Reducing the adverse consequences of workplace aggression and violence: the buffering effects of organizational support

This study examined the buffering effects of 2 types of organizational support--instrumental and informational--on the relationships between workplace violence/aggression and both personal and organizational outcomes. Based on data from 225 employees in a health care setting, a series of moderated multiple regression analyses demonstrated that organizational support moderated the effects of physical violence, vicariously experienced violence, and psychological aggression on emotional well-being, somatic health, and job-related affect, but not on fear of future workplace violence and job neglect. These findings have implications for both research and intervention related to workplace violence.     

Recovery, health, and job performance: effects of weekend experiences

This study extended research on respites by examining the extent to which experiences during the weekend contribute to health and job performance after the weekend. Longitudinal data including 3 measurement occasions from 87 emergency service workers indicated that nonwork hassles, absence of positive work reflection, and low social activity during the weekend predicted burnout and poor general well-being after the weekend. Weekend experiences also predicted different aspects of job performance after the weekend. The results reveal practical implications for individual and organizational optimization of recovery processes. Suggestions for future research on specific recovery processes and their effects on individual health and performance are discussed.     

The impact of perceived calling on work outcomes in a nursing context: The role of career commitment and living one’s calling

The current study examined the impact of perceived calling on nurses’ organizational commitment, organizational citizenship behavior, workplace deviant behavior, and turnover intentions. Moreover, the mediating role of career commitment and the moderating role of living a calling are also investigated. This paper posits a mediated moderation model wherein calling and living a calling interact to predict organizational commitment, organizational citizenship behavior, workplace deviant behavior, and turnover intentions with career commitment mediating the effect of the interaction on the three outcome variables. Data were collected from 294 registered nurses who had worked for a minimum of 6 months in the public or private health care system. Correlation and regression analyses were used to test the proposed hypotheses. Living a calling moderated the effect of calling on career commitment, such that these relations were more robust for nurses with a stronger sense of living a calling. Furthermore, career commitment fully mediated the effect of calling on organizational commitment, organizational citizenship behavior, workplace deviant behavior, and turnover intentions. The indirect effects of career commitment were only significant for nurses with high levels of living a calling. These results imply that possessing a sense of calling brings greater career commitment, which evidently leads to stronger organizational commitment and organizational citizenship behaviors, and lower workplace deviant behavior and turnover intentions. More specifically, nurse's sense of calling could lead to voluntary acts of helping colleagues and participation in organizational activities due to features associated with having a sense of calling, including pro-social intention and other-oriented thoughts. Calling might also decrease turnover intentions and deviant behaviors among nurses. Research about the dynamics of calling in nursing and medical professionals is limited. Recognizing the need, the present research has widened the scope of calling research by investigating the relationships between calling and various work-related variables within Asian nursing context.     

大学生上网行为与总体幸福感、人格、自我和谐的关系

目的探讨大学上网行为与大学生总体幸福感、人格、自我和谐的关系。方法应用总体幸福感量表、艾森克人格量表和自我和谐量表、上网情况调查表对339名学生总体幸福感、人格及自我和谐、上网情况进行测量。结果适度健康使用网络有助于大学生健全人格的发展及幸福感提高。方差分析和回归分析结果表明上网时间不同的3类学生在总体幸福感、人格与自我和谐的发展各有特点。结论对待3类不同的学生应该辩证地认识网络的作用,采取不同的教育措施。     

Psychological well-being and job satisfaction as predictors of job performance

The happy-productive worker hypothesis has most often been examined in organizational research by correlating job satisfaction to performance. Recent research has expanded this to include measures of psychological well-being. However, to date, no field research has provided a comparative test of the relative contribution of job satisfaction and psychological well-being as predictors of employee performance. The authors report 2 field studies that, taken together, provide an opportunity to simultaneously examine the relative contribution of psychological well-being and job satisfaction to job performance. In Study 1, psychological well-being, but not job satisfaction, was predictive of job performance for 47 human services workers. These findings were replicated in Study 2 for 37 juvenile probation officers. These findings are discussed in terms of research on the happy-productive worker hypothesis.     

Race,racism and health: disparities,mechanisms, and interventions

The goals of this special section are to examine the state-of-the-science regarding race/ethnicity and racism as they contribute to health disparities and to articulate a research agenda to guide future research. In the first paper, Myers presents an integrative theoretical framework for understanding how racism, poverty, and other major stressors relate to health through inter-related psychosocial and bio-behavioral pathways. Williams and Mohammed review the evidence concerning associations between racism and health, addressing the multiple levels at which racism can operate and commenting on important methodological issues. Klonoff provides a review and update of the literature concerning ethnicity-related disparities in healthcare, and addresses factors that may contribute to these disparities. Brondolo and colleagues consider racism from a stress and coping perspective, and review the literature concerning racial identity, anger coping, and social support as potential moderators of the racism-health association. Finally, Castro and colleagues describe an ecodevelopmental model that can serve as an integrative framework to examine multi-level social–cultural influences on health and health behavior. In aggregate, the special section papers address theoretical and methodological issues central to understanding the determinants of health disparities, with the aim of providing direction for future research critical to developing effective interventions to reduce these disparities.

感戴的研究现状及展望

目的介绍心理学研究中的1个新领域。方法文献综述法。结果本文对．当前感戴研究的主要领域：感戴与人格的关系，感戴与健康的关系，感戴与幸福感的关系，感戴与宗教的关系以及感戴与亲社会行为的关系分别做了阐述，并对未来研究做出展望。结论感戴的研究依然处于初级阶段，国内研究该给予更多的关注。     

Social support and efficacy cognitions in exercise adherence: A latent growth curve analysis

Although a considerable amount of research has established the beneficial effects of social support on health and well-being, relatively little work has focused on identifying those processes by which social support influences various health promoting behaviors. Various lines of research demonstrate converging evidence which suggests that self-efficacy may operate as one possible mediator linking psychosocial influences to positive health functioning associated with regular habitual exercise. The present study examined the relationships among social support, self-efficacy, and the ongoing exercise behavior of sedentary adults. Latent growth modeling techniques were utilized to determine whether self-efficacy served a mediational role in the influence of social support on exercise behaviors. Findings are discussed with reference to the role of cognitive and behavioral mechanisms in the relationship between supportive functions of social networks and improvements in health and well-being associated with regular exercise.Funding for the study was facilitated by Grant No. AGO7907 from the National Institute on Aging, USPHS, awarded to Edward McAuley. Preparation of this article was supported in part by Grant No. MH 46690 from the Prevention Research Branch, NIMH, USPHS.     

Stress among farm women: a structural model approach

Research on the relationship between job-related stress and well-being has focused largely on organizational work contexts. Using a Dutch sample, we examined stress in a typical family business setting--the family farm--to explore how the farm wife's contribution to farm work is related to her well-being. We used LISREL to test an explanatory model based on the Michigan stress approach. In this model, farm women's farm contributions and their predictors, perceived role and financial stressors, husband support, self-esteem, and mental and physical health complaints were included. The results show that husband support is more important for farm women's well-being than the role-related or financial stressors. The implications of the findings are briefly discussed.     

Commentary: Institutes versus traditional administrative academic health center structures

In the Point-Counterpoint section of this issue, Kastor discusses the pros and cons of a new, institute-based administrative structure that was developed at the Cleveland Clinic in 2008, ostensibly to improve the quality and efficiency of patient care. The real issue underlying this organizational transformation is not whether the institute model is better than the traditional model; instead, the issue is whether the traditional academic health center (AHC) structure is viable or whether it must evolve. The traditional academic model, in which the department and chair retain a great deal of autonomy and authority, and in which decision-making processes are legislative in nature, is too tedious and laborious to effectively compete in today's health care market. The current health care market is demanding greater efficiencies, lower costs, and thus greater integration, as well as more transparency and accountability. Improvements in both quality and efficiency will demand coordination and integration. Focusing on quality and efficiency requires organizational structures that facilitate cohesion and teamwork, and traditional organizational models will not suffice. These new structures must and will replace the loose amalgamation of the traditional AHC to develop the focus and cohesion to address the pressures of an evolving health care system. Because these new structures should lead to more successful clinical enterprises, they will, in fact, support the traditional academic missions of research and education more successfully than traditional organizational models can.     

Psychosomatic medicine: emerging trends and perspectives

Developments have occurred in all aspects of psychosomatic medicine. Among factors affecting individual vulnerability to all types of disease, the following have been highlighted by recent research: recent and early life events, chronic stress and allostatic load, personality, psychological well-being, health attitudes and behavior. As to the interaction between psychological and biological factors in the course and outcome of disease, the presence of psychiatric (DSM-IV) as well as subclinical (Diagnostic Criteria for Psychosomatic Research) symptoms, illness behavior and the impact on quality of life all need to be assessed. The prevention, treatment and rehabilitation of physical illness include the consideration for psychosomatic prevention, the treatment of psychiatric morbidity and abnormal illness behavior and the use of psychotropic drugs in the medically ill. In the past 60 years, psychosomatic medicine has addressed some fundamental questions, contributing to the growth of other related disciplines, such as psychoneuroendocrinology, psychoimmunology, consultation-liaison psychiatry, behavioral medicine, health psychology and quality of life research. Psychosomatic medicine may also provide a comprehensive frame of reference for several current issues of clinical medicine (the phenomenon of somatization, the increasing occurrence of mysterious symptoms, the demand for well-being and quality of life), including its new dialogue with mind-body and alternative medicine.     

Perspective: Organizational professionalism: relevant competencies and behaviors

The professionalism behaviors of physicians have been extensively discussed and defined; however, the professionalism behaviors of health care organizations have not been systemically categorized or described. Defining organizational professionalism is important because the behaviors of a health care organization may substantially impact the behaviors of physicians and others within the organization as well as other institutions and the larger community. In this article, the authors discuss the following competencies of organizational professionalism, derived from ethical values: service, respect, fairness, integrity, accountability, mindfulness, and self-motivation. How nonprofit health care organizations can translate these competencies into behaviors is described. For example, incorporating metrics of population health into assessments of corporate success may increase collaboration among regional health care organizations while also benefiting the community. The unique responsibilities of leadership to model these competencies, promote them in the community, and develop relevant organizational strategies are clarified. These obligations elevate the importance of the executive leadership's capacity for self-reflection and the governing boards' responsibility for mapping operational activities to organizational mission. Lastly, the authors consider how medical organizations are currently addressing professionalism challenges. In an environment made turbulent by regulatory change and financial constraints, achieving proficiency in professionalism competencies can assist nonprofit health care organizations to promote population health and the well-being of their workforces.     

Morality,Responsibility and Risk: The Importance of Alternative Perspectives in Vaccination Research

Background

The four papers presented in this special section together provide a striking example of the importance of eliciting people’s understandings and meanings of vaccinations, from parents and children to health and medical professionals.

Purpose

This commentary reflects on the findings of the papers in this special section and considers them within a broader sociocultural view on vaccination research.

Methods

The four papers in the special section were integrated with previous research and scholarship on public health and vaccinations.

Results

The studies demonstrate how both uptake of vaccinations and their meanings vary by cultural context, most notably across Eastern and Western Europe, and the fundamental role that political, economic and healthcare systems play. Nevertheless, there are many similarities across seemingly diverse contexts. Three specific tensions are apparent across the findings (and within other vaccination research). These tensions revolve around (1) responsible citizen versus responsible individual, (2) scientific knowledge versus lay understandings and (3) uncertainty and risk versus certainty and trust.

Conclusion

Threaded through these tensions are discourses around citizenship, trust, morality, gender and power that are important to consider in research on vaccinations.     

Introduction to the special section on suicide and nonsuicidal self-injury: a review of unique challenges and important directions for self-injury science

Self-injurious behaviors, including nonsuicidal self-injury (NSSI) and suicidal behaviors, are remarkably prevalent and woefully understudied. This area of research involves numerous methodological, ethical, and practical challenges that have limited progress in understanding some of the most basic characteristics and correlates of self-injurious behavior. To date, relatively little data are available to develop empirically based preventions or interventions, and no empirically supported treatments currently are available to reduce NSSI or suicidality in most populations. The articles in this special section offer examples of methodologically innovative, theoretically based work that address these research needs. Articles in this special section include studies of functional models of NSSI, studies that examine more distal risk factors for NSSI, and studies of suicidality. A brief review of current research in these areas is offered.     

Health benefits: Meta-analytically determining the impact of well-being on objective health outcomes

Abstract

This research synthesis integrates findings from 150 experimental, ambulatory and longitudinal studies that tested the impact of well-being on objective health outcomes. Results demonstrated that well-being positively impacts health outcomes (r=0.14). Well-being was found to be positively related to short-term health outcomes (r=0.15), long-term health outcomes (r=0.11), and disease or symptom control (r=0.13). Results from the experimental studies demonstrated that inductions of well-being lead to healthy functioning, and inductions of ill-being lead to compromised health at similar magnitudes. Thus, the effect of subjective well-being on health is not solely due to ill-being having a detrimental impact on health, but also to well-being having a salutary impact on health. Additionally, the impact of well-being on improving health was stronger for immune system response and pain tolerance, whereas well-being was not significantly related to increases in cardiovascular and physiological reactivity. These findings point to potential biological pathways, such that well-being can directly bolster immune functioning and buffer the impact of stress.     

Editorial: Journal of Pediatric Psychology statement of purpose: section on single-subject studies

OBJECTIVE: The purpose of this editorial is to introduce a new special section on single-subject designs that is designed to encourage the submission of papers to the Journal of Pediatric Psychology that utilizes single-subject methodology to investigate the efficacy of treatments for improving the health, mental health, and quality of life for children and adolescents. METHODS: and Results We review the case for using single subject designs in pediatric psychology research and provide examples from the literature of the three most commonly used designs: the reversal or withdrawal, multiple baseline, and changing criterion. We also describe limitations of single subject designs. CONCLUSIONS: We hope this new special section will re-ignite enthusiasm among clinicians and researchers for using single subject designs to advance our field, provide pilot data for larger trials, and/or further document the efficacy of psychological and medical interventions with various populations.     

Social modulation of stress responses

Social interactions can profoundly affect the hypothalamic-pituitary-adrenal (HPA) axis. Although most research on social modulation of glucocorticoid concentrations has focused on the consequences of exposure to stressful social stimuli, there is a growing body of literature which suggests that social support in humans and affiliative behaviors in some animals can provide a buffer against stress and have a positive impact on measures of health and well-being. This review will compare HPA axis activity among individuals for whom social relationships are maintained through aggressive displays, such as dominance hierarchies, vs. individuals engaging in high levels of prosocial behavior. We also will examine oxytocin, a neuropeptide that is well known for promoting social behavior, as the physiological link between positive social interactions and suppression of the HPA axis. Despite many examples of social interaction modulating the HPA axis and improving health outcomes, there is relatively little known regarding the underlying mechanisms through which social behavior can provide a buffer against stress-related disease.     

Illness centrality and well-being among male and female early adolescents with diabetes

OBJECTIVE: We examined the implications of illness centrality for psychological and physical health among male and female early adolescents with type 1 diabetes. METHODS: We interviewed 132 adolescents before or after a routine clinic appointment. We measured the extent to which they defined themselves in terms of their illness, their views of the illness, psychological well-being, self-care behavior, and metabolic control. RESULTS: Females scored higher on illness centrality than males. Illness centrality was related to poor psychological well-being when the illness was perceived in negative terms, but only for females. For males, illness centrality was unrelated to psychological well-being. Illness centrality was related to poor metabolic control. CONCLUSIONS: The extent to which adolescent females define themselves in terms of their illness is most problematic when the illness is perceived in highly negative terms. Future research should examine how illness centrality and views of illness change over the course of adolescence.     

Comprehensive health promotion interventions at the workplace: experiences with health circles in Germany

Health circles, the central element of a comprehensive health promotion approach that has been developed in Germany in recent years, emphasize organizational and psychosocial factors while actively involving employees in the process. Through an extensive review the authors identified 11 studies, presenting the results of 81 health circles. The scientific quality of the data is limited: only 3 studies used (nonrandomized) control groups, whereas the remaining studies are based on retrospective before-and-after comparison. Nonetheless, the available data suggest that health circles are an effective tool for the improvement of physical and psychosocial working conditions and have a favorable effect on workers' health, well-being, and sickness absence. More rigorous studies are needed to confirm these results.     

The disconnected values model improves mental well-being and fitness in an employee wellness program

This study examined the effect of a 10-week wellness program on changes in physical fitness and mental well-being. The conceptual framework for this study was the Disconnected Values Model (DVM). According to the DVM, detecting the inconsistencies between negative habits and values (e.g., health, family, faith, character) and concluding that these "disconnects" are unacceptable promotes the need for health behavior change. Participants were 164 full-time employees at a university in the southeastern U.S. The program included fitness coaching and a 90-minute orientation based on the DVM. Multivariate Mixed Model analyses indicated significantly improved scores from pre- to post-intervention on selected measures of physical fitness and mental well-being. The results suggest that the Disconnected Values Model provides an effective cognitive-behavioral approach to generating health behavior change in a 10-week workplace wellness program.