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Posttraumatic stress disorder and psychophysiological reactivity in female assault survivors: testing the moderating effects of internalizing and externalizing latent dimensions of psychopathologyOrazem, Robert J. 23 September 2015 (has links)
This study examined individual variability in the strength of association between psychophysiological reactivity to trauma cues and clinician-rated PTSD symptoms in a sample of female survivors of sexual and non-sexual assault. PTSD is a heterogeneous disorder, and individual differences in symptom presentation and accompanying comorbidities may be accounted for by internalizing and externalizing latent temperament-based dimensions of psychopathology. The present study proposed that these dimensions may also account for heterogeneity in the association between psychophysiological reactivity and PTSD. Prior research has demonstrated that most individuals with PTSD display elevated psychophysiological reactivity when exposed to trauma reminders, although some do not. As well, research has shown that externalizing pathologies are typically associated with diminished psychophysiological reactivity to aversive cues whereas internalizing pathologies are associated with elevated psychophysiological reactivity. This study therefore employed structural equation modeling to test hypotheses that externalizing and internalizing pathologies would display mitigating and enhancing moderator effects, respectively, on the prediction of PTSD by psychophysiological reactivity. To that end, confirmatory factor analysis first established a viable internalizing and externalizing model based on an array of clinical measures in one participant subgroup (n = 329) and then affirmed the reliability of the model in a second subgroup (n = 245). Structural equation modeling in the latter subgroup, in which PTSD was regressed on Internalizing, Externalizing, and Psychophysiological Reactivity factors as well as Internalizing by Psychophysiological Reactivity and Externalizing by Psychophysiological Reactivity moderator terms, revealed a significant moderator effect for externalizing but not internalizing pathology. However, the nature of the externalizing moderator effect differed from the hypothesized direction, with higher levels of externalizing pathology strengthening the association between PTSD and psychophysiological reactivity rather than weakening it. It therefore appears that variability in the association between PTSD and psychophysiological reactivity may be partially accounted for by individual differences in the externalizing dimension of psychopathology. As well, the psychophysiology of the externalizing dimension may also be marked by heterogeneity, with externalizing pathology being linked with increased rather than decreased psychophysiological reactivity among women who have experienced sexual or non-sexual assault.
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Occupational stress, coping, burnout and work engagement of emergency workers in Gautenge / Johannes Lodewikus Pretorius Naudé.Naudé, Johannes Lodewikus Pretorius January 2003 (has links)
Emergency work is considered to be one of the most demanding occupations with significant
social, physical and psychological consequences for the well-being of the emergency worker.
Burnout, as well as its antithesis, work engagement, are two possible transactional outcomes
impacting on the well-being of the emergency worker. Measurement of burnout and work
engagement requires valid, reliable and culturally fair measuring instruments. However,
research on burnout and work engagement in South Africa are characterised by poorly
designed studies, a lack of sophisticated statistical analyses and poorly controlled studies.
Furthermore, research paucity in terms of burnout and work engagement seems to prevail in
the multicultural South African emergency worker context.
A lack of norms for the Maslach Burnout Inventory – Human Services Survey (MBI-HSS),
as well as the Utrecht Work Engagement Scale (UWES) makes the identification of burnout
and engagement in the emergency services difficult. Consequently, investigating the
reliability, validity, equivalence and bias would result in the standardisation of the MBI-HSS
and the UWES, suitable for use in the multicultural emergency work setting. Amongst the
factors that could play a role in the prevalence of burnout and work engagement are stress
because of the demands of a job, a lack of job resources, as well as dispositional variables
such as affect and situational variables, such as coping strategies. The operationalisation of
occupational stress for emergency workers as well as information in terms of the
standardisation of measurement of coping strategies for emergency workers in the South
African context are lacking in the literature.
The objectives of this research were to standardise the MBI-HSS, UWES and Coping
Orientation to Problems Experienced (COPE) and to develop a valid and reliable
occupational stress measure for emergency workers in South Africa. Another objective of the
current study was to develop and test a causal model of burnout and work engagement of
emergency workers, including occupational stress, coping strategies and affect. Finally,
moderating effects of coping strategies and affect with regards to burnout and work
engagement were tested for.
The research method was by means of five separate articles, each consisting of a brief
literature overview and an empirical study. A cross-sectional survey design was used. An
accidental sample of emergency workers in Gauteng (N = 405) was used. The MBI-HSS,
UWES, Emergency Worker Stress Inventory (EWSI), COPE, Affectometer 2 (AFM) and a
biographical questionnaire were administered. Descriptive statistics, analysis of variance,
correlations, principal component factor extraction, exploratory factor analysis with target
rotations, canonical analysis, multiple regression analysis and structural equation modelling
were used.
Structural equation modelling confirmed 3-factor models of burnout (Emotional Exhaustion,
Depersonalisation and Personal Accomplishment) as well as work engagement (Vigour, Dedication and Absorption). Internal consistency for the MBI-HSS and UWES was confirmed. Construct inequivalence was found for the Nguni group but not for the Afrikaans, English and Sotho groups. Item bias analysis revealed evidence of both uniform and no uniform bias for some items of the MBI-HSS, while no uniform bias was found for the UWES. In terms of the EWSI, a 3-factor structure was obtained by means of principal factor extraction with varimax rotation, namely lack of resources, job demands and inherent emergency work stressors. Principal factor extraction on the COPE revealed four factors, namely problem-focused coping, seeking social support, passive coping and turning to religion. Both the EWSI and COPE were found to be internally consistent. Construct
equivalence was obtained for the Afrikaans, English and Sotho groups, but not for the Nguni group. Evidence of uniform bias was found for the EWSI, whereas no uniform bias was found for the COPE.
Structural equation analysis showed that the lack of resources predicted the core of burnout, namely emotional exhaustion and depersonalisation. Problem-focused coping predicted personal accomplishment, while positive affect predicted emotional exhaustion. Work engagement was related to low burnout scores. Depersonalisation was associated with work engagement. Recommendations for the organisation and future research were made. / Thesis (Ph.D. (Industrial Psychology))--Potchefstroom University for Christian Higher Education, 2003.
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Occupational stress, coping, burnout and work engagement of emergency workers in Gautenge / Johannes Lodewikus Pretorius Naudé.Naudé, Johannes Lodewikus Pretorius January 2003 (has links)
Emergency work is considered to be one of the most demanding occupations with significant
social, physical and psychological consequences for the well-being of the emergency worker.
Burnout, as well as its antithesis, work engagement, are two possible transactional outcomes
impacting on the well-being of the emergency worker. Measurement of burnout and work
engagement requires valid, reliable and culturally fair measuring instruments. However,
research on burnout and work engagement in South Africa are characterised by poorly
designed studies, a lack of sophisticated statistical analyses and poorly controlled studies.
Furthermore, research paucity in terms of burnout and work engagement seems to prevail in
the multicultural South African emergency worker context.
A lack of norms for the Maslach Burnout Inventory – Human Services Survey (MBI-HSS),
as well as the Utrecht Work Engagement Scale (UWES) makes the identification of burnout
and engagement in the emergency services difficult. Consequently, investigating the
reliability, validity, equivalence and bias would result in the standardisation of the MBI-HSS
and the UWES, suitable for use in the multicultural emergency work setting. Amongst the
factors that could play a role in the prevalence of burnout and work engagement are stress
because of the demands of a job, a lack of job resources, as well as dispositional variables
such as affect and situational variables, such as coping strategies. The operationalisation of
occupational stress for emergency workers as well as information in terms of the
standardisation of measurement of coping strategies for emergency workers in the South
African context are lacking in the literature.
The objectives of this research were to standardise the MBI-HSS, UWES and Coping
Orientation to Problems Experienced (COPE) and to develop a valid and reliable
occupational stress measure for emergency workers in South Africa. Another objective of the
current study was to develop and test a causal model of burnout and work engagement of
emergency workers, including occupational stress, coping strategies and affect. Finally,
moderating effects of coping strategies and affect with regards to burnout and work
engagement were tested for.
The research method was by means of five separate articles, each consisting of a brief
literature overview and an empirical study. A cross-sectional survey design was used. An
accidental sample of emergency workers in Gauteng (N = 405) was used. The MBI-HSS,
UWES, Emergency Worker Stress Inventory (EWSI), COPE, Affectometer 2 (AFM) and a
biographical questionnaire were administered. Descriptive statistics, analysis of variance,
correlations, principal component factor extraction, exploratory factor analysis with target
rotations, canonical analysis, multiple regression analysis and structural equation modelling
were used.
Structural equation modelling confirmed 3-factor models of burnout (Emotional Exhaustion,
Depersonalisation and Personal Accomplishment) as well as work engagement (Vigour, Dedication and Absorption). Internal consistency for the MBI-HSS and UWES was confirmed. Construct inequivalence was found for the Nguni group but not for the Afrikaans, English and Sotho groups. Item bias analysis revealed evidence of both uniform and no uniform bias for some items of the MBI-HSS, while no uniform bias was found for the UWES. In terms of the EWSI, a 3-factor structure was obtained by means of principal factor extraction with varimax rotation, namely lack of resources, job demands and inherent emergency work stressors. Principal factor extraction on the COPE revealed four factors, namely problem-focused coping, seeking social support, passive coping and turning to religion. Both the EWSI and COPE were found to be internally consistent. Construct
equivalence was obtained for the Afrikaans, English and Sotho groups, but not for the Nguni group. Evidence of uniform bias was found for the EWSI, whereas no uniform bias was found for the COPE.
Structural equation analysis showed that the lack of resources predicted the core of burnout, namely emotional exhaustion and depersonalisation. Problem-focused coping predicted personal accomplishment, while positive affect predicted emotional exhaustion. Work engagement was related to low burnout scores. Depersonalisation was associated with work engagement. Recommendations for the organisation and future research were made. / Thesis (Ph.D. (Industrial Psychology))--Potchefstroom University for Christian Higher Education, 2003.
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Relationships between Job Variables: The Moderating Effects of Support and the Mediating Effects of Job Satisfaction, Affective Commitment and Continuance Commitment in the Support Worker IndustryBotha, Hanlie January 2007 (has links)
The factors associated with employees' work related attitudes and cognitions were examined. A sample of employees from Community Living Trust (CLT), an organisation within the disability support worker industry, completed a questionnaire that included several measures: supervisor and colleague support, role conflict, role ambiguity and role overload, time-based, strain-based and behaviour-based work-to-family/family-to-work conflict, organisational commitment, job satisfaction and turnover intentions. The purpose of this study was to explore the extent to which supervisor and colleague support contributed to a reduction in role conflict, role ambiguity and role overload. In addition, the relationship between support and work-to-family/family-to-work conflict were also explored. Finally, the organisational outcomes, in particular organisational commitment, job satisfaction and turnover intentions, were examined. It was found that supervisor and colleague support did, in some cases, moderated the relationship between role stressors, conflict and job satisfaction / organisational commitment. It was also found that job satisfaction and affective commitment mediated the relationship between the role stressors, WF strain-based conflict and turnover intentions. The major implications from this research are that human resource initiatives should be developed that aims to identify the support needs employees may have, in order to increase levels of job satisfaction and organisational commitment and decrease levels of turnover intentions. The final chapter of this research explored the practical implications to the organisation, employees and the need for future research.
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Behavior change techniques for increasing physical activity in cancer survivors: a systematic review and meta-analysis of randomized controlled trialsFinne, Emily, Glausch, Melanie, Exner, Anne-Kathrin, Sauzet, Odile, Stölzel, Friederike, Seidel, Nadja 26 April 2019 (has links)
Purpose: The purpose of this systematic review and meta-analysis is to investigate how physical activity (PA) can be effectively promoted in cancer survivors. The effect of PA-promoting interventions in general, behavior change techniques (BCTs), and further variables as moderators in particular are evaluated.
Methods: This study included randomized controlled trials of lifestyle interventions aiming at an increase in PA that can be carried out independently at home, published by December 2016, for adults diagnosed with cancer after completion of the main treatment. Primary outcomes were subjective and objective measures of PA prior to and immediately after the intervention. Meta-analysis and meta-regression were used to estimate effect sizes (ES) in terms of standardized mean differences, variation between ES in terms of heterogeneity indices (I2), and moderator effects in terms of regression coefficients.
Results: This study included 30 studies containing 45 ES with an overall significant small positive effect size of 0.28 (95% confidence interval=0.18–0.37) on PA, and I2=54.29%. The BCTs Prompts, Reduce prompts, Graded tasks, Non-specific reward, and Social reward were significantly related to larger effects, while Information about health consequences and Information about emotional consequences, as well as Social comparison were related to smaller ES. The number of BCTs per intervention did not predict PA effects. Interventions based on the Theory of Planned Behavior were associated with smaller ES, and interventions with a home-based setting component were associated with larger ES. Neither the duration of the intervention nor the methodological quality explained differences in ES.
Conclusion: Certain BCTs were associated with an increase of PA in cancer survivors. Interventions relying on BCTs congruent with (social) learning theory such as using prompts and rewards could be especially successful in this target group. However, large parts of between-study heterogeneity in ES remained unexplained. Further primary studies should directly compare specific BCTs and their combinations.
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Work-related wellness of information technology professionals in South Africa / C. WestermanWesterman, Christelle January 2005 (has links)
Thesis (Ph.D. (Industrial Psychology))--North-West University, Vaal Triangle Campus, 2006.
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Work-related wellness of information technology professionals in South Africa / C. WestermanWesterman, Christelle January 2005 (has links)
The information technology industry is considered to be one of the most demanding industries, with significant social, physical and psychological consequences for the wellbeing of the information technology professional. Work wellness and general psychological well-being plays an important role in the well-being of the information technology professional. The measurement of work-related wellness requires valid, reliable and culturally fair measuring instruments. However research on work wellness and occupational well-being in South Africa is lacking, especially in the information technology context. A lack of norms for work-related wellness in South Africa makes the identification of work-related wellness in the information technology industry difficult. Consequently, investigating the reliability, validity, equivalence and bias of work-related well-being measuring instruments would result in the standardisation of work wellness (consisting of burnout and engagement) and occupational well-being, suitable for use in the multicultural information technology industry setting. Moreover, the operationalisation of work wellness, as well as an inclusive model regarding the work-related wellness of information technology professionals that includes work wellness and occupational wellbeing are lacking in the South African literature. The objectives of this research were to standardise the measurement of work wellness for information technology professionals in South Africa, to develop and test a model of occupational well-being for information technology professionals in South Africa, to develop and test a comprehensive model of work-related wellness for information technology professionals in South Africa (consisting of work wellness and occupational well-being), and to test for moderating effects of affectivity in the experience of mark related well-being of information technology professionals in South Africa. The research consists of three separate articles, each consisting of a brief literature overview and an empirical study. A cross-sectional survey design with a snowball sample (n = 214) of information technology professionals in South Africa was used. Adapted versions of the Maslach Burnout Inventory - General Survey (MBI-GS) and Gtrecht Work Engagement Scale (UWES), as well as the Satisfaction with Life Scale (SWLS), Affectometer 2 (AFM-2), Life Orientation Test - Revised (LOT-R), Organisational Commitment Questionnaire (OC-Q), Information Technology Job Characteristics Inventory (ITJCI), as well as the Health scale of the Organisational Screening Evaluation Tool (ASSET) and a biographical questionnaire were used. Descriptive statistics, analysis of variance, correlations, exploratory factor analysis and structural equation modeling were used.
Exploratory factor analysis confirmed a two-factor model for the MBI-GS consisting of
a combined Burnout factor and Professional Efficacy, while a one-factor model was found for the UWES, namely Engagement, with acceptable internal consistencies.
Exploratory second-order factor analysis confirmed a two-factor, culturally fair model of work wellness for information technology professionals in South Africa, consisting of burnout and work engagement. Item bias analysis revealed no evidence of bias for the
MBI-GS, while uniform bias was found for two items (Items 7 and 12) of the UWES.
Construct equivalence in terms of work wellness was obtained for the different language groups in the sample. The results confirmed a four-factor model of occupational well-being for information technology professionals in South Africa, namely negative and positive work wellness, organisational commitment and general psychological well-being. The model of occupational well-being was found to be equivalent across language groups, except for general psychological well-being, which seemed to differ for the non-mother-tongue English language speakers. In terms of work-related wellness, a model consisting of work wellness and occupational well-being was constructed and uccessfully tested. Structural equation analysis confirmed main effects for negative affectivity in terms of burnout and engagement, while main effects were confirmed for burnout, ill-health and engagement in terms of positive affectivity. Interaction effects for affectivity were not confirmed in the model of work-related wellness of information technology professionals in South Africa. Recommendations for the organisation and future research were made / Thesis (Ph.D. (Industrial Psychology))--North-West University, Vaal Triangle Campus, 2006.
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Work-related wellness of information technology professionals in South Africa / C. WestermanWesterman, Christelle January 2005 (has links)
The information technology industry is considered to be one of the most demanding industries, with significant social, physical and psychological consequences for the wellbeing of the information technology professional. Work wellness and general psychological well-being plays an important role in the well-being of the information technology professional. The measurement of work-related wellness requires valid, reliable and culturally fair measuring instruments. However research on work wellness and occupational well-being in South Africa is lacking, especially in the information technology context. A lack of norms for work-related wellness in South Africa makes the identification of work-related wellness in the information technology industry difficult. Consequently, investigating the reliability, validity, equivalence and bias of work-related well-being measuring instruments would result in the standardisation of work wellness (consisting of burnout and engagement) and occupational well-being, suitable for use in the multicultural information technology industry setting. Moreover, the operationalisation of work wellness, as well as an inclusive model regarding the work-related wellness of information technology professionals that includes work wellness and occupational wellbeing are lacking in the South African literature. The objectives of this research were to standardise the measurement of work wellness for information technology professionals in South Africa, to develop and test a model of occupational well-being for information technology professionals in South Africa, to develop and test a comprehensive model of work-related wellness for information technology professionals in South Africa (consisting of work wellness and occupational well-being), and to test for moderating effects of affectivity in the experience of mark related well-being of information technology professionals in South Africa. The research consists of three separate articles, each consisting of a brief literature overview and an empirical study. A cross-sectional survey design with a snowball sample (n = 214) of information technology professionals in South Africa was used. Adapted versions of the Maslach Burnout Inventory - General Survey (MBI-GS) and Gtrecht Work Engagement Scale (UWES), as well as the Satisfaction with Life Scale (SWLS), Affectometer 2 (AFM-2), Life Orientation Test - Revised (LOT-R), Organisational Commitment Questionnaire (OC-Q), Information Technology Job Characteristics Inventory (ITJCI), as well as the Health scale of the Organisational Screening Evaluation Tool (ASSET) and a biographical questionnaire were used. Descriptive statistics, analysis of variance, correlations, exploratory factor analysis and structural equation modeling were used.
Exploratory factor analysis confirmed a two-factor model for the MBI-GS consisting of
a combined Burnout factor and Professional Efficacy, while a one-factor model was found for the UWES, namely Engagement, with acceptable internal consistencies.
Exploratory second-order factor analysis confirmed a two-factor, culturally fair model of work wellness for information technology professionals in South Africa, consisting of burnout and work engagement. Item bias analysis revealed no evidence of bias for the
MBI-GS, while uniform bias was found for two items (Items 7 and 12) of the UWES.
Construct equivalence in terms of work wellness was obtained for the different language groups in the sample. The results confirmed a four-factor model of occupational well-being for information technology professionals in South Africa, namely negative and positive work wellness, organisational commitment and general psychological well-being. The model of occupational well-being was found to be equivalent across language groups, except for general psychological well-being, which seemed to differ for the non-mother-tongue English language speakers. In terms of work-related wellness, a model consisting of work wellness and occupational well-being was constructed and uccessfully tested. Structural equation analysis confirmed main effects for negative affectivity in terms of burnout and engagement, while main effects were confirmed for burnout, ill-health and engagement in terms of positive affectivity. Interaction effects for affectivity were not confirmed in the model of work-related wellness of information technology professionals in South Africa. Recommendations for the organisation and future research were made / Thesis (Ph.D. (Industrial Psychology))--North-West University, Vaal Triangle Campus, 2006.
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