Aggression and accountability : how caregivers and law enforcers cope

Objectif. L’objectif est de comprendre comment les intervenants en relation d’aide et les agents des forces de l’ordre composent avec la violence au travail et le stress lié à l’imputabilité. Un cadre théorique basé sur l’identité professionnelle est proposé afin de comprendre la modulation de la santé psychologique au travail et testé via le Professional Quality of Life des intervenants en protection de la jeunesse. Les facteurs de prédiction de la banalisation de la violence au travail et des impacts psychologiques de cette banalisation sont également étudiés. Méthodologie. Un sondage mené auprès d’un échantillon représentatif constitué de 301 intervenants en protection de la jeunesse a permis d’examiner le Professional Quality of Life. Les effets de l’exposition à la violence en milieu de travail, à l’exposition au matériel traumatique et du stress lié à l’imputabilité sur la fatigue de compassion ont été analysés à l’aide d’équation structurelle. Les effets indirects attribuables au genre, au soutien organisationnel perçu, à l’adhésion à l’identité professionnelle, aux stratégies d’adaptation et à la confiance en ses moyens pour gérer un client agressif ont été mesurés. Pour l’examen des facteurs de prédiction de la banalisation de la violence au travail, les résultats d’un sondage mené auprès de 1141 intervenants en relation d’aide et des forces de l’ordre ont été analysés à l’aide de régression linéaire. L’analyse des réponses des 376 intervenants de cet échantillon ayant rapporté avoir été perturbé par un acte de violence au travail a permis de mesurer l’impact de la banalisation sur les conséquences psychologiques suite à une victimisation au travail. Les effets indirects attribuables à la banalisation de la violence ont été mesurés. Des analyses différenciées en fonction du sexe ont également été menées. Résultats. L’exposition à la violence, le sentiment d’imputabilité et l’évitement amplifiaient la fatigue de compassion chez les intervenants en protection de la jeunesse sondés. Les attitudes masculines, l’adhésion à l’identité professionnelle, la confiance en ses moyens pour gérer les clients agressifs l’atténuaient. Quant aux facteurs de prédiction de la banalisation de la violence au travail, les participants masculins étaient plus enclins que les femmes à la normaliser. Les agents des forces de l’ordre percevaient davantage la violence comme tabou que les intervenants en relation d’aide. Les facteurs organisationnels avaient tous un effet négatif sur le tabou entourant la violence au travail. Finalement, l’âge, les victimisations antérieures, les blessures graves et percevoir la violence au travail comme un tabou augmentaient le nombre de conséquences psychologiques suite à une victimisation. Les analyses différenciées en fonction du sexe ont identifié des facteurs de prédiction spécifiques aux hommes et aux femmes. Implications. Lors de déploiement de stratégies organisationnelles afin d’aider les employés à gérer avec les stress liés au travail, les organisations doivent considérer l’identité professionnelle de leur travailleur ainsi que des différences en fonction du sexe et du genre.

Motivaciones asistencia a actividades extracurriculares y estilos de vida. Parte II

El presente análisis constituye la segunda parte de una investigación sobre las motivaciones relacionadas con la asistencia a actividades extracurriculares en estudiantes de Psicología de la Universidad del Rosario. Buscó identificar las razones para asistir y para no asistir a dichas actividades, reportadas por esos estudiantes en sus respuestas a las preguntas abiertas realizadas dentro de la encuesta MASAEC. El grupo se compone de 131 estudiantes de segundo a noveno semestre. Los datos se analizaron mediante la creación de categorías basadas en las respuestas de los estudiantes a las preguntas abiertas. Para efectos del presente informe, debe considerarse que no todos los estudiantes respondieron las preguntas abiertas, solo 92 de los 131 estudiantes encuestados lo hicieron. Los resultados indican que el hecho de que las actividades contribuyan a la formación personal, generen bienestar psicológico, enriquezcan las relaciones interpersonales, signifiquen nuevas experiencias y sean de elección personal, son razones importantes para asistir a las actividades extracurriculares.

Calidad de vida relacionada con la salud y consumo de tabaco

La calidad de vida relacionada con la salud se ha descrito como un concepto multidimensional que incluye la identificación de síntomas, el estado funcional, la percepción de bienestar psicológico y la percepción general de salud. En el caso de la adicción al consumo de tabaco, la preocupación por la salud actual o futura es uno de los motivos más informados para dejar de fumar. En el presente estudio se analiza la relación entre la percepción de la calidad de vida relacionada con la salud y la etapa de cambio en el abandono del consumo de tabaco propuesta desde el modelo transteórico a fin de mejorar las estrategias de intervención comunitaria y clínica para la cesación tabáquica. Se ha administrado el cuestionario SF-36 a una muestra formada por 201 fumadores y exfumadores. Los datos obtenidos indican peor salud física percibida en las etapas de cambio más próximas al abandono de tabaco y una peor salud mental percibida en las etapas con tabaquismo activo. Se comparan los resultados con los observados en otras poblaciones y se discuten las implicaciones a nivel de tratamiento y prevención del tabaquismo

Motivação e adesão ao exercício físico : um estudo sobre o papel dos treinadores pessoais

Introdução: Procuramos analisar a associação entre a frequência/adesão ao exercício físico (FAEF) em contexto de ginásios e health clubs (GHC) e os constructos previstos pela Teoria da Auto Determinação (TAD) em indivíduos que treinam com Treinador Pessoal (TP)e indivíduos que não treinam com TP. Método: Efetuámos uma revisão sistemática da literatura (RSL), seguida de um estudo observacional onde aplicámos questionários psicométricos para avaliar o clima da sessão de treino, resposta psicológica global, regulação motivacional, satisfação das necessidades psicológicas (NPB), escolha percebida sobre o desempenho em exercício. Foi controlada a FAEF durante 3 meses. A amostra consistiu em 88 clientes (Midade = 41.35, SD = 12.22, MIMC = 25.10, SD = 14.52) Resultados: Na RSL encontrámos 10 estudos, nenhum em contexto de TP. No nosso estudo não se registaram diferenças na FAEF, nem nas regulações motivacionais entre os grupos. No grupo com TP a competência associou-se à FAEF (p=.017) e a autonomia associou-se a menores níveis de mau estar psicológico e de fadiga (p=.032). O Clima de Tratamento do Programa não influenciou nenhum dos outcomes estudados. No grupo sem TP, quanto mais Autonomia (p=.038) e Motivação Intrínseca (p=.001) maior a FAEF. Regulações mais autodeterminadas estão associados a maiores valores de FAEF (p=.009). A motivação intrínseca associou-se positivamente (p=.014) com a FAEF em toda a amostra. Discussão: O suporte das NBP origina uma motivação mais auto regulada o que se reflete numa maior FAEF e bem estar psicológico. No grupo com TP a competência teve um maior contributo para a FAEF, no grupo sem TP a autonomia registou o valor mais elevado. Não se observaram diferenças entre os grupos na regulação motivacional e na FAEF. O suporte de autonomia dado pelo TP não apresentou resultados significativos na FAEF, o que contraria o esperado pela TAD. Estes dados são, por si só reveladores da importância de se aprofundar conhecimentos que auxiliem os TP’s a a motivarem com mais qualidade os seus alunos.

Befriending carers of people with dementia: randomised controlled trial

Objective To evaluate the effectiveness of a voluntary sector based befriending scheme in improving psychological wellbeing and quality of life for family carers of people with dementia. Design Single blind randomised controlled trial. Setting Community settings in East Anglia and London. Participants 236 family carers of people with primary progressive dementia. Intervention Contact with a befriender facilitator and offer of match with a trained lay volunteer befriender compared with no befriender facilitator contact; all participants continued to receive “usual care.” Main outcome measures Carers’ mood (hospital anxiety and depression scale—depression) and health related quality of life (EuroQoL) at 15 months post-randomisation. Results The intention to treat analysis showed no benefit for the intervention “access to a befriender facilitator” on the primary outcome measure or on any of the secondary outcome measures. Conclusions In common with many carers’ services, befriending schemes are not taken up by all carers, and providing access to a befriending scheme is not effective in improving wellbeing.

The nature of children's social interactions at school

Interpersonal interactions are important for emotional and psychological wellbeing. One attempt to systematically assess social interactions among gifted children was presented by Manor-Bullock et al. (1995) in their Social Interaction Questionnaire (SIQ). However, no psychometric properties of this scale or the nature of the factors that form students' social interactions have been reported. The aim of this study to ascertain the underlying factor structure of students' social interactions on scores on the SIQ and to compare the responses of children attending a regular school to those in Manor-Bullock et al.'s cohort of gifted children. Two independent factors emerged from the data: social/popular and confident/studious with internal reliability of {alpha} = 0.82 and {alpha} = 0.60 respectively. There were no gender differences on these factors in the current data. Chi square analyses revealed concordance between gifted and regular-school children on seven of 16 comparable items. Discussion of the items demonstrating an association is presented. Confirmation of the current factor structure is necessary and a matched comparison with gifted children is recommended.

Promoting health at work : the relevance of organizational justice

Research focusing on the relationship between organizational justice and health suggests that perceptions of fairness can make significant contributions to employee wellbeing. However studies examining the justice health relationship are only just emerging and there are several areas where further research is required, in particular, the uniqueness of the contributions made by justice and the extent to which the health effects can be explained by linear, non-linear and/or interactional models. The primary aim of the current study was to determine the main, curvilinear and interactive effects of job characteristics and organizational justice perceptions on psychological wellbeing and job satisfaction. Job characteristics were measured using the Demand-Control Support (DCS) model (Karasek & Theorell, 1990), while Colquitt's (2001) four justice dimensions (distributive, procedural, interpersonal and informational) were used to assess organizational justice. Hierarchical regression analyses found that in relation to psychological wellbeing, perceptions of justice did not add to the explanatory power of the DCS model. In contrast, organizational justice did account for unique variance in job satisfaction, the second measure of employee wellbeing. The results supported direct linear relationships between the psychosocial working conditions and the outcome measures. The implications of the results of this study, especially in terms of how working conditions should be managed in order to promote health, are discussed. Notably, the findings from the current study indicate that in addition to traditional job stressors, health promotion strategies should focus on perceptions of organizational justice and their relationships with health.

Child focused and child inclusive family law dispute resolution : one year findings from a prospective study of outcomes

This prospective study compared outcomes over 1 year for two groups of separated parents, who attended mediation about their entrenched parenting disputes. The two treatments studied both aimed to improve the psychological resolution of parental conflict with associated reduction of distress for their children. The Child Focused intervention prioritised thought about the needs of children in high conflict divorce, but without any direct involvement of the children, while the Child Inclusive intervention incorporated separate consultation by a specialist with the children in each family, and consideration of their concerns with parents in the mediation forum. Measures were collected from parents and children prior to mediation commencing, and again three and twelve months after the conclusion of mediation. Significant and enduring reduction in levels of conflict and improved management of disputes occurred for both treatment groups in the year after mediation. Across all ages, children in both interventions perceived less frequent and intense conflict between their parents and better resolution of it, with a significant lowering of their related distress. The Child Inclusive intervention showed a number of independent effects not evident in the other treatment group, related to relationship improvements and psychological wellbeing. These effects were strongest for fathers and children. Agreements reached by the Child Inclusive group were significantly more durable and workable over the year, and these parents were half as likely to instigate new litigation over parenting matters in the year after mediation than were the Child Focused parents. The article considers possible mechanisms of change underpinning these outcomes.

Environmental mastery and depression in older adults in residential care

This study investigated the association between environmental mastery and depression in a sample of 96 older adults (aged 64–98 years) in residential care. The participants completed a scale that assessed depression along with measures for risk factors for depression such as functional capacity, self-evaluated physical health, bereavement experiences and environmental mastery. The results showed that 49 per cent of the variance in participants’ scores in depression could be attributed to their self-reported level of environmental mastery. Given the complexity of depression and the likelihood of reduced environmental mastery among older adults in residential care, the construct was further assessed as a mediating variable between the risk factors and depression. With environmental mastery taken as such, the explained variance in depression increased to 56 per cent. It was concluded that environmental mastery may be one of the more important factors affecting the mental health of older adults living in residential care and that strategies for increasing the residents’ environmental mastery are important to their psychological wellbeing. The discussion notes that among the questions needing further investigation are whether older adults who experience high environmental mastery make the transition from community living to residential nursing home care more successfully than others, and whether perceived mastery diminishes over time or occurs at the point of transition from community independent living to dependent supported living.

Relapse prevention : a critique and proposed reconceptualisation

Relapse prevention (RP) plays a significant role in current treatments and post-treatment approaches to substance abuse problems. It is also widely used in a number of other problem areas, including other addictive behaviours and sexual offending. The widespread use of RP in various fields is due to both its clearly articulated theoretical basis, which has significant face validity, and its transferability into clinical practice. Also, there is a growing (though arguably still modest) body of empirical evidence that demonstrates its efficacy in a range of therapeutic contexts. However, arguably, in terms of both the theoretical underpinnings and the practical application of RP there is room for improvement. This article hypothesises that one of the key weaknesses of RP is that it takes a generally unconstructive approach to the therapeutic process through the use of negative concepts and avoidance goals. It is suggested that a 'good lives' framework of psychological wellbeing can provide a means of remedying these weaknesses of the traditional RP model. It is argued that a good lives framework can lead to a more optimistic approach to the prevention of relapse among individuals with substance use problems.

Primary prevention of gestational diabetes for women who are overweight and obese : a randomised controlled trial

Background: Gestational Diabetes Mellitus (GDM) has well recognised adverse health implications for the  mother and her newborn that are both short and long term. Obesity is a significant risk factor for developing GDM and the prevalence of obesity is increasing globally. It is a matter of public health importance that clinicians have evidence based strategies to inform practice and currently there is insufficient evidence regarding the impact of dietary and lifestyle interventions on improving maternal and newborn outcomes. The primary aim of this study is to measure the impact of a telephone based intervention that promotes positive lifestyle modifications on the incidence of GDM. Secondary aims include: the impact on gestational weight gain; large for gestational age babies; differences in blood glucose levels taken at the Oral Glucose Tolerance Test (OGTT) and selected factors relating to self-efficacy and psychological wellbeing. 

Cognitive-reminiscence therapy and usual care for depression in young adults: study protocol for a randomized controlled trial

Background
Depression is a common affliction for young adults, and is associated with a range of adverse outcomes. Cognitive-reminiscence therapy is a brief, structured intervention that has been shown to be highly effective for reducing depressive symptoms, yet to date has not been evaluated in young adult populations. Given its basis in theory-guided reminiscence-based therapy, and incorporation of effective therapeutic techniques drawn from cognitive therapy and problem-solving frameworks, it is hypothesized to be effective in treating depression in this age group.

Methods and design
This article presents the design of a randomized controlled trial implemented in a community-based youth mental health service to compare cognitive-reminiscence therapy with usual care for the treatment of depressive symptoms in young adults. Participants in the cognitive-reminiscence group will receive six sessions of weekly, individual psychotherapy, whilst participants in the usual-care group will receive support from the youth mental health service according to usual procedures. A between-within repeated-measures design will be used to evaluate changes in self-reported outcome measures of depressive symptoms, psychological wellbeing and anxiety across baseline, three weeks into the intervention, post-intervention, one month post-intervention and three months post-intervention. Interviews will also be conducted with participants from the cognitive-reminiscence group to collect information about their experience receiving the intervention, and the process underlying any changes that occur.

Discussion
This study will determine whether a therapeutic approach to depression that has been shown to be effective in older adult populations is also effective for young adults. The expected outcome of this study is the validation of a brief, evidence-based, manualized treatment for young adults with depressive symptoms.

A música associada às necessidades terapêuticas de pacientes com deficiência

The use of music and/or its elements (instruments, sound, rhythm, melody and harmony) in environments with people attended by public health centers, aims at promoting communication, facilitating the expression and the relationship in the first contact, hence favoring organization of standards and other relevant therapeutic objectives to assist physical, mental, social and cognitive needs of people, thus promoting the process of environmental adaptation, behavioral conditioning and social inclusion. The purpose of this project is to use music and its sound elements, as well as recreational activities, developed in stages called: socialization session, art workshop and complementary activities, with patients assisted at CAOE (Disabled People Dental Care Center) and their relatives. The objective is to provide them psychological wellbeing, inclusion to physical space, relaxation, stimulation of rhythmic and sonorous perceptions, memorization, emotions externalization, help and encouragement for the development of motor coordination during their daily activities of daily. Recreational activities, handling and contacting with musical instruments, broadcasting and producing sounds, stimulate cognitive capacity, interactivity and entertainment activities can greatly contribute to improve the behavioral reaction and adaptation of these patients, during their dental treatment.

Envy: A Psychometric Refinement of the Construct

The noticeable differences in the theoretical and operative definitions of envy across studies and approaches have produced a fragmentary representation and understanding of the envious emotion. The present dissertation aimed to clarify the inherent nature of the construct of envy through the integration of findings from three independent studies. We focused on malicious envy, and investigated it from both a dispositional and an episodic perspective. Studies 1 and 2 investigated the dimensionality of envy as a stable individual characteristic and an episodic emotional state, respectively. In order to elicit episodic envy, a scenario-based experiment was conducted. Results indicated that, in both its dispositional and episodic facets, envy is a bidimensional construct composed by an inner-directed dimension of inferiority and helplessness, and an outer-directed dimension of feelings of anger and ill will. Moreover, findings from Study 1 allowed to establish boundaries between envy and competing constructs that have often been included in conceptualizations of envy. The psychometrically validated definition of envy provided by Studies 1 and 2 represents a valuable contribution to empirical research. Implications for envy research concern the promotion of a shared operationalization of envy in future studies, which will arguably facilitate the comparison of findings between studies and between approaches. Study 3 examined the mechanisms through which dispositional envy affects individuals’ social adjustment and psychological wellbeing. Findings revealed that the detrimental effects of envy on perceived social support and subjective well-being are mostly mediated by other personal characteristics, such as neuroticism and self-esteem. By reducing global self-esteem, the envious disposition may damage supportive social networks via antisocial direct and indirect behaviors that may arise from envy and that are likely to drive others away. On the other hand, by damaging both emotional stability and self-worth, dispositional envy leads to reduced subjective well-being. Implications for clinical practice are discussed.