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PubMed2006

Psychosocial work environment of hospital workers: validation of a comprehensive assessment scale.

BACKGROUND: Studies have shown that adverse workplace factors can increase the risk of ill-health in hospital workers, but more comprehensive measures of the psychosocial work environment are needed. OBJECTIVES: To test a comprehensive and theory-based psychosocial work environment questionnaire and analyze associations with mental health in a sample of Danish hospital workers. DESIGN AND PARTICIPANTS: Questionnaire-based cross-sectional study with 343 female employees from a large Danish hospital, including patient care workers (nurses, nurse assistants, midwives) and laboratory technicians. METHODS: The psychosocial work environment was measured with 14 scales from the Copenhagen psychosocial questionnaire, version I, covering three main areas: demands at work, work organization and interpersonal relations at work. We further measured self-rated mental health and sociodemographic and employment characteristics of the participants. Cronbach's alphas, analyses of covariance, one-sample t-tests, partial correlations and linear regression models were used to analyze data. RESULTS: Of the 14 work psychosocial workplace scales 12 showed a satisfactory internal consistency (alpha>0.70). Patient care workers had more quantitative, emotional and cognitive demands (all p-values <0.001), higher work pace (p<0.001) and more role conflicts (p=0.01) than laboratory technicians, but also better work organization, including more influence at work, better possibilities for development and a higher meaning of work (all p-values <0.001). Both patient care workers and laboratory technicians had substantially higher scores on the demand scales and lower scores on the influence at work scale than the general Danish working population. Further analyses showed that high levels of demands at work and low levels of work organization and problematic interpersonal relations at work were associated with lower self-rated mental health. CONCLUSION: The Copenhagen psychosocial questionnaire is a suitable instrument to measure the psychosocial work environment of hospital workers. The comprehensive assessment of the psychosocial work environment helps tailoring interventions to the specific needs of different occupational groups.

Adult↗
PubMed2003

[A polar expedition in challenging circumstances--experiences and psychological reactions].

Four men, in the company of 16 dogs, skied for five weeks from Gåsefjord to Ellef Ringnes Land, North Canada. The expedition met with considerable unforeseen challenges such as extreme and prolonged cold, unmotivated Greenland dogs, and much pack ice. Psychological reactions were described and measured by a qualitative free text analysis and a test battery including GHQ-30 (General Health Questionnaire) and STAI State (State-Trait Anxiety Inventory) before, during, and after the expedition. Five main themes were found: external influences, relations between men and animals, progress and expectations, interpersonal relations, and thoughts at the end of the expedition. Negative emotional reactions were mostly present at the beginning of the expedition and were related to the environment and the pressure of perceived expectations from the outside world. Frustrations were enhanced by forced inactivity. Perceived essential positive elements were a strong group identity and friendship. The acceptance of dissension was low; the group strived to achieve consensus before decisions were made. The psychometric results showed more stress and anxiety immediately before the expedition than after. These parameters also increased significantly at the beginning of the expedition, then there was a reverse. The level of anxiety was higher in the two leaders. The expedition was concluded in an overall atmosphere of mutual affection, satisfaction, and pride.

Adult↗
PubMed2004

An experimental study of emotional responding in women with posttraumatic stress disorder related to interpersonal violence.

Although posttraumatic stress disorder (PTSD) is defined by the experience of intense negative emotions and emotional numbing (American Psychiatric Association, 1994), empirical study of emotional responding in PTSD has been limited. This study examined emotional responding among women with and without PTSD to positive and negative film stimuli across self-reported experience, facial expression, and written expression. Consistent with previous findings, no evidence for generalized numbing was found. In general, women with PTSD exhibited higher levels of negative activation and expressed more negative emotion words to both positive and negative film stimuli, whereas no group differences emerged in facial expressivity. Results are interpreted within the context of the current literature on emotional deficits associated with PTSD.

Adult↗
PubMed2006

Effects of parenting style on personal and social variables for Asian adolescents.

Impact of perceived parenting style on adolescents' self-reliance, interpersonal relations, sense of inadequacy, and attitude to school, after controlling for effects of adolescents' self-esteem, was examined in a sample of 548 Asian adolescents. Fathers' perceived parenting style was significantly associated with adolescents' sense of inadequacy for the entire sample as well as for Chinese adolescents. Fathers' perceived parenting style was also significantly associated with Malay adolescents' self-reliance. Mothers' perceived parenting style was significant only for Malay adolescents' attitude to school. The meaning and consequences of parenting styles, in particular, the authoritarian parenting style, and the differential impact of paternal parenting style versus maternal parenting style on adolescent outcomes in an Asian context will be discussed. Implications for educators and mental health practitioners working with adolescents and their families will also be explored.

Adolescent↗
PubMed2006

Writing about the benefits of an interpersonal transgression facilitates forgiveness.

The authors examined the effects of writing about the benefits of an interpersonal transgression on forgiveness. Participants (N = 304) were randomly assigned to one of three 20-min writing tasks in which they wrote about either (a) traumatic features of the most recent interpersonal transgression they had suffered, (b) personal benefits resulting from the transgression, or (c) a control topic that was unrelated to the transgression. Participants in the benefit-finding condition became more forgiving toward their transgressors than did those in the other 2 conditions, who did not differ from each other. In part, the benefit-finding condition appeared to facilitate forgiveness by encouraging participants to engage in cognitive processing as they wrote their essays. Results suggest that benefit finding may be a unique and useful addition to efforts to help people forgive interpersonal transgressions through structured interventions. The Transgression-Related Interpersonal Motivations Inventory--18-Item Version (TRIM-18) is appended.

Adolescent↗
PubMed1985

The clinical interview.

Subjects were given in-depth interviews aimed at assessing their level of functioning within their families, with peers, at school, and in leisure activities. Subjects were interviewed when the mean age of the study population was 11 and again at mean age 16. At the time of the first interview, index subjects were impaired relative to controls in interpersonal relations, work and play activities, self-esteem, and mood. There were no apparent differences due to rearing environment or sex, and no interactions with genetic background. At the time of the second interview, index-control differences were even more widespread, with index children showing impairment in virtually all examined areas of psychosocial function. Again, there were no group differences or interactions involving environment or sex. While index and control subjects remained highly discriminable from preadolescent to adolescent periods, there was less evidence of symptom stability in individual subjects over the 5-year period.

Adolescent↗
PubMed1991

Object relations and self-reported AIDS self-care behavior.

This study examined the relationship between object relations and AIDS self-care behavior among 509 urban college students. The literature indicates that maturity of object relations is related to comfort in interpersonal relations and to taking responsibility for self-care. These concepts are widely accepted by psychoanalytic psychologists but have rarely been tested empirically. Object relations, measured by the Bell Object Relations and Reality Testing Inventory, was significantly related to AIDS knowledge as measured by the AIDS Prevention Survey of Thomas and to self-reported safer sex behavior, measured by Bassman's HIV Infection Prevention Scale. Knowledge about AIDS correlated with self-reported sexual risk behavior, and with a low level of self-reported social behavior aimed at preventing AIDS. Implications of these findings for public health education policy are discussed.

Acquired Immunodeficiency Syndrome↗
PubMed2005

Nonverbal behavior and the vertical dimension of social relations: a meta-analysis.

The vertical dimension of interpersonal relations (relating to dominance, power, and status) was examined in association with nonverbal behaviors that included facial behavior, gaze, interpersonal distance, body movement, touch, vocal behaviors, posed encoding skill, and others. Results were separately summarized for people's beliefs (perceptions) about the relation of verticality to nonverbal behavior and for actual relations between verticality and nonverbal behavior. Beliefs/perceptions were stronger and much more prevalent than were actual verticality effects. Perceived and actual relations were positively correlated across behaviors. Heterogeneity was great, suggesting that verticality is not a psychologically uniform construct in regard to nonverbal behavior. Finally, comparison of the verticality effects to those that have been documented for gender in relation to nonverbal behavior revealed only a limited degree of parallelism.

Adolescent↗
PubMed1983

Effect of compatibility on goal achievement in patient-physical therapist dyads.

The purpose of this study was to test two hypotheses related to the effect of interpersonal compatibility in patient-physical therapist dyads on goal achievement in a rehabilitation setting. Seventeen patients with spinal cord injuries and the physical therapists primarily responsible for their treatment were asked to participate. The Fundamental Interpersonal Relations Orientation Behavior scale, which includes three interpersonal dimensions--Inclusion, Control, and Affection--was used to assess patient-physical therapist compatibility. Patient performance on four quantitatively measurable functional goals was used as the dependent variable. The results of this study did not support the hypothesis that goal achievement would be greater for patients in compatible patient-physical therapist dyads. Further, compatibility in the dimension of affection was found to be strongly related to a lack of rehabilitation goal achievement.

Achievement↗
PubMed2003

Relation between social cohesion and team performance in soccer teams.

Investigations of the influence on team performance of team composition, in terms of task-related attributes, e.g., personality traits, cognitive abilities, often assumes this relation to be mediated by the strength (intensity) of the interpersonal relations (social cohesion) among team members. However, there has been little empirical examination of how much social cohesion actually affects team outcomes. This preliminary study sought to examine this issue using soccer teams, which have been held to resemble workplace teams. Perceptions of team cohesion were collected from 198 Israeli soccer players (comprising 36 national league teams) during the week preceding their weekly games. A significant correlation was found between the perceptions of social cohesion and the results of the soccer matches, indicating a link between team social cohesion and team performance. Implications of the results, as well as the study's limitations, are discussed, and avenues for research are suggested.

Achievement↗
PubMed2000

A multidimensional twin study of mental health in women.

OBJECTIVE: While researchers have increasing insight into the role of genetic and environmental factors in the etiology of psychiatric and substance use disorders, they know much less about how such factors influence the dimensions of healthy psychological functioning. METHOD: In a population-based sample of 794 female-female twin pairs, the authors examined, by using multivariate structural equation modeling, six dimensions of mental health: perceived physical health, nonconflictual interpersonal relationships, anxious-depressive symptoms, substance use, social support, and self-esteem. RESULTS: The best-fit model was complex and constituted five common factors (two genetic, one family environmental, and two unique environmental); variable-specific genetic effects for physical health, substance use, and social support; and variable-specific family environmental effects for interpersonal relationships and substance use. Genetic effects were seen for all six dimensions; total heritabilities ranged from 16% to 49%. Family environment was an important influence on interpersonal relationships, substance use, and social support. CONCLUSIONS: Mental health is a complex phenotype that is influenced by a diverse array of genetic and environmental factors. While genetic factors appear to be of moderate etiologic importance in all major dimensions of mental health, the family environment is an important influence on only interpersonal relations, social support, and substance use.

Adult↗
PubMedDate not supplied

[Contact behavior of elderly females living alone from the social psychology viewpoint--a preliminary study. V. Conclusions and consequences for practical care].

The main results of a preliminary study on contact behaviour of elderly women living alone are summarized. In the first part of the study we could make measurable the contact behaviour--especially concerning to children and relatives. In the same time we pointed out the main contents of interpersonal relations. Basing on the results of the statistical intercorrelation we formulated consequences to individual advice and care of the studied population.

Aged↗
PubMed2003

An interpersonal analysis of adult attachment style: circumplex descriptions, recoiled developmental experiences, self-representations, and interpersonal functioning in adulthood.

Previous research suggests that the structure of adult attachment is dimensional, but the specific dimensions remain unclear. Given its relational nature, studies should examine attachment structure in association with conceptually related interpersonal constructs. The interpersonal model (Kiesler, 1996) provides an integrative framework to examine this structure and associations between dimensions of attachment security (i.e., Anxiety and Avoidance) and: 1) the dimensions of the interpersonal circumplex, 2) the five-factor model of personality, 3) recollections of mothers and fathers, and 4) current self-processes and adult social functioning. In two samples of undergraduates, the Anxiety and Avoidance dimensions were associated with a hostile-submissive interpersonal style. Canonical correlation analyses revealed that dimensions representing combinations of Anxiety and Avoidance, and roughly corresponding to the dimensions from Secure (i.e., low Anxiety and Avoidance) to Fearful (i.e., high Anxiety and Avoidance) attachment and from Preoccupied (i.e., high Anxiety and low Avoidance) to Dismissive (i.e., low Anxiety and high Avoidance) attachment related to the interpersonal constructs. The Secure to Fearful dimension (i.e., overall attachment security) seemed to share relatively more variance with the interpersonal constructs. These dimensions were associated with theoretically consistent characteristics, recollections of early experiences with parents, self-representations, and social functioning.

Adolescent↗
PubMed2002

Quality of life benefits of paid work activity in schizophrenia.

In a study of work rehabilitation, 97 participants with schizophrenia or schizoaffective disorder were randomized into either a Pay or a No Pay condition to determine the impact of work activity and pay on rehabilitation outcomes. This report specifically investigates the relationship between work rehabilitation and quality of life (QOL) measures for people with schizophrenia. Previous reports have described improvements in symptoms and work outcomes for participants in the Pay condition. Results in this report reveal that randomization to the Pay condition improved ratings on the Heinrichs Quality of Life Scale (QLS). The improvements are found both in overall QLS and in the domain of Intrapsychic Foundations (motivation, sense of purpose, anhedonia, and empathy). For a larger sample (n = 114) we assessed the relationship between amount of participation and QLS improvement. Degree of participation was related to improvement on the QLS total and Intrapsychic Foundations domain. Finally, improvement in the Interpersonal Relations scale was associated with weeks of participation for the most consistent participants. How participation in work rehabilitation and its interaction with pay improves motivation, interpersonal relatedness, and overall quality of life is discussed.

Adult↗
PubMed2006

Categorizing the unintended sociotechnical consequences of computerized provider order entry.

OBJECTIVE: To describe the kinds of unintended consequences related to the implementation of computerized provider order entry (CPOE) in the outpatient setting. DESIGN: Ethnographic and interview data were collected by an interdisciplinary team over a 7 month period at four clinics. MEASUREMENTS: Instances of unintended consequences were categorized using an expanded Diffusion of Innovations theory framework. RESULTS: The framework was clarified and expanded. There are both desirable and undesirable unintended consequences, and they can be either direct or indirect, but there are also many consequences that are not clearly either desirable or undesirable or may even be both, depending on one's perspective. The undesirable consequences include error and security concerns and issues related to alerts, workflow, ergonomics, interpersonal relations, and reimplementations. CONCLUSION: Consequences of implementing and reimplementing clinical systems are complex. The expanded Diffusion of Innovations theory framework is a useful tool for analyzing such consequences.

Ambulatory Care↗
PubMed2004

Exploring relational regulation in computer-mediated (collaborative) learning interaction: a developmental perspective.

This article presents a qualitative analysis showing the dependency of effective collaborative argumentation on interpersonal relational aspects that develop during synchronous interaction. Four regulatory principles are proposed as propelling the interaction, and of these, autoregulation, or the conservative restraints within the existing relation, appears to be the dominant force. When using a structured dialogue system (SDS), instead of free chat, via roles and sentence-openers, the social dimension of the relation between participants disappears from the surface interaction. Even though using the SDS seems to foster a more focused and task-functional approach, argumentation appears to affect the relations between participants in a negative way, since after an argumentative sequence, repair of the relationship takes place. It might even be argued that, because of relational stress, in many cases, argumentation is momentarily suspended.

Adult↗
PubMed2001

Psychological functioning and bodily conditions in patients with pain disorder associated with psychological factors.

A sample of chronic pain patients (N = 40) was described with reference to defence mechanisms, interpersonal problems, psychological symptoms and bodily conditions. The relationships between pain intensity and different psychological and bodily indexes were examined. The defence mechanisms of somatization and denial measured by the Minnesota Multiphasic Personality Inventory (MMPI) characterized the sample. Interpersonal relations were typically overly nurturant, exploitable, non-assertive and socially avoidant according to the circumplex version of Inventory of Interpersonal Problems (IIP-C). Somatization, obsession, depression and anxiety were the highest symptom scales on the Symptom Check-List 90, revised (SCL-90-R). The Comprehensive Body Examination (CBE) produced moderate findings mainly reflecting stiffness, and the intensity of pain was medium high. The MMPI psychosomatic pattern, the combined IIP-C index consisting of the elevated subscales, and the elevated subscales on SCL-90-R were all moderately correlated with pain intensity. Contrary to our prediction, the global bodily stiffness score was unrelated to pain.

Adolescent↗