质、控制与神经质、控制与自觉性、上司支持与外向性。当工作控制较多时,高自觉性与较高的 WE 有关。此外,低水平的神经质和外向性也与较高的 WE 有关。研究结果表明,管理者可以通过将工作场所因素与员工的人格特质相结合来提高员工的工作满意度。这些见解可应用于组织的人员配置决策。
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引用次数: 0
Examination of Congruity between Subjective and Objective Working Memory in Veterans with Mild TBI and Relation to Psychiatric Symptoms and Childhood Trauma. 研究轻度创伤性脑损伤退伍军人主观和客观工作记忆的一致性以及与精神症状和童年创伤的关系。
IF 2.5 3区 心理学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-10-11 DOI: 10.3390/bs14100932
Lisa N Cruz, Nicole C Walker, Sonia S Rehman, M Windy McNerney, Michelle R Madore

Objectives: There is conflicting evidence regarding congruence between subjective cognitive decline and objective cognitive performance for individuals with a history of mild traumatic brain injury (mTBI). The current study investigated the congruity between subjective and objective cognition, particularly working memory, among veterans with an mTBI history, accounting for post-traumatic stress disorder (PTSD) and childhood trauma.

Methods: Participants included 35 veterans with a history of mTBI sustained during deployment. Participants completed measures of subjective [i.e., Behavioral Inventory Rating of Executive Functioning (BRIEF)] and objective working memory (i.e., WAIS-IV working memory index). Congruity between subjective and objective working memory was examined using linear regression. Bonferroni-corrected correlations were run to explore relationships among working memory, psychiatric symptoms, mTBI severity, and childhood trauma.

Results: Among Veterans with mTBI, subjective working memory and objective working memory performance were not significantly related (p > 0.05); however, the overall model was significant (p < 0.0001), and childhood trauma was a notable predictor (p = 0.02). Greater PTSD, depression, and sleep symptoms were significantly related to increased subjective working memory concerns, even after Bonferroni adjustments (ps < 0.0001). Better objective working memory was significantly related to a fewer number of childhood traumatic events; however, this did not sustain corrections. The majority of individuals (67%) endorsed significant working memory complaints, despite objectively performing within normal limits (within 1 SD and above).

Conclusions: Subjective-objective working memory congruity among veterans with mTBI was limited. Subjective, but not objective, working memory concerns were associated with greater PTSD, depression, and sleep symptoms. Childhood trauma was a notable factor that contributed to both subjective and objective cognitive concerns. There remains clinical value in assessing subjective cognitive concerns given the strong relationships with psychiatric problems and, hence, a focus for intervention.

目的:关于有轻度创伤性脑损伤(mTBI)病史的人的主观认知能力下降与客观认知能力之间的一致性,存在相互矛盾的证据。本研究调查了有轻微创伤性脑损伤病史的退伍军人的主观认知与客观认知(尤其是工作记忆)之间的一致性,并考虑了创伤后应激障碍(PTSD)和童年创伤:研究对象包括 35 名曾在部署期间遭受过 mTBI 的退伍军人。参与者完成了主观[即执行功能行为量表评分(BRIEF)]和客观工作记忆(即WAIS-IV工作记忆指数)的测量。主观工作记忆和客观工作记忆之间的一致性采用线性回归法进行检验。采用Bonferroni校正相关性来探讨工作记忆、精神症状、mTBI严重程度和童年创伤之间的关系:结果:在患有 mTBI 的退伍军人中,主观工作记忆和客观工作记忆表现之间的关系并不显著(p > 0.05);然而,整体模型是显著的(p < 0.0001),童年创伤是一个明显的预测因素(p = 0.02)。创伤后应激障碍、抑郁和睡眠症状的加重与主观工作记忆问题的增加显著相关,即使经过 Bonferroni 调整也是如此(PS < 0.0001)。较好的客观工作记忆与较少的童年创伤事件数量有明显关系;但是,这并不能维持校正。尽管客观工作记忆的表现在正常范围内(1 SD以内或以上),但大多数人(67%)仍有明显的工作记忆问题:结论:患有 mTBI 的退伍军人的主观-客观工作记忆一致性有限。主观而非客观的工作记忆问题与创伤后应激障碍、抑郁和睡眠症状有关。童年创伤是导致主观和客观认知问题的一个显著因素。鉴于主观认知问题与精神问题的密切关系,评估主观认知问题仍有临床价值,因此也是干预的重点。
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Behavioral Sciences
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