Why men are the minority: The perceptions of young men in UK post-primary education about studying psychology at university

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Psychology is categorised as a science by most higher education authorities internationally. As with many science, mathematics and engineering fields, women are underrepresented in psychology at senior levels (the ‘leaky pipeline’). However, it is men who are underrepresented within the discipline overall, meaning that the psychology workforce does not reflect the population it aims to serve. It is important to understand why fewer men are opting to enter the profession, beginning with their choices regarding higher education. The current study is one of the first to qualitatively examine the perceptions and motivations of adolescent and young adult men in post-primary education of the study of psychology at university undergraduate level. Twelve focus groups were conducted with young men (n = 64) studying AS or A2-Levels, between 16 and 18 years of age, in post-primary schools in a UK region, Northern Ireland (NI). Thematic analysis demonstrated that psychology was viewed in a gendered way as a ‘feminine’, ‘soft’ subject dealing with emotions, and was not perceived as an ‘objective’, ‘fact-based’ science. The lack of male role models in psychology was a barrier to young men pursuing psychology at university level. Young men, whether currently studying psychology at school or not, expressed gendered career expectations and motivations. There are opportunities for targeted efforts with young men to promote psychology as a science and a multi-faceted discipline. Findings will inform the efforts of those in post-primary and higher education level in making psychology inclusive in terms of gender and improving the diversity of psychology as a field.

How childhood psychological abuse affects adolescent cyberbullying: The chain mediating role of self-efficacy and psychological resilience

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Background: Despite the recognition of the impact of childhood psychological abuse, self-efficacy, and psychological resilience on cyberbullying, there is still a gap in understanding the specific mechanisms through which childhood psychological abuse impacts cyberbullying via self-efficacy and psychological resilience. Methods: Based on the Social Cognitive Theory, this study aims to investigate the link between childhood psychological abuse and cyberbullying in adolescents, mediated by the sequential roles of self-efficacy and psychological resilience. The sample consisted of 891 students (M = 15.40, SD = 1.698) selected from four public secondary schools in Jiangsu Province, Eastern China. All the participants filled in the structured self-report questionnaires on childhood psychological abuse, self-efficacy, psychological resilience, and cyberbullying. The data were analyzed using SPSS 24.0 and structural equation modeling (SEM) in AMOS 24.0. Results: The findings of this study are as follows: (1) Childhood psychological abuse is positively associated with adolescent cyberbullying; (2) Self-efficacy plays a mediating role between childhood psychological abuse and adolescent cyberbullying; (3) Psychological resilience plays a mediating role between childhood psychological abuse and adolescent cyberbullying; (4) Self-efficacy and psychological resilience play a chain mediation role between childhood psychological abuse and adolescent cyberbullying. Conclusion: This study contributes to a deeper understanding of the underlying mechanisms linking childhood psychological abuse to adolescent cyberbullying, shedding light on potential pathways for targeted interventions and support programs to promote the well-being of adolescents in the face of early adversity.

Assessment of positive psychological functioning among Chinese university students: Revision and psychometric properties of a psychological capital scale

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Psychological capital serves as a psychological asset facilitating personal growth and enhanced performance. It aids individuals in navigating life’s myriad challenges and adversities, promoting psychological well-being and adaptability. Despite the widely recognized importance of psychological capital in enhancing competitiveness and work performance, existing assessment tools, such as the PCQ-24 developed by Luthans et al. (2007), have not been adequately validated in the Chinese university student population. To explore the factor structure of the Psychological Capital Questionnaire (PCQ-24) developed by Luthans et al., the researchers employed Principal Component Analysis (PCA) and Exploratory Factor Analysis (EFA), extracting factors with eigenvalues greater than 1. The results revealed a six-factor structure, which is inconsistent with the original four-factor structure of the PCQ-24 measurement tool. Therefore, Luthans’ psychological capital scale is not suitable for university students. Additionally, the indigenous scale developed by Chinese researchers Ke Jianglin et al (2009) is more suitable for organizational employees rather than university students. Hence, it is essential to revise and validate a psychological capital measurement tool appropriate for Chinese university students. To fill this gap, the researchers aimed to revise and validate a psychological capital scale suitable for Chinese university students based on the four structural dimensions proposed by Luthans et al. In this study, a large-scale survey of Chinese university students (N = 2780) was conducted, and SPSS 26.0 and AMOS 24.0 were used to statistically analyze the data and assess the psychometric properties of the Revised Mental Capital Scale. The results indicate that the revised psychological capital scale meets the psychometric requirements. The study concluded that the psychological capital scale revised and validated by the researcher can be used as an instrument to measure and assess the psychological capital of university students.

Exploring temporal patterning of psychological skills usage during the week leading up to competition: Lessons for developing intervention programmes

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Background and purpose: Although sport psychology literature focuses on psychological skills use to promote proficiency, it is still puzzling that current research has focused on psychological skills use only during competition. There remains a scarcity of empirical evidence to support the timing, and content of psychological skill application during the time preceding competition. This study examined the extent to which psychological skills usage are dynamic or stable over a 7-day pre-competitive period and whether any natural learning experiences might have accounted for the acquisition of these skills across gender and skill level. Methods and results: Ninety elite and sub-elite table tennis players completed the Test of Performance Strategies (TOPS) at three different periods (7 days, 2 days, 1 hour) before competition. A MANOVA repeated measures with follow-up analyses revealed significant multivariate main effects for only skill level and time-to-competition with no interactions. Specifically, elite (international) athletes reported more usage than sub-elite (national) counterparts for self-talk, imagery and relaxation respectively. Time-to-competition effects showed imagery use decreased steadily across the three time points while reported usage of relaxation were almost at the same level on two time points (7 days and 1 hour) but decreased 2 days before competition. Conclusions: Findings suggest an implementation of formalized and periodized psychological skills training programs over continuous training cycles. This may foster a positive long-term athletes’ psychological state prior to the onset of competition.

Influence of interpersonal relationship on subjective well-being of college students: The mediating role of psychological capital

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Background: Nowadays, the contradiction between the rapid improvement of people’s material living standard and the loss of spiritual pursuit or the increase of pressure is becoming more and more serious.With the impact of the new corona-virus pandemic, the employment situation of college students is more severe. This leads to the growth of psychological problems and alienation behavior of college students. In the promoting positive psychology and enhancing the happiness of the whole people, the relationship between interpersonal relationship and subjective well-being of college students is an interesting and valuable research topic. Methods: The structural model with AMOS21.0 was used to verify the mediating effect of psychological capital between interpersonal relationship distress and SWB from the survey data of 673 college students. Results: The interpersonal distress has a negatively correlated with psychological capital and SWB, while psychological capital has a positively correlated with SWB. Psychological capital has Partial mediating effect between interpersonal distress and SWB, and the indirect effect accounts for 57% of the total effect. Conclusion: This study indicates that schools should pay attention to education and intervention in psychological capital, except for strengthening knowledge and skill training of college students in how to communicate with others.

Providing psychological support to people impacted by terminal illness: A mixed methods study of hospice staff perceived competence, confidence and training needs

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Background: Psychological distress is common amongst people with a terminal illness. While mental health specialists have a role in assessment and management of those with complex psychological problems, hospice clinicians provide psychological support to most patients and families. Aim: To describe current practices relating to the provision of psychological support by hospice clinicians, and to explore perceived competence, confidence and training needs in relation to this aspect of their role. Design: We used a parallel mixed methods research design. An online questionnaire consisting of closed and free-text questions was emailed to 273 hospices in the UK and the Republic of Ireland between May and June 2023. Setting/Participants: Participants included nurses, doctors, and allied health professionals employed by a hospice. Quantitative data was analysed descriptively using SPSS 27, and free-text data was analysed thematically guided by the framework method. Results: 151 hospice staff completed the questionnaire. Most (81%) reported that they regularly screen for psychological distress, but clinical judgement, as opposed to use of a validated screening tool, was most common. Respondents reported confidence and competence in many areas. Overall, 72% strongly agreed they were willing to explore difficult subject matter. However, only 25% strongly agreed they were confident in differentiating level of psychological need, and 36% reported they could not arrange appropriate psychological support when needed. Almost all (95%) agreed that training in psychological support would enhance their practice. Individual and family factors such as denial, communication challenges and family conflict were barriers to providing psychological support. Systemic factors were time constraints, prioritisation of physical symptoms and limited access to mental health specialists. Conclusion: Hospice staff report that they are confident in providing basic psychological support. However, there was a desire for further training in this aspect of care. Clearer guidance on referral criteria for specialist psychological support is warranted.

Leadership empowering behaviour as a predictor of employees’ psychological well-being: Evidence from a cross-sectional study among secondary school teachers in Kohat Division, Pakistan

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In this technologically developed scenario, many organizations in developing countries including Pakistan have expanded the enthusiasm for understanding and creating an encouraging administrative and managerial environment. Numerous organizations are struggling for structural changes by deserting the old-fashioned organizational management style and implementing an empowering leadership where leaders give more authority to subordinates in decision making and responsibilities with the aim to increase organizational productivity. Therefore, the study examined the leadership empowering behaviour as a predictor of employees’ psychological well-being of the educational institutions at secondary level in Kohat Division, Pakistan. A total sample of 564 secondary school teachers (male n = 379; female n = 185) was carefully chosen through a stratified random sampling technique. In this study, a non-experimental predictive correlational design was adopted. In order to collect data from the participants, two different standardized research tools i.e., the Leader Empowering Behaviour Questionnaire and Ryff’s Psychological Well-being Scale were used. After the collection of data, it was analyzed on the basis of mean, standard deviation, Pearson’s product-moment correlation, and multiple linear regression model. In conclusion, the study confirmed a significant positive correlation between leadership empowering behaviour and employees’ psychological well-being. Leadership empowering behaviours predict employees’ psychological well-being positively. Therefore, it was recommended that empowering behaviour might be adopted by the school leaders to improve the employees’ psychological well-being for better organizational productivity.

Opinions of physiotherapists at the University Teaching Hospital on assessing the psychological well-being of patients with stroke: A qualitative study

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Patients with stroke often encounter psychological challenges because of the disabilities and loss of independence resulting from the condition. However, these psychological problems are frequently overlooked or under-reported during stroke rehabilitation by physiotherapists. Hence, this study explored the opinions of physiotherapists at the University Teaching Hospital on assessing the psychological well-being of patients with stroke. A qualitative phenomenological study design was used, and data were collected through in-depth interviews with physiotherapists at the University Teaching Hospital in Lusaka. Ten physiotherapists identified through purposive sampling participated in the in-depth interviews. The analysis was performed using Atlas.ti version 22 software. Thematic analysis was conducted using an inductive approach. Ten semi-structured in-depth interviews with physiotherapists working in the stroke unit identified four themes: psychological assessment as part of stroke care in physiotherapy practice, assessing the psychological well-being of patients after stroke, confidence, and competence in psychological assessment, and professional development needs. The psychological well-being of patients is inconsistently assessed by physiotherapists because of lack of standard guidelines, lack of confidence, lack of competence and inadequate training. This underscores the need to revise the physiotherapy training curriculum, integrate psychological approaches in stroke care, and revise the scope of practice to address current gaps in practice.

Beyond pleasurable and meaningful: Psychologically rich entertainment experiences

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Entertainment experiences have been conceptualized as hedonic (pleasurable) or eudaimonic (meaningful), mirroring the hedonic and eudaimonic components of psychological well-being. However, psychologists have proposed a third component of well-being: psychological richness, which is characterized by variety, novelty, and interest. In this paper we explore the role of psychological richness in film and television entertainment experiences. Two studies, an experience sampling study (n = 28) and a survey (students in the US, n = 247 and general population in Germany, n = 289) show the prevalence of experience of psychological richness during media use and its positive relationship with well-being. A replication with a different scale (n = 291) demonstrates that psychologically rich entertainment experiences may have been previously been conflated by some measures of eudaimonic entertainment. Incorporating psychologically rich entertainment experiences as a third addition to hedonic and eudaimonic experiences can increase the intervention potential of media used to enhance well-being.

The impact of coal miners’ emotions on unsafe behavior: A study on the mediated effects with a moderating role

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This study aims to reveal how emotions influence Unsafe Behavior among coal miners, addressing the increasingly severe safety issues in the coal mining industry. As the complexity of mining environments grows, the impact of workers’ emotional states on safety behaviors has garnered widespread attention. Based on emotion regulation theory and psychological mediation models, we analyzed survey data from 250 workers across multiple subsidiary mining units of a single coal mining enterprise in China, employing regression analysis and Bootstrap methods to examine the relationships among emotions, unsafe psychological states, and Unsafe Behavior. Additionally, we introduced safety climate as a moderating variable to enhance the explanatory power of the model. The results indicate that positive emotions significantly reduce the occurrence of Unsafe Behavior by lowering unsafe psychological states, whereas negative emotions significantly increase Unsafe Behavior by enhancing unsafe psychological states. Furthermore, unsafe psychological states play a mediating role between emotions and Unsafe Behavior, highlighting the crucial role of psychological factors in the emotional influence on behavior. Further analysis shows that safety climate moderates the relationship between negative emotions and unsafe psychological states. Specifically, under a high safety climate, the impact of negative emotions on unsafe psychological states is weakened. This study provides theoretical support and practical reference for safety management in the coal mining industry, offers empirical evidence for the development of emotional regulation and psychological intervention strategies, and emphasizes the importance of fostering a favorable safety climate.

Servant leadership and employee prosocial rule-breaking: The underlying effects of psychological safety and compassion at work

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The study intends to investigate the impact of servant leadership on pro-social rule-breaking directly and through the intervening mechanism of psychological safety. More, the study also plans to investigate whether compassion at work moderates the effect of servant leadership on psychological safety and pro-social rule-breaking and the indirect intervening effect of psychological safety between servant leadership and pro-social rule-breaking. Responses were collected from 273 frontline public servants in Pakistan. Using social information processing theory, the results revealed that servant leadership positively influences pro-social rule-breaking and psychological safety and that psychological safety influences pro-social rule-breaking. Results also revealed that psychological safety acts as an intervening mechanism in the relationship between servant leadership and pro-social rule-breaking. Moreover, compassion at work significantly moderates the relationships of servant leadership with psychological safety and pro-social rule-breaking, and that compassion at work ultimately alters the size of the intervening effect of psychological safety between the connection of servant leadership and pro-social rule-breaking.

Parent-child attachment and good behavior habits among Chinese children: Chain mediation effect of parental involvement and psychological Suzhi

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This study examines the mediation effect of parental involvement and psychological Suzhi between the relationship of parent-child attachment and good behavior habits in Chinese children. The participants comprised 563 children from four Chinese kindergartens (4.41±0.96) whose parents reported measures of parent-child attachment, parental involvement, psychological Suzhi, and good behavior habits in their children. The results indicated that (1) Parental attachment, parental involvement and psychological Suzhi were positively correlated with good behavior habits of young children; (2) Parental involvement and psychological Suzhi mediated the relationship between parent-child attachment and good behavior habits in children separately; (3) Parent-child attachment indirectly affected children’s good behavior habits through the path of “parental involvement and psychological Suzhi.”

Implicit benefits of adolescents with high psychological resilience in action control of emotion regulation

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Psychological resilience is crucial for adolescents’ emotional health. The aim of this study was to evaluate the relationship between psychological resilience and implicit emotion regulation. The action control theory was used as a model reference. Experiment 1 employed an emotion regulation-implicit associations task using a sample of 56 adolescents and was designed to compare implicit attitudes toward emotion regulation between individuals with high and those with low psychological resilience. The results reveal that adolescents with high psychological resilience are more inclined to use controlled emotion regulation to regulate their emotions. Experiment 2 was an indirect examination of the differences between the implicit emotion repair effects of adolescents with high and those with low psychological resilience (n = 75). The findings indicate that adolescents with high (vs. low) psychological resilience search faster to detect happy faces in an angry context. The results of the two experiments consistently suggest that adolescents with high psychological resilience have an implicit advantage in emotion regulation, which contributes to their emotional health.

Linking belief in a just world and psychological capital to psychological basic needs satisfaction and mental health of young adults living with HIV: A comparative analysis

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People living with HIV (PWH) have higher risks for negative experiences and emotions such as discrimination, self-blame, and denial, which make them vulnerable to mental health problems. Those living with HIV and are in the developmental stage of young adulthood (18–39 years) have added psychological challenges arising from the pressure to perform the developmental tasks of this stage, which may gratify or thwart basic psychological needs (BPNs) and impact their mental health. The study examined whether positive psychological attributes, including a belief in a just world (BJW) and psychological capital, could be resources for satisfying basic psychological needs, hence boosting the mental health of Young Adults Living with HIV (YALWH). A comparison sample of university students was also included in the study. The results show that BJW was positively directly associated with BPN satisfaction, BPN frustration, and mental health (flourishing aspect) in the student sample but not in the YALWH sample. Psychological capital was appositively associated with BPN satisfaction and flourishing in the student sample. On the other hand, psychological capital is only positively associated with BPN satisfaction and negatively with BPN frustration and distress in the YALWH sample. The serial medial analysis revealed that the effects of BJW on mental health (flourishing) are mediated by psychological capital and BPN satisfaction in both samples. On the other hand, the effects of BJW on distress are mediated by psychological capital and BPN frustration, again in both samples. Incorporating interventions for strengthening positive psychological attributes could be helpful for YALWH and other young adults to attain desirable developmental outcomes for this stage and their mental health.

Workplace bullying, psychological hardiness, and accidents and injuries in nursing: A moderated mediation model

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Workplace bullying are prevalent among the nursing workforce. Consequences of workplace bullying include psychological stress and workplace accidents and injuries. Psychological hardiness is proposed as a buffer for workplace bullying and psychological stress on workplace accidents and injuries. This study adopted the Affective Events Theory and Conservation of Resources Theory to develop and test a moderated mediated model in two field studies. Study 1 (N = 286, Australian nurses) found support for the direct negative effect of workplace bullying on workplace accidents and injuries with psychological stress acting as the mediator. The mediation findings from Study 1 were replicated in Study 2 (N = 201, New Zealand nurses). In addition, Study 2 supplemented Study 1 by providing empirical support for using psychological hardiness as the buffer for the association between psychological stress and workplace accidents and injuries. This study offers theoretical and empirical insights into the research and practice on psychological hardiness for improving the psychological well-being of employees who faced workplace mistreatments.

Psychological richness as a distinct dimension of well-being: Links to mental, social, and physical health

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In recent years, well-being research has expanded beyond traditional dimensions, recognizing that a fulfilling life may encompass more than happiness and meaning. We examined the unique contributions of a newly proposed dimension of well-being—psychological richness—to mental, social, and physical health outcomes alongside the established dimensions of hedonic and eudaimonic well-being. We assessed well-being using validated scales that measure life satisfaction, meaning in life, and psychological richness and analyzed data from 11,041 participants. We evaluated health outcomes across mental, social, and physical dimensions using the Subjective Well-being Inventory. Our findings revealed that life satisfaction and meaning in life consistently enhanced health outcomes across most domains. However, psychological richness exhibited a more nuanced profile. Specifically, psychological richness was strongly correlated with positive mental and social health indicators, such as confidence in coping and perceived social support, but also uniquely linked to social isolation and perceived physical symptoms. These results suggest that psychological richness fosters cognitive resilience and social engagement despite potential physical health and social connectedness trade-offs. Notably, individuals high in psychological richness did not report heightened negative emotions, even when experiencing social isolation or physical discomfort, aligning this dimension with other forms of well-being. This study identified psychological richness as an essential addition to well-being models, offering fresh perspectives for tailored well-being interventions.

Psychological well-being and job performance of nurses and midwives amidst COVID-19 in Ghana; a multi-group analysis

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The purpose of this study was to examine the effect of psychological well-being on job performance among nurses and midwives in rural and urban hospitals in Ghana amidst COVID-19. The study adopted a purely quantitative approach, using the explanatory research design. Data were collected from 262 nurses and midwives in two selected hospitals in the Central Region of Ghana. The Structural Equation Modelling was used to analyze the data collected. The results revealed that the levels of psychological well-being and job performance were high in both hospitals amidst the pandemic. Further, it was observed that although psychological well- being had significant influence on job performance among the nurses and midwives in both rural and urban communities, the effect was more significant in the urban settlements. Given these findings, the study recommended that in order to effectively improve the job performance of nurses and midwives, management must adopt policies such as, flexible work arrangements, leave policy, and counselling services to support their psychological well-being.

The influence of psychological capital on employment expectations of vocational undergraduate students: The chain mediating role of active coping style and educational flow experience

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As vocational undergraduate students in China face increasing challenges in the job market, understanding the factors that shape their employment expectations is crucial. Psychological capital is considered a key factor influencing students’ career outlooks. This study aims to examine the relationship between psychological capital (PC) and employment expectations (EE), while exploring the mediating roles of educational flow experience (EFE) and active coping style (ACS) in this relationship. Based on positive psychology and career development theories, a theoretical model was constructed to understand how psychological capital affects employment expectations through the chain mediation of educational flow experience and active coping style. A sample of 693 vocational undergraduate students (316 males and 377 females) from a university in Guangdong Province participated in the study. Participants completed the Psychological Capital Scale (PCS), the Career Expectation Scale (CES), the Educational Flow Experience Scale (EduFlow-2), and the Coping Style Scale (CSS). Results indicate that higher levels of psychological capital significantly predict stronger employment expectations. Moreover, educational flow experience and active coping style both serve as significant mediators in the relationship between psychological capital and employment expectations, with a chain mediation effect also observed. These findings provide valuable insights into the psychological processes that influence career expectations among vocational undergraduates, highlighting the importance of fostering psychological capital and creating supportive learning environments to improve students’ employability. The results offer practical implications for educators and policymakers, suggesting that vocational institutions should integrate strategies to enhance psychological capital, promote educational flow experiences, and support active coping styles to better prepare students for the labor market.

The Influence of Preoperative and Postoperative Psychological Symptoms on Clinical Outcome after Shoulder Surgery: A Prospective Longitudinal Cohort Study

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Background: Psychological symptoms are highly prevalent in patients with shoulder complaints. Psychological symptoms in patients with shoulder complaints might play a role in the aetiology, perceived disability and pain and clinical outcome of treatment. The aim of this study was to assess whether preoperative symptoms of distress, depression, anxiety and somatisation were associated with a change in function after shoulder surgery and postoperative patient perceived improvement of pain and function. In addition, the change of psychological symptoms after shoulder surgery was analyzed and the influence of postoperative symptoms of psychological disorders after surgery on the change in function after shoulder surgery and perceived postoperative improvement of pain and function. Methods and Findings: A prospective longitudinal cohort study was performed in a general teaching hospital. 315 consecutive patients planned for elective shoulder surgery were included. Outcome measures included change of Disabilities of the Arm, Shoulder and Hand (DASH) score and anchor questions about improvement in pain and function after surgery. Psychological symptoms were identified before and 12 months after surgery with the validated Four-Dimensional Symptom Questionnaire (4DSQ). Psychological symptoms were encountered in all the various shoulder diagnoses. Preoperative symptoms of psychological disorders persisted after surgery in 56% of patients, 10% of patients with no symptoms of psychological disorders before surgery developed new psychological symptoms. Preoperative symptoms of psychological disorders were not associated with the change of DASH score and perceived improvement of pain and function after shoulder surgery. Patients with symptoms of psychological disorders after surgery were less likely to improve on the DASH score. Postoperative symptoms of distress and depression were associated with worse perceived improvement of pain. Postoperative symptoms of distress, depression and somatisation were associated with worse perceived improvement of function. Conclusions: Preoperative symptoms of distress, depression, anxiety and somatisation were not associated with worse clinical outcome 12 months after shoulder surgery. Symptoms of psychological disorders before shoulder surgery persisted in 56% of patients after surgery. Postoperative symptoms of psychological disorders 12 months after shoulder surgery were strongly associated with worse clinical outcome.

The mediation effects of COVID-19-related traumatic stress symptoms and mentalization on the relationship between perceived stress and psychological well-being in healthcare workers transitioning to a post-pandemic world

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Background: In context of COVID-19 as a collective trauma and the intense involvement of healthcare workers (HCWs) in the pandemic, perceived stress continues to have a tremendous impact on their psychological well-being. However, few studies have attempted to delineate the underlying mechanisms. This study examined whether COVID-19-related traumatic stress symptoms and mentalization act as mediators. Methods: A sample of HCWs (N = 2610) from 22 hospitals in Beijing, China participated in this cross-sectional investigation. Data on their perceived stress, psychological well-being, the impact of event, and reflective function during the COVID-19 pandemic were collected using self-report questionnaires. Different mediating models were tested. Results: COVID-19-related stress symptoms and mentalization independently mediate the association between perceived stress and psychological well-being. These two mediators also compose a serial mediation model. In particular, higher perceived stress inhibits the psychological well-being of HCWs through increased severity of traumatic stress symptoms, which in turn is associated with hypomentalizing. Conclusion: These findings shed light on the mechanisms underlying the relationship between perceived stress and psychological well-being in HCWs. We strongly recommend incorporating a mentalization framework with trauma-informed practice in prevention and intervention work with this population during this and future healthcare crisis.

A study of psychological pain in substance use disorder and its relationship to treatment outcome

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Substance Use Disorder (SUD) is a major public health concern affecting an estimated 22.5 million individuals in the United States. The primary aim of this study was to characterize psychological pain in a cohort of patients participating in outpatient treatment for SUD. A secondary aim was to determine the relationships between pre-treatment assessments of psychological pain, depression, anxiety and hopelessness with treatment retention time and completion rates. Data was analyzed from 289 patients enrolled in an outpatient community drug treatment clinic in Southern California, U.S. A previously determined threshold score on the Mee-Bunney Psychological Pain Assessment Scale (MBP) was utilized to group patients into high and low-moderate scoring subgroups. The higher pain group scored higher on measures of anxiety, hopelessness and depression compared to those in the low-moderate pain group. Additionally, patients scoring in the higher psychological pain group exhibited reduced retention times in treatment and more than two-fold increased odds of dropout relative to patients with lower pre-treatment levels of psychological pain. Among all assessments, the correlation between psychological pain and treatment retention time was strongest. To our knowledge, this is the first study to demonstrate that psychological pain is an important construct which correlates with relevant clinical outcomes in SUD. Furthermore, pre-treatment screening for psychological pain may help target higher-risk patients for clinical interventions aimed at improving treatment retention and completion rates.