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European Journal of Psychotraumatology 2023Suicide-loss survivors (SLSs) are recognised as an at-risk population for several psychiatric complications, including complicated grief (CG) and depression (SI)....
Suicide-loss survivors (SLSs) are recognised as an at-risk population for several psychiatric complications, including complicated grief (CG) and depression (SI). However, whereas shame is known as one of the characteristics of this population, knowledge about possible psychological processes which may moderate the contribution of shame levels to CG and depression in the aftermath of suicide loss is sparse. This study examines the role of self-disclosure - the inclination to share personal information with others - as a possible moderator of the associations of shame with CG and shame with depression over time. Participants were 152 suicide-loss survivors, aged 18-70, who completed questionnaires tapping CG and depression at three time points (T1- index measurement, T2-two years after T1. and T3-four years after T1) and questionnaires tapping shame and SD at T3. Hierarchical regression analyses showed that shame significantly and positively contributed to CG at T3 and to depression at T3, beyond the CG/depression trajectories. Notably, two significant interactions were found: Self-disclosure moderated the contribution of shame to CG at T3 and to depression at T3. At lower self-disclosure levels, shame's contribution to CG and depression was higher. The study's findings highlight shame as a significant facilitator of CG and depression in the aftermath of suicide loss. Moreover, the role of interpersonal interaction on SLSs' distress levels and grieving process was underscored, as this interaction may serve as a buffer against the deleterious sequelae of the suicide of a loved one.
Topics: Humans; Depression; Disclosure; Grief; Suicide; Survivors; Shame
PubMed: 37052086
DOI: 10.1080/20008066.2023.2182820 -
Frontiers in Public Health 2023Based on the integrated theoretical model of the development and maintenance of non-suicidal self-injury (NSSI) and gender role theory, this study investigated the...
OBJECTIVE
Based on the integrated theoretical model of the development and maintenance of non-suicidal self-injury (NSSI) and gender role theory, this study investigated the longitudinal impact of the need for uniqueness on NSSI among adolescents, and the mediating role of depression and the moderating role of gender.
PARTICIPANTS
A total of 1,166 middle school students ( = 13.04, = 0.78, range = 11-16) from a city in central China was recruited to complete the Need for Uniqueness Scale, Depression Scale, and Adolescent Self-Injury Questionnaire at two waves. The participants included 475 boys and 457 girls.
METHODS
Convenience sampling was used, and a longitudinal study (2 time points with a 6-month interval) was conducted to test our hypotheses. SPSS 25.0 was used to evaluate reliability, and to calculate descriptive statistics and Pearson correlation. PROCESS version 3 was used to test longitudinal relationships among the need for uniqueness, depression and NSSI, and construct a moderated mediation model.
RESULTS
Results revealed that T1 need for uniqueness in adolescents was significantly positively associated with T2 NSSI and T2 depression, and T2 depression was significantly positively associated with T2 NSSI. After controlling for gender, T1 need for uniqueness positively predicted T2 NSSI. Furthermore, the mediation analysis demonstrated that the pathway linking T1 need for uniqueness to T2 NSSI through T2 depression was statistically significant. Moreover, gender moderated the indirect effect from T2 depression to T2 NSSI in the association between T1 need for uniqueness and T2 NSSI. Compared to boys in the same situation, girls who are susceptible to depression were more likely to commit NSSI.
CONCLUSION
This study demonstrated that the need for uniqueness in adolescents longitudinally predicts NSSI through the mediating role of depression and gender moderates the indirect effect from depression to NSSI. The current study not only suggests that the need for uniqueness is a risk factor for NSSI among adolescents, but also provides an empirical basis for the prevention and intervention of NSSI.
Topics: Male; Adolescent; Female; Humans; Infant; Suicide, Attempted; Depression; Longitudinal Studies; Reproducibility of Results; Self-Injurious Behavior
PubMed: 37771826
DOI: 10.3389/fpubh.2023.1198483 -
Preventive Medicine Feb 2022Physically-active adults are more likely to consume alcohol, but this association may vary if adults also use other substances (i.e., tobacco and/or cannabis), which...
Physically-active adults are more likely to consume alcohol, but this association may vary if adults also use other substances (i.e., tobacco and/or cannabis), which could increase substance-use related harms. This study examined whether tobacco and/or cannabis use moderated the associations between physical activity, odds of drinking and alcohol drinks/week. We used cross-sectional 2005-2016 National Health and Nutrition Examination Survey data (United States of America). Physical activity was assessed using device-based and self-reported moderate-to-vigorous physical activity (MVPA) and total physical activity hours/week. Individuals were categorized into one of four (poly)substance use categories, no tobacco/no cannabis, tobacco, cannabis, or tobacco/cannabis use. Regression models examined substance use as a moderator of the association between physical activity and the odds of drinking versus not drinking and alcohol drinks/week among light/moderate/heavy drinkers (≥12 drinks/year). Using cannabis or tobacco weakened the significant positive associations between total physical activity and self-reported recreational MVPA hours/week on odds of drinking (ORs = 0.978 and 0.967, respectively), such that the effect was negative or null when using cannabis or tobacco, respectively. Greater total physical activity and device-based MVPA hours/week was associated with consuming greater drinks/week (IRRs = 1.003 and 1.035, respectively). Using tobacco weakened the association between device-based MVPA and alcohol drinks/week (IRR = 0.934, 95% CI: [0.888, 0.982]). Cannabis and tobacco use weakened the association between physical activity and alcohol use. The positive association between physical activity and alcohol use may be limited to single substance users of alcohol and could reflect shared reasons for engaging in these behaviors, such as stress management or social motives.
Topics: Adult; Alcohol Drinking; Cannabis; Cross-Sectional Studies; Exercise; Humans; Longevity; Nutrition Surveys; Substance-Related Disorders; Nicotiana; Tobacco Use; United States
PubMed: 34954238
DOI: 10.1016/j.ypmed.2021.106931 -
JMIR Formative Research Aug 2022COVID-19 restrictions severely curtailed empirical endeavors that involved in-person interaction, such as usability testing sessions for technology development....
BACKGROUND
COVID-19 restrictions severely curtailed empirical endeavors that involved in-person interaction, such as usability testing sessions for technology development. Researchers and developers found themselves using web-based moderation for usability testing. Skilled remote moderators and observers are fundamental in this approach. However, to date, more empirical work is needed that captures the perceptions and support needs of moderators and observers in testing situations.
OBJECTIVE
The aim of this paper was to identify remote moderator and observer participant experiences and their use of certain tools to capture feedback of users as they interact with the web browser application.
METHODS
This research is part of a broader study on an educational web browser application for nursing students to learn perspective taking and enhance their perceptual understanding of a dialogue partner's thoughts and feelings. The broader study used a quantitative and think-aloud qualitative problem-discovery usability study design. This case study explored written accounts of the remote moderator and observer participants regarding their roles, experiences, and reactions to the testing protocol and their suggestions for improved techniques and strategies for conducting remote usability testing. Content analysis was used to analyze participants' experiences in the usability testing sessions.
RESULTS
We collected data from 1 remote moderator and 2 remote observers. Five themes were identified: dealing with personal stressors, dealing with user anxiety, maintaining social presence, ethical response to the study protocol, and communication during sessions. The participants offered recommendations for the design of future remote testing activities as well as evidence-informed training materials for usability project personnel.
CONCLUSIONS
This study's findings contribute to a growing body of endeavors to understand human-computer interaction and its impact on remote moderator and observer roles. As technology rapidly advances, more remote usability testing will occur where the knowledge gleaned in this study can have an impact. Recommendations based on moderator and observer participant perspectives identify the need for more evidence-informed training materials for their roles that focus on web-based interpersonal communication skills, execution of user testing protocols, troubleshooting technology and test user issues, proficiency in web conferencing platforms, behavior analysis and feedback technologies, and time management.
PubMed: 35921138
DOI: 10.2196/35319 -
Aging & Mental Health Feb 2022It is increasingly recommended that hypothesis-generating studies be conducted after initial RCTs in order to identify moderators of differential treatment efficacy on...
It is increasingly recommended that hypothesis-generating studies be conducted after initial RCTs in order to identify moderators of differential treatment efficacy on individual outcomes. Such analyses are important because they help clarify the best inclusion and exclusion criteria or choice of stratification for maximizing power in subsequent RCTs, reduce the chances of discarding interventions that may appear to lack efficacy when only average treatment effects are taken into consideration, and facilitate the matching of individual clients to treatment alternatives. We identified predictors and moderators of treatment-related change in psychological distress among custodial grandmothers ( = 343) assigned within a prior RCT to behavior parent training (BPT), cognitive behavior therapy (CBT), or information only control (IOC) conditions. Latent change scores in psychological distress were estimated for each grandmother across pre-test to post-test and pre-test to six months, as indicated by self-reported and clinical ratings of depression and anxiety symptoms. These estimates served as outcomes in classification and regression tree analyses conducted separately within the CBT and BPT conditions to identify predictors of treatment efficacy. Matched groups based upon identified predictors were then formed across all RCT conditions, and Predictor × RCT Condition interactions were computed to test for moderation of differential treatment efficacy. Grandmother age was the only predictor and moderator of BPT efficacy at both measurement points, whereas multifaceted predictors and moderators emerged for CBT which varied by time since treatment.
Topics: Anxiety; Cognitive Behavioral Therapy; Grandparents; Humans; Psychological Distress; Treatment Outcome
PubMed: 33393377
DOI: 10.1080/13607863.2020.1857688 -
International Journal of Environmental... Oct 2023This study explored the relationship between COVID-19 impacts and resilience in emerging adulthood during the final two months of the pandemic. It aimed to examine...
This study explored the relationship between COVID-19 impacts and resilience in emerging adulthood during the final two months of the pandemic. It aimed to examine whether mental health symptoms moderated this relationship. In total, 205 university students completed an online questionnaire survey. Regression analysis was used to examine the prediction of resilience by pandemic-related impacts, and moderation analysis was used to explore the potential moderating effect of mental health on the relationship between impacts and resilience. The findings failed to confirm the hypothesis that total COVID-19 impacts would predict resilience. Rather, resource-type impacts predicted resilience [ = 0.17, < 0.5]. Significant partial correlations found among resource, financial, and psychological impacts may go some way toward clarifying connections between impacts and resilience [for resource-type impact with financial-type impact, = 0.48, < 0.01; for resource-type impact with psychological impact, = 0.22, < 0.01]. The results confirmed the hypothesis that mental health symptoms would moderate the relationship between pandemic impacts and resilience [for the overall model, = 0.41, Δ = 0.16, = 0.76, (4, 200) = 10.19, < 0.001; for the interaction between total COVID impacts and resilience, Δ = 0.017, (1, 200) = 3.98, < 0.05]. Thus, emerging adult students with low or moderate levels of symptomatology were more resilient, independently of the level of pandemic-related stressors they faced. Those experiencing higher levels of mental health symptoms, in tandem with high levels of pandemic-related impacts, exhibited increasingly higher resilience levels [ = 0.17, 95% CI [0.02, 0.32], = 2.26, = 0.025]. These youths may be better equipped to handle severe stress and adversity thanks to skills and resources they possess and are experienced in using. The implications of these findings for each group of young people are discussed for their usefulness in directing future research and interventions to foster resilience during current and future crises and health pandemics.
Topics: Adolescent; Humans; Adult; Mental Health; Pandemics; COVID-19; Universities; Students; Resilience, Psychological
PubMed: 37887649
DOI: 10.3390/ijerph20206911 -
Current Psychology (New Brunswick, N.J.) Oct 2022Although scholars and practitioners have highlighted the significance of students' attitudes for their future employment, few empirical examinations have attempted to...
Although scholars and practitioners have highlighted the significance of students' attitudes for their future employment, few empirical examinations have attempted to determine the potential association between students' future orientation and their perceived employability. Thus, drawing on career construction theory, we test the positive effect of students' future orientation on their perceived employability by exploring the mediator of problem-based learning and the moderators of job market knowledge and proactive personality. Collecting our data via a time-lagged design (N = 368), we have found that the positive association between future orientation and employability is mediated by problem-based learning. Our moderation analyses further revealed that job market knowledge positively moderates the relationship between future orientation and problem-based learning and that students' proactive personality positively moderates the relationship between problem-based learning and perceived employability.
PubMed: 36254214
DOI: 10.1007/s12144-022-03769-6 -
Frontiers in Psychiatry 2024Patients with chronic diseases may have some psychological problems due to their own or surrounding environmental factors, which can adversely affect the patient's...
The relationship between stigma and quality of life in hospitalized middle-aged and elderly patients with chronic diseases: the mediating role of depression and the moderating role of psychological resilience.
OBJECTIVE
Patients with chronic diseases may have some psychological problems due to their own or surrounding environmental factors, which can adversely affect the patient's illness and life. Given that the number of chronically ill patients in China is currently increasing every year, more research is needed to determine the best ways to manage changes in psychological status and psychological stress responses in chronically ill patients. The researchers constructed a mediated moderation model to explore the impact of stigma on the quality of life of chronically ill patients, as well as the mediating role of depression and the moderating role of psychological resilience.
METHODS
A stratified sampling method was used to select 363 middle-aged and old-aged patients with chronic diseases aged 45 years and older from the Affiliated Hospital of Zhejiang University for the study. Data were collected from patients with chronic diseases such as cardiac, respiratory, renal, and other chronic diseases using the Cumulative Illness Rating Scale for Geriatrics (CIRS-G), the Stigma Scale for Patients with Chronic Diseases (SSCI), the Patient Health Questionaire-9 (PHQ-9), the Quality of Life Inventory (SF-12), and the Conner-Davidson Resilience Scale (CD-RISC) were collected from patients with cardiac, respiratory, renal, and other chronic diseases. A descriptive analysis was used to describe the sample. Linear regression was used to evaluate the relationship between the variables. Mediation and moderation analyses were used to explore the mediating role of depression and the moderating role of psychological resilience.
RESULTS
There was a moderate negative correlation between stigma and quality of life ( = -0.378, < 0.01). There was a moderate negative correlation between depression and quality of life ( = -0.497, < 0.01). There was a moderately positive correlation between psychological resilience and quality of life ( = 0.382, < 0.01). There was a moderate negative correlation between psychological resilience and depression ( = -0.348, < 0.01). There was a weak negative correlation between psychological resilience and stigma ( = -0.166, < 0.01). There was a strong positive correlation between stigma and depression ( = 0.607, < 0.01) The mediation study showed that stigma was a significant predictor of quality of life and that stigma and quality of life were mediated to some extent by depression, with the mediating effect accounting for 67.55% of the total effect. The direct path from stigma to depression is moderated by psychological resilience ( = -0.0018, < 0.01).
CONCLUSIONS
Depression mediates the relationship between stigma and quality of life, while psychological elasticity plays a moderating role between stigma and depression, and when the level of psychological elasticity increases, the more significant the role of stigma on depression. As a physiologically and psychologically vulnerable group, patients with chronic diseases' overall quality of life and mental health should be taken more seriously, and clinical workers should pay timely attention to the psychological and mental conditions of patients with chronic diseases and provide timely and appropriate interventions and therapeutic measures. The relevant results of this study also provide a new perspective for clinical work on psychological intervention for patients with chronic diseases.
PubMed: 38840950
DOI: 10.3389/fpsyt.2024.1346881 -
PloS One 2022Over the years, Pakistan and China have developed strong bilateral trade and economic linkages. China Pakistan economic corridors (CPEC) is a multidimensional...
Over the years, Pakistan and China have developed strong bilateral trade and economic linkages. China Pakistan economic corridors (CPEC) is a multidimensional development plan, encircling several diverse projects and the Chinese government is going to invest a huge amount in China-Pakistan Economic Corridor on several different projects. CPEC is an approach toward economic stability for both countries in the globalized world and is known as a game changer in this region. In the present study China-Pakistan economics door has been discussed, to check the CPEC implementations situation, its restraints, challenges, and benefits. An empirical process was adopted to check public opinion about it with aimed public perceptions About Foreign Investment, A PLS-SEM Analysis toward republic sustainable infrastructure. PLS-SEM direct path analysis revealed that there is direct relationship among IV and DV, these results offer support to hypotheses H1-H6 accepted. We have also looked at the levels of education and gender of the respondents as control variables, gender and education showed insignificant relationships with CPEC. It means there is no direct relationship between gender and education to DV. Age significantly moderates the relationship of CPEC associated with IV, depicts the moderation role of age on the relationship, under this research H2a and H3a have significant relationships with age as a moderator while other moderators did not show any relationship. In the current study, there is a significant relationship among all parameters, and there is a medium to strong correlation between diverse variables. The study showed that CPEC will have positive and strong impacts on the economic development of both countries and public of Pakistan consider it can open many doors for them for education, jobs and tourism. This study can help policy makers to make policy to make more effective policy in this are for sustainable development.
Topics: Public Opinion; Economic Development; Investments; Sustainable Development; Government; Pakistan
PubMed: 36367904
DOI: 10.1371/journal.pone.0277673 -
Women's Health Issues : Official... 2023Mental health symptoms and substance use increased during the COVID-19 pandemic, and women may be disproportionately affected. Women report substantial mental health...
INTRODUCTION
Mental health symptoms and substance use increased during the COVID-19 pandemic, and women may be disproportionately affected. Women report substantial mental health consequences, and women veterans may experience additional risks associated with military service. However, rates and correlates of substance use and consequences among women veterans are largely unknown. This study aimed to 1) report rates of substance use and consequences among women veterans; 2) identify correlates of substance use and consequences; and 3) test COVID-specific anxiety as a moderator.
METHOD
Women veterans (n = 209) enrolled in Veterans Health Administration primary care completed measures of demographics, psychiatric and substance use disorder (SUD) diagnoses, current mental health symptoms, alcohol consumption, drug-related problems, and COVID-specific anxiety. Bivariate correlations evaluated demographics (age, race, employment, relationship status), psychiatric (depression/anxiety/posttraumatic stress disorder) and SUD diagnoses, and current mental health (depression/anxiety) symptoms as correlates of substance use outcomes. For any relationships between correlates and outcomes that were statistically significant, COVID-specific anxiety was tested as a moderator using the PROCESS macro in SPSS version 27. Any statistically significant moderation effects were further investigated using the PROCESS macro to estimate conditional effects. COVID-specific anxiety was mean-centered before analyses. Alpha was set to 0.05 for all statistical tests.
RESULTS
Thirty-six percent screened positive for hazardous (Alcohol Use Disorder Identification Test-Consumption [AUDIT-C] ≥ 3) alcohol consumption and 26% reported drug-related problems (18% low-level, 7% moderate-level, and 2% substantial per Drug Abuse Screening Test [DAST-10] scores). Drug-related problems were positively associated with COVID-specific anxiety, psychiatric diagnosis, SUD diagnosis, and depression symptoms. Alcohol consumption was significantly associated with SUD diagnosis. COVID-specific anxiety significantly moderated relationships between SUD diagnosis and both outcomes.
DISCUSSION
Results help identify women veterans with SUD diagnoses and high COVID-specific anxiety as at risk for increased substance use during COVID-19 and suggest a potential intervention target (COVID-specific anxiety).
Topics: Humans; Female; Veterans; Pandemics; COVID-19; Substance-Related Disorders; Anxiety
PubMed: 37003919
DOI: 10.1016/j.whi.2023.02.001