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Liu X, Zhang Z, Wang L. Bayesian hypothesis testing of mediation: Methods and the impact of prior odds specifications. Behav Res Methods 2023; 55:1108-1120. [PMID: 35581435 DOI: 10.3758/s13428-022-01860-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/11/2022] [Indexed: 11/08/2022]
Abstract
Mediation analysis is widely used to study whether the effect of an independent variable on an outcome is transmitted through a mediator. Bayesian methods have become increasingly popular for mediation analysis. However, limited research has been done on formal Bayesian hypothesis testing of mediation. Although hypothesis testing using Bayes factor for a single path is readily available, how to integrate the Bayes factors of two paths (from input to mediator and from mediator to outcome) while incorporating prior beliefs on the two paths and/or mediation is under-studied. In the current study, we propose a general approach to Bayesian hypothesis testing of mediation. The proposed approach allows researchers to specify prior odds based on the substantive research context and can be used in mediation modeling with latent variables. The impact of prior odds specifications on Bayesian hypothesis test of mediation is demonstrated via both real and hypothetical data examples. Both R functions and a user-friendly R web app are provided for the implementation of the proposed approach. Our study can add to researchers' toolbox of mediation analysis and raise researchers' awareness of the importance of prior odds specifications in Bayesian hypothesis testing of mediation.
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Affiliation(s)
- Xiao Liu
- Department of Psychology, University of Notre Dame, 390 Corbett Hall, Notre Dame, IN, 46556, USA.
| | - Zhiyong Zhang
- Department of Psychology, University of Notre Dame, 390 Corbett Hall, Notre Dame, IN, 46556, USA
| | - Lijuan Wang
- Department of Psychology, University of Notre Dame, 390 Corbett Hall, Notre Dame, IN, 46556, USA
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López-Gómez I, Velasco L, Gutiérrez L, Écija C, Catalá P, Peñacoba C. Symptoms in women with fibromyalgia after performing physical activity: the role of pain catastrophizing and disease impact. Clin Rheumatol 2023; 42:225-232. [PMID: 36044172 PMCID: PMC9823036 DOI: 10.1007/s10067-022-06342-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2022] [Revised: 07/28/2022] [Accepted: 08/17/2022] [Indexed: 01/11/2023]
Abstract
INTRODUCTION Walking is an effective treatment for symptoms' management in patients with fibromyalgia. However, despite its benefits, fibromyalgia patients face a variety of obstacles that result in reduced ability to sustain physical exercise. The main goal of the study was to analyze the role of pain catastrophizing and fibromyalgia impact in the relationship between regular walking behavior and pain and fatigue experienced after a laboratory walking test. METHOD The study has an observational analytical laboratory design. A total of 100 women were contacted by the research team. Seventy-six women diagnosed with fibromyalgia aged 18 years and older (mean age = 55.05, SD = 7.69) participated. RESULTS Significant correlations were found among regular walking behavior, pain catastrophizing, impact of fibromyalgia, pain intensity after walking, and fatigue intensity after walking. The serial multiple mediation analyses confirmed that pain catastrophizing and impact of fibromyalgia mediated the relationship between regular walking behavior and the level of pain (beta B = 0.044, 95% CI = [0.01-0.012]) and fatigue (beta B = 0.028, 95% CI = [0.01-0.08]) after the laboratory walking test. Also, the participants that walked less regularly experienced more pain and fatigue after the 6-Minute Walk Test. CONCLUSIONS Considering cognitive variables alongside the impact of fibromyalgia will help understand the inhibitors of engaging in physical activity. Therapeutic walking programs must be tailored to patients with fibromyalgia to reduce pain and fatigue related to physical activity and to promote better functioning and quality of life. Key Points • Regular walking behavior was associated with fibromyalgia impact, pain catastrophizing, and less pain and fatigue after physical activity. • When patients catastrophize pain, they usually interpret physical activity as threatening, which generates more pain and fatigue after doing exercise. • Therapeutic programs should be designed to reduce pain catastrophizing and fibromyalgia impact.
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Affiliation(s)
- Irene López-Gómez
- Department of Psychology, Rey Juan Carlos University, Avda. de Atenas s/n, 28922, Alcorcón, Madrid, Spain
| | - Lilian Velasco
- Department of Psychology, Rey Juan Carlos University, Avda. de Atenas s/n, 28922, Alcorcón, Madrid, Spain
| | - Lorena Gutiérrez
- Department of Psychology, Rey Juan Carlos University, Avda. de Atenas s/n, 28922, Alcorcón, Madrid, Spain
| | - Carmen Écija
- Department of Psychology, Rey Juan Carlos University, Avda. de Atenas s/n, 28922, Alcorcón, Madrid, Spain
| | - Patricia Catalá
- Department of Psychology, Rey Juan Carlos University, Avda. de Atenas s/n, 28922, Alcorcón, Madrid, Spain
| | - Cecilia Peñacoba
- Department of Psychology, Rey Juan Carlos University, Avda. de Atenas s/n, 28922, Alcorcón, Madrid, Spain.
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Kim SW, Andronis L, Seppänen AV, Aubert AM, Barros H, Draper ES, Sentenac M, Zeitlin J, Petrou S. Health-related quality of life of children born very preterm: a multinational European cohort study. Qual Life Res 2023; 32:47-58. [PMID: 35976599 PMCID: PMC9829588 DOI: 10.1007/s11136-022-03217-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/24/2022] [Indexed: 01/13/2023]
Abstract
PURPOSE This study aims to (1) describe the health-related quality of life (HRQoL) outcomes experienced by children born very preterm (28-31 weeks' gestation) and extremely preterm (< 28 weeks' gestation) at five years of age and (2) explore the mediation effects of bronchopulmonary dysplasia (BPD) and severe non-respiratory neonatal morbidity on those outcomes. METHODS This investigation was based on data for 3687 children born at < 32 weeks' gestation that contributed to the EPICE and SHIPS studies conducted in 19 regions across 11 European countries. Descriptive statistics and multi-level ordinary linear squares (OLS) regression were used to explore the association between perinatal and sociodemographic characteristics and PedsQL™ GCS scores. A mediation analysis that applied generalised structural equation modelling explored the association between potential mediators and PedsQL™ GCS scores. RESULTS The multi-level OLS regression (fully adjusted model) revealed that birth at < 26 weeks' gestation, BPD status and experience of severe non-respiratory morbidity were associated with mean decrements in the total PedsQL™ GCS score of 0.35, 3.71 and 5.87, respectively. The mediation analysis revealed that the indirect effects of BPD and severe non-respiratory morbidity on the total PedsQL™ GCS score translated into decrements of 1.73 and 17.56, respectively, at < 26 weeks' gestation; 0.99 and 10.95, respectively, at 26-27 weeks' gestation; and 0.34 and 4.80, respectively, at 28-29 weeks' gestation (referent: birth at 30-31 weeks' gestation). CONCLUSION The findings suggest that HRQoL is particularly impaired by extremely preterm birth and the concomitant complications of preterm birth such as BPD and severe non-respiratory morbidity.
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Affiliation(s)
- Sung Wook Kim
- grid.4991.50000 0004 1936 8948Nuffield Department of Primary Care Health Sciences, University of Oxford, Radcliffe Observatory Quarter, Woodstock Road, Oxford, OX2 6GG UK
| | - Lazaros Andronis
- grid.7372.10000 0000 8809 1613Warwick Clinical Trials Unit, Warwick Medical School, University of Warwick, Coventry, UK
| | - Anna-Veera Seppänen
- grid.513249.80000 0004 8513 0030Université Paris Cité, Inserm, INRAE, Centre for Research in Epidemiology and StatisticS (CRESS), Obstetrical Perinatal and Pediatric Epidemiology Research Team, EPOPé, 75004 Paris, France
| | - Adrien M. Aubert
- grid.513249.80000 0004 8513 0030Université Paris Cité, Inserm, INRAE, Centre for Research in Epidemiology and StatisticS (CRESS), Obstetrical Perinatal and Pediatric Epidemiology Research Team, EPOPé, 75004 Paris, France
| | - Henrique Barros
- grid.5808.50000 0001 1503 7226EPIUnit-Instituto de Saúde Pública da Universidade do Porto, Porto, Portugal
| | - Elizabeth S. Draper
- grid.9918.90000 0004 1936 8411Department of Health Sciences, University of Leicester, Leicester, UK
| | - Mariane Sentenac
- grid.513249.80000 0004 8513 0030Université Paris Cité, Inserm, INRAE, Centre for Research in Epidemiology and StatisticS (CRESS), Obstetrical Perinatal and Pediatric Epidemiology Research Team, EPOPé, 75004 Paris, France
| | - Jennifer Zeitlin
- grid.513249.80000 0004 8513 0030Université Paris Cité, Inserm, INRAE, Centre for Research in Epidemiology and StatisticS (CRESS), Obstetrical Perinatal and Pediatric Epidemiology Research Team, EPOPé, 75004 Paris, France
| | - Stavros Petrou
- grid.4991.50000 0004 1936 8948Nuffield Department of Primary Care Health Sciences, University of Oxford, Radcliffe Observatory Quarter, Woodstock Road, Oxford, OX2 6GG UK
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Hsieh CC, Chien WC, Yen HC, Li HC. "Same same" but different? Exploring the impact of perceived organizational support at the school and teacher levels on teachers' job engagement and organizational citizenship behavior. Front Psychol 2022; 13:1067054. [PMID: 36643700 PMCID: PMC9835679 DOI: 10.3389/fpsyg.2022.1067054] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2022] [Accepted: 12/07/2022] [Indexed: 12/30/2022] Open
Abstract
All countries in the world are currently trying to implement educational reform, which increases the additional workload of teachers. It is more important to discuss how to inspire teachers' enthusiasm for educational reform from the perspective of organizational support (OS). Previous research on OS was limited to perceived organizational support (POS), but in recent years group-level OS has been considered the most promising. There is no study comparing POS and group-level OS in education, and therefore this study explored the relationships between OS, job engagement (JE) and organizational citizenship behavior (OCB) in an educational context. In particular, OS was examined at the individual-level (POS) and the aggregated group-level (school organizational support, SOS). Analysis was performed using structural equation modeling (SEM) at both single and multiple levels. SEM results showed direct and positive relationships of individual-level POS with both JE and OCB. Moreover, JE is directly and positively related to OCB and plays the partial mediating role of the indirect and positive impact of POS on OCB. Multilevel structural equation modeling (MSEM) analysis revealed direct and positive relationships of SOS with teachers' JE, which was directly and positively related to their OCB. While SOS had no significant positive relationship with OCB, it did have a positive impact on OCB through the mediation of JE. Comparison between SEM and MSEM results revealed the change in effect of OS on OCB from significant to insignificant, thus implying full mediation effect of JE when SOS is considered.
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Affiliation(s)
- Chuan-Chung Hsieh
- Department of Education and Learning Technology, National Tsing Hua University, Hsinchu City, Taiwan
| | - Wei-Cheng Chien
- Department of Education and Learning Technology, National Tsing Hua University, Hsinchu City, Taiwan
- Research Center for Educational System and Policy, National Academy for Educational Research, New Taipei City, Taiwan
- Department of Graphics Arts and Communtions, National Taiwan Normal University, Taipei City, Taiwan
- Department of Nursing, School of Nursing, National Taipei University of Nursing and Health Sciences, Taipei City, Taiwan
| | | | - Hui-Chieh Li
- Center for Teacher Education, National Tsing Hua University, Hsinchu City, Taiwan
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Shihab MA, Shoots-Reinhard B. Ironic effects of political ideology and increased risk-taking in Ohio drivers during COVID-19 shutdown. PLoS One 2022; 17:e0279160. [PMID: 36534686 PMCID: PMC9762566 DOI: 10.1371/journal.pone.0279160] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2022] [Accepted: 11/29/2022] [Indexed: 12/24/2022] Open
Abstract
In March 2020, Ohio, along with many other states, enacted a stay-at-home order (i.e., "shutdown") to limit the spread of COVID-19. As a result of lower traffic, crashes should also have declined. We investigated whether crash rates declined in Ohio during the stay-at-home order and explore possible predictors for the decrease, such as reduced travel in compliance with the order, along with speeding, alcohol, and drug use. In addition, we examined whether support for President Trump would relate to greater travel and greater crashes (particularly during the stay-at-home order, when greater travel indicated lower compliance). The overall rate of crashes fell as people stayed home, mainly due to a decline in minor crashes. In contrast, the rate of serious crashes did not fall. Instead, percentage of alcohol-related crashes increased during the stay-at-home order, and the reduction in travel was associated with greater speeding-related crashes. Because alcohol and speeding tend to increase crash severity, these two factors may explain why severe crash rates were not reduced by lower traffic. Instead, it appears that those drivers remaining on the roads during the shutdown may have been more prone to risky behaviors, evidenced by a greater percentage of alcohol-related crashes across the state during the shutdown and greater speed-related crashes in counties with less traffic. In addition, county-level support for President Trump indirectly predicted greater rates of crashes (of all types) via increased travel (i.e., lower compliance with the shutdown), even while controlling for county-level income, rurality, and Appalachian region. Importantly, this mediated effect was stronger during the weeks of the shutdown, when greater travel indicated lower compliance. Thus, lower compliance with the stay-at-home order and increased risky driving behaviors by remaining drivers may explain why lower traffic did not lead to lower serious crashes.
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Affiliation(s)
- Mason Alexander Shihab
- Department of Psychology, The Ohio State University, Columbus, OH, United States of America
- School of Arts and Sciences, University of Pennsylvania, Philadelphia, PA, United States of America
| | - Brittany Shoots-Reinhard
- Department of Psychology, The Ohio State University, Columbus, OH, United States of America
- Center for Science Communication Research, School of Journalism and Communication, University of Oregon, Eugene, OR, United States of America
- * E-mail:
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The effects of mentoring functions and protégés’ attitudes towards knowledge-sharing on protégés’ knowledge-sharing. CURRENT PSYCHOLOGY 2022. [DOI: 10.1007/s12144-022-04032-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022]
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Zhang Z, Jiang Y, Li X, Shi D, Ma T, Zhou R, Zhang C. Association of dietary n - 3 polyunsaturated fatty acids with breast cancer risk: Serial mediating roles of erythrocyte n - 3 polyunsaturated fatty acids. Front Nutr 2022; 9:990755. [DOI: 10.3389/fnut.2022.990755] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2022] [Accepted: 10/10/2022] [Indexed: 11/06/2022] Open
Abstract
BackgroundDietary n– 3 polyunsaturated fatty acids (PUFAs) were found to be inversely associated with breast cancer risk; however, the underlying pathways between them remain uncertain. We aimed to explore serial mediatory roles of erythrocyte n– 3 PUFAs in association between dietary n– 3 PUFAs and breast cancer risk.Materials and methodsUsing a case-control study, 850 cases and 861 controls completed structured questionnaires with dietary information. Erythrocyte n– 3 PUFAs were measured by gas chromatography. Odds ratios (ORs) and 95% confidence intervals (CIs) were obtained using multiple unconditional logistic regression models to examine association between dietary n– 3 PUFAs and breast cancer risk. Mediation analyses with bootstrapping were conducted to investigate indirect effects.ResultsHigher intake of dietary ALA, long-chain n– 3 PUFAs and total n– 3 PUFAs was associated with lower risk of breast cancer. The adjusted ORtertile 3 v.1 (95% CI) was 0.70 (0.55, 0.90) for ALA, 0.76 (0.60, 0.97) for long-chain n– 3 PUFAs and 0.74 (0.58, 0.94) for total n– 3 PUFAs, respectively. Mediation analysis showed that erythrocyte long-chain n– 3 PUFAs served as sequential mediators in the relationship between dietary long-chain or total n– 3 PUFAs and breast cancer risk. In particular, erythrocyte long-chain n– 3 PUFAs completely mediated the association between dietary long-chain n– 3 PUFAs and breast cancer risk [indirect effect (95% CI) = –0.982 (–1.529, –0.508)]. The relationship between dietary total n– 3 PUFAs and breast cancer risk was partly mediated by erythrocyte long-chain n– 3 PUFAs [indirect effect (95% CI) = –0.107 (–0.216, –0.014)], accounting for 19.31%. However, the serial mediation model in dietary ALA and risk of breast cancer was not statistically significant [indirect effect (95% CI) = –0.042 (–0.144, 0.049)].ConclusionThis study highlights the complexity and inaccuracy in using a simple analysis of individual dietary n– 3 PUFAs to examine their associations with breast cancer risk without considering the variety of metabolic processes. Interventions aimed at increasing erythrocyte long-chain n– 3 PUFAs may represent a promising strategy for breast cancer prevention.
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Su W, Hahn J. A multi-level study on whether ethical climate influences the affective well-being of millennial employees. Front Psychol 2022; 13:1028082. [PMID: 36337564 PMCID: PMC9633955 DOI: 10.3389/fpsyg.2022.1028082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2022] [Accepted: 09/29/2022] [Indexed: 11/29/2022] Open
Abstract
Millennial employees are increasingly paying more attention to well-being in the workplace and it has become an important issue for managers. Given that millennial employees are more sensitive to ethical issues, this study began by analyzing an ethical element in the organization—the ethical climate—and explored whether millennial employees have higher affective well-being in organizations with a good ethical climate. We verified our hypotheses based on 288 valid questionnaires collected from 40 teams. The results showed that: (1) ethical climate was a positive predictor of millennial employees’ organizational citizenship behavior (OCB) and affective well-being, (2) employees’ OCB partially mediated the relationship between ethical climate and affective well-being, and (3) an employee’s moral identity effectively moderated the relationship between ethical climate and affective well-being, although it did not play a significant moderating role between ethical climate and OCB. These findings provide empirical support for applying situational strength and social information processing theories and emphasize the importance of cultivating an ethical climate in organizations.
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Affiliation(s)
- Wei Su
- The Graduate School, Chung-Ang University, Seoul, South Korea
| | - Juhee Hahn
- Department of Business Management, Chung-Ang University, Seoul, South Korea
- *Correspondence: Juhee Hahn,
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Broséus L, Vaiman D, Tost J, Martin CRS, Jacobi M, Schwartz JD, Béranger R, Slama R, Heude B, Lepeule J. Maternal blood pressure associates with placental DNA methylation both directly and through alterations in cell-type composition. BMC Med 2022; 20:397. [PMID: 36266660 PMCID: PMC9585724 DOI: 10.1186/s12916-022-02610-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/16/2022] [Accepted: 10/14/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Maternal blood pressure levels reflect cardiovascular adaptation to pregnancy and proper maternal-fetal exchanges through the placenta and are very sensitive to numerous environmental stressors. Maternal hypertension during pregnancy has been associated with impaired placental functions and with an increased risk for children to suffer from cardiovascular and respiratory diseases later on. Investigating changes in placental DNA methylation levels and cell-type composition in association with maternal blood pressure could help elucidate its relationships with placental and fetal development. METHODS Taking advantage of a large cohort of 666 participants, we investigated the association between epigenome-wide DNA methylation patterns in the placenta, measured using the Infinium HumanMethylation450 BeadChip, placental cell-type composition, estimated in silico, and repeated measurements of maternal steady and pulsatile blood pressure indicators during pregnancy. RESULTS At the site-specific level, no significant association was found between maternal blood pressure and DNA methylation levels after correction for multiple testing (false discovery rate < 0.05), but 5 out of 24 previously found CpG associations were replicated (p-value < 0.05). At the regional level, our analyses highlighted 64 differentially methylated regions significantly associated with at least one blood pressure component, including 35 regions associated with mean arterial pressure levels during late pregnancy. These regions were found enriched for genes implicated in lung development and diseases. Further mediation analyses show that a significant part of the association between steady blood pressure-but not pulsatile pressure-and placental methylation can be explained by alterations in placental cell-type composition. In particular, elevated blood pressure levels are associated with a decrease in the ratio between mesenchymal stromal cells and syncytiotrophoblasts, even in the absence of preeclampsia. CONCLUSIONS This study provides the first evidence that the association between maternal steady blood pressure during pregnancy and placental DNA methylation is both direct and partly explained by changes in cell-type composition. These results could hint at molecular mechanisms linking maternal hypertension to lung development and early origins of childhood respiratory problems and at the importance of controlling maternal blood pressure during pregnancy.
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Affiliation(s)
- Lucile Broséus
- University Grenoble Alpes, INSERM, Team of Environmental Epidemiology Applied to Development and Respiratory Health, Institute for Advanced Biosciences (IAB), Grenoble, France.
| | - Daniel Vaiman
- From Gametes to Birth, Institut Cochin, U1016 INSERM, UMR 8104 CNRS, Paris-Descartes University, Paris, France
| | - Jörg Tost
- Laboratory for Epigenetics and Environment, Centre National de Recherche en Génomique Humaine, CEA - Institut de Biologie François Jacob, University Paris Saclay, Evry, France
| | - Camino Ruano San Martin
- From Gametes to Birth, Institut Cochin, U1016 INSERM, UMR 8104 CNRS, Paris-Descartes University, Paris, France
| | - Milan Jacobi
- University Grenoble Alpes, INSERM, Team of Environmental Epidemiology Applied to Development and Respiratory Health, Institute for Advanced Biosciences (IAB), Grenoble, France
| | - Joel D Schwartz
- Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA
| | - Rémi Béranger
- Univ. Rennes, CHU Rennes, INSERM, EHESP, IRSET (Institut de recherche en santé, environnement et travail), UMR 1085, Rennes, France
| | - Rémy Slama
- University Grenoble Alpes, INSERM, Team of Environmental Epidemiology Applied to Development and Respiratory Health, Institute for Advanced Biosciences (IAB), Grenoble, France
| | - Barbara Heude
- Univ. Paris, Centre for Research in Epidemiology and Statistics (CRESS), INSERM, INRAE, Paris, France
| | - Johanna Lepeule
- University Grenoble Alpes, INSERM, Team of Environmental Epidemiology Applied to Development and Respiratory Health, Institute for Advanced Biosciences (IAB), Grenoble, France.
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Kim CO. Effect of Health Shocks on Poverty Status in South Korea: Exploring the Mechanism of Medical Impoverishment. Int J Health Policy Manag 2022; 11:2090-2102. [PMID: 34523865 PMCID: PMC9808294 DOI: 10.34172/ijhpm.2021.97] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2020] [Accepted: 08/04/2021] [Indexed: 01/12/2023] Open
Abstract
BACKGROUND South Korea has the highest out-of-pocket burden for medical expenses among the Organisation for Economic Co-operation and Development (OECD) member countries and has no formal sickness benefit system, along with United States and Switzerland, greatly increasing the risk of poverty due to a sudden illness. METHODS We identify the causal effect of health shocks on poverty status and explore the mechanisms of medical impoverishment by analyzing longitudinal data from 13 670 households that participated in the representative Korean Welfare Panel Study (KOWEPS) from 2007 to 2016. In this study, we define a health shock as a case in which no household members were hospitalized in the previous year, but together they had more than 30 days of hospitalization in this year. The propensity score matching method was combined with a mediation analysis in this work. RESULTS The proportion of households in absolute poverty increased by 4.6-8.0 percentage points among households that experienced a health shock compared with matched controls. The selection effects due to health shock were estimated to be 5.6-8.2 percentage points. On average, a sudden hospitalization reduces annual non-medical expenditures and equivalized disposable income by just over 3.2 million KRW (2500 USD) and 1.2 million KRW (1000 USD), respectively. Health shock induces impoverishment after one year through both the medical expense and work capacity pathways, which explain 12.8% and 12.8% of the total effect, respectively. However, when we decompose the mediation effect of a health shock on poverty status after two years, we find that a health shock leads to poverty mainly through labor force nonparticipation (9.9%). CONCLUSION Income stabilizing scheme to protect households that experience a health shock should be introduced as a policy alternative to confront the issue of medical impoverishment.
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Affiliation(s)
- Chang-O Kim
- Visiting Doctors Program of Medical Home, Seoul, Republic of Korea
- Institute of Social Welfare, SungKongHoe University, Seoul, Republic of Korea
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11
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Heinemann H, Mussel P, Schäpers P. Curious enough to start up? How epistemic curiosity and entrepreneurial alertness influence entrepreneurship orientation and intention. Front Psychol 2022; 13:1003866. [PMID: 36312096 PMCID: PMC9614078 DOI: 10.3389/fpsyg.2022.1003866] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2022] [Accepted: 09/27/2022] [Indexed: 11/21/2022] Open
Abstract
Epistemic curiosity as the desire to acquire new knowledge and ideas is considered as an important attribute for successful entrepreneurs among practitioners, yet there is lacking empirical evidence of epistemic curiosity having an effect on entrepreneurial outcomes. This study aims to put a spotlight on epistemic curiosity as a predictor for entrepreneurial intentions and orientation. We found that epistemic curiosity has a stronger influence on entrepreneurial outcomes in comparison to the Big Five personality trait openness to experience, which is a widely used and conceptually related predictor for entrepreneurship. Furthermore, we found evidence for a mediating role of entrepreneurial alertness which gives further insights about how personality influences the ability to recognize business opportunities and leads to the formation of entrepreneurship orientation and intentions. Our findings contribute to the field of entrepreneurship research by emphasizing that epistemic curiosity may be one of the most important personality indicators for the emergence of entrepreneurial intentions and behavior.
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Affiliation(s)
- Henrik Heinemann
- Division of Psychology of Entrepreneurship, Department of Psychology, University of Münster, Münster, North Rhine-Westphalia, Germany
- *Correspondence: Henrik Heinemann,
| | - Patrick Mussel
- Division of Personality Psychology and Psychological Assessment, Department of Education and Psychology, Freie Universität Berlin, Berlin, Germany
| | - Philipp Schäpers
- Division of Psychology of Entrepreneurship, Department of Psychology, University of Münster, Münster, North Rhine-Westphalia, Germany
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Shin E. An Exploratory Study on the Mediating Effect of Clinical Competence in the Relationship Between Grit and Field Adaptation in Newly Graduated Nurses. SAGE Open Nurs 2022; 8:23779608221127979. [PMID: 36238940 PMCID: PMC9551341 DOI: 10.1177/23779608221127979] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2022] [Revised: 08/30/2022] [Accepted: 09/04/2022] [Indexed: 11/29/2022] Open
Abstract
INTRODUCTION Even under difficult situations, individuals with psychological resources such as positive psychological capital and resilience are less likely to consider turnover. Grit is a psychological factor that predicts success at work in other industries, but little is known about its impact on newly graduated nurses. OBJECTIVES The study's purpose is to investigate newly graduated nurses' grit, clinical competence, and field adaptation as well as the mediating effect of clinical competence in the relationship between grit and field adaptation. METHODS A total of 102 nurses from university hospitals located in W city took part in this investigation. Data were collected using a self-questionnaire and were analyzed using descriptive statistics, Pearson's correlation coefficient, multiple regression, and mediation analysis with the SPSS/26.0 program. RESULTS Grit was remarkably related to clinical competence (r = .53, p < .001) and field adaptation (r = .30, p = .003). Clinical competence was significantly related to field adaptation (r = .24 p = .02). However, the role of clinical competence as a mediating factor in the relationship between grit and field adaptation was not found to be significant (β = .11, p = .32). CONCLUSION Grit boosted clinical competence and had a direct effect on field adaptation. In order for newly graduated nurses to retain a consistent level of enthusiasm in their work, it is necessary to develop a program or strategies to improve their grit.
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Affiliation(s)
- Eunhee Shin
- Department of Nursing Science, Sangji
University, Wonju-si, Korea,Eunhee Shin, Department of Nursing Science,
Sangji University, 83 Sangidae-gil, Wonju-si, Gangwon-do 26339, Korea.
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Vaughn AK, Larson LR, Peterson MN, Pacifici LB. Factors associated with human tolerance of snakes in the southeastern United States. FRONTIERS IN CONSERVATION SCIENCE 2022. [DOI: 10.3389/fcosc.2022.1016514] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
Conservation of snakes is influenced by humans’ beliefs, attitudes, and behaviors toward these often-maligned animals. We investigated public attitudes toward snakes through an online survey of undergraduate students (n = 743) at a large public university in a southeastern U.S. state. We used behavioral intent (i.e., how a person would react if they encountered a snake) to assess tolerance of different snake species. We also examined various predictors of tolerance including demographic attributes and a variety of cognitive (e.g., knowledge, value orientations) and affective (e.g., emotions) social-psychological variables. Tolerance of snakes varied based on whether the snake was venomous or non-venomous: about 36% of students said they were likely to kill venomous snakes they encountered, compared with 9% who said they would kill non-venomous snakes and 21% of students who said they would kill snakes whose identity was uncertain. However, most students (54%) could not distinguish between venomous and non-venomous species. Value orientations and emotions were strong predictors of tolerance for snakes, suggesting snake outreach and management strategies should account for both cognitive and affective antecedents of behavior.
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14
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Williams NJ, Preacher KJ, Allison PD, Mandell DS, Marcus SC. Required sample size to detect mediation in 3-level implementation studies. Implement Sci 2022; 17:66. [PMID: 36183090 PMCID: PMC9526963 DOI: 10.1186/s13012-022-01235-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2022] [Accepted: 08/30/2022] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND Statistical tests of mediation are important for advancing implementation science; however, little research has examined the sample sizes needed to detect mediation in 3-level designs (e.g., organization, provider, patient) that are common in implementation research. Using a generalizable Monte Carlo simulation method, this paper examines the sample sizes required to detect mediation in 3-level designs under a range of conditions plausible for implementation studies. METHOD Statistical power was estimated for 17,496 3-level mediation designs in which the independent variable (X) resided at the highest cluster level (e.g., organization), the mediator (M) resided at the intermediate nested level (e.g., provider), and the outcome (Y) resided at the lowest nested level (e.g., patient). Designs varied by sample size per level, intraclass correlation coefficients of M and Y, effect sizes of the two paths constituting the indirect (mediation) effect (i.e., X→M and M→Y), and size of the direct effect. Power estimates were generated for all designs using two statistical models-conventional linear multilevel modeling of manifest variables (MVM) and multilevel structural equation modeling (MSEM)-for both 1- and 2-sided hypothesis tests. RESULTS For 2-sided tests, statistical power to detect mediation was sufficient (≥0.8) in only 463 designs (2.6%) estimated using MVM and 228 designs (1.3%) estimated using MSEM; the minimum number of highest-level units needed to achieve adequate power was 40; the minimum total sample size was 900 observations. For 1-sided tests, 808 designs (4.6%) estimated using MVM and 369 designs (2.1%) estimated using MSEM had adequate power; the minimum number of highest-level units was 20; the minimum total sample was 600. At least one large effect size for either the X→M or M→Y path was necessary to achieve adequate power across all conditions. CONCLUSIONS While our analysis has important limitations, results suggest many of the 3-level mediation designs that can realistically be conducted in implementation research lack statistical power to detect mediation of highest-level independent variables unless effect sizes are large and 40 or more highest-level units are enrolled. We suggest strategies to increase statistical power for multilevel mediation designs and innovations to improve the feasibility of mediation tests in implementation research.
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Affiliation(s)
- Nathaniel J. Williams
- Institute for the Study of Behavioral Health and Addiction, Boise State University, 1910 University Drive, Boise, ID 83725-1940 USA
- School of Social Work, Boise State University, Boise, ID USA
| | - Kristopher J. Preacher
- Department of Psychology & Human Development, Vanderbilt University, 230 Appleton Place, Nashville, TN 37203-5721 USA
| | - Paul D. Allison
- Statistical Horizons LLC, P.O. Box 282, Ardmore, PA 19003 USA
| | - David S. Mandell
- Penn Center for Mental Health, University of Pennsylvania School of Medicine, 3535 Market Street, Philadelphia, PA 19104 USA
- Department of Psychiatry, University of Pennsylvania School of Medicine, 3535 Market Street, Philadelphia, PA USA
| | - Steven C. Marcus
- Penn Center for Mental Health, University of Pennsylvania School of Medicine, 3535 Market Street, Philadelphia, PA 19104 USA
- School of Social Policy & Practice, University of Pennsylvania, 3701 Locust Walk, Philadelphia, PA 19104-6214 USA
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Metacognition Mediates the Association Between Drug Dependence and Sleep Disturbances: Cross-Sectional Findings Among Khat-Chewing Polysubstance Users. Int J Ment Health Addict 2022. [DOI: 10.1007/s11469-022-00924-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/14/2022] Open
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16
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Espel-Huynh H, Baldwin M, Puzia M, Huberty J. The Indirect Effects of a Mindfulness Mobile App on Productivity Through Changes in Sleep Among Retail Employees: Secondary Analysis. JMIR Mhealth Uhealth 2022; 10:e40500. [PMID: 36169994 PMCID: PMC9557984 DOI: 10.2196/40500] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2022] [Revised: 08/08/2022] [Accepted: 08/26/2022] [Indexed: 11/13/2022] Open
Abstract
Background
Chronic sleep disturbance is prevalent among United States employees and associated with costly productivity impairment. Mindfulness interventions improve sleep (ie, insomnia and daytime sleepiness) and productivity outcomes, and mobile apps provide scalable means of intervention delivery. However, few studies have examined the effects of mindfulness mobile apps on employees, and no research to date has tested the role of sleep improvement as a potential mechanism of action for productivity outcomes.
Objective
This study examined the effects of Calm, a consumer-based mindfulness app, and sleep coaching, on productivity impairment among retail employees through the indirect effects of changes in insomnia and daytime sleepiness.
Methods
This study was a secondary analysis of data from a randomized controlled trial (N=1029) comparing the use of Calm (n=585, 56.9%) to a waitlist control (n=444, 43.2%) for 8 weeks among employees of a large retail employer in the United States. A subset of individuals with elevated insomnia symptoms also had access to brief sleep coaching with Calm (n=101, 9.8%). Insomnia symptom severity, daytime sleepiness, and productivity impairment (ie, absenteeism, presenteeism, overall productivity impairment, and non–work activity impairment) were assessed at baseline and weeks 2, 4, 6, and 8. Indirect effects were evaluated with latent growth curve modeling to test whether the Calm intervention (Calm group vs waitlist control) was effective in reducing work productivity impairment through changes in sleep disturbance.
Results
No significant main effects of Calm intervention on productivity impairment were detected for any outcome at α level of .05, with the exception of non–work activity impairment models, in which Calm intervention reduced non–work activity impairment over time (P=.01 and P=.02 for insomnia and sleepiness models, respectively). Significant indirect effects of insomnia were detected for presenteeism (P=.002), overall work productivity (P=.01), and non–work activity impairment (P=.002); Calm intervention produced significantly greater reductions in insomnia symptoms (relative to waitlist control), and decreases in insomnia were associated with decreases in work productivity impairment. There was no significant indirect effect of change in insomnia on changes in absenteeism (P=.20). Furthermore, we detected no significant indirect effects of daytime sleepiness on productivity impairment.
Conclusions
We found that Calm (plus sleep coaching for a small subset of individuals) had beneficial effects on employee sleep, and these benefits on sleep were related to indirect effects on productivity impairment (ie, presenteeism, overall work productivity impairment, and non–work activity impairment). There were no overall main effects of Calm intervention on productivity impairment; however, insomnia appears to be a mechanism associated with benefits for employee productivity. This is one of the first studies to suggest that sleep benefits of a mindfulness mobile app may also indirectly relate to benefits for workplace productivity.
Trial Registration
ClinicalTrials.gov NCT05120310; https://clinicaltrials.gov/ct2/show/NCT05120310
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Affiliation(s)
| | | | - Megan Puzia
- Behavioral Research and Analytics, LLC, Salt Lake City, UT, United States
| | - Jennifer Huberty
- Calm.com, Inc, San Francisco, CA, United States
- College of Health Solutions, Arizona State University, Phoenix, AZ, United States
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Cheng C, Sun XR, Chen K, Hua W, Su Y, Xu W, Wang F, Fan X, Dai Y, Liu Z, Zhang S. The mediation function of resting heart rate in how physical activity improves all-cause mortality: Continuous and automatic measurement via cardiac implantable electronic devices. Front Cardiovasc Med 2022; 9:928372. [PMID: 36225951 PMCID: PMC9548702 DOI: 10.3389/fcvm.2022.928372] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2022] [Accepted: 08/23/2022] [Indexed: 11/13/2022] Open
Abstract
Background Physical activity (PA) and resting heart rate (RHR) are connected with all-cause mortality. Moreover, there was an inverse correlation between PA and RHR. However, the causal relationship between PA, RHR, and long-term mortality has been rarely evaluated and quantified, particularly the mediation effect of RHR in the association between PA and all-cause mortality. Objective To describe the relationship between PA and RHR when consistently measured via cardiac implantable electronic devices (CIED) and further explore the mediation effect of PA on all-cause mortality through RHR. Materials and methods Patients who underwent CIED implantation and received remote home monitoring services were included. During the first 30–60 days after CIED implantation, daily PA and RHR were continuously measured and automatically transmitted by CIED. The primary endpoint was all-cause mortality. The multiple linear regression model was used to confirm the relationship between PA and RHR. The predictive values of both PA and RHR for all-cause mortality were assessed by multivariable Cox proportional hazards models. The causal mediation model was further established to verify and quantify the mediation effect of RHR in the association between PA and all-cause mortality. Results A total of 730 patients with CIED were included. The mean daily PA and RHR were 10.7 ± 5.7% and 61.3 ± 9.1 bpm, respectively. During a mean follow-up period of 55.8 months, 187 (26.5%) death was observed. A negative linear relationship between PA and RHR was demonstrated in the multiple regression model (β = −0.260; 95% CI: −0.377 to −0.143, p < 0.001). Multivariable Cox proportional hazards analysis showed that both lower levels of PA (HR = 0.907; 95% CI: 0.878–0.936, p < 0.001) and higher RHR (HR = 1.016; 95% CI: 1.001–1.032, P = 0.031) were independent risk factors of all-cause mortality. Causal mediation analysis further confirmed and quantified the mediation function of RHR in the process of PA improving all-cause mortality (mediation proportion = 3.9%; 95% CI: 0.2–10.0%, p = 0.036). Conclusion The effects of the higher level of PA on improving life prognosis may be partially mediated through RHR among patients with CIED. It indicates that changes in the autonomic nervous function during postoperative rehabilitation exercises should get more attention.
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Affiliation(s)
- Chendi Cheng
- State Key Laboratory of Cardiovascular Disease, Arrhythmia Center, National Center for Cardiovascular Diseases, Fuwai Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China
| | - Xue Rong Sun
- State Key Laboratory of Cardiovascular Disease, Arrhythmia Center, National Center for Cardiovascular Diseases, Fuwai Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China
| | - Keping Chen
- State Key Laboratory of Cardiovascular Disease, Arrhythmia Center, National Center for Cardiovascular Diseases, Fuwai Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China
| | - Wei Hua
- State Key Laboratory of Cardiovascular Disease, Arrhythmia Center, National Center for Cardiovascular Diseases, Fuwai Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China
| | - Yangang Su
- Department of Cardiology, Shanghai Institute of Cardiovascular Diseases, Zhongshan Hospital, Fudan University, Shanghai, China
| | - Wei Xu
- Department of Cardiology, Nanjing Drum Tower Hospital, Nanjing, China
| | - Fang Wang
- Department of Cardiology, Shanghai First People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
| | - Xiaohan Fan
- State Key Laboratory of Cardiovascular Disease, Arrhythmia Center, National Center for Cardiovascular Diseases, Fuwai Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China
| | - Yan Dai
- State Key Laboratory of Cardiovascular Disease, Arrhythmia Center, National Center for Cardiovascular Diseases, Fuwai Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China
| | - Zhimin Liu
- State Key Laboratory of Cardiovascular Disease, Arrhythmia Center, National Center for Cardiovascular Diseases, Fuwai Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China
| | - Shu Zhang
- State Key Laboratory of Cardiovascular Disease, Arrhythmia Center, National Center for Cardiovascular Diseases, Fuwai Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, China
- *Correspondence: Shu Zhang,
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Michnevich T, Pan Y, Hendi A, Oechsle K, Stein A, Nestoriuc Y. Preventing adverse events of chemotherapy for gastrointestinal cancer by educating patients about the nocebo effect: a randomized-controlled trial. BMC Cancer 2022; 22:1008. [PMID: 36138381 PMCID: PMC9502603 DOI: 10.1186/s12885-022-10089-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2021] [Accepted: 09/12/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Adverse events of chemotherapy may be caused by pharmacodynamics or psychological factors such as negative expectations, which constitute nocebo effects. In a randomized controlled trial, we examined whether educating patients about the nocebo effect is efficacious in reducing the intensity of self-reported adverse events. METHODS In this proof-of-concept study, N = 100 outpatients (mean age: 60.2 years, 65% male, 54% UICC tumour stage IV) starting first-line, de novo chemotherapy for gastrointestinal cancers were randomized 1:1 to a nocebo education (n = 49) or an attention control group (n = 51). Our primary outcome was patient-rated intensity of four chemotherapy-specific and three non-specific adverse events (rated on 11-point Likert scales) at 10-days and 12-weeks after the first course of chemotherapy. Secondary outcomes included perceived control of adverse events and tendency to misattribute symptoms. RESULTS General linear models indicated that intensity of adverse events differed at 12-weeks after the first course of chemotherapy (mean difference: 4.04, 95% CI [0.72, 7.36], p = .02, d = 0.48), with lower levels in the nocebo education group. This was attributable to less non-specific adverse events (mean difference: 0.39, 95% CI [0.04, 0.73], p = .03, d = 0.44) and a trend towards less specific adverse events in the nocebo education group (mean difference: 0.36, 95% CI [- 0.02, 0.74], p = .07, d = 0.37). We found no difference in adverse events at 10-days follow-up, perceived control of adverse events, or tendency to misattribute non-specific symptoms to the chemotherapy. CONCLUSIONS This study provides first proof-of-concept evidence for the efficacy of a brief information session in preventing adverse events of chemotherapy. However, results regarding patient-reported outcomes cannot rule out response biases. Informing patients about the nocebo effect may be an innovative and clinically feasible intervention for reducing the burden of adverse events. TRIAL REGISTRATION Retrospectively registered on March 27, 2018 to the German Clinical Trial Register (ID: DRKS00009501).
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Affiliation(s)
- T Michnevich
- Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
- Department of Psychiatry and Psychotherapy, Charité - University Medicine Berlin, Berlin, Germany.
- Present address: Charité - University Medicine Berlin, Berlin, Germany.
| | - Y Pan
- Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - A Hendi
- Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
- Department of Oncology, Asklepios Clinic Barmbek, Hamburg, Germany
| | - K Oechsle
- Center of Oncology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - A Stein
- Center of Oncology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Y Nestoriuc
- Department of Clinical Psychology, Helmut Schmidt University, University of the Federal Armed Forces Hamburg, Hamburg, Germany
- Department of Systems Neuroscience, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
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19
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Grätz M. When less conditioning provides better estimates: overcontrol and endogenous selection biases in research on intergenerational mobility. QUALITY & QUANTITY 2022; 56:3769-3793. [PMID: 36117611 PMCID: PMC9470603 DOI: 10.1007/s11135-021-01310-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/20/2021] [Revised: 12/20/2021] [Accepted: 12/22/2021] [Indexed: 11/25/2022]
Abstract
The counterfactual approach to causality has become the dominant approach to understand causality in contemporary social science research. Whilst most sociologists are aware that unobserved, confounding variables may bias the estimates of causal effects (omitted variable bias), the threats of overcontrol and endogenous selection biases are less well known. In particular, widely used practices in research on intergenerational mobility are affected by these biases. I review four of these practices from the viewpoint of the counterfactual approach to causality and show why overcontrol and endogenous selection biases arise when these practices are implemented. I use data from the German Socio-Economic Panel Study (SOEP) to demonstrate the practical consequences of these biases for conclusions about intergenerational mobility. I conclude that future research on intergenerational mobility should reflect more upon the possibilities of bias introduced by conditioning on variables.
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Affiliation(s)
- Michael Grätz
- Swedish Institute for Social Research (SOFI), Stockholm University, Stockholm, Sweden
- Institut des sciences sociales, University of Lausanne, Quartier UNIL-Mouline, Bâtiment Géopolis, CH- 1015 Lausanne, Switzerland
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20
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Wallace IJ, Lea AJ, Lim YAL, Chow SKW, Sayed IBM, Ngui R, Shaffee MTH, Ng KS, Nicholas C, Venkataraman VV, Kraft TS. Orang Asli Health and Lifeways Project (OA HeLP): a cross-sectional cohort study protocol. BMJ Open 2022; 12:e058660. [PMID: 36127083 PMCID: PMC9490611 DOI: 10.1136/bmjopen-2021-058660] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
INTRODUCTION Non-communicable disease (NCD) risk is influenced by environmental factors that are highly variable worldwide, yet prior research has focused mainly on high-income countries where most people are exposed to relatively homogeneous and static environments. Understanding the scope and complexity of environmental influences on NCD risk around the globe requires more data from people living in diverse and changing environments. Our project will investigate the prevalence and environmental causes of NCDs among the indigenous peoples of Peninsular Malaysia, known collectively as the Orang Asli, who are currently undergoing varying degrees of lifestyle and sociocultural changes that are predicted to increase vulnerability to NCDs, particularly metabolic disorders and musculoskeletal degenerative diseases. METHODS AND ANALYSIS Biospecimen sampling and screening for a suite of NCDs (eg, cardiovascular disease, type II diabetes, osteoarthritis and osteoporosis), combined with detailed ethnographic work to assess key lifestyle and sociocultural variables (eg, diet, physical activity and wealth), will take place in Orang Asli communities spanning a gradient from remote, traditional villages to acculturated, market-integrated urban areas. Analyses will first test for relationships between environmental variables, NCD risk factors and NCD occurrence to investigate how environmental changes are affecting NCD susceptibility among the Orang Asli. Second, we will examine potential molecular and physiological mechanisms (eg, epigenetics and systemic inflammation) that mediate environmental effects on health. Third, we will identify intrinsic (eg, age and sex) and extrinsic (eg, early-life experiences) factors that predispose certain people to NCDs in the face of environmental change to better understand which Orang Asli are at greatest risk of NCDs. ETHICS AND DISSEMINATION Approval was obtained from multiple ethical review boards including the Malaysian Ministry of Health. This study follows established principles for ethical biomedical research among vulnerable indigenous communities, including fostering collaboration, building cultural competency, enhancing transparency, supporting capacity building and disseminating research findings.
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Affiliation(s)
- Ian J Wallace
- Department of Anthropology, University of New Mexico, Albuquerque, New Mexico, USA
| | - Amanda J Lea
- Department of Biological Sciences, Vanderbilt University, Nashville, Tennessee, USA
- Child and Brain Development Program, CIFAR, Toronto, Ontario, Canada
| | - Yvonne A L Lim
- Department of Parasitology, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia
| | - Steven K W Chow
- Federation of Private Medical Practitioners' Associations of Malaysia, Kuala Lumpur, Malaysia
- Pantai Hospital, Kuala Lumpur, Malaysia
| | | | - Romano Ngui
- Department of Parasitology, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia
| | | | - Kee-Seong Ng
- Department of Medicine, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia
| | | | - Vivek V Venkataraman
- Department of Anthropology and Archaeology, University of Calgary, Calgary, Alberta, Canada
| | - Thomas S Kraft
- Department of Anthropology, University of Utah, Salt Lake City, Utah, USA
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21
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Anjum A, Zhao Y. The Impact of Stress on Innovative Work Behavior among Medical Healthcare Professionals. Behav Sci (Basel) 2022; 12:340. [PMID: 36135144 PMCID: PMC9495780 DOI: 10.3390/bs12090340] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2022] [Revised: 09/07/2022] [Accepted: 09/09/2022] [Indexed: 11/24/2022] Open
Abstract
BACKGROUND For health systems, a fundamental challenge is adapting to changes in the patterns of health services that require technological and scientific innovations. The pace of multiple and interconnected challenges mounts extra stress on medical healthcare professionals and reduces their innovative capabilities, especially in low- and middle-income countries. To enhance the innovative capability of medical healthcare professionals under stress, the study seeks any possible correlation between stress and innovation. For that purpose, we sought to investigate the effects of stress on the innovative work behavior of employees and examine the mediating effect of health and moderating effect of supervisor support. MATERIALS AND METHODS 350 medical healthcare professionals were surveyed in different hospitals in Lahore through a survey regarding stress, health, innovative work behavior, and supervisor support with a final response rate of 89%. SPSS and AMOS were used for the analysis of the data and the investigation of the combined effects of the model. Exploratory (EFA) and Confirmatory Factor Analysis (CFA) were conducted to ensure the convergent and discriminant validity of the factors, while mediation analysis was done to check the mediating role of health. RESULTS It has been observed that there is partial mediation of health between eustress and innovative work behavior whereas supervisor support does not moderate between eustress and health. Furthermore, the results indicate that distress is negatively associated with innovative behavior. In addition, health fully mediates between distress and innovative work behavior. If distress increases negative effects on health, then supervisor support reduces the negative impact of distress on health. Furthermore, supervisor support also reduces the negative impact of health on innovative work behavior. CONCLUSION Our study outlines a hypothetical alternative situation that explains how the two emotions of eustress and distress are brought into play in the innovative work behavior of the employees. In addition, supervisors play an important role in influencing the sustainable innovation work behavior of their staff members.
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Affiliation(s)
- Amna Anjum
- School of Management, Shanghai University, Shanghai 200444, China
| | - Yan Zhao
- School of Management, Shanghai University, Shanghai 200444, China
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22
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Zhang Y, Hu Z, Tian S, Zhou C, Ding Y. Trickle-down effects of temporal leadership: The roles of leadership perspective and identification with leader. Front Psychol 2022; 13:1013416. [PMID: 36186299 PMCID: PMC9524270 DOI: 10.3389/fpsyg.2022.1013416] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2022] [Accepted: 08/24/2022] [Indexed: 11/29/2022] Open
Abstract
Based on social learning theory and the trickle-down effects, in which behavioral patterns cascade from one management level to the next (also known as the falling domino effect), we attempt to answer whether upper-level managers’ temporal leadership can be transferred to lower-level managers to form their temporal leadership, and what the mediating mechanisms and boundary conditions for this occurrence are. By analyzing the data from 234 middle-level managers and 686 junior managers/employees, we found that top managers’ temporal leadership was positively associated with middle-level managers’ temporal leadership through the mediating role of middle-level managers’ temporal leadership perspective and that the relationship was moderated by middle-level managers’ identification with the top manager. Identification with the top manager, in particular, strengthens both the top manager’s positive effect on middle-level managers’ temporal leadership and the top manager’s temporal leadership’s mediating role in this relationship through their temporal leadership perspective. The theoretical and managerial implications of these findings are investigated.
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Affiliation(s)
- Yingying Zhang
- College of Business, Shanghai University of Finance and Economics, Shanghai, China
| | - Zhonghui Hu
- Business School, University of Shanghai for Science and Technology, Shanghai, China
- *Correspondence: Zhonghui Hu,
| | - Siyu Tian
- College of Business, Shanghai University of Finance and Economics, Shanghai, China
| | - Chunyang Zhou
- College of Business, Shanghai University of Finance and Economics, Shanghai, China
| | - Yi Ding
- College of Business, Shanghai University of Finance and Economics, Shanghai, China
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23
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Brooks J, Giblin-Scanlon L, Boyd LD, Vineyard J. Compassion Fatigue, Compassion Satisfaction, Burnout and Alcohol Use Among Dental Hygienists. Alcohol Alcohol 2022; 58:76-83. [PMID: 36124680 PMCID: PMC9494449 DOI: 10.1093/alcalc/agac036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2021] [Revised: 07/22/2022] [Accepted: 07/24/2022] [Indexed: 01/12/2023] Open
Abstract
AIMS The purpose of this study was to investigate the relationship between demographics, compassion fatigue (CF), compassion satisfaction (CS), burnout (BO) and alcohol use among dental hygienists (DHs). METHODS The web-based survey consisting of two validated instruments [Alcohol Use Disorders Identification Test (AUDIT) and Professional Quality of Life] to measure alcohol use, CF, CS and BO was conducted with a convenience sample of DHs (n = 963). RESULTS The completion rate was 81.6% (n = 786). Nearly one in five DHs (19.1%) reported having their alcohol consumption influenced by the Coronavirus disease 2019 pandemic at least moderately. The number of hours worked per week (x) and AUDIT scores (y) were fully mediated by BO (m) (P < 0.001); the average number of hours worked per week (x) and AUDIT scores (y) were fully mediated by CF (m) (P < 0.001); the average number of patients seen per day (x) was a predictor of AUDIT scores (y) when partially mediated by BO (m) (P < 0.001); and age (x) was a predictor of AUDIT scores (y), mediated by CS (m). Results showed that one in four DHs could qualify for binge drinking (25.6%, n = 177) and 15.1% experienced blackout drinking episodes within the past year (n = 118). CONCLUSION Mediating relationships exist between demographics, CF, CS, BO and alcohol use among DHs. More research needs to be conducted on alcohol use and CF among DHs and protective factors that may reduce the risk of BO, CF or alcohol use.
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Affiliation(s)
| | - Lori Giblin-Scanlon
- Corresponding author: MCPHS University, Forsyth School of Dental Hygiene, 179 Longwood Avenue, Boston, MA 02115, USA. Tel.: 617-735-1588; Fax: 617-732-2912; E-mail:
| | - Linda D Boyd
- MCPHS University, Forsyth School of Dental Hygiene, 179 Longwood Avenue, Boston, MA 02115, USA
| | - Jared Vineyard
- MCPHS University, Forsyth School of Dental Hygiene, 179 Longwood Avenue, Boston, MA 02115, USA
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Chen J, Liu C, Si Y, Law R, Zhang M. A Study on the Mediating Role of Emotional Solidarity between Authenticity Perception Mechanism and Tourism Support Behavior Intentions within Rural Homestay Inn Tourism. Behav Sci (Basel) 2022; 12:bs12090341. [PMID: 36135145 PMCID: PMC9495584 DOI: 10.3390/bs12090341] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2022] [Revised: 09/13/2022] [Accepted: 09/14/2022] [Indexed: 11/23/2022] Open
Abstract
Rural homestay inns are an important part of rural tourism, and tourists’ support behavior intentions are important factors affecting whether rural homestay inns can be developed sustainably. The local authentic life experiences and realization of actual communication between the host and tourists are the main influencing factors for tourists to revisit, recommend, or provide support. Although previous studies have confirmed the influence of authenticity perception on tourists’ support behavior intentions from different perspectives, they have not analyzed the influence mechanism between them from the perspective of micro interpersonal emotional attitude. To further understand the impact mechanism between the two, this study introduces the variable of emotional solidarity; constructs a relationship model of authenticity perception, emotional solidarity, and tourists’ support behavior intentions by adopting the theory of reasoned action; and verifies the established hypotheses through empirical analysis. The results show that both existential authenticity and objective authenticity positively influence tourism support behavior intentions, and the effect of objective authenticity on tourism support behavior intentions is greater than that of the presence of authenticity. Empathic understanding, feeling welcome, and emotional intimacy all play mediating roles between intrapersonal authenticity perception and tourism support behavior intentions. Findings also show empathic understanding and feeling welcome play mediating roles in objective authenticity perception and between the perception of objective authenticity and tourism support behavior intentions. Suggestions are also proposed for the development of homestay inn enterprises.
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Affiliation(s)
- Jie Chen
- Shenzhen Tourism College, Jinan University, Shenzhen 518053, China
| | - Chang Liu
- College of Tourism, Fujian Normal University, Fuzhou 350108, China
| | - Yuqi Si
- Shenzhen Tourism College, Jinan University, Shenzhen 518053, China
| | - Rob Law
- Asia-Pacific Academy of Economics and Management, Department of Integrated Resort and Tourism Management, Faculty of Business Administration, University of Macau, Macau 999078, China
| | - Mu Zhang
- Shenzhen Tourism College, Jinan University, Shenzhen 518053, China
- Correspondence:
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Moon JY, Choi TY, Won ES, Won GH, Kim SY, Lee HJ, Yoon S. The Relationship Between Workplace Burnout and Male Depression Symptom Assessed by the Korean Version of the Gotland Male Depression Scale. Am J Mens Health 2022; 16:15579883221123930. [PMID: 36113189 PMCID: PMC9483954 DOI: 10.1177/15579883221123930] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023] Open
Abstract
Screening for depression in males is important because their symptoms differ from those of females, ranging from indications of aggression to attempts at suicide. Men and women differ in their responses to job stress. There are no tools that have been verified, developed, or translated for screening male depression in Korea. Our team translated the Gotland Male Depression Scale (GMDS) into Korean. The Korean version of GMDS (K-GMDS) and Maslach Burnout Inventory-General Survey (MBI-GS) were administered to 277 office workers in one public institution. Gender differences in each scale score were measured along with the correlation between the K-GMDS and the MBI-GS. There was no significant difference in the K-GMDS score between males and females, whereas females scored significantly higher on the MBI-GS (p < .001). The correlation between the K-GMDS total score and the MBI total score (male: r = .702, p < .001, female: r = .375, p < .001) and MBI subscale scores were higher in males than females. Gender moderated the relationship between total K-GMDS and total MBI scores (p < .001). The Korean version of the GMDS is suitable for screening male depression symptoms in the workplace. The results of the K-GMDS demonstrated a strong correlation between depressive symptoms and work-related burnout among men. This study can be used as a basis for studying male depression symptoms in Korea, which has not been studied extensively. This will prove beneficial for work environments.
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Affiliation(s)
- Jung Yeon Moon
- Department of Psychiatry, Daegu
Catholic University School of Medicine, Daegu, Republic of Korea
| | - Tae Young Choi
- Department of Psychiatry, Daegu
Catholic University School of Medicine, Daegu, Republic of Korea
| | - Eun Soo Won
- Department of Psychiatry, CHA Bundang
Medical Center, CHA University, Seongnam, Republic of Korea,Department of Psychiatry, Chaum, Seoul,
Republic of Korea
| | - Geun Hui Won
- Department of Psychiatry, Daegu
Catholic University School of Medicine, Daegu, Republic of Korea
| | - So Yeun Kim
- Department of Counselling and Social
Welfare, Kyungwoon University, Gumi, Republic of Korea
| | - Hye Jeong Lee
- Department of Psychiatry, Daegu
Catholic University School of Medicine, Daegu, Republic of Korea
| | - Seoyoung Yoon
- Department of Psychiatry, Daegu
Catholic University School of Medicine, Daegu, Republic of Korea,Seoyoung Yoon, Department of Psychiatry,
Daegu Catholic University School of Medicine, 33, Duryugongwon-ro 17-gil,
Nam-gu, Daegu 42471, Republic of Korea.
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Lockdown support, trust and COVID-19 conspiracy beliefs: Insights from the second national lockdown in France. Health Policy 2022; 126:1103-1109. [PMID: 36127162 PMCID: PMC9472707 DOI: 10.1016/j.healthpol.2022.09.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2021] [Revised: 09/09/2022] [Accepted: 09/11/2022] [Indexed: 11/28/2022]
Abstract
Due to the COVID-19 pandemic, restrictive sanitary measures such as lockdowns have been implemented all around the world. Based on a representative sample of the population collected through an online cross-sectional survey, the goal of the study was to investigate the factors associated with lockdown agreement in France during the second general lockdown of fall 2020. More specifically, we aimed to investigate how trust in the government and COVID-19 conspiracy beliefs influenced lockdown agreement. Trust in the authorities and low adherence to conspiracy beliefs appeared as strong predictors of lockdown acceptance among our sample. Using a mediation analysis, we highlighted a significant indirect effect of trust in the authorities on lockdown agreement through the adherence to conspiracy beliefs: low level of trust translated into higher odds to believe in COVID-19 misinformation which in turn decreased lockdown support. The double effect of trust on lockdown agreement, both directly and indirectly, underlines the importance of careful communication from the government around decisions related to COVID-19 mitigation measures in order not to deteriorate even more the low level of trust in the health action of the government. The fight against false information also appears of the utmost importance to increase the population adherence to public authorities’ recommendations.
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Does more moral equal less corruption? The different mediation of moral foundations between economic growth and corruption in China. CURRENT PSYCHOLOGY 2022. [DOI: 10.1007/s12144-022-03735-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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28
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Brosbe MS, Thompson CC, Flanders XC, Day A, Ward C, Slifer KJ. Pain Catastrophizing and Functional Disability in Youth with Chronic Pain: An Examination of Indirect Effects. J Clin Psychol Med Settings 2022; 29:546-556. [PMID: 35545726 DOI: 10.1007/s10880-022-09877-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/10/2022] [Indexed: 11/26/2022]
Abstract
Pediatric pain conditions are not uncommon and may lead to functional disability. The purpose of this study is to examine indirect effects of pain catastrophizing on functional disability through anxiety, depression, and pain in youth with chronic pain. Participants included 197 youth (144 females, Mage = 14.67 years) with chronic pain conditions. Youth completed self-report measures of pain catastrophizing, depression, anxiety, pain intensity, and functional disability. Caregivers also completed a measure of youth functional disability. Using a cross-sectional design, a multiple mediator model was estimated with pain catastrophizing as the predictor, functional disability as the outcome, and depression, anxiety, and pain intensity as mediators. Results supported a mediation model in which depression (B = 0.1145, SE = 0.0528, Z = 2.1686; B = 0.1512, SE = 0.0585, Z = 2.5846) and pain intensity (B = 0.1015, SE = 0.0422, Z = 2.4052; B = 0.0634, SE = 0.0343, Z = 1.8484) significantly mediated the effects of catastrophizing on child self-report and parent-report functional disability, respectively, while anxiety (B = - 0.0260, SE = 0.0439501, Z = - 0.5923; B = - 0.0637, SE = 0.0552, Z = - 1.1540) did not. Theoretical and clinical applications are discussed.
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Affiliation(s)
- Micah S Brosbe
- Division of Child and Adolescent Psychiatry, Department of Psychiatry and Behavioral Sciences, Johns Hopkins Hospital, 1800 Orleans Street, Bloomberg 12, Baltimore, MD, 21287, USA.
| | - Caitlin C Thompson
- Department of Behavioral Psychology, Kennedy Krieger Institute, Baltimore, MD, USA
| | - Ximena C Flanders
- South Florida Pediatric Psychology, Parkland, FL, USA
- JDCH Pediatric Psychology, Joe DiMaggio Children's Hospital, Hollywood, FL, USA
| | - Alyssa Day
- Department of Psychology, University of Houston, Houston, TX, USA
| | - Cynthia Ward
- North Atlanta Pediatric Psychology, Roswell, GA, USA
| | - Keith J Slifer
- Department of Behavioral Psychology, Kennedy Krieger Institute, Baltimore, MD, USA
- Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA
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Liu Z, Zhang X, Xu H, Deng H, Li J, Lan Y. The effect of i-deals on employees’ unethical behavior during the COVID-19 pandemic: The roles of hubristic pride and grandiose narcissism. Front Psychol 2022; 13:938864. [PMID: 36118445 PMCID: PMC9477142 DOI: 10.3389/fpsyg.2022.938864] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2022] [Accepted: 07/19/2022] [Indexed: 11/18/2022] Open
Abstract
The COVID-19 pandemic has created enormous challenges for organizations and employees. Due to the effectiveness of idiosyncratic deals (i-deals for short) in management practices, more and more organizations use this human resource management tool to address the challenges posed by the COVID-19 pandemic. However, whether there are potential risks or negative effects of i-deals in the COVID-19 pandemic environment is not very clear. Drawing upon social cognitive theory, we proposed that i-deals may foment focal employees’ unethical behavior by triggering their hubristic pride, and such process may be moderated by their trait of grandiose narcissism. We conducted a survey during the COVID-19 outbreak and tested our hypotheses with 492 samples from Shandong Province, China. Consistent with predictions, we found a positive relationship between i-deals and hubristic pride, which, in turn, increased their unethical behavior. And the relationship between i-deals and unethical behavior was mediated by hubristic pride. Furthermore, grandiose narcissism strengthened the positive relationship between i-deals and hubristic pride, as well as the indirect effect of i-deals on unethical behavior via hubristic pride. Our findings contributed to the literature on i-deals and provided guidance for organizations to address the challenges posed by the COVID-19 pandemic.
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Affiliation(s)
- Zhihao Liu
- School of Business, Qingdao University, Qingdao, China
| | - Xiaoyan Zhang
- School of Economics and Management, Beijing Jiaotong University, Beijing, China
| | - Hanzhi Xu
- School of Music and Recording Arts, Communication University of China, Beijing, China
| | - Hui Deng
- School of Economics and Management, Beijing Jiaotong University, Beijing, China
| | - Jiajia Li
- School of Fine Arts, Qingdao University, Qingdao, China
- College of Design and Innovation, Tongji University, Shanghai, China
| | - Yuanyuan Lan
- School of Business, Qingdao University, Qingdao, China
- *Correspondence: Yuanyuan Lan,
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Takemura N, Cheung DST, Fong DYT, Lin CC. Promoting moderate-to-vigorous physical activities in patients with advanced lung cancer: preferences and social cognitive factors, and the mediating roles. Support Care Cancer 2022; 30:7419-7429. [PMID: 35622150 PMCID: PMC9136819 DOI: 10.1007/s00520-022-07149-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2022] [Accepted: 05/13/2022] [Indexed: 11/24/2022]
Abstract
PURPOSE The purpose of this study is to assess the prevalence and preferences of moderate-to-vigorous physical activities (MVPA) in patients with advanced lung cancer, explore the social cognitive factors that were associated with MVPA and interest in PA counseling and program, and examine the mediating role of social cognitive factors. METHODS This was a cross-sectional study. Questionnaires on PA levels, PA counseling and programming preferences, and social cognitive variables (social support and self-efficacy) were administered to 105 patients with advanced lung cancer. Linear regression model was used to explore the social cognitive factors associated with MVPA, and logistic regression model was used to explore the factors associated with interest in PA counseling and program. Mediation analysis was used to examine the mediating role of self-efficacy on social support and MVPA. RESULTS Merely 30.5% of patients met the recommended level of MVPA; however, the majority of patients (89.5%) were interested in PA program. Social support (β = 0.60; p = 0.007) and self-efficacy (β = 1.06; p = 0.027) were positively associated with MVPA. Specifically, self-efficacy mediated the relationship between social support and MVPA (β = 0.63, p = 0.004). CONCLUSION The majority of the patients with advanced lung cancer did not meet the recommended level of MVPA; however, they are interested in receiving PA counseling and joining PA programs. Social support was key to promoting higher levels of MVPA, and the association was mediated by self-efficacy. The established mediating model provides insights into designing PA programs and targeting the mediating variable, self-efficacy, to enhance the level of MVPA.
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Affiliation(s)
- Naomi Takemura
- School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong
| | - Denise Shuk Ting Cheung
- School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong
| | - Daniel Yee Tak Fong
- School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong
| | - Chia-Chin Lin
- School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong.
- Alice Ho Miu Ling Nethersole Charity Foundation Professor in Nursing, Hong Kong, Hong Kong.
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Zhu L, Zhang Y, Song L, Zhou Z, Wang J, Wang Y, Sang L, Xiao J, Lian Y. The relationships of shift work, hair cortisol concentration and dyslipidaemia: a cohort study in China. BMC Public Health 2022; 22:1634. [PMID: 36038856 PMCID: PMC9426255 DOI: 10.1186/s12889-022-14038-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2022] [Accepted: 08/19/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Currently, cardiovascular disease is the leading cause of death, and dyslipidaemia is an independent and modifiable major risk factor. Previous studies on shift work with dyslipidaemia and hair cortisol concentration (HCC) have yielded conflicting results. The aim of this study was to clarify the association between shift work, dyslipidaemia, and HCC. We further explored the mediating effect of HCC. METHODS In this cohort study, baseline data were collected from participants in May 2013. The cohort included 2170 participants- 1348 shift workers and 822 non-shift workers- who were followed up for 6 years with four questionnaire surveys from July 2014, October 2015, and May to December 2019. Hair samples were collected from 340 participants during the baseline period for HCC testing with an automated radioimmunoassay. Dyslipidaemia was defined using the National Cholesterol Education Program Adult Treatment Panel III diagnostic criteria. RESULTS Shift workers had a higher risk of dyslipidaemia than workers on the fixed day shift (two-shift RR = 1.408, 95% CI: 1.102-1.798; three-shift RR = 1.478, 95% CI: 1.134-1.926; four-shift RR = 1.589, 95% CI: 1.253-2.015). Additionally, shift workers had higher HCC levels than fixed day shift workers, with geometric mean concentration (GMC) ± geometric standard difference (GSD) = 2.625 ± 2.012 ng/g, two-shift GMC ± GSD = 3.487 ± 1.930 ng/g, three-shift GMC ± GSD = 2.994 ± 1.813 ng/g, and four-shift GMC ± GSD = 3.143 ± 1.720 ng/g. High HCC was associated with a high incidence of dyslipidaemia. After controlling for confounding factors, this study showed that HCC played a role in mediating dyslipidaemia in shift workers and accounted for 16.24% of the effect. CONCLUSIONS Shift work was linked to increased risk of dyslipidaemia compared with fixed day shift work. Higher HCC was associated with a higher prevalence of dyslipidaemia. HCC had a significant mediating effect on dyslipidaemia in shift workers.
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Affiliation(s)
- Lejia Zhu
- Department of Epidemiology and Medical Statistics, School of Public Health, Nantong University, Se Yuan Road, No. 9, Nantong, 226001, Jiangsu, China
| | - Yu Zhang
- Department of Epidemiology and Medical Statistics, School of Public Health, Nantong University, Se Yuan Road, No. 9, Nantong, 226001, Jiangsu, China
| | - Lin Song
- Department of Epidemiology and Medical Statistics, School of Public Health, Nantong University, Se Yuan Road, No. 9, Nantong, 226001, Jiangsu, China
| | - Ziqi Zhou
- Department of Epidemiology and Medical Statistics, School of Public Health, Nantong University, Se Yuan Road, No. 9, Nantong, 226001, Jiangsu, China
| | - Jin Wang
- Department of Epidemiology and Medical Statistics, School of Public Health, Nantong University, Se Yuan Road, No. 9, Nantong, 226001, Jiangsu, China
| | - Yangmei Wang
- Department of Epidemiology and Medical Statistics, School of Public Health, Nantong University, Se Yuan Road, No. 9, Nantong, 226001, Jiangsu, China
| | - Lingli Sang
- Department of Epidemiology and Medical Statistics, School of Public Health, Nantong University, Se Yuan Road, No. 9, Nantong, 226001, Jiangsu, China
| | - Jing Xiao
- Department of Epidemiology and Medical Statistics, School of Public Health, Nantong University, Se Yuan Road, No. 9, Nantong, 226001, Jiangsu, China
| | - Yulong Lian
- Department of Epidemiology and Medical Statistics, School of Public Health, Nantong University, Se Yuan Road, No. 9, Nantong, 226001, Jiangsu, China.
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Sun Q, Feng Y, Tang Y, Kuang W, Javeed SA. The relationship amid land finance and economic growth with the mediating role of housing prices in China. Front Psychol 2022; 13:976236. [PMID: 36059779 PMCID: PMC9428688 DOI: 10.3389/fpsyg.2022.976236] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2022] [Accepted: 07/13/2022] [Indexed: 11/13/2022] Open
Abstract
Taking cities at prefecture-level and above in China as the research object, we theoretically analyze the effects of land finance on housing prices and economic growth as well as the effects of housing prices on economic growth, consider the mediating role of housing prices, and construct a random-effects model of land finance affecting economic growth. It is of great significance to make rational use of land finance to promote the economic development and formulate the “city specific policies” plan for the real estate market. The 278 resource-based cities with relatively well-developed land and real estate markets in China are selected to test the mediating effect of housing prices on land finance affecting economic growth in resource-based cities by type based on panel data from 2011–2019. The results show that (1) land finance significantly and positively affects economic growth and housing prices in cities at the prefecture-level and above nationwide, but there is some variability in the degree of influence. The central region has the smallest impact on economic growth but the largest impact on housing prices; the eastern region has the deepest impact on economic growth; and the western region has the smallest impact on housing prices. (2) In the national sample cities and cities in the northeast region, housing prices have a significant partial mediating effect at the 1% level on economic growth affected by land finance, accounting for 22.03 and 2.84%, respectively. The mediating effect of urban housing prices on land finance affects economic growth in the eastern, central, and western regions is not significant.
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Affiliation(s)
- Qian Sun
- Management School, Hunan City University, Yiyang, China
- Hunan New Urbanization Research Institute, Yiyang, China
| | - Yan Feng
- Management School, Hunan City University, Yiyang, China
- Hunan New Urbanization Research Institute, Yiyang, China
| | - Yong Tang
- Management School, Hunan City University, Yiyang, China
- Hunan New Urbanization Research Institute, Yiyang, China
| | - Wen Kuang
- Management School, Hunan City University, Yiyang, China
| | - Sohail Ahmad Javeed
- Management School, Hunan City University, Yiyang, China
- *Correspondence: Sohail Ahmad Javeed
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Lee-Ødegård S, Ueland T, Thorsby PM, Aukrust P, Michelsen AE, Halvorsen B, Drevon CA, Birkeland KI. Fetuin-A mediates the difference in adipose tissue insulin resistance between young adult pakistani and norwegian patients with type 2 diabetes. BMC Endocr Disord 2022; 22:208. [PMID: 35978354 PMCID: PMC9386965 DOI: 10.1186/s12902-022-01127-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/05/2022] [Accepted: 08/10/2022] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND South-Asian immigrants to Western countries have a high prevalence of type 2 diabetes mellitus (T2DM) and increased adipose tissue insulin resistance (AT-IR), as compared to their Western counterparts. Fetuin-A is a hepatokine known to influence AT-IR. AIM Can plasma fetuin-A concentrations explain an ethnic difference in adipose tissue insulin resistance? METHODS We performed a two-step euglycemic-hyperinsulinaemic clamp and measured plasma concentrations of fetuin-A and non-esterified fatty acids (NEFA), in 18 Pakistani and 21 Norwegians with T2DM (age 29-45y) in Norway. AT-IR was calculated as NEFA-suppression during the clamp. The adipokines/cytokines leptin, adiponectin, visfatin, PTX3, IL-1β, INF-γ, and IL-4 were measured in fasting plasma. Liver fat was estimated by CT-scans. RESULTS Despite a lower BMI, Pakistani patients displayed higher AT-IR than Norwegians. NEFA-suppression during clamp was lower in Pakistani than Norwegians (mean=-20.6%, 95%CI=[-40.8, -0.01] and p = 0.046). Plasma fetuin-A concentration was higher in Pakistani than Norwegians (43.4 ng/mL[12.7,74.0], p = 0.007) and correlated negatively to %NEFA-suppression during clamp (rho=-0.39, p = 0.039). Plasma fetuin-A concentration explained 22% of the ethnic difference in NEFA-suppression during the clamp. Pakistani patients exhibited higher plasma leptin and lower PTX3 levels than Norwegian, and plasma visfatin correlated positively to plasma fetuin-A levels in the Pakistani patients. We observed no correlation between plasma fetuin-A and liver fat, but fetuin-A correlated negatively with plasma IL-1β, INF-γ, and IL-4 concentrations. Plasma IL-4 concentration was lower in Pakistani than in Norwegian patients. CONCLUSION Fetuin-A may contribute to explain the discrepancy in T2DM prevalence between Pakistani and Norwegians patients by influencing AT-IR.
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Affiliation(s)
| | - Thor Ueland
- Institute of Clinical Medicine, University of Oslo, Oslo, Norway
- Research Institute of Internal Medicine, Oslo University Hospital, Oslo, Norway
| | - Per M Thorsby
- Hormone Laboratory, Dep of Medical Biochemistry and Biochemical endocrinology and metabolism research group, Oslo University Hospital, Aker, Oslo, Norway
| | - Pål Aukrust
- Institute of Clinical Medicine, University of Oslo, Oslo, Norway
- Research Institute of Internal Medicine, Oslo University Hospital, Oslo, Norway
| | - Annika E Michelsen
- Institute of Clinical Medicine, University of Oslo, Oslo, Norway
- Research Institute of Internal Medicine, Oslo University Hospital, Oslo, Norway
| | - Bente Halvorsen
- Institute of Clinical Medicine, University of Oslo, Oslo, Norway
- Research Institute of Internal Medicine, Oslo University Hospital, Oslo, Norway
| | - Christian A Drevon
- Department of Nutrition, Institute of Basic Medical Sciences, Faculty of Medicine, University of Oslo, Oslo, Norway
| | - Kåre I Birkeland
- Institute of Clinical Medicine, University of Oslo, Oslo, Norway
- Department of Endocrinology, Morbid Obesity and Preventive Medicine, Oslo University Hospital, Oslo, Norway
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Li Q, Xu H, Hu Y. Are you a spontaneous traveler? Effect of sensation seeking on tourist planfulness in the mobile era. Front Psychol 2022; 13:968548. [PMID: 36033074 PMCID: PMC9400838 DOI: 10.3389/fpsyg.2022.968548] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2022] [Accepted: 07/18/2022] [Indexed: 01/03/2023] Open
Abstract
Drawn upon optimum stimulation level theory, and in view of the impact of mobile terminal usage on tourist decision-making, the present study aims to investigate how personality (i.e., sensation seeking) influences tourist trip planning behavior (i.e., tourist planfulness) in the mobile era. A sample of 344 respondents in China completed measures of sensation seeking, travel risk perception, smartphone usage, as well as tourist planfulness. Results indicated that sensation seeking was negatively associated with tourist planfulness and travel risk perception partially mediated this association. Besides, both the direct effect of sensation seeking on tourist planfulness and the indirect effect of travel risk perception were moderated by smartphone usage, in that these effects were stronger for tourists with a high-level of smartphone usage than those with low-level smartphone usage. This study can significantly advance existing research on tourist behavior from the perspective of personality and reconfiguring our traditional understanding on tourist decision-making in the mobile era. Our study may also provide indicative support for theoretical perspective that information technology is changing customer behavior.
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Affiliation(s)
- Qiuyun Li
- Business School, Tianjin University of Finance and Economics, Tianjin, China
| | - Hong Xu
- College of Tourism and Service Management, Nankai University, Tianjin, China
| | - Yubei Hu
- Warwick Manufacturing Group, University of Warwick, Coventry, United Kingdom
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Jeong S, Cho SI, Kong SY. Effect of income level on stroke incidence and the mediated effect of simultaneous diagnosis of metabolic syndrome diseases; a nationwide cohort study in South Korea. Diabetol Metab Syndr 2022; 14:110. [PMID: 35941692 PMCID: PMC9358809 DOI: 10.1186/s13098-022-00882-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/21/2022] [Accepted: 07/25/2022] [Indexed: 11/21/2022] Open
Abstract
BACKGROUND This study aimed to determine whether a simultaneous diagnosis of main components of metabolic syndrome (MetS) (hypertension, diabetes mellitus, and dyslipidemia) plays a mediator between income level and stroke. METHODS We used the National Health Insurance Service National Sample Cohort database from 2006 to 2015. The mediator variables were the number of main MetS components diagnosed simultaneously (two or more/three or more). We used a weighting approach method of causal mediation analysis to apply counterfactual frameworks to the Cox proportional hazards regression model. RESULTS A total of 213,526 people were included with 1,690,665.3 person-years of followed up. Compared with the high-income group, the risk of being diagnosed with two or more components of MetS significantly increased in all other income groups [middle-income OR 1.05 (95% CI 1.02-1.08); low-income OR 1.09 (95% CI 1.05-1.12); Medical Aid beneficiaries OR 1.39 (95% CI 1.32-1.47)]. A lower level of income was significantly associated with a higher risk of stroke compared with the high-income group [middle-income HR 1.15 (95% CI 1.07-1.25); low-income HR 1.19 (95% CI 1.10-1.29); Medical Aid beneficiaries HR 1.63 (95% CI 1.48-1.80)]. In the Medical Aid beneficiaries, simultaneous diagnosis of the main metabolic components acted as a significant mediator between income levels and stroke incidence, with 26.6% mediated when diagnosed with two or more diseases and 21.1% when diagnosed with all three. CONCLUSIONS Co-diagnosis of MetS components played a significant mediator role between income level and stroke incidence.
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Affiliation(s)
- Seungmin Jeong
- Graduate School of Public Health, Seoul National University, 1 Gwanak-ro, Gwanak-gu, Seoul, 08826, Republic of Korea
- Department of Preventive Medicine, Kangwon National University Hospital, Chuncheon, Republic of Korea
- Gangwon Center for Infectious Diseases, Chuncheon, Republic of Korea
| | - Sung-Il Cho
- Graduate School of Public Health, Seoul National University, 1 Gwanak-ro, Gwanak-gu, Seoul, 08826, Republic of Korea.
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Li E, An Z, Zhang C, Li H. Impact of economic growth target constraints on enterprise technological innovation: Evidence from China. PLoS One 2022; 17:e0272003. [PMID: 35917357 PMCID: PMC9374057 DOI: 10.1371/journal.pone.0272003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2022] [Accepted: 07/11/2022] [Indexed: 11/23/2022] Open
Abstract
By using the data from Chinese listed companies in the Shanghai and Shenzhen
A-share market for the period 2007 to 2019 and the Report on the Work of
the Government, this paper investigates the impact of the local
government’s economic growth target constraints on enterprise technological
innovation and its mechanism. It is found that the local government’s economic
growth target constraints significantly inhibit enterprise technological
innovation, which is more obvious in the samples of SOEs, regulated industries,
and enterprises at low marketization levels. The change of government officials’
performance appraisal indicators from the quantity to quality of economic growth
can alleviate the negative effect. The mechanism effect test indicates that the
local government’s economic growth target constraints will aggravate enterprise
financing constraints and decrease the contribution of R&D investment to
enterprise performance, and further inhibit enterprise technological
innovation.
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Affiliation(s)
- Enji Li
- School of Business Administration, Hebei University of Economics and
Business, Shijiazhuang, Hebei, China
- Institute of Social Governance, Hebei University of Economics and
Business, Shijiazhuang, Hebei, China
| | - Ziwei An
- School of Business Administration, Hebei University of Economics and
Business, Shijiazhuang, Hebei, China
| | - Chen Zhang
- School of Public Finance & Taxation, Shandong University of Finance
and Economics, Jinan, Shandong, China
| | - Hua Li
- School of Business Administration, University of Science and Technology
Liaoning, Anshan, Liaoning, China
- * E-mail:
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Drenkard C, Theis KA, Daugherty TT, Helmick CG, Dunlop-Thomas C, Bao G, Aspey L, Lewis TT, Lim SS. Depression, stigma and social isolation: the psychosocial trifecta of primary chronic cutaneous lupus erythematosus, a cross-sectional and path analysis. Lupus Sci Med 2022; 9:e000697. [PMID: 35953237 PMCID: PMC9379542 DOI: 10.1136/lupus-2022-000697] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2022] [Accepted: 07/25/2022] [Indexed: 11/24/2022]
Abstract
OBJECTIVE Depression is common in individuals with chronic cutaneous lupus erythematosus (CCLE). However, how CCLE may impact patients' psychological well-being is poorly understood, particularly among disproportionally affected populations. We examined the relationships between depression and psychosocial factors in a cohort of predominantly Black patients with primary CCLE (CCLE without systemic manifestations). METHODS Cross-sectional assessment of individuals with dermatologist-validated diagnosis of primary CCLE. NIH-PROMIS short-forms were used to measure depression, disease-related stigma, social isolation and emotional support. Linear regression analyses (ɑ=0.05) were used to test an a priori conceptual model of the relationship between stigma and depression and the effect of social isolation and emotional support on that association. RESULTS Among 121 participants (87.6% women; 85.1% Black), 37 (30.6%) reported moderate to severe depression. Distributions of examined variables divided equally among those which did (eg, work status, stigma (more), social isolation (more), emotional support (less)) and did not (eg, age, sex, race, marital status) significantly differ by depression. Stigma was significantly associated with depression (b=0.77; 95% CI0.65 to 0.90), whereas social isolation was associated with both stigma (b=0.85; 95% CI 0.72 to 0.97) and depression (b=0.70; 95% CI0.58 to 0.92). After controlling for confounders, stigma remained associated with depression (b=0.44; 95% CI0.23 to 0.66) but lost significance (b=0.12; 95% CI -0.14 to 0.39) when social isolation (b=0.40; 95% CI 0.19 to 0.62) was added to the model. Social isolation explained 72% of the total effect of stigma on depression. Emotional support was inversely associated with depression in the univariate analysis; however, no buffer effect was found when it was added to the multivariate model. CONCLUSION Our findings emphasise the psychosocial challenges faced by individuals living with primary CCLE. The path analysis suggests that stigmatisation and social isolation might lead to depressive symptoms. Early clinical identification of social isolation and public education demystifying CCLE could help reduce depression in patients with CCLE.
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Affiliation(s)
- Cristina Drenkard
- Department of Medicine/Rheumatology, Emory University School of Medicine, Atlanta, Georgia, USA
- Department of Epidemiology, Emory University School of Public Health, Atlanta, Georgia, USA
| | - Kristina A Theis
- Division of Population Health, Centers for Disease Control and Prevention, Atlanta, Georgia, USA
| | - Timothy T Daugherty
- Department of Medicine, Washington University in St Louis, St Louis, Missouri, USA
| | - Charles G Helmick
- Division of Population Health, Centers for Disease Control and Prevention, Atlanta, Georgia, USA
| | - Charmayne Dunlop-Thomas
- Department of Medicine/Rheumatology, Emory University School of Medicine, Atlanta, Georgia, USA
| | - Gaobin Bao
- Department of Medicine/Rheumatology, Emory University School of Medicine, Atlanta, Georgia, USA
| | - Laura Aspey
- Department Medicine/Dermatology, Emory University School of Medicine, Atlanta, Georgia, USA
| | - Tené T Lewis
- Department of Epidemiology, Emory University School of Public Health, Atlanta, Georgia, USA
| | - S Sam Lim
- Department of Medicine/Rheumatology, Emory University School of Medicine, Atlanta, Georgia, USA
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Firmansyah A, Arham A, Qadri RA, Wibowo P, Irawan F, Kustiani NA, Wijaya S, Andriani AF, Arfiansyah Z, Kurniawati L, Mabrur A, Dinarjito A, Kusumawati R, Mahrus ML. Political connections, investment opportunity sets, tax avoidance: does corporate social responsibility disclosure in Indonesia have a role? Heliyon 2022; 8:e10155. [PMID: 36033280 PMCID: PMC9399163 DOI: 10.1016/j.heliyon.2022.e10155] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2022] [Revised: 03/07/2022] [Accepted: 07/27/2022] [Indexed: 11/16/2022] Open
Abstract
This study aims to obtain empirical evidence of the effect of political connections and investment opportunity sets on tax avoidance. In addition, the use of corporate social responsibility in this study as a moderating variable aims to examine the implementation of sustainability by companies, which is a global issue of concern to many parties today. Corporate social responsibility has rarely been used in previous studies as a moderating variable in examining the relationships between investment opportunity sets and tax avoidance and political connections and tax avoidance. This study analyzed 42 manufacturing companies listed on the Indonesia Stock Exchange from 2014 to 2019, selected through a purposive sampling method to produce 252 observations. This study used a quantitative method with two-panel data regression models, namely the model and without moderation. The results suggest that political connections and investment opportunity sets positively affect tax avoidance. Meanwhile, corporate social responsibility disclosure can weaken the positive effect of political connections and investment opportunity sets on tax avoidance. This study indicates that the Indonesia Tax Authority should include sustainability issues in refining existing tax policies.
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Affiliation(s)
| | | | | | - Puji Wibowo
- Polytechnic of State Finance STAN, South Tangerang, Indonesia
| | - Ferry Irawan
- Polytechnic of State Finance STAN, South Tangerang, Indonesia
| | | | - Suparna Wijaya
- Polytechnic of State Finance STAN, South Tangerang, Indonesia
| | | | - Zef Arfiansyah
- Polytechnic of State Finance STAN, South Tangerang, Indonesia
| | | | - Azas Mabrur
- Polytechnic of State Finance STAN, South Tangerang, Indonesia
| | - Agung Dinarjito
- Polytechnic of State Finance STAN, South Tangerang, Indonesia
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Wang CH, Liu GHW, Yen CD. Teamwork Competence in Journalism Education: Evidence From TV Organizations' News Team in Taiwan. Front Psychol 2022; 13:864243. [PMID: 35832922 PMCID: PMC9272977 DOI: 10.3389/fpsyg.2022.864243] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2022] [Accepted: 05/31/2022] [Indexed: 11/28/2022] Open
Abstract
The rapid development of digital technologies has transformed the world but can be a double-edged sword. We study the interaction of important variables that affect individual news reporters’ performance in which digital technology is the dominant feature. A multilevel model illustrates how transactive memory and job competence affect individual performance. The empirical study includes data from 19 teams of news reporters and 211 valid survey responses, applying hierarchical linear modeling to analyze the data. The results indicate that transactive memory and technology competence help to improve a reporter’s job performance. More importantly, teamwork competence fully mediates the relationships. Our findings thus suggest that teamwork competence is the core skill. Neither technology competence nor transactive memory alone translates directly into enhanced individual performance.
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Affiliation(s)
- Cheng-Hui Wang
- Department of Human Resources and Public Relations, Da-Yeh University, Changhua, Taiwan
| | - Gloria Hui-Wen Liu
- International Business School Suzhou (IBSS), Xi'an Jiaotong-Liverpool University, Suzhou, China
| | - Chia-Dai Yen
- Graduate Institute of Education, National Taiwan Ocean University, Keelung, Taiwan
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Federico G, Reynaud E, Navarro J, Lesourd M, Gaujoux V, Lamberton F, Ibarrola D, Cavaliere C, Alfano V, Aiello M, Salvatore M, Seguin P, Schnebelen D, Brandimonte MA, Rossetti Y, Osiurak F. The cortical thickness of the area PF of the left inferior parietal cortex mediates technical-reasoning skills. Sci Rep 2022; 12:11840. [PMID: 35821259 PMCID: PMC9276675 DOI: 10.1038/s41598-022-15587-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2021] [Accepted: 06/27/2022] [Indexed: 11/23/2022] Open
Abstract
Most recent research highlights how a specific form of causal understanding, namely technical reasoning, may support the increasing complexity of tools and techniques developed by humans over generations, i.e., the cumulative technological culture (CTC). Thus, investigating the neurocognitive foundations of technical reasoning is essential to comprehend the emergence of CTC in our lineage. Whereas functional neuroimaging evidence started to highlight the critical role of the area PF of the left inferior parietal cortex (IPC) in technical reasoning, no studies explored the links between the structural characteristics of such a brain region and technical reasoning skills. Therefore, in this study, we assessed participants’ technical-reasoning performance by using two ad-hoc psycho-technical tests; then, we extracted from participants’ 3 T T1-weighted magnetic-resonance brain images the cortical thickness (i.e., a volume-related measure which is associated with cognitive performance as reflecting the size, density, and arrangement of cells in a brain region) of all the IPC regions for both hemispheres. We found that the cortical thickness of the left area PF predicts participants’ technical-reasoning performance. Crucially, we reported no correlations between technical reasoning and the other IPC regions, possibly suggesting the specificity of the left area PF in generating technical knowledge. We discuss these findings from an evolutionary perspective, by speculating about how the evolution of parietal lobes may have supported the emergence of technical reasoning in our lineage.
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Affiliation(s)
- Giovanni Federico
- IRCCS Synlab SDN, Via Emanuele Gianturco, 113, 80143, Naples, Italy.
| | - Emanuelle Reynaud
- Laboratoire d'Etude des Mécanismes Cognitifs (EA 3082), Université de Lyon, Lyon, France
| | - Jordan Navarro
- Laboratoire d'Etude des Mécanismes Cognitifs (EA 3082), Université de Lyon, Lyon, France
| | - Mathieu Lesourd
- Laboratoire de recherches Intégratives en Neurosciences et Psychologie Cognitive (UR 481), Université de Bourgogne Franche-Comté, Besançon, France.,MSHE Ledoux, CNRS, Université de Bourgogne Franche-Comté, F-25000, Besançon, France
| | - Vivien Gaujoux
- Laboratoire d'Etude des Mécanismes Cognitifs (EA 3082), Université de Lyon, Lyon, France
| | - Franck Lamberton
- CERMEP-Imagerie du vivant, MRI Department and CNRS UMS3453, Lyon, France
| | - Danièle Ibarrola
- CERMEP-Imagerie du vivant, MRI Department and CNRS UMS3453, Lyon, France
| | - Carlo Cavaliere
- IRCCS Synlab SDN, Via Emanuele Gianturco, 113, 80143, Naples, Italy
| | - Vincenzo Alfano
- IRCCS Synlab SDN, Via Emanuele Gianturco, 113, 80143, Naples, Italy
| | - Marco Aiello
- IRCCS Synlab SDN, Via Emanuele Gianturco, 113, 80143, Naples, Italy
| | - Marco Salvatore
- IRCCS Synlab SDN, Via Emanuele Gianturco, 113, 80143, Naples, Italy
| | - Perrine Seguin
- Centre de Recherche en Neurosciences de Lyon (CRNL), Computation, Cognition and Neurophysiology Team (Inserm UMR_S 1028-CNRS-UMR 5292-Université de Lyon), Bron, France
| | - Damien Schnebelen
- Laboratoire d'Etude des Mécanismes Cognitifs (EA 3082), Université de Lyon, Lyon, France
| | | | - Yves Rossetti
- Centre de Recherche en Neurosciences de Lyon (CRNL), Trajectoires Team (Inserm UMR_S 1028-CNRS-UMR 5292-Université de Lyon), Bron, France.,Mouvement et Handicap and Neuro-Immersion, Hospices Civils de Lyon et Centre de Recherche en Neurosciences de Lyon, Hôpital Henry Gabrielle, St Genis Laval, France
| | - François Osiurak
- Laboratoire d'Etude des Mécanismes Cognitifs (EA 3082), Université de Lyon, Lyon, France.,Institut Universitaire de France, Paris, France
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Comparing stress and behavioral coping strategies during the early stages of the COVID-19 crisis among domestic and overseas Taiwanese. Sci Rep 2022; 12:11613. [PMID: 35803989 PMCID: PMC9264308 DOI: 10.1038/s41598-022-15567-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2022] [Accepted: 06/27/2022] [Indexed: 12/12/2022] Open
Abstract
This study reported domestic and overseas Taiwanese people's perceived stress levels and examined the mediation effect of their coping strategies during the early stages of the COVID-19 pandemic. We recruited 2727 Taiwanese respondents from the COVIDiSTRESS Global Survey (N = 173,426) between March 30 and May 30, 2020. The self-report questionnaire included a modified 10-item Perceived Stress Scale and a 16-item coping strategy scale. Three stress-coping factors were extracted with principal component analysis and confirmatory factor analysis. Their effects were examined through a regression and mediation analysis. The overseas Taiwanese participants had a significantly higher stress level than domestic counterparts (2.89 to 2.69 in 1-5 scale, p < 0.001). Government guidance was associated with lower stress level among domestic (- 0.097, 95% C.I. [- 0.131, - 0.063]) but not overseas Taiwanese (0.025, [- 0.114, 0.163]). The association of stress level with residency was mediated by coping strategies, for government guidance (0.04, [0.01, 0.07], ref: domestic participants) and supportive social networks (- 0.03, [- 0.05, - 0.01]). All results hold after the propensity score matching on samples. Government guidance on COVID-19 as a channel for coping with stress is correlated with the residency status of the respondents. Public health authorities should recognize the importance of various mental health interventions during pandemics.
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Melnikov S, Fridman S, Aboav A, Moore F, Cohen Y. Factors affecting the professional functioning of health care workers during the COVID-19 pandemic: A cross-sectional study. J Nurs Manag 2022; 30:1157-1167. [PMID: 35403325 PMCID: PMC9115205 DOI: 10.1111/jonm.13629] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2021] [Revised: 03/31/2022] [Accepted: 04/05/2022] [Indexed: 11/29/2022]
Abstract
AIM To examine personal and organisational factors related to professional functioning of nurses and physicians during the COVID-19 pandemic. BACKGROUND Exposure to COVID-19-related stressors has been associated with lower self-reported professional functioning among health care workers. METHODS A cross-sectional study among 115 hospital workers during the COVID-19 pandemic in Israel was designed to explore (a) personal professional functioning, (b) clarity of guidelines, (c) work organisation by the management, and (d) health care workers' feeling of contribution to a global effort. RESULTS A feeling of contribution to a global effort while treating patients with COVID-19 mediated the relationships between work organisation by the management and professional functioning (β = .05, p < .05). The clarity of guidelines for routine procedures (β = .21, p < .05) and a feeling of β contribution to a global effort (β = .34, p < .01) positively predicted professional functioning of nurses and physicians during COVID-19 pandemic (R2 = .19, p < .01). CONCLUSIONS In order to achieve optimal functioning of health care workers in an emergency, managers should provide clear guidelines and promote workers' feelings of contribution to a global effort. IMPLICATIONS FOR NURSING MANAGEMENT The provision of clear guidelines and protocols is essential for efficient emergency management. Expressing appreciation for health care workers and providing positive feedback may improve professional functioning.
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Affiliation(s)
- Semyon Melnikov
- Nursing Department, Steyer School of Health Professions, Sackler Faculty of MedicineTel Aviv UniversityTel AvivIsrael
| | | | - Anat Aboav
- Internal Department AWolfson Medical CenterHolonIsrael
| | - Fariba Moore
- Internal Department BWolfson Medical CenterHolonIsrael
| | - Yael Cohen
- Internal Department DWolfson Medical CenterHolonIsrael
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Hu W, Zhang S, Liu S. Red Tape and Community Workers’ Proactive Behavior During COVID-19: Applying the Job Demands–Resources Model. Front Psychol 2022; 13:871025. [PMID: 35846622 PMCID: PMC9280637 DOI: 10.3389/fpsyg.2022.871025] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2022] [Accepted: 06/09/2022] [Indexed: 11/13/2022] Open
Abstract
Since the outbreak of COVID-19, community workers’ proactive behavior has played a noteworthy role in the crisis response. Previous research has not highlighted this group and their proactive behavior. To address this important gap, drawing upon the job demands–resources (JD–R) model, this study explores how red tape affects proactive behavior and investigates the mediating role of lack of goal progress (LOGP) and the moderating role of public service motivation (PSM) in this relationship. Based on a two-wave survey with a sample of 656 community workers in China, we found a negative relationship between red tape and proactive behavior. Moreover, this study showed that LOGP mediated this relationship. Contrary to our hypothesis, PSM did not moderate the relationship between LOGP and proactive behavior. These findings have important theoretical and practical implications and can better inform community work during COVID-19.
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Affiliation(s)
- Wei Hu
- School of Public Administration and Policy, Renmin University of China, Beijing, China
| | - Shengjie Zhang
- School of Public Administration and Policy, Renmin University of China, Beijing, China
| | - Songbo Liu
- School of Labor and Human Resources, Renmin University of China, Beijing, China
- *Correspondence: Songbo Liu,
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Lunardon M, Cerni T, Rumiati RI. Numeracy Gender Gap in STEM Higher Education: The Role of Neuroticism and Math Anxiety. Front Psychol 2022; 13:856405. [PMID: 35719488 PMCID: PMC9204305 DOI: 10.3389/fpsyg.2022.856405] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2022] [Accepted: 04/29/2022] [Indexed: 11/30/2022] Open
Abstract
The under-representation of women in Science, Technology, Engineering, and Mathematics (STEM) is ubiquitous and understanding the roots of this phenomenon is mandatory to guarantee social equality and economic growth. In the present study, we investigated the contribution of non-cognitive factors that usually show higher levels in females, such as math anxiety (MA) and neuroticism personality trait, to numeracy competence, a core component in STEM studies. A sample of STEM undergraduate students, balanced for gender (NF = NM = 70) and Intelligent Quotient (IQ), completed online self-report questionnaires and a numeracy cognitive assessment test. Results show that females scored lower in the numeracy test, and higher in the non-cognitive measures. Moreover, compared to males’, females’ numeracy scores were more strongly influenced by MA and neuroticism. We also tested whether MA association to numeracy is mediated by neuroticism, and whether this mediation is characterized by gender differences. While we failed to detect a significant mediation of neuroticism in the association between MA and numeracy overall, when gender was added as a moderator in this association, neuroticism turned out to be significant for females only. Our findings revealed that non-cognitive factors differently supported numeracy in females and males in STEM programs.
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Affiliation(s)
- Maristella Lunardon
- Neuroscience Area - SISSA, Scuola Internazionale Superiore di Studi Avanzati, Trieste, Italy
| | - Tania Cerni
- Dipartimento di Psicologia e Scienze Cognitive, Università di Trento, Rovereto, Italy
| | - Raffaella I Rumiati
- Neuroscience Area - SISSA, Scuola Internazionale Superiore di Studi Avanzati, Trieste, Italy
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Aggarwal P, Agarwala T. Relationship of green human resource management with environmental performance: mediating effect of green organizational culture. BENCHMARKING-AN INTERNATIONAL JOURNAL 2022. [DOI: 10.1108/bij-08-2021-0474] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PurposeEnvironment concerns and climate changes have led organizations to reorient their processes with a focus toward sustainability. Organizations recognize that incorporating greening in HR practices has the potential to address environmental concerns. The present study aims to focus on investigating the relationship between green human resource management (GHRM) practices and environmental performance (EP). It is premised that the adoption of green human resource practices facilitates the development of a green organizational culture (GOC) that helps the organization to gain strategic business advantage with respect to the competitors. The literature suggests that the adoption of green human resource practices among organizations is at a nascent stage. The present study focusses on understanding the mediating role of three dimensions of GOC, that is, degree, diffusion and depth in the relationship between green human resource practices and EP that has not been addressed in the empirical literature.Design/methodology/approachThe present study developed a model consisting of GHRM practices as an independent variable, the three dimensions of culture (degree, diffusion and depth) as mediators, and EP as the dependent variable. The study followed a quantitative exploratory research approach. The sample consisted of 278 employees from private and public sector organizations located in India. The hypothesized model was analyzed using structural equation modeling (SEM).FindingsThe study found the green human resource practices to be significantly related with EP of the organization. Results of parallel mediation confirmed that the “degree” dimension of GOC played a significant mediating role in the relationship between green human resource practices and EP of the organization. The other two dimensions of GOC, diffusion and depth, did not have a significant mediating role in this relationship. The findings of the study have been explained in the context of social identity theory, resource based view and ability–motivation–opportunity theory.Practical implicationsThe study provides practical insights for researchers and managers who seek to adopt sustainability objectives in the organization. The findings have the potential to encourage human resource managers to adopt green human resource management practices toward promoting a culture of greening in the organization. The importance of developing and measuring EP targets for industry leadership is also emphasized.Originality/valueThe originality of the study lies in classifying and understanding GOC in terms of three dimensions, that is, degree, diffusion and depth, following the model proposed by Harris and Crane (2002). The three dimensions help in assessing the current level of GOC. This assessment promotes the judicious application of resources by the organization and adopts green practices to foster the organizational EP.
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Shi H, Gao L, Wang G. How Does Media Use Promote the Purchase of Private Medical Insurance? A Moderated Mediation Model. Front Psychol 2022; 13:894195. [PMID: 35756258 PMCID: PMC9226612 DOI: 10.3389/fpsyg.2022.894195] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/11/2022] [Accepted: 05/20/2022] [Indexed: 11/13/2022] Open
Abstract
Various information media (such as TV and the Internet) have become the main channels through which for people to obtain information. Previous studies showed that media use influences the purchase of private medical insurance; however, research on its internal influence mechanism is still relatively weak. Using data from the Chinese General Social Survey 2017, this study constructed a moderated mediation model to analyze the mechanism of the influence of media use on the purchase of private medical insurance. Individuals' self-rated health status was used as a mediator and individual cognitive ability was used as a moderator. The results showed that self-rated health status played a partial mediating role and individual cognitive ability played a negative moderating role in the direct path between media use and the purchase of private medical insurance. Furthermore, in the indirect path, individual cognitive ability negatively moderated the impact of media use on self-rated health status.
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Affiliation(s)
- Hao Shi
- School of Insurance, University of International Business and Economics, Beijing, China
| | - Lifei Gao
- School of Economics, Beijing Technology and Business University, Beijing, China
| | - Guojun Wang
- School of Insurance, University of International Business and Economics, Beijing, China
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Li T, Li JY. Is farmland financial innovation narrowing the urban-rural income gap? A cross-regional study of China. PLoS One 2022; 17:e0269503. [PMID: 35658053 PMCID: PMC9165774 DOI: 10.1371/journal.pone.0269503] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2021] [Accepted: 05/22/2022] [Indexed: 11/29/2022] Open
Abstract
Over the past four decades, China’s economy has experienced tremendous economic growth but also a widening urban-rural income gap. Given the dilemma of the urban-rural income gap in China explained by neoclassical equilibrium theory, this paper attempts to provide a new theoretical explanation for the large-income gap between urban and rural areas in China. We select data from 30 provinces(cities) in China over the period from 2006 to 2017 as a sample to investigate whether and how the degree of farmland financial innovation narrows the urban-rural income gap. The results show that the coefficient for farmland financial innovation is significantly negative at the 1% level, signifying that financial innovation can narrow the urban-rural income gap in China. The mediation effect test provides evidence that farmland financial innovation narrows the urban-rural income gap by promoting the permanent migration of the labor force and upgrading the industrial structure. Our results indicate that the government should promote various forms of farmland financial innovation, establish rural property rights transaction system and free farmers from deep farmer-land attachment to realize permanent labor migration.
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Affiliation(s)
- Ting Li
- Department of Economics, Tongling University, Tongling, Anhui, China
| | - Jing-Ya Li
- Department of Economics, Ocean University of China, Qingdao, Shandong, China
- * E-mail:
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Rivest-Beauregard M, Fortin J, Guo C, Cipolletta S, Sapkota RP, Lonergan M, Brunet A. Media Use During the COVID-19 Pandemic: Cross-sectional Study. J Med Internet Res 2022; 24:e33011. [PMID: 3553703 PMCID: PMC9177167 DOI: 10.2196/33011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2021] [Revised: 03/24/2022] [Accepted: 04/18/2022] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Throughout the pandemic, the general population was encouraged to use media to be kept informed about sanitary measures while staying connected with others to obtain social support. However, due to mixed findings in the literature, it is not clear whether media use in such a context would be pathogenic or salutogenic. OBJECTIVE Therefore, the associations between COVID-19-related stressors and frequency of media use for information-seeking on trauma- and stressor-related (TSR) symptoms were examined while also investigating how social media use for support-seeking and peritraumatic distress interact with those variables. METHODS A path model was tested in a sample of 5913 adults who completed an online survey. RESULTS The number of COVID-19-related stressors (β=.25; P<.001) and extent of information-seeking through media (β=.24; P=.006) were significantly associated with the severity of TSR symptoms in bivariate comparisons. Associations between levels of peritraumatic distress and both COVID-19-related stressors and information-seeking through media, and social media use for support- and information-seeking through media were found (βCOVID-19 stressors: Peritraumatic Distress Inventory=.49, P<.001; βseeking information: Peritraumatic Distress Inventory=.70, P<.001; βseeking information-seeking support=.04, P<.001). CONCLUSIONS Results suggest that exposure to COVID-19-related stressors and seeking COVID-19-related information through the media are associated with higher levels of peritraumatic distress that, in turn, lead to higher levels of TSR symptoms. Although exposure to the stress of the COVID-19 pandemic may be unavoidable, the frequency of COVID-19-related information consumption through various media should be approached with caution.
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Affiliation(s)
- Marjolaine Rivest-Beauregard
- Department of Psychiatry, McGill University, Montréal, QC, Canada.,Division of Psychosocial Research, Douglas Mental Health University Institute, Montréal, QC, Canada
| | - Justine Fortin
- Division of Psychosocial Research, Douglas Mental Health University Institute, Montréal, QC, Canada.,Department of Psychology, University of Québec in Montréal, Montréal, QC, Canada
| | - Connie Guo
- Division of Psychosocial Research, Douglas Mental Health University Institute, Montréal, QC, Canada
| | | | - Ram P Sapkota
- Department of Psychiatry, McGill University, Montréal, QC, Canada
| | - Michelle Lonergan
- Division of Psychosocial Research, Douglas Mental Health University Institute, Montréal, QC, Canada.,School of Psychology, University of Ottawa, Ottawa, ON, Canada
| | - Alain Brunet
- Department of Psychiatry, McGill University, Montréal, QC, Canada.,Division of Psychosocial Research, Douglas Mental Health University Institute, Montréal, QC, Canada
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Influences of stereotype threat on the mathematics performance of high school athletes. CURRENT PSYCHOLOGY 2022. [DOI: 10.1007/s12144-020-00870-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Zhou K, Ning F, Wang X, Wang W, Han D, Li X. Perceived social support and coping style as mediators between resilience and health-related quality of life in women newly diagnosed with breast cancer: a cross-sectional study. BMC Womens Health 2022; 22:198. [PMID: 35643446 PMCID: PMC9148478 DOI: 10.1186/s12905-022-01783-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2021] [Accepted: 05/19/2022] [Indexed: 11/16/2022] Open
Abstract
Background Breast cancer may impair health-related quality of life (HRQoL). We examined the mediating roles of perceived social support (PSS) and coping style (CS) in the relationship between resilience and HRQoL in newly diagnosed breast cancer patients. Methods Following a cross-sectional design, 431 patients completed a survey at two hospitals in Shaanxi Province, China. Four validated self-report measures assessed HRQoL, psychological resilience, PSS, and CS. A one-sample t-test analyzed differences between resilience, PSS, and CS in breast cancer patients and the corresponding norm. Multivariate linear regression analyzed the independent predictors of HRQoL. The mediating roles of PSS and CS between resilience and HRQoL were investigated using structural equation modeling (SEM). Results Participants had significantly lower scores for resilience and PSS, and higher scores for the avoidance and resignation CSs than their corresponding norm. SEM analysis showed resilience had significant direct effects on PSS (Bs: 0.59, 95% CI 0.49, 0.68, P = 0.003), CS (confrontation: 0.53 (0.44, 0.62), P = 0.001; resignation: − 0.66 (− 0.74, − 0.57), P = 0.002), and HRQoL (Bs range from 0.44 to 0.63, P < 0.05). Resilience had significant indirect effects (Bs range from 0.09 to 0.27), and PSS and CS had significant direct effects on HRQoL (P < 0.05). Conclusions Newly diagnosed breast cancer patients had lower resilience and PSS, and higher negative CSs, suggesting that PSS and CS mediated the influence of resilience on HRQoL. A multimodal intervention program focusing on PSS and CS might improve the positive influences of resilience on HRQoL in breast cancer patients.
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Affiliation(s)
- Kaina Zhou
- School of Nursing, Xi'an Jiaotong University Health Science Centre, No. 76 Yanta West Road, Xi'an, 710061, Shaanxi, China
| | - Fan Ning
- School of Nursing, Xi'an Jiaotong University Health Science Centre, No. 76 Yanta West Road, Xi'an, 710061, Shaanxi, China
| | - Xiao Wang
- Surgical Breast Cancer Department, The Tumor Hospital of Shaanxi Province, No. 309 Yanta West Road, Xi'an, 710061, Shaanxi, China
| | - Wen Wang
- School of Nursing, Xi'an Jiaotong University Health Science Centre, No. 76 Yanta West Road, Xi'an, 710061, Shaanxi, China
| | - Dongfang Han
- Gynecology Department, The First Affiliated Hospital of Xi'an Jiaotong University, No. 277 Yanta West Road, Xi'an, 710061, Shaanxi, China
| | - Xiaomei Li
- School of Nursing, Xi'an Jiaotong University Health Science Centre, No. 76 Yanta West Road, Xi'an, 710061, Shaanxi, China.
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