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Politics and the Life Sciences : the... Nov 2023While there have always been those in the American public who mistrust science and scientists' views of the world, they have tended to be a minority of the larger...
While there have always been those in the American public who mistrust science and scientists' views of the world, they have tended to be a minority of the larger public. Recent COVID-19 related events indicate that could be changing for some key groups. What might explain the present state of mistrust of science within an important component of the American public? In this study, we delve deeply into this question and examine what citizens today believe about science and technology and why, focusing on core theories of trust, risk concern, and political values and on the important role of science optimism and pessimism orientations. Using national public survey data, we examine the correlates of science optimism and pessimism and test the efficacy of this construct as drivers of biotechnology policy. We find that science optimism and pessimism are empirically useful constructs and that they are important predictors of biotechnology policy choices.
Topics: Humans; Biotechnology; Optimism; Pessimism; Policy; Trust; United States
PubMed: 37987570
DOI: 10.1017/pls.2023.9 -
BMJ Open Quality Apr 2024The failed or partial implementation of clinical practices negatively impacts patient safety and increases systemic inefficiencies. Implementation of sepsis screening... (Review)
Review
INTRODUCTION
The failed or partial implementation of clinical practices negatively impacts patient safety and increases systemic inefficiencies. Implementation of sepsis screening guidelines has been undertaken in many settings with mixed results. Without a theoretical understanding of what leads to successful implementation, improving implementation will continue to be ad hoc or intuitive. This study proposes a programme theory for how and why the successful implementation of sepsis screening guidelines can occur.
METHODS
A rapid realist review was conducted to develop a focused programme theory for the implementation of sepsis screening guidelines. An independent two-reviewer approach was used to iteratively extract and synthesise context and mechanism data. Theoretical context-mechanism-outcome propositions were refined and validated by clinicians using a focus group and individual realist interviews. Implementation resources and clinical reasoning were differentiated in articulating mechanisms.
RESULTS
Eighteen articles were included in the rapid review. The theoretical domains framework was identified as the salient substantive theory informing the programme theory. The theory consisted of five main middle-range propositions. Three promoting mechanisms included positive belief about the benefits of the protocol, belief in the legitimacy of using the protocol and trust within the clinical team. Two inhibiting mechanisms included pessimism about the protocol being beneficial and pessimism about the team. Successful implementation was defined as achieving fidelity and sustained use of the intervention. Two intermediate outcomes, acceptability and feasibility of the intervention, and adoption, were necessary to achieve before successful implementation.
CONCLUSION
This rapid realist review synthesised key information from the literature and clinician feedback to develop a theory-based approach to clinical implementation of sepsis screening. The programme theory presents knowledge users with an outline of how and why clinical interventions lead to successful implementation and could be applied in other clinical areas to improve quality and safety.
Topics: Humans; Sepsis; Mass Screening
PubMed: 38684345
DOI: 10.1136/bmjoq-2023-002593 -
Clinical Psychology & Psychotherapy Sep 2023Emotion regulation is an integral part of the schema therapy model. The aim of this systematic review and meta-analysis was to synthesize the evidence on the... (Review)
Review
BACKGROUND
Emotion regulation is an integral part of the schema therapy model. The aim of this systematic review and meta-analysis was to synthesize the evidence on the associations between early maladaptive schemas (EMSs), difficulties with emotion regulation and alexithymia.
METHOD
PsycINFO, PubMed and CINAHL Complete databases were searched on 28 May 2022 and 3 February 2023 in compliance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Included studies were in English, in peer-reviewed journals and reported on the association between one or more of the 18 EMSs or five schema domains and emotion regulation difficulties or alexithymia. Methodological quality was assessed using the Appraisal Tool for Cross-Sectional Studies. Meta-analyses were conducted to examine difficulties with emotion regulation and alexithymia as correlates of each EMS and domain.
RESULTS
A total of 19 studies published between 2008 and 2022 were included (Pooled N = 5957). Difficulties with emotion regulation were positively correlated with all 18 EMSs (range: entitlement r(7) = .28, 95% CI [.13, .42] to negativity pessimism r(5) = .53, 95% CI [.23, .74]) and schema domains (range: impaired limits r(5) = .34, 95% CI [.08, .56] to disconnection rejection r(5) = .44, 95% CI [.33, .73]). Alexithymia was positively correlated with the other-directedness domain (r(2) = .40, 95% CI [.09, .64]) and 16 of the 18 EMSs (range: unrelenting standards r(5) = .21, 95% CI [.12, .28] to emotional inhibition r(5) = .50, 95% CI [.34, .63]).
CONCLUSIONS
The findings suggested that almost all 18 EMSs are implicated in emotion regulation difficulties and alexithymia, particularly those relating to unmet needs for attachment and autonomy.
PubMed: 37735142
DOI: 10.1002/cpp.2914 -
Knee Surgery, Sports Traumatology,... Sep 2023Personality traits, such as dispositional optimism and pessimism, have impact on a variety of health-related problems. Influence on outcome in total knee arthroplasty... (Clinical Trial)
Clinical Trial
PURPOSE
Personality traits, such as dispositional optimism and pessimism, have impact on a variety of health-related problems. Influence on outcome in total knee arthroplasty (TKA) could only be shown for other personality trait concepts, but not for dispositional optimism/pessimism. This study aims to examine the association of dispositional optimism/pessimism with pre-operative joint function and post-operative outcome in TKA.
METHODS
Data were acquired in a multicentre, cross-sectoral, prospective study (the PROMISE Trial). Patients were followed for 12 months post-operatively. Dispositional optimism/pessimism was measured pre-operatively via the revised Life Orientation Test (LOT-R), pre- and post-operative function was measured via the 12 Item Knee-osteoarthritis outcome Scores (KOOS-12). Log-linear regression models considering known confounders and t-test were carried out to show the association of LOT-R scores with pre- and post-operative KOOS-12 scores.
RESULTS
740 patients were analyzed. Optimistic LOT-R was significantly positively associated to the mean scores of KOOS-12 pre- and post-operative, while pessimistic LOT-R was significantly associated negatively (pre-operative: optimistic p = 0.001, pessimistic p = 0.001; post-operative optimistic: 3M p = 0.001, 6M p = 0.001, 12M p = 0.001; post-operative pessimistic: 3M p = 0.01, 6M p = 0.004, 12M p = 0.001).
CONCLUSION
Optimism was positively associated with pre-operative joint function and, more importantly, post-operative functional outcome in TKA, while pessimism was associated with the opposite. Assessing patients' general personality traits prior to surgery to identify pessimistic patients, hence being at risk for poor outcome in TKA, should be considered to react to the patients' special needs and possible pessimistic expectations, i.e., through a cognitive-behavioral intervention, to potentially increase optimism and hereby post-operative outcome in TKA.
LEVEL OF EVIDENCE
Prognostic Level III.
Topics: Humans; Arthroplasty, Replacement, Knee; Knee Joint; Personality; Pessimism; Prospective Studies
PubMed: 37147400
DOI: 10.1007/s00167-023-07434-8 -
Violence and Victims Aug 2023This study was designed to shed light on the relationship between victimization and offending, a pattern commonly known as the victim-offender overlap, by exploring...
This study was designed to shed light on the relationship between victimization and offending, a pattern commonly known as the victim-offender overlap, by exploring whether victimization and pessimism toward the future interact in association with self-reported delinquency. This study was performed on 1,300 (444 males, 645 females, and 211 sex not identified) members of the 2018 High School Senior Monitoring the Future cross-sectional study. Multiple regression analysis was conducted using a maximum likelihood estimator and bias-corrected bootstrapped 95% confidence intervals. The analysis revealed that victimization and the victimization × pessimism interaction correlated significantly with delinquency, after controlling for a series of demographic, family, and peer factors. These results indicate that pessimism toward the future may exacerbate the already strong relationship known to exist between victimization and delinquency.
Topics: Male; Female; Humans; Pessimism; Cross-Sectional Studies; Juvenile Delinquency; Crime Victims; Self Report; Bullying
PubMed: 37380344
DOI: 10.1891/VV-2021-0142 -
Journal of Clinical Psychology Apr 2024Treatment of patients with pathological narcissism presents several challenges and there is paucity of published case reports that document meaningful and durable change...
Treatment of patients with pathological narcissism presents several challenges and there is paucity of published case reports that document meaningful and durable change in patients suffering from this condition. Using descriptive and atheoretical language, this paper presents a treatment of a young man in his transition from young adulthood to middle adulthood while he was negotiating complex residues of his experiences of growing up along with developmental challenges related to work and love. Against the backdrop of these transitions, the patient was working through various aspects of functioning related to pathological narcissism. Initially, given academic pressures and past romantic disappointments, he was confronting issues related to perfectionism, self-criticism, and avoidance. While he was able to move past some of these dynamics and function academically, later challenges related to becoming an independent adult led to a retreat into an avoidant state of futility and pessimism. Working through painful family dynamics related to not being seen and controlled, along with a deepening attachment in therapy as well as confrontation with realities of his life, led him to take steps toward greater independence. Thereafter, his treatment focused on learning from life experiences such as a newly developed career and romantic life, accepting the complexity of self and others, and tolerating disillusionments.
Topics: Male; Adult; Humans; Young Adult; Emotions; Love; Language; Narcissism
PubMed: 37849406
DOI: 10.1002/jclp.23613 -
Perspectives on Psychological Science :... Sep 2023We propose an account of individual differences in risk preferences called "reference-point theory" for choices between sure things and gambles. Like most descriptive...
We propose an account of individual differences in risk preferences called "reference-point theory" for choices between sure things and gambles. Like most descriptive theories of risky choice, preferences depend on two drivers-hedonic sensitivities to change and beliefs about risk. But unlike most theories, these drivers are estimated from judged feelings about choice options and gamble outcomes. Furthermore, the reference point is assumed to be the less risky option (i.e., sure thing). Loss aversion (greater impact of negative change than positive change) and pessimism (belief the worst outcome is likelier) predict risk aversion. Gain seeking (greater impact of positive change than negative change and optimism (belief the best outcome is likelier) predict risk seeking. But other combinations of hedonic sensitivities and beliefs are possible, and they also predict risk preferences. Finally, feelings about the reference point predict hedonic sensitivities. When decision makers feel good about the reference point, they are frequently loss averse. When they feel bad about it, they are often gain seeking. Three studies show that feelings about reference points, feelings about options and feelings about outcomes predict risky choice and help explain why individuals differ in their risk preferences.
PubMed: 37707492
DOI: 10.1177/17456916231190393 -
Psychology of Sport and Exercise Nov 2023Fantasy-prone personalities and generalized states of pessimism and hopelessness have been linked to various behavioural, cognitive, and health related outcomes in the...
Fantasy-prone personalities and generalized states of pessimism and hopelessness have been linked to various behavioural, cognitive, and health related outcomes in the general population. Nevertheless, to date, knowledge of sport-specific fantasy proneness and athletes' perception of deflated reality in sport is scarce, possibly due to a lack of appropriate psychometric instruments to examine these two important context-specific constructs. In this research, we developed the Sport Fantasy Proneness Scale (SFPS) and the Deflated Reality in Sport Scale (DRSS), first assessing the content validity of items for the instruments following a rigorous process. Through two cross-sectional samples (Study 1: Sample 1 N = 255, Sample 2 N = 260) and one longitudinal sample (Study 2: Sample 3 N = 118) of competitive athletes in the UK, we then examined factorial, convergent, discriminant, and concurrent validity and measurement invariance (Study 1), as well as internal consistency, and test-retest reliability (Study 2) of the two new scales. Results revealed robust construct validity and reliability of scores on the two instruments and suggested very good invariance when implementing the new scales to athletes from different sports and competitive levels and good invariance for cross-gender comparisons. The new scales fill a gap in the sport psychology literature and provide researchers and practitioners with robust psychometric instruments to examine new research questions and tackle issues relevant to athletes' sport-specific fantasy proneness and perceptions of deflated reality.
Topics: Humans; Cross-Sectional Studies; Fantasy; Reproducibility of Results; Sports; Athletes
PubMed: 37665926
DOI: 10.1016/j.psychsport.2023.102491 -
Suicide & Life-threatening Behavior Oct 2023Pacific adolescents in New Zealand (NZ) are three to four times more likely than NZ European adolescents to report suicide attempts and have higher rates of suicidal...
INTRODUCTION
Pacific adolescents in New Zealand (NZ) are three to four times more likely than NZ European adolescents to report suicide attempts and have higher rates of suicidal plans. Suicidal thoughts, plans, and attempts, termed suicidality in this study, result from a complex dynamic interplay of factors, which emerging methodologies like network analysis aim to capture.
METHODS
This study used cross-sectional network analysis to model the relationships between suicidality, self-harm, and individual depression symptoms, whilst conditioning on a multi-dimensional set of variables relevant to suicidality. A series of network models were fitted to data from a community sample of New Zealand-born Pacific adolescents (n = 550; 51% male; Mean age (SD) = 17 (0.35)).
RESULTS
Self-harm and the depression symptom measuring pessimism had the strongest associations with suicidality, followed by symptoms related to having a negative self-image about looks and sadness. Nonsymptom risk factors for self-harm and suicidality differed markedly.
CONCLUSIONS
Depression symptoms varied widely in terms of their contribution to suicidality, highlighting the valuable information gained from analysing depression at the symptom-item level. Reducing the sources of pessimism and building self-esteem presented as potential targets for alleviating suicidality amongst Pacific adolescents in New Zealand. Suicide prevention strategies need to include risk factors for self-harm.
Topics: Humans; Male; Adolescent; Female; Suicidal Ideation; Cross-Sectional Studies; New Zealand; Suicide; Suicide, Attempted; Risk Factors
PubMed: 37571910
DOI: 10.1111/sltb.12986 -
Journal of Affective Disorders Oct 2023Misophonia is characterized by intense emotional reactions to specific sounds or visual stimuli and typically onsets during childhood. An obstacle for research and...
BACKGROUND
Misophonia is characterized by intense emotional reactions to specific sounds or visual stimuli and typically onsets during childhood. An obstacle for research and clinical practice is that no comprehensively evaluated measures for pediatric misophonia exist.
METHODS
In a sample of 102 youth meeting the proposed diagnostic criteria of misophonia, we evaluated the child and parent-proxy versions of the self-reported Misophonia Assessment Questionnaire (MAQ; assessing broad aspects of misophonia) and the child version of the Amsterdam Misophonia Scale (A-MISO-S; assessing misophonia severity). Confirmatory and exploratory factor analysis were used to examine factor structures of the measures. Further, child-parent agreement on the MAQ and associations between both measures and misophonia-related impairment, quality of life, and misophonia-related school interference were examined to evaluate aspects of convergent validity.
RESULTS
For both youth- and parent-ratings, four MAQ factors emerged: pessimism, distress, interference, and non-recognition. A-MISO-S showed a unidimensional structure, but the item 'effort to resist' did not load significantly onto the unidimensional factor. Good child-parent agreement on the MAQ scales were found and both MAQ and A-MISO-S were moderately to strongly associated with misophonia-related impairment, quality of life (inverse association), and misophonia-related school interference.
LIMITATIONS
MAQ and A-MISO-S assess sensitivity to auditory but not visual stimuli, the sample size was modest, and repeated assessments were not conducted.
CONCLUSIONS
The combination of MAQ and A-MISO-S shows promise as a multidimensional assessment approach for pediatric misophonia. Future evaluations should include known-groups validity, screening performance, and sensitivity to change in symptom severity.
Topics: Humans; Adolescent; Child; Quality of Life; Psychometrics; Hearing Disorders; Parents
PubMed: 37263358
DOI: 10.1016/j.jad.2023.05.093