ABSTRACT
Objective: To explore the influence mechanism of intrusive thoughts and ego depletion between effects of workplace violence on burnout sense in clinical nurses. Methods: In May 2019, 10 cities in Henan Province and Fujian Province were selected as sampling cities by the method of grabbing random balls. Using the stratified cluster sampling method, nurses in clinical nursing posts in 22 third class hospitals and 23 second class hospitals were selected as the research objects for a cross-sectional epidemiological survey, including 1200 nurses. A total of 1159 valid questionnaires were collected, and the effective rate was 96.6%. 1159 clinical nurses were investigated by workplace violence scale, event impact scale, self-regulation fatigue scale and job burnout scale. The items contained in the questionnaire were analyzed by exploratory factor analysis with Harman single factor test, and the demographic characteristics of nurses' workplace violence, invasive thinking, self loss and job burnout were compared and analyzed with s-n-k. Results: Those with less than 3 years of service, those with more than 3 years of aggressive thinking and self loss score, and those with less than 3 years of job burnout score; The score of job burnout of unmarried was lower than that of married; The scores of invasive thinking and self loss of non editors were higher than those of current editors; The scores of workplace violence, aggressive thinking, self loss and job burnout of clinical nurses in tertiary hospitals were higher than those in secondary hospitals; The score of job burnout of undergraduate and above is higher than that of junior college and below; The scores of workplace violence, aggressive thinking and self loss of clinical nurses in surgical departments were higher than those in non-surgical departments; The job burnout score of those aged 36 and above was higher than that of those aged <36, The difference was statistically significant (P< 0.05) . Aggressive thinking and self attrition played a mediating role between workplace violence and job burnout. Workplace violence affected job burnout through the single mediating role of aggressive thinking, the single mediating role of self attrition, and the chain mediating role of aggressive thinking self attrition (β=0.16、0.08、0.03, 95%CI: 0.251~0.190、0.121~0.028、0.050~0.012, P<0.05) . Conclusion: Workplace violence affects burnout sense through the independent mediating role of intrusive thoughts and ego depletion and the chain mediating role of intrusive thoughts and ego depletion in clinical nurses.
Subject(s)
Adult , Aged , Humans , Burnout, Professional , Cross-Sectional Studies , Job Satisfaction , Nurses , Personnel Turnover , Surveys and Questionnaires , Workplace , Workplace ViolenceABSTRACT
Objective:To explore associations of negative emotions with alexithymia and intrusive thoughts in cancer patients.Methods:A total of 115 cancer patients were assessed by Impact of Event Scale-Revised,the 20-item Toronto Alexithymia Scale,the Center for Epidemiological Studies Depression Scale,and the state anxiety subscales of State-Trait Anxiety Inventory.Results:Negative emotions were positively correlated with alexithymia and the intrusive thoughts (r 0.251 to 0.600,P＜0.01).Intrusive thoughts were significantly associated with the total score of alexithymia,difficulty in identifying feelings,and difficulty in describing feelings (r 0.261 to 0.430,P＜0.01).The relation between alexithymia and negative emotions was partially mediated by intrusive thoughts,accounting for 40.71％ of the alexithymia in total negative emotions.Conclusion:Intrusive thoughts play a role,at least partially in mediation of alexithymia and negative emotions.
ABSTRACT
Introducción: Poco se conoce sobre los pensamientos intrusos asociados a las diversas repercusiones psicológicas de la diabetes mellitus, y aún menos sobre los factores asociados al uso de la supresión de pensamientos como estrategia cognitiva de regulación. Objetivos: explorar la repercusión psicológica de la diabetes mellitus tipo 2, la presencia de pensamientos instrusos y su supresión, en pacientes atendidos en el Centro de Atención y Educación al Diabético de la ciudad de Santa Clara; así como, describir la asociación entre pensamientos intrusos y la supresión de pensamientos con un grupo de variables sociodemográficas y psicológicas en estos pacientes.Métodos: fueron evaluados 121 pacientes que acuden a dicho centro, a los cuales se les aplicó una entrevista estructurada, un diferencial semántico y el Inventario de Supresión del Oso Blanco. Resultados: los pensamientos intrusos en pacientes con diabetes suelen ser difíciles de controlar, implican un mayor uso de la supresión de pensamientos, y su reporte se encuentra asociado al nivel de escolaridad, el sexo y al malestar emocional del paciente. Suelen reportarlos individuos que se perciben a sí mismos como tensos y emotivos. El mejor predictor de la supresión de pensamientos lo constituyó poseer una autoimagen de individuo tenso.Conclusiones: el análisis de los pensamientos intrusos y su supresión reveló particularidades asociadas a determinantes sociodemográficos -sexo y nivel de escolaridad- y psicológicos -sujetos que se perciben a sí mismos como tensos y emotivos(AU)
Introduction: Little is known about intrusive thoughts associated to different psychological effects of diabetes mellitus and even less is known about the factors related to the use of thought suppression as a regulatory cognitive strategy.Objectives: to explore the psychological impact of type 2 diabetes mellitus, the presence of intrusive thoughts and their suppression in patients seen at the Center for Care and Education of Diabetics in Santa Clara city and to describe the linking of intrusive thoughts and suppression of thoughts with a group of sociodemographic and psychological variables in these patients.Methods: one hundred and twenty one patients attended to in this center were evaluated by means of a structured interview, a semantic differential and the White Bear suppression inventory. Results: the intrusive thoughts in patients with diabetes mellitus may be difficult to be controlled, imply a greater use of suppression of thoughts and their notification is related to schooling, gender and emotional status of the patient. They are generally notified by individuals who feel tense and emotional. The best predictor of suppression of thoughts is a self-image of tense individual. Conclusions: the analysis of intrusive thoughts and their suppression show particularities related to sociodemographic determinants in terms of sex and schooling and to psychological determinants in terms of individuals who perceive themselves as tense and emotional(AU)
Subject(s)
Humans , Diabetes Mellitus, Type 2/psychology , Interview, Psychological/methods , Semantic Differential/standardsABSTRACT
Worry is a cognitive process in the form of intrusive, repetitive negative thoughts referring to a future event. We adapted and validated the Anxious Thoughts Inventory (AnTI) for use in Brazil, and tested its correlations to the Beck Anxiety Inventory (BAI), the Beck Depression Inventory (BDI), the Penn State Worry Questionnaire (PSWQ), and the Rumination and Reflection Questionnaire (RRQ). 276 Brazilian undergraduates answered all measures. Factor analysis evinced three domains: environmental, own-body and meta-cognitive. Good internal consistency (.86) was detected and positive correlations were found with all measures. The Brazilian version of the AnTI (Inventário de Pensamentos Ansiosos - IPAn) is presented as a valid and reliable measure for use with Brazilian samples, useful in clinical and experimental applications. Further studies are encouraged in order to strengthen the validation process as well as provide useful data on anxious thoughts related to other health variables...
A preocupação é um processo cognitivo na forma de pensamentos intrusivos, negativos e repetitivos referentes a um evento futuro. Neste estudo, validou-se o Anxious Thoughts Inventory (AnTI) para uso no Brasil e foram testadas suas correlações com: Inventário Beck de Ansiedade, o Inventário Beck de Depressão, Penn State Worry Questionnaire e Questionário de Ruminação e Reflexão. 276 universitários responderam às medidas. A análise fatorial evidenciou três domínios: ambiental, corporal e meta-cognitivo. Os resultados apontam boa consistência interna da versão adaptada (0,86) e correlações positivas com todas medidas avaliadas. A versão brasileira do AnTI (Inventário de Pensamentos Ansiosos - IPAN) é apresentada como uma medida válida e confiável para uso com amostras brasileiras, útil em aplicações clínicas e experimentais. Mais estudos são incentivados a fim de fortalecer o processo de validação, bem como fornecer dados úteis sobre pensamentos ansiosos relacionados a outras variáveis de saúde...
La preocupación es un proceso cognitivo en forma de pensamientos intrusivos negativos y repetitivos que se refieren a un evento futuro. Hemos adaptado el Anxious Thoughts Inventory (AnTI) para su uso en Brasil y probamos sus correlaciones con: Inventario de Ansiedad de Beck (BAI), Inventario de Depresión de Beck (BDI), Cuestionario de Preocupación Penn State (PSWQ) y Cuestionario de Reflexión y Rumiación (QRR). 276 estudiantes brasileños respondieron las medidas. El análisis factorial reveló tres dominios: corporal, ambiental y meta-cognitivo. Se detectó una buena consistencia interna de la versión adaptada (0,86) y se encontraron correlaciones positivas con todas las medidas evaluadas. La versión brasileña de AnTI (Inventário de Pensamentos Ansiosos - IPAn) se presenta como una medida válida para uso con muestras brasileñas, útil en aplicaciones clínicas y experimentales. Se alienta a más estudios para fortalecer el proceso de validación, así como proporcionar datos útiles sobre los pensamientos de ansiedad relacionados con otras variables de salud...
Subject(s)
Humans , Anxiety Disorders , Cross-Cultural Comparison , Psychological TestsABSTRACT
El objetivo de este estudio experimental, controlado a doble ciegas, fue evaluar el efecto del White Chestnut sobre los pensamientos intrusos indeseados en una muestra de adultos supuestamente sanos que reportaron presentarlos de forma regular. La muestra quedó conformada por 70 participantes (47 mujeres y 23 hombres), con un rango de edad de 20-60 (36,42 ± 10,52) años, asignados aleatoriamente a 2 grupos: White Chestnut y placebo (n1= n2= 35). Para la evaluación de los cambios se utilizó el White Bear Suppression Inventory. Se observaron diferencias significativas intergrupos para la calificación global de la prueba [t (68)= -2,16, p< 0,05 y d= 0,51], con un predominio del factor que mide los pensamientos intrusos [t (68)= -2,84, p< 0,01 y d= 0,67]. Los resultados sugieren que el White Chestnut puede ser un efectivo recurso para la reducción de los pensamientos intrusos indeseados y que su acción es diferenciable del placebo
A controlled double-blind experimental study was conducted to evaluate the effect of white chestnut on unwanted intrusive thoughts in a sample of seemingly healthy adults who reported having these thoughts regularly. The sample was composed of 70 participants (47 women and 23 men) aged 20-60 (36.42 ±10.52), randomly assigned to one of two groups: white chestnut and placebo (n1=n2=35). The White Bear Suppression Inventory was used for change evaluation. Significant differences were found between the two groups in the global test score [t (68)= -2.16, p<0.05 and d= 0.51], with a predominance of the factor measuring intrusive thoughts [t (68)= -2.84, p< 0.01 and d= 0.67]. Results suggest that white chestnut may be an effective resource for reducing unwanted intrusive thoughts, its effect being clearly distinguishable from that of the placebo