The coronavirus disease 2019 (COVID-19, i.e., C-19) pandemic promulgated psychological distress among employees across the United States, necessitating the examination of its consequential negative impact. By drawing upon conservation of resource and scarcity theory, this research develops a theoretical model that demonstrates how employees’ psychological distress triggered by the C-19 pandemic (C-19PD) sways their task performance, organizational citizenship behavior (OCB), and work withdrawal via work engagement. As first-stage moderators, I propose core self-evaluations (CSE), servant leadership, and perceived organizational support (POS) as moderators of the link between C-19PD and work engagement. As second-stage moderators, I propose task interdependence, constraints, and telecommuting intensity as moderators of the link between work engagement and task performance, OCB, and work withdrawal. An individual-level survey study was designed to gather a data set of 275 currently employed workers from four public universities in the U.S., and the mediation hypotheses were supported. However, the moderating effects of CSE, servant leadership, and POS (i.e., first stage moderators) and task interdependence, constraints, and telecommuting intensity (i.e., second stage moderators) were not supported. Implications for theory, limitations, future research directions, and practical applications are discussed.

Study objectives: To study the epidemiologic and clinical features of blastomycosis in northeast Tennessee. Design: Retrospective review of blastomycosis cases in the region from 1980 through 1995. Setting: Hospitals located in the Tri-Cities region of northeast Tennessee. Patients: Seventy- two patients with confirmed blastomycosis infection. Interventions: None. Results: During the 1980 to 1995 study period, we documented 72 cases of blastomycosis. The mean age was 52 years (range, 13 to 86 years), most were male (69.4%), and nine were immunocompromised. A possible environmental exposure was noted for 28 patients. Pulmonary involvement represented the most common site of infection (61 cases), but multiorgan involvement was common (17 cases). Most patients with pulmonary blastomycosis (66%) presented with a chronic illness, and radiologic findings usually revealed local consolidation or a mass-like lesion. Nine patients developed ARDS with an associated mortality rate of 89%, compared with a 10% mortality for non-ARDS pulmonary cases. Antifungal treatment regimens varied widely, with amphotericin B often used for sicker patients. An epidemiologic evaluation revealed that the mean yearly incidence rate for blastomycosis quadrupled between 1980 and 1987 (0.31 cases/100,000 population) and 1988 to 1995 (1.23 cases/100,000 population) (p=0.00001). Most new blastomycosis cases in the 1988 to 1995 period occurred in three counties in the region where significant new construction projects have been underway. Conclusion: Blastomycosis is endemic in northeast Tennessee and the number of eases is increasing, coinciding with major new construction in the region. Clinicians in the area must be alert to this condition.

No description available.

We analyze data from the South African Stress and Health Study, a nationally representative in-person psychiatric epidemiologic survey of 4,351 adults conducted as part of the World Mental Health Survey Initiative between January 2002 and June 2004. All blacks (Africans, Coloreds, and Indians) initially report higher levels of non-specific distress and anger/hostility than whites. Access to socioeconomic resources helps explain differences in non-specific distress between Coloreds and whites and Indians and whites. However, only when social stressors are considered do we find few differences in psychological distress (i.e., non-specific distress and anger/hostility) between Africans and whites. In addition, self-esteem and mastery have independent effects on non-specific distress and anger/hostility, but differences between Coloreds and whites in feelings of anger/hostility are not completely explained by self-esteem and mastery. The findings contribute to the international body of work on social stress theory, challenge underlying assumptions of the minority status perspective, and raise a series of questions regarding mental health disparities among South Africans.

Using nationally representative data from South Africa, we examine lifetime prevalence of traumas and multiple traumas (number of events). Employing multiple regression analysis, the authors study the sociodemographic risk of trauma, and the association between trauma and distress. Results indicate most South Africans experience at least one traumatic event during their lives, with the majority reporting multiple. Consistent variation in risk is evident for gender and marital status, but not other sociodemographics. Trauma is positively related to high distress, and findings also support a cumulative effect of trauma exposure. Individuals with the most traumas (6+) appear at 5 times greater risk of high distress. This study highlights the importance of considering traumatic events in the context of other traumas in South Africa.

Sexual minority individuals (lesbians, gay men, and bisexuals) suffer from stigmatization, or minority stress, which often predicts negative mental health outcomes and low self-esteem. However, specific dimensions of identity (e.g., centrality and regard) may buffer against these negative outcomes in racial minorities and other stigmatized groups, including sexual minorities. Indeed, research in other stigmatized populations has found evidence for the protective properties of identity. Yet, limited research has examined dimensions of identity that buffer or protect sexual minorities. This study aimed to explore the moderating role of identity characteristics in the relation between sexual stigma and mental health outcomes. Findings in a sample of 209 gay, lesbian, and bisexual individuals suggested that public stigma, centrality, and private regard predict psychological distress, but did not support a moderation model. Private regard emerged as a predictor of self-esteem as well. Additionally, centrality and public stigma interacted in such a way that those who reported higher centrality of sexual orientation identity did not report decrements to self-esteem in the face of public stigma to the same extent as those who reported lower centrality of sexual orientation identity. All of these suggest centrality and private regard as key factors in the psychological well-being of sexual minorities and should further be explored.

Sexual minority individuals (lesbians, gay men, and bisexuals) suffer from stigmatization, or minority stress, which often predicts negative mental health outcomes and low self-esteem. However, specific dimensions of identity (e.g., centrality and regard) may buffer against these negative outcomes in racial minorities and other stigmatized groups, including sexual minorities. Indeed, research in other stigmatized populations has found evidence for the protective properties of identity. Yet, limited research has examined dimensions of identity that buffer or protect sexual minorities. This study aimed to explore the moderating role of identity characteristics in the relation between sexual stigma and mental health outcomes. Findings in a sample of 209 gay, lesbian, and bisexual individuals suggested that public stigma, centrality, and private regard predict psychological distress, but did not support a moderation model. Private regard emerged as a predictor of self-esteem as well. Additionally, centrality and public stigma interacted in such a way that those who reported higher centrality of sexual orientation identity did not report decrements to self-esteem in the face of public stigma to the same extent as those who reported lower centrality of sexual orientation identity. All of these suggest centrality and private regard as key factors in the psychological well-being of sexual minorities and should further be explored.

The vastness of the universe (i.e., cosmic vastness) can evoke polarizing existential experiences. Some people report elevating experience, such as awe, elevation, and self-transcendence, whereas others experience existential distress, such as feeling insignificant, powerless, and vulnerable. The purpose of this thesis was to examine three main research questions: 1) How do people react to the vastness of the universe? 2) What is it about witnessing cosmic vastness (i.e., mediators) that elicits polarizing experiences? 3) What is it about a person and their individual traits (i.e., moderators) that causes people to react differently? Two studies were conducted to investigate these questions. Study 1 was a primarily qualitative in-lab study where participants watched one of two videos depicting the vastness of the universe. Participants answered open-ended questions about their experiences, along with some preliminary quantitative questions, and these responses were used to inform what experiences were measured in Study 2. Study 2 was an online quantitative experiment in which a cosmic vastness video was compared to two other videos (Earth nature vastness and neutral control). Study 2 also examined mediators and moderators that explain the relationship between witnessing cosmic vastness and both elevating experience and existential distress. Both studies found that facing cosmic vastness can elicit positive and negative experiences. Study 1 found that most participants reported positive (93%) and negative experiences (68%), including a substantial degree of elevating experience (58%) and existential distress (46%). Study 1 also found several cognitive responses that were good candidates to be mediators in Study 2, including small self, need for accommodation, experience of the unknown, and existential contemplation. Study 2 showed that a cosmic vastness condition elicited greater levels of elevating experience than the neutral control condition and greater levels of existential distress than both the neutral control and Earth nature vastness conditions. Results from both studies also found significant polarization in participants responses, such that half of the participants reported more elevating experience, and half of participants reported more existential distress. Mediation analyses in Study 2 demonstrated that the four cognitive responses each mediated the positive relationship between witnessing cosmic vastness and both elevating experience and existential distress. Furthermore, moderation analyses revealed that self-esteem moderated the relationship between witnessing cosmic vastness and elevating experience, whereas both self-esteem and meaning in life moderated the relationship between cosmic vastness and existential distress. This research provided unique contributions to literature on how people react to vast stimuli that has the capacity to be existentially threatening. Further implications of these results are discussed, as well as how these results may generalize to other areas of research.

The current study utilized data from a federally-funded healthy marriage grant to examine pre, post, and three-to-six month follow-up changes in relationship satisfaction (as measured by the Dyadic Adjustment Scale total scores) and individual distress (as measured by the Outcomes Questionnaire 45.2). Additionally, the study evaluated income and dosage as predictors of relationship satisfaction and individual distress change at post-assessment and three-to-six month follow-up. Participants included 220 married individuals with children who completed PREP 7.0 (Prevention Relationship Enhancement Program). A repeated measures, split plot, MANOVA indicated statistically significant improvements in relationship satisfaction and individual distress for participants at post-assessment and three-to-six month follow-up. No significant differences existed in relationship satisfaction and individual distress changes between men and women. Hierarchical multiple regression indicated combined monthly income and dosage (as measured by number of lessons attended) did not predict changes in relationship satisfaction and individual distress at post-assessment and three-to-six month follow-up. However, partner scores accounted for the largest percent of variance in relationship satisfaction change. Discussion of results, implications for research and practice, and study limitations are provided.

The Emergency Department (ED) as a workplace for the Registered Nurse (RN) is a stressful environment. Reasons are thought to include interactions with other members of the interdisciplinary team as well as the situations associated with the environment of the ED such as trauma, death, sadness, joy and the general unpredictability of each moment. Studies have documented general health care workplace stress and its influence on staff, but a very limited number of studies have concentrated on the ED. No widely published studies have identified stressors from the perspective of the ED RN. This dissertation is an interpretive phenomenological study that seeks to understand the experience of being an ED RN through the exploration of the perceptions of stress as lived by individuals who practice their art and science in this unique setting. Materials for evaluation and thematic identification were obtained through personal interviews of practicing nurses. The stories told by the participants communicated what each individual found to be negatively stressful as well as what each found to be positively stressful. Conclusions based on the findings of this work suggest a need for the ED RN to be able to depend on the presence of several factors in order to be able to function with as little distress as possible. The optimal ED environment for the RN is posited to be supportive of the individual goals of the RN, provide adequate resources and foster a communicative interdisciplinary environment. Recommendations are made to improve resource management and interdisciplinary relations