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Archives of Sexual Behavior Jul 2023Gender transition is undertaken to improve the well-being of people suffering from gender dysphoria. However, some have argued that the evidence supporting medical...
Gender transition is undertaken to improve the well-being of people suffering from gender dysphoria. However, some have argued that the evidence supporting medical interventions for gender transition (e.g., hormonal therapies and surgery) is weak and inconclusive, and an increasing number of people have come forward recently to share their experiences of transition regret and detransition. In this essay, I discuss emerging clinical and research issues related to transition regret and detransition with the aim of arming clinicians with the latest information so they can support patients navigating the challenges of regret and detransition. I begin by describing recent changes in the epidemiology of gender dysphoria, conceptualization of transgender identification, and models of care. I then discuss the potential impact of these changes on regret and detransition; the prevalence of desistance, regret, and detransition; reasons for detransition; and medical and mental healthcare needs of detransitioners. Although recent data have shed light on a complex range of experiences that lead people to detransition, research remains very much in its infancy. Little is known about the medical and mental healthcare needs of these patients, and there is currently no guidance on best practices for clinicians involved in their care. Moreover, the term detransition can hold a wide array of possible meanings for transgender-identifying people, detransitioners, and researchers, leading to inconsistences in its usage. Moving forward, minimizing harm will require conducting robust research, challenging fundamental assumptions, scrutinizing of practice patterns, and embracing debate.
Topics: Humans; Transgender Persons; Transsexualism; Gender Identity; Uncertainty; Gender Dysphoria; Emotions
PubMed: 37266795
DOI: 10.1007/s10508-023-02626-2 -
Nursing Management (Harrow, London,... Aug 2023Healthcare is continually evolving in response to new global challenges, changes in society, limitations on resources and the growing use of technology. In light of...
Healthcare is continually evolving in response to new global challenges, changes in society, limitations on resources and the growing use of technology. In light of these changes and challenges, this article discusses the benefits for nurse leaders to explore a new approach known as quantum leadership. This is a relationship-focused and value-based leadership style in which leaders understand that healthcare organisations have been in a state of flux and recognise how to respond constructively to change in the future. Quantum leadership enables nurse leaders to create and maintain synergistic team working, whereby the team works together towards the common goal of delivering optimal person-centred care. The author suggests that quantum leadership is an engaging and realistic approach to adopt, with benefits of all staff delivering healthcare services and ultimately for patients.
Topics: Humans; Leadership; Delivery of Health Care; Nurse Administrators
PubMed: 36541105
DOI: 10.7748/nm.2022.e2059 -
Neuroscience and Biobehavioral Reviews Jul 2023Animal personality, consistent individual differences in behaviour, is an important concept for understanding how individuals vary in how they cope with environmental... (Review)
Review
Animal personality, consistent individual differences in behaviour, is an important concept for understanding how individuals vary in how they cope with environmental challenges. In order to understand the evolutionary significance of animal personality, it is crucial to understand the underlying regulatory mechanisms. Epigenetic marks such as DNA methylation are hypothesised to play a major role in explaining variation in phenotypic changes in response to environmental alterations. Several characteristics of DNA methylation also align well with the concept of animal personality. In this review paper, we summarise the current literature on the role that molecular epigenetic mechanisms may have in explaining personality variation. We elaborate on the potential for epigenetic mechanisms to explain behavioural variation, behavioural development and temporal consistency in behaviour. We then suggest future routes for this emerging field and point to potential pitfalls that may be encountered. We conclude that a more inclusive approach is needed for studying the epigenetics of animal personality and that epigenetic mechanisms cannot be studied without considering the genetic background.
Topics: Animals; Behavior, Animal; Personality; Individuality; Epigenesis, Genetic; Biological Evolution
PubMed: 37094740
DOI: 10.1016/j.neubiorev.2023.105194 -
Psychoneuroendocrinology Jul 2023An aging-related immune phenotype (ARIP) has been defined as a decrease in naïve T cells (T) relative to the accumulation of memory T cells (T). Recent research...
An aging-related immune phenotype (ARIP) has been defined as a decrease in naïve T cells (T) relative to the accumulation of memory T cells (T). Recent research implicates ARIP measures, such as CD4 +T/T and CD8 +T/T ratios, in multimorbidity and mortality. This study examined whether psychological dispositions that assess how people think, feel, and behave are related to CD4 +T/T and CD8 +T/T. Participants were adults aged 50-104 years (N = 4798; 58% women, Mean Age= 67.95, SD= 9.56) from the Health and Retirement Study. Data on CD4 +T/T and CD8 +T/T were obtained in 2016. Data on personality, demographic factors, and potential clinical (body mass index, disease burden), behavioral (smoking, alcohol, physical activity), psychological (depressive symptoms, stress), and biological (cytomegalovirus IgG antibodies) mediating factors were obtained in 2014/2016. Controlling for demographic factors, higher conscientiousness was related to higher CD4 +T/T and CD8 +T/T. To a lesser extent, higher neuroticism and lower extraversion were associated with lower CD4 +T/T Physical activity, and to a lesser extent BMI and disease burden, were the most robust mediators between personality and ARIP measures. Cytomegalovirus IgG level mediated the association between conscientiousness and both CD4 +T/T and CD8 +T/T. This study provides novel evidence that personality is related to ARIP. Higher conscientiousness and, to a lesser extent, higher extraversion may be protective against age-related immunophenotype change, whereas neuroticism may be a risk factor.
Topics: Female; Male; Humans; Personality; Personality Disorders; Neuroticism; Immunoglobulin G
PubMed: 37120948
DOI: 10.1016/j.psyneuen.2023.106113 -
Obstetrics and Gynecology Clinics of... Jun 2024Adolescence is a unique time where there are many developmental changes occurring. Teenagers are striving to establish their personal identity as they are also... (Review)
Review
Adolescence is a unique time where there are many developmental changes occurring. Teenagers are striving to establish their personal identity as they are also developing a better understanding of their gender and sexual identity while navigating social expectations both in person and online. Therefore, clinicians must continue to support adolescent patients and their families by providing accurate and timely information so that they can have the tools they need to avoid the pitfalls of an uninformed adolescent experience.
Topics: Humans; Adolescent; Female; Adolescent Behavior; Sexual Behavior; Male; Sexuality; Gender Identity; Sex Education
PubMed: 38777485
DOI: 10.1016/j.ogc.2024.02.004 -
Journal of Personality and Social... Aug 2023Do changes in religiosity beget changes in personality, or do changes in personality precede changes in religiosity? Existing evidence supports longitudinal associations...
Do changes in religiosity beget changes in personality, or do changes in personality precede changes in religiosity? Existing evidence supports longitudinal associations between personality and religiosity at the between-person level, such that individual differences in personality predict subsequent individual differences in change in religiosity. However, no research to date has examined whether within-person changes in personality lead to subsequent changes in religiosity. Using random intercept cross-lagged panel models (RI-CLPM), we investigated between- and within-person associations between the Big Five personality traits and three aspects of religiosity-belief in God, service attendance, and prayer-in a sample of over 12,000 Dutch individuals across 11 annual assessments. We found between-person associations between all Big Five traits and religiosity, yet within-person associations only between agreeableness as well as extraversion and belief in God. Specifically, individuals who increased in agreeableness or extraversion reported subsequent increases in their belief in God and, in addition, individuals who increased in their belief in God showed subsequent increases in agreeableness. We further identified significant moderating effects of gender, religious upbringing, and religious affiliation. Overall, the present findings suggest that the associations between personality traits and religiosity primarily occur at the between-person level. However, the evidence for intraindividual associations between agreeableness, extraversion, and religious belief highlights the importance of distinguishing between-person from within-person effects to broaden the understanding of the temporal dynamics between variables. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
Topics: Humans; Personality; Personality Disorders; Religion; Individuality; Interpersonal Relations
PubMed: 37338438
DOI: 10.1037/pspp0000466 -
Journal of Personality Jun 2024Climate change is a serious threat. Personality psychologists can help address this threat by understanding what kind of people tend to endorse proenvironmental...
OBJECTIVE
Climate change is a serious threat. Personality psychologists can help address this threat by understanding what kind of people tend to endorse proenvironmental attitudes and engage in sustainable behavior. Previous research supports reliable associations between proenvironmental attitudes and personality traits. However, this research has generally aggregated different kinds of attitudes into a single composite and has focused on the domain level of personality traits.
METHOD
This study explored how 10 lower-order aspects of the Big Five personality traits were related to eight different proenvironmental attitudes in three convenience samples from the United States (N = 1234; 1000) and the United Kingdom (N = 538).
RESULTS
All five trait domains were related to at least one proenvironmental attitude across all three samples. Seven of eight proenvironmental attitudes could be predicted by one or more traits in all three samples. We also found evidence that the Openness aspect of Openness to Experience was a more consistent predictor of proenvironmental attitudes than the Intellect aspect. In contrast, there was little benefit in distinguishing between the aspects of other trait domains. We did not find evidence that age or political orientation moderated the associations between proenvironmental attitudes and personality.
CONCLUSION
Results point to the need for more fine-grained research on individual differences in proenvironmental attitudes and behavior.
Topics: Humans; Male; Female; Personality; Adult; Attitude; United Kingdom; Middle Aged; United States; Climate Change; Young Adult; Aged; Adolescent; Individuality
PubMed: 36401807
DOI: 10.1111/jopy.12795 -
Current Opinion in Psychology Feb 2024We give an overview of what age stereotypes (AS) are, how they are acquired and change across the lifespan, and how they shape development in old age. AS reflect complex... (Review)
Review
We give an overview of what age stereotypes (AS) are, how they are acquired and change across the lifespan, and how they shape development in old age. AS reflect complex beliefs and expectations that vary on the following dimensions: They differ in content and valence, depending on the life-domain to which they are applied (context), they refer to different age-groups (reference), to older people or to oneself as an old person (direction of relevance), and they either describe how older people are or prescribe how they should be (modality). AS are acquired early, and later taint beliefs about one's own aging (internalization). Once they are part of the self-concept, AS act as self-fulfilling prophecies that shape the actual aging process (stereotype embodiment).
Topics: Humans; Aged; Aging; Stereotyping; Self Concept; Longevity
PubMed: 38035656
DOI: 10.1016/j.copsyc.2023.101747 -
Neuropsychological Rehabilitation Sep 2023This is the first study to estimate the prevalence and predictors of spouse and patient perceptions of global/overall personality change (PC) in patients with multiple...
OBJECTIVES
This is the first study to estimate the prevalence and predictors of spouse and patient perceptions of global/overall personality change (PC) in patients with multiple sclerosis (MS).
METHODS
69 clinic patients and their spouses completed parallel measures of perceived PC and semantic differential scales measuring pre-MS and current specific behaviours. We correlated perceived personality changes with the following measures of perceived physical, cognitive, emotional, and social functioning: MS Impact Scale, MS Neuropsychological Questionnaire, Beck Depression Inventory-FastScreen; Hospital Anxiety and Depression Scale; Family Questionnaire, McMaster Assessment Device; and Social Provisions Scale.
RESULTS
Spouses and patients reported comparable levels of substantial change. Both associated PC with patient distress, perceived cognitive impairment, spouse distress, and poorer family functioning. Spouse, but not patient, PC ratings predicted severity of physical symptoms and social support. Principal component analysis of semantic differential ratings yielded a Compassionate Empathy component correlating with PC within spouse, but not patient, data.
CONCLUSIONS
These partially overlapping potential triggers for spouse and patient PC judgments raise questions about the extent they overlap with clinicians' criteria for PC, since spouses did not link impulsivity with PC. It is also suggested that the initial focus of treatment of PC should focus on partner-agreed changes.
Topics: Humans; Spouses; Judgment; Social Support; Personality; Multiple Sclerosis
PubMed: 35857651
DOI: 10.1080/09602011.2022.2101478 -
Archives of Gerontology and Geriatrics Dec 2023Studies of retrospective personality change with dementia consistently find caregivers report large changes in personality (e.g., increases in neuroticism) of their care...
OBJECTIVES
Studies of retrospective personality change with dementia consistently find caregivers report large changes in personality (e.g., increases in neuroticism) of their care recipients compared to before dementia. This work seeks to replicate the established pattern of personality change, extend it to change in psychological distress, well-being, and social connection, and evaluate whether changes vary by stage of dementia.
METHODS
Caregivers of people with dementia (N = 188) reported on the psychological and social health of their care recipient currently and how they were before they developed dementia. Personality was measured as five factor model traits. Psychological distress was measured as symptoms of depression and anxiety, perceived stress, and pessimism. Psychological well-being was measured as purpose in life, life satisfaction, happiness, self-efficacy, and optimism. Social connection was measured as loneliness, belonging, social support, and social strain.
RESULTS
There were substantial increases in neuroticism (d = 1.14) and decreases in the other four personality traits (d range=-0.85 to -1.37). There were significant increases in psychological distress (e.g., d = 1.07 for depression) and substantial decreases in well-being (e.g., d=-1.18 for purpose in life) and social connection (e.g., d=-1.12 for belonging). Change was apparent across dementia stage and generally larger in more severe dementia.
DISCUSSION
In addition to personality, there are large retrospective changes in psychological distress, well-being, and social connection with dementia. These quantitative findings complement clinical observations of the natural history of psychosocial changes in people with dementia, and can inform families, clinicians, and researchers on commonly observed changes and improve interventions to mitigate dementia burden.
Topics: Humans; Retrospective Studies; Personality; Dementia; Anxiety; Psychological Distress; Caregivers; Stress, Psychological
PubMed: 37837789
DOI: 10.1016/j.archger.2023.105218