Parenting is a primary role for many young breast cancer survivors and the combined effect of parenting while coping with this disease can be problematic for many of them. Despite this, little is known about the impact of parenting on the well-being of young breast cancer survivors. This thesis, comprising two studies in article format, explores this question. In the first study, we identified elements of well-being that are salient for all young women with breast cancer, and which also captured some of the unique challenges associated with parenting as a survivor. Using factor analysis techniques, we determined how these elements interrelated in separate groups of young survivors with children and without, and identified differences between the two groups based on the patterns observed. We found that the interrelationship among elements of well-being varied between these two groups: psychological distress (representing mental health and perceived stress), illness intrusiveness, and fear of cancer recurrence were found to co-occur more frequently in mothers than in young survivors without children, thus compromising their well-being. Our second study had two objectives. The first part examined differences in perceived stress, illness intrusiveness, and fear of cancer recurrence between young breast cancer survivors with and without children in two separate timeframes (0-5 and 5-15 years since diagnosis). The second part identified predictors for these elements of well-being in young mothers exclusively. Compared to survivors without children, young mothers reported higher levels of fear of cancer recurrence and illness intrusiveness in intimate life domains during both timeframes, suggesting that disruptions in these areas persist over time. Part two revealed that mothers with adolescent children and high levels of parenting stress were most likely to report perceived stress and illness intrusiveness. A mother’s age and the time since her diagnosis predicted fear of cancer recurrence and illness intrusiveness, respectively. Results from this thesis indicate that young mothers with breast cancer need screening and interventions to manage psychological distress, fear of cancer recurrence, and illness intrusiveness, particularly in intimate life domains. This thesis also identifies the most vulnerable groups of mothers and has important implications for future research.

The aim of this study was to determine the psychometric properties of a shortened version of the Zimbardo Time Perspective Inventory (ZTPI) in an African context. This self-report questionnaire, referred to as the Zimbardo Time Perspective Inventory -Revised Form (ZTPI-RF) consists of 20 items representing the five subscales of the original scale, namely: Past-Positive, Past-Negative, Present-Hedonistic, Present-Fatalistic and Future. The ZTPI-RF was completed by participants (N=1050) from urban (n=451) and rural (n=599) areas in the North-West Province of South Africa, together with a number of measures of psychological well-being. These scales, which were included for criterion-related validity purposes, were the Affectometer 2 (short version) (Kammann & Flett, 1983), the Satisfaction with Life Scale (Diener, Emmons, Larsen & Griffin, 1985), Sense of Coherence Scale (Antonovsky, 1987, 1993) and the General Health Questionnaire (Goldberg & Hillier, 1979). Results regarding the reliability and construct validity of the ZTPI-RF and its subscales were unsatisfactory. Qualitative data was also obtained, and analyzed by means of direct content analysis to help establish a picture of how time perspective prevails in an African context, and to determine whether time perspective is associated with psychological well-being. Qualitative results showed that participants from an African context were strongly oriented toward the present and that social support played the most prominent role regarding participants' attitude toward the present. It was concluded that the ZTPI-RF is, in its current form, not reliable for the determination of time perspective of individuals from an African context, and that a longitudinal qualitative approach might be best suited to obtain information about the nature and dynamics of time perspective in an African context. / Thesis (M.A. (Psychology))--North-West University, Potchefstroom Campus, 2008.

Thesis (M.A. (Psychology))--North-West University, Potchefstroom Campus, 2008.

While it is a presumably accepted fact that rural and farming communities represent an important sector in the life of every nation due to their contribution to food security and nutrition, there is limited available empirical knowledge on their lives. This study intended to explore the health profile of the rural and farming communities in South Africa, and to explore the relationships between the physical and psychological health, the needs and quality of life facets of a specific group of farm workers and to provide guidelines for intervention in the said areas. This objective was achieved through a literature review, empirical study and suggested guidelines for bio psychosocial health promotion. The end product of this study is presented in three separate, but related manuscripts or articles. A holistic conceptual framework was adopted in the literature review and is described in manuscript 1. This overview focused on life on farms and in rural areas through both the social and natural sciences lenses in a parallel and integrative manner. The needs domain was conceptualised in its broad and narrow uses, and health was broadly defined in terms of the World Health Organization's (WHO, 1999:6) conceptualisation. The term "rural" was narrowly described for the purposes of the current study, i.e. according to the typical descriptive aspects of population dynamics, geographic, economic and other social considerations. Although studies from elsewhere in the world were used to provide a clearer picture of rural contexts, the focus was on available local South African literature. The literature review suggested a situation of serious disparities in the lives of the rural communities in comparison to their counterparts living in urbanised settings in South Africa. They suffer poor socioeconomic status, poor access to services, physical infrastructure problems, food insecurity and nutritional problems, physical and mental health problems, and violence and violations of their human rights. Manuscript 2 reports on an empirical, mixed-methods investigation that was conducted on a convenience sample of 52 farm workers (18-60 years) from three farms near Potchefstroom, in the North West Province. All participants completed quantitative measures and interviews were conducted with a random sample of 25 participants. As a conceptual framework, health was defined comprehensively in terms of physical, psychological and social dimensions (World Health Organization, 1999). Psychological well-being was defined on a continuum from symptoms of stress to a focus on strengths, capacities, mental well-being or psychological health (Wissing & Van Eeden, 2002, 1997; Deci & Ryan, 2000; Ryan & Frederick, 1997) and measured with the Sense of Coherence Scale (SOC) Scale (Antonovsky, 1987), the Satisfaction With Life Scale (SWLS) (Diener, Emmons, Larsen & Griffin, 1985), the Affectometer 2 (AFM) (Kammann & Flett, 1983), the General Health Questionnaire (GHQ) (Goldberg & Hiller, 1979) the Need Satisfaction Scale (NSC) (La Guardia et al., 2000), and the Subjective Vitality Scale (SVS) (Ryan & Frederick, 1997). Quality of life was operationalised in terms of the Quality of Life Inventory (QOLI) (Frisch, 1994). Physical health was operationalised in terms of standardised measures of blood pressure heart rate body mass index, waist-hip ratio and a nutritional intake measure, the Quantitative Food Frequency Questionnaire (QFFQ) (Vorster et al. 2000). Participants reported relatively poor states of physical health nutritional deficiencies poor mental health and poor quality of life. In manuscript 3 specific guidelines for the promotion of the bio psychosocial health of farm workers were suggested to address the specific and identified problems in an integrated manner. The guidelines were grouped into operational and administrative/bureaucratic interventions. Recommendations were also made for further exploration of the relationship between the farm workers' context and the bio psychosocial health indicators. Farm workers suffer problems of physical and psychological distress as well as shortages of health care providers, lack of the necessary health infrastructure and other social and physical infrastructure amenities. For successful and sustainable interventions health professionals and health workers, policy makers and bureaucrats, human rights activists and rural/farm employee organisations as well as the broader social movement and other interested/affected parties need to jointly contribute to health programmes aimed at addressing the challenges facing rural communities in general, and farm workers in particular. / Thesis (Ph.D. (Psychology))--North-West University, Potchefstroom Campus, 2009.

It is a well-known fact that nurses generally work in challenging circumstances. Within the South-African context, a developing country, factors such as shortages of staff, lack of training and crowded hospitals are common occurrences. Large amounts of South-African-born nurses leave the country, or even the profession, with the hope of better career opportunities. The nurses that are left behind, automatically experience more pressure as their already heavy workload increases further. Staff shortages, which is a general problem in the nursing profession, is a great contributing factor to stress, as nurses sometimes need to work outside their scope of practice. A so-called "multi-skill" setup is then created, such as the Level-Two hospital where this research was conducted, where staff members did not necessarily receive formal training to carry out the tasks that are required from them. Multi-tasking from them then results in the nurse having to divide her attention. The above mentioned circumstances cause a great deal of stress for the nurse working within this setup. The aim of this research was to explore and describe the experience of nurses working in the multi-skill setup, as well as to explore and describe the nurses' view of effective coping mechanisms within the multi-skill setup, and to suggest guidelines for enhancing the emotional well-being of the nurse within the multi-skill setup. A purposive sample was conducted according to a list of inclusion criteria. The sample constituted of registered nurses, enrolled nurses, as well as enrolled nursing assistants employed at the particular Level-Two hospital in Gauteng. Semi-structured interviews were used in order to collect the richest data possible. Each of the interviews was recorded on digital compact discs, so that it could be transcribed verbatim. Data saturation was reached after ten interviews and the researcher analyzed the data, together with an independent co-coder. Consensus was reached between the researcher and the co-coder with regards to their individual analyses. Four main categories, each with their own sub-categories, were identified and discussed together with a literature control; namely; the experience of the multi-skill setup as positive, the experience of the multi-skill setup as negative, personal coping mechanisms within the multi-skill setup, as well as suggestions for the enhancing of the emotional well-being of the nurse within the multi-skill setup. Recommendations were formulated by the researcher relating to nursing research, nursing education, as well as to nursing practice. / Thesis (M.Cur.)--North-West University, Potchefstroom Campus, 2009.

The mandates for government-owned enterprises (parastatals) have drastically changed in light of the changes in the government's post-democratic dispensation. There are more pressures and obligations related to governance, business operations, sustainability and financial viability prescribed for these institutions. Parastatals have moved from fully utilising government subsidies and incurring more debts at the expense of government, to income-generating entities. This change has exposed parastatals to global challenges, experienced by all organisations related to human capital management. Employees are the most critical assets that assist organisations to fulfil their mandates and drive their competitive advantage. While organisations experience challenges and pressures in the market, employees are also positively and adversely affected, depending on their dispositions and general functioning. The extent of employee participation and involvement in their work roles impacts on the success of the institution. Thus, work-related well-being of employees is an integral part of any organisational functioning and this relates to interplay between constructs of job demands, job resources, psychological conditions at work, health, work engagement, self-efficacy and organisational commitment. The general objective of this research was to study work engagement and its relationship with various other antecedents, mediators and outcomes of employees within a parastatal in the South African context. Furthermore, the study aimed to understand the relationships between factors of job demands, job resources, psychological conditions, self-efficacy and work engagement. In addition to the above, this study also aimed to determine relationships between psychological conditions, job demands, job resources, work engagement, self-efficacy, health and organisational commitment. The findings are presented in three articles, each consisting of a brief literature review and an empirical study. A cross-sectional survey design was used. The study included 288 participants in a parastatal in different job categories and levels. The questionnaires used in the empirical study comprised of the Work Engagement Scale, the Antecedents Scale, the Job Demands-Re sources Scale, the Organisational Commitment Questionnaire, the Psychological Conditions Questionnaire, the Self-Efficacy Scale, the General Health Questionnaire and a biographical questionnaire. Exploratory factor analyses were carried out to determine the construct validity of the measuring instruments. Pearson-product moment correlation coefficients were used to assess the relationships between the variables, while multiple regression analyses were used to investigate the predictive value of factors on each other. The results showed that psychological meaning fulness and psychological availability were significant predictors of work engagement, with person-environment fit and growth opportunities in the job as strongest predictors of psychological meaningfulness. Person-environment fit was the strongest predictor of work engagement and psychological availability was best predicted by physical resources. Overload and psychological meaningfulness were the best predictors of work engagement. Growth opportunities in the job and organisational support were the best predictors of psychological meaningfulness, which also strongly predicted work engagement. Psychological availability was found to be positively related to organisational support and self-efficacy. Low psychological availability predicted physical and psychological ill health, while low psychological meaningfulness predicted psychological ill health. Work engagement was the strongest predictor of normative and affective commitment, while psychological meaningfulness strongly predicted normative commitment. Recommendations for future research are made. / Thesis (Ph.D. (Industrial Psychology))--North-West University, Potchefstroom Campus, 2009.

Literature indicates that pharmacists of South Africa experience high levels of stress as a result of their working conditions. Seeing that the definition of subjective well–being (SWB) entails that a person feels positive affect (positive moods) and experience infrequent feelings of negative affect (such as stress), pharmacists have low SWB since they experience high levels of stress. It is thus vital to lessen the stress seeing as this low SWB may entail a danger to the profession as well as the patients' safety. Based on this leisure proves to enhance well–being by producing positive affect (such as happiness) and reducing negative affect (such as stress or depression). Leisure (taking a holiday) is furthermore a means of buffering stress and therefore the perfect solution to pharmacists' stress. Hence the purpose of this research was to determine the role of holiday taking on South African pharmacists' overall well–being. To achieve this goal a database was obtained from The South African Pharmacy Council. This database consisted out of 8000 e–mail addresses of pharmacists registered at the Pharmacy Council. From the 1500 e–mails that were send out 207 completed questionnaires were obtained. A thorough literature analysis on socio–demographic characteristics, travel motives, independent choices and preferred activities when taking a holiday was done in Chapter 2. This chapter gives a detailed understanding of how the afore–mentioned factors influence the decision to take a holiday and the effect of taking a holiday on subjective well–being. Article 1 (Chapter 3) and Article 2 (Chapter 4) was based on this chapter's literature. Chapter 3 (Article 1) of this study determined whether holidays lead to positive SWB of pharmacists. In order to achieve this aim, the chapter made use of the Affectomer 2 and Satisfaction with life Scale to determine the pharmacists' subjective well–being before and after taking a holiday. Dependent t–tests were then applied to compare the A distinction on the other hand can be made amongst pharmacists that imply different working conditions and working hours. Therefore Chapter 4 (Article 2) of this study determined all the factors that influence the different groups of pharmacists' holiday taking which ultimately could lead to the enhancement of the profession's well–being. To achieve this, the chapter made use of factor analysis, ANOVAs and chi–square tests to find differences between different pharmacists. The results showed that the three groups of pharmacists (private, government, and industry), differ based on sociodemographic characteristics. These socio–demographic characteristics furthermore influence the different groups of pharmacists' decisions to take holidays which leads to higher subjective well–being. The results of Chapters 3 and 4 indicate that pharmacists experience enhanced wellbeing after taking a holiday and which have implications for different role players. This study is the first to determine the profile of pharmacists and give an indication of their travel behaviour that will assist destinations to alter their product/services to better suit the profile or travel behaviour of pharmacists. Employing companies on the other hand can have financial benefits in the form of low staff turnover and satisfied patients. Although pharmacists are seen as a homogeneous group, pharmacists differ based on socio–demographic characteristics and therefore the Pharmacy Council may enforce the design of different policies for the different groups of pharmacists to reduce the pharmaceutical profession's stress. / Thesis (M.Com. (Tourism))--North-West University, Potchefstroom Campus, 2011.

The aim of orientation programs at tertiary academic institutions is to introduce newcomers to the attitudinal and behavioral standards of their new academic and social situation, and these programs usually have a formal and an informal component. Formal orientation is officially developed and monitored by the university. Informal orientation is associated with socially orientated initiation or hazing activities administered by senior students in the seclusion of hostels and are often not monitored by the university, resulting in human rights violations such as racial discrimination, physical abuse and psychological bullying. Because both components of orientation take place during the same time frame and in the same broader context, orientation programs as a whole have been receiving negative attention and criticism in the media. Research has, however, also uncovered many positive elements in orientation programs - in both the formal and informal components. Literature suggests that universities put in place a high quality formal and informal orientation program to ensure the well–being of first–year students. Well–being is regarded as the subjective appraisals that people make about the quality of their lives based on their experiences, relationships, feelings and overall functioning in life. Two approaches towards subjective well–being are identified: the first is the hedonic approach, focusing on emotional well–being (EWB) and is equated to positive feelings, subjective happiness and satisfaction with life; the second is the eudaimonic approach, focusing on psychological well–being (PWB) and social well–being (SWB) which not only conceptualizes well–being in terms of meaning and purpose, but also as positive functioning in life on personal and social levels. The aim of this study was to determine the shifts in well–being of first–year students during an orientation program (with both the formal and informal components included) at a tertiary institution and to explore the experiences associated with these shifts. A sequential mixed method research design was used where quantitative and qualitative research approaches were combined to provide an in–depth understanding of the phenomenon. A convenience sample of first–year hostel residing students (mean age=19 years) was used for the quantitative study. Students completed the Mental Health Continuum Short Form (MHC–SF) and the Satisfaction With Life Scale (SWLS) before (n=102), during (n=371) and after (n=358) the orientation program. Twenty–one demographically representative first–year hostel residing students (mean age=18.5 years) were purposive selected to participate in the qualitative study consisting of a focus group discussion and semi–structured in–depth individual interviews which took place after the programs’ completion. The quantitative results indicated that first–year students’ well–being remained unchanged before, during and after orientation in all facets except in SWB. First–year students’ SWB increased practically significantly over the course of the orientation program. The qualitative findings suggested that first–year students’ well–being fluctuated from high before the orientation program to low during the program’s initial phase to high again after the program’s completion. Experiences associated with SWB were perceived to be the central experience associated with an increase in well–being. Recommendations are made regarding the promotion of the social and personal well–being of first–year students during an orientation program. / Thesis (M.A. (Clinical Psychology))--North-West University, Potchefstroom Campus, 2011.

The rapid rate of urbanisation, which is characteristic of the current South African context, could have important consequences for the psychological and physiological health of individuals (Malan et al., 2008; Vorster et al., 2000). Communities in transition face challenges that influence every component of human functioning (Choabi & Wissing, 2000; Malan et al., 2008; Van Rooyen et al., 2002; Vorster et al., 2000). Self-efficacy and collective efficacy are among constructs that have been shown to contribute to psychological well-being, and can serve as buffers that could make this process of adaption easier for communities in the process of urbanisation (Bandura, 1997; Karademas, 2006; Sui, Lu, & Spector, 2007). Previously, a variety of studies have focused on self-efficacy and collective efficacy in other Western and Eastern contexts. There is however little information on the impact that these constructs have within an African context, and• especially on the well-being of individuals finding themselves in these communities in transition. As it has been demonstrated that contextual and cultural factors may influence the manifestation of psychological well-being (Cohen, Inagami, & Finch, 2008; Temane & Wissing, 2008; Wissing, & Temane, 2008; Wissing, Wissing, Du Toit, & Temane, 2006), more context-specific research is called for. Increased knowledge of self-efficacy and collective efficacy and how it manifests the African context could help with the promotion of the psychological well-being of groups in transition. Thus, the purpose of this study was to determine the differential influence of self-and collective efficacy on the psychological well-being of :individuals within a community in transition. Participants were selected from a traditionally more collectivistic South-African cultural context. The research sample consisted of 1050 Setswana-speaking participants from both urban and rural areas. They completed measures including Community Collective Efficacy Scale (abridged) (CCES) (Carroll, Rosson, & Zhou, 2005), the Generalized Self-Efficacy Scale (GSE) (Schwarzer & Jerusalem, 1993), the Satisfaction with Life Scale (SWLS) (Diener, Emmons, Larsen, & Griffin, 1985) and the Affectometer 2 (short version) (AFM) (Kammann & Flett, 1983). The SWLS and AFM were used to measure the psychological well-being on cognitive judgemental and affective levels respectively. Descriptive statistics shed some light on the levels of self efficacy, collective efficacy and psychological well-being within this community. Correlation analysis was done to test the relationship between self-efficacy, collective efficacy and psychological well-being, and regression analysis was conducted to show the degree to which self-efficacy and collective efficacy successfully predict the levels of psychological wellbeing in rural and urban contexts. Available literature (e.g., Klassen, 2004) suggests that collective values and shared beliefs would be more important to individuals within rural areas because of assumed traditional collectivistic orientation, and that individuals from urban areas will take on more individualistic values as urbanisation takes place. To test this assumption, it was hypothesized that collective efficacy would be a better predictor of psychological well-being than self-efficacy in the rural context, and that self-efficacy will be a better predictor of psychological well-being than collective efficacy in the urban context. The results indicated that although the group as a whole experience slightly lower psychological well-being than that reported in previous studies, it seemed that psychological well-being might actually increase as urbanisation takes place. Satisfaction with life (SWL) seemed to be more strongly associated with urbanisation than affective well-being. The rural group's considerably lower SWL could possibly be explained by the perception of these individuals that people living in an urban environment have a better quality of life. While the level of self-efficacy reported for the group as a whole was found to be comparable, albeit lower than results from previous studies, there were no relevant studies with which to compare our participant group's level of collective efficacy. Individuals living in an urban setting reported higher levels of self-efficacy and collective efficacy compared to the rural group This might indicate that individuals who move from a rural to an urban setting do not necessarily adopt individualistic values at the cost of their collectivistic cultural orientation, and in fact have more confidence in their individual and conjoint capabilities to achieve their goals. It was found that a significant relationship seemed to exist between self-efficacy, collective efficacy and the measures of psychological well-being, which suggests a dynamic interplay between these two constructs. Results showed that these individuals' beliefs in their individual ability, self-actualization and personal identity are important for their maintained well-being, and is strongly linked to their shared beliefs in the group's conjoint capabilities. Results from the regression analysis showed that, in contradiction to the above hypothesis, self-efficacy had a significant influence on the prediction of psychological well-being for the group as a whole as well as in the rural context. Interestingly, collective efficacy had a significant influence on the variance in psychological well-being in the urban area. The effect of efficacy .beliefs on affective well-being seemed to stay the same irrespective of the context, while collective efficacy gained importance in the prediction of SWL in the urban context. This indicates that individuals from the urban context might attach even more value to their collective orientation when they move from the traditional collectivistic setting to a more individualised setting where collectivism is not a given anymore and they have to consciously work towards it. In conclusion it can be said that efficacy beliefs remain important factors in the prediction of psychological well-being for individuals irrespective of the process of urbanisation or in which context they find themselves. The practical implication is that raising either self-efficacy or collective efficacy will lead to increased psychological well-being and possibly better adjustment during the urbanisation process. Although these results provided some answers, a number of questions were raised about widely held assumptions regarding the cultural orientation of individuals and the effect of urbanisation on cultural value systems. / Thesis (M.Sc. (Clinical Psychology))--North-West University, Potchefstroom Campus, 2009.

This research was aimed at determining the psychometric properties of the Teacher Stress Inventory (TSI; Boyle, Borg, Falzon & Baglioni, 1995) and in doing so enabling the possible development of a much needed, more culture sensitive inventory for the measurement of teacher stress as it manifests in the South African context. A review of international literature revealed that the stress associated with the teaching profession is a well-known phenomenon, and has received increasing recognition and research attention in recent years (e.g., Brown, Howcroft & Jacobs, 2010; Chaplain, 2008; Ngidi & Sibaya, 2002; Olivier & Venter, 2003; Schwarzen & Hallum, 2008; Sharplin, O‘Neill & Chapman, 2011; Vandeyar, 2005). However, only a few studies on teacher stress in the South African context could be found. The studies that were done within the South African teaching context (Ferreira, 2008; Lund & Fisher, 2006; Møller, 2007) did report various and specific challenges that add to the stressors South African teachers need to overcome in order to maintain psychological well-being. Furthermore, these studies mostly implemented scales that were developed within a Eurocentric context, and thus did not incorporate cultural and contextual factors that are known to impact directly on both the construction and experience of psychological well-being (Temane & Wissing, 2008; Wissing & Temane, 2008; Wissing, Wissing, Du Toit, & Temane, 2006) and stress. The need for a teacher stress scale which will be valid in the South African context became apparent. Therefore, the aim of this study is to validate the TSI for use in a South African context. A cross-sectional design for data collection was used as part of the Sympathetic Activity and Ambulatory Blood pressure in Africans (SAPBA) study. The research sample consisted of urban Caucasian (n=209) and African (n=200) teachers subsiding in the North-West Province of South Africa. The TSI, the General Health Questionnaire (GHQ) and the Mental Health Continuum-Short Form (MHC-SF) were administered to all participants, together with physiological measures of stress that were taken under controlled circumstances. Based on the results from the exploratory factor analysis and item analysis that was conducted separately on the different ethnic groups, it was decided to omit items 1, 3 and 6 due to evidenced problematic psychometric properties in this study population. A further factor analysis that was conducted on the total study group showed sufficient communalities and yielded a two-factor model, with a robust factor structure and satisfactory reliability indices for both extracted factors, namely (1) General circumstance related stress and (2) Learner related stress. Satisfactory criterion-related validity was determined by correlating the TSI with other measures of psychological health, the GHQ and the MHC-SF, as well as physiological measures of health. In conclusion, the TSI proved to be a useful, brief self-report questionnaire for the assessment of occupational stress within this cohort of South African teachers. If replicated within a sample more representative of the South African context, the findings of this study will allow the impact of different sources of teacher stress to be determined and compared within the South African context. It further holds promising possibilities for influencing public policy with regard to the education system in South Africa and to contribute to the exploration of teacher stress in this context, with the aim of contributing to the psychological well-being of South African teachers. Further psychometric evaluation is however necessary before the TSI can be considered to be a valid instrument in the broad South African context. / Thesis (M.Sc. (Clinical Psychology))--North-West University, Potchefstroom Campus, 2011.