Social Comparison Processes of Hispanic Students at Hispanic Majority Institutions.

This paper describes the types of social comparison used by Hispanic students at a Hispanic Majority Institution through two studies (N = 406). We found that students engaged in upward identification more often than downward identification, downward contrast, and upward contrast. However, when comparing themselves on an academic measure, downward identification and upward contrast became relatively more frequent. Additionally, downward identification tended to predict higher self-reported confidence about academic abilities than other types of social comparison.

Conservatism, anti-vaccination attitudes, and intellectual humility: examining their associations through a social judgment theory framework.

Previous research has consistently found that more political conservatism is related to higher anti-vaccination attitudes. However, little work has investigated how intellectual humility could potentially contribute to this relationship. Employing the social judgment theory of attitude change, we examined whether conservatism could mediate the association between intellectual humility and anti-vaccination attitudes. Participants (N = 1,293; 40.1% female; Mage = 38.23 years, SDage = 11.61, range of age was 18-78) completed a multifaceted measure of intellectual humility, an assessment of four types of anti-vaccination attitudes, and a measure of political orientation. Results from structural equation modeling revealed that decreased levels of most aspects of intellectual humility (i.e., independence of intellect and ego, openness to revising one's viewpoint, and lack of intellectual overconfidence) are associated with more conservative political views, which in turn is associated with stronger anti-vaccination attitudes, particularly worries about unforeseen future effects, concerns about commercial profiteering, and preference for natural immunity. These findings suggest that intellectual humility could reflect one's latitude widths, thereby predicting their openness to vaccine massaging, and thus may play an important role in addressing anti-vaccination attitudes, especially when politics is involved.

Stay (Close to) Humble: Intellectual Humility Negatively Predicts Stigma Toward and Social Distance from Individuals with Posttraumatic Stress Disorder.

Posttraumatic stress disorder (PTSD) remains a highly stigmatized disorder despite its prevalence. Given that the origin of stigmatization is rooted in cognitive representations that people hold, stigma may be differentially exhibited by people with varying degrees of cognitive flexibility. Intellectual humility, the recognition of one's own intellectual shortcomings or flaws, may allow for flexibility in how people navigate knowledge surrounding PTSD, which may reduce stigma and improve interpersonal interactions with individuals with PTSD. The present study investigated whether intellectual humility would negatively predict PTSD stigma and social distance, above and beyond demographic factors and personal or social experience with individuals with PTSD. Participants (N = 421, 67.2% men, mean age = 37.45, SDage = 9.99) completed a multidimensional measure for intellectual humility and the Mental Illness Stigma Scale adapted to assess PTSD stigma. Results confirmed our preregistered predictions. Bivariate correlations demonstrated that overall intellectual humility was negatively correlated with overall PTSD stigma, and overall intellectual humility was negatively correlated with overall social distance. That is, intellectually humble people reported less PTSD stigma and desired closer social distance with individuals with PTSD. Additionally, hierarchical multiple regression revealed that intellectual humility predicted unique variance in PTSD stigma and social distance above and beyond the contribution of demographic factors and personal experience or social relationships with someone with PTSD. These results may provide a useful framework for approaching and minimizing stigma toward PTSD.

Context Matters: Stress for Minority Students Who Attend Minority-Majority Universities.

Research on college student stress has typically focused on institutions where the student population is predominately White and continuing-generation. This study explored student stress in a unique context-a public regional university where the majority of students are Latinx, first-generation (FGCS), and of low socioeconomic status (SES). Of the 355 participants in the study, 72.4% self-identified as Latinx and 59.7% were FGCS. Additionally, on a subjective scale of socioeconomic status (1 = lowest, 10 = highest), the mean response was 5.76 (SD = 1.56). Participants (18 years old or older) who were enrolled in a first-year seminar course were recruited for this study. Through an online survey during Fall 2018, first-year students reported levels of perceived and experienced stress related to academic, economic, intrapersonal, and interpersonal concerns. Results of regression analyses indicated that most types of stress were predicted by students' Latinx identity status and SES; FGCS status did not significantly predict stress. These findings highlight the need to explore solutions to address stress for Latinx and/or low SES students. Additionally, the study underscores the necessity of conducting research at educational institutions in which Latinx, FGC, and low SES students comprise the majority of the student body.

Psychosocial Predictors of Intention to Vaccinate Against the Coronavirus (COVID-19).

The COVID-19 pandemic has wreaked havoc across the world. Public health efforts to combat the disease and return life to normalcy largely rests upon COVID-19 vaccination distribution and uptake. Thus, it is critical to examine factors that predict people's intentions to vaccinate. This study explored predictors of intention to vaccinate against COVID-19 among demographic and personal factors, health behaviors and beliefs, COVID-19-specific beliefs, and trust in physicians, using a sample of U.S. adults. We employed bivariate correlations and hierarchical regression to analyze the data. We found that the strongest predictors are political orientation, trust in physicians, subjective norms, and prior flu shot uptake. These associations suggest that individuals who held more liberal political views, expressed higher levels of trust in their primary care provider, perceived stronger social pressure to vaccinate against COVID-19, and received a flu shot during the previous flu season, had a stronger intention to vaccinate against COVID-19. Based on our results, we suggest that public health efforts to increase vaccination uptake for COVID-19 vaccines focus on addressing political orientation (conservatism), involve primary care providers, emphasize vaccination as the norm (and not the exception), and use information about previous flu vaccinations to target vaccination campaigns.

Keep Calm and Be Humble: Can Intellectual Humility Predict Test Anxiety?

Test anxiety is common and may lead to a range of negative outcomes, including poor exam performance. Therefore, it is important to explore psychological predictors of test anxiety. In this paper, we examined whether intellectual humility can predict test anxiety. In Study 1, college students (N = 181) completed an intellectual humility measure with four subscales and two different measures of test anxiety. In Study 2 (N = 196), a community sample recruited from an online workforce completed the same measures. In both studies, we found that intellectual humility was negatively related to test anxiety, such that higher intellectual humility predicted lower test anxiety. Specifically, Study 1 demonstrated a negative correlation between intellectual humility and the Sarason Test Anxiety Scale; Study 2 confirmed this negative relationship with both the Sarason and Westside test anxiety scales. We also found that this relationship was largely driven by the intellectual humility subscale of Independence of Intellect and Ego. Additionally, these results were present even when controlling for key demographic factors. These findings highlight intellectual humility's role in predicting exam anxiety and offer a potential avenue for intellectual humility to be leveraged into interventions to decrease exam anxiety in the future.

Examining four types of anti-vaccination attitudes prior to and during the COVID-19 pandemic.

People hold different anti-vaccination attitudes. Having an understanding of how these attitudes have changed prior to and during the COVID-19 pandemic is critical for combatting anti-vaccination attitudes and increasing vaccine intention and uptake. Data were collected from different samples in the United States at three time points prior to (n = 840) and four time points during (n = 1543) the pandemic. All participants completed a multi-dimensional measure of anti-vaccination attitudes (VAX Scale) through an online platform. Results showed that, when it comes to vaccines, worries about unforeseen side effects, concerns about commercial profiteering, and preference for natural immunity were higher during the COVID-19 pandemic than they were prior to it. However, mistrust of vaccine benefit was lower during the COVID-19 pandemic than prior to it. These differences were found even after controlling for the potential effects of participant sex, education, socioeconomic status, age, and race/ethnicity. Additionally, worries about unforeseen side effects, concerns about commercial profiteering, and preference for natural immunity increased linearly alongside the persistence of COVID-19; whereas, mistrust of vaccine benefit showed no change. Although it might be intuitive to emphasize vaccines' effectiveness to increase uptake, the public's trust in vaccine effectiveness did not appear to be the major concern. Thus, public health efforts to increase uptake of vaccines should also focus on reducing concerns about potential side effects from the vaccine, tempering the attention on financial benefits to pharmaceutical companies, and rebuffing the overreliance on natural immunity.

Is Loneliness Associated With Celebrity Attraction in LGBT+ Persons?

The present study is a conceptual replication of the functional alternative hypothesis, which states that when it is difficult for some persons to form satisfactory interpersonal relationships they turn to parasocial relationships as a functional alternative. In this study, the Celebrity Attitude Scale (CAS), a one-item measure of interest in celebrities in general, the Five-item Adaptation of the Revised UCLA Loneliness Scale (FALS), and the Receiving Emotional Support Subscale (RESS) were administered to 222 self-identified LGBT+ and 436 self-identified heterosexual persons from the Philippines aged 18 to 77 years old. We hypothesized that sexual orientation would moderate the relationship between loneliness and celebrity worship, such that the association between loneliness and celebrity worship would be stronger among LGBT+ individuals than among heterosexual individuals. This hypothesis was confirmed when the target person was one's favorite celebrity. Second, we hypothesized that lower levels of perceived social support among LGBT+ Filipinos would be associated with a stronger correlation between loneliness and celebrity worship as compared to LGBT+ Filipinos with a higher level of social support. Third, we hypothesized that younger LGBT+ persons would have a stronger association between loneliness and celebrity worship as compared to older LGBT+ persons. Results failed to confirm the social support and age hypotheses. The findings and limitations were discussed, and suggestions for further research were noted.

What do humble doctors do? A conceptualization of clinician humility from the patient's perspective.

OBJECTIVE: Humility is a desirable trait for clinicians (e.g., physicians, nurse practitioners, physician assistants), but it can be difficult to achieve. Although commentary and empirical studies on clinician humility exist, the literature has overlooked what exactly constitutes a humble clinician through the patients' eyes. Using a mixed-methods approach, this study explored clinician humility from the patient's perspective. METHOD: Participants (N = 326; 42.1% female; Mage = 40.65, SDage = 11.73) listed humble behaviors that their clinician displayed and evaluated their clinician's overall humility through an online survey. All participants were from the United States of America. RESULTS: Participants rated their clinician favorably on humility, M = 4.06, SD = 0.94 (on a 1-5 scale). Through thematic analyses, we created five themes about clinician humility: approachability, respect for patient, nonverbal communication, patient-focus, and acknowledgement of limitations. CONCLUSIONS: The themes coincide with facets of humility within the literature and overlap with important strategies to improve the clinician-patient relationship. PRACTICE IMPLICATIONS: Clinician humility may serve as a useful framework to categorize important clinician behaviors in the medical interaction. Instead of attempting to remember a myriad of concepts, one may need to keep in mind a modest unifying notion: "be humble".

"Very humble" vs. "Not humble": What do ratings of fictitious physician profiles with humility descriptors reveal about potential patient preferences and behaviors?

OBJECTIVES: The current study examined the impact of physician humility on future medical interactions and physician-related outcomes (e.g., patient patronage, loyalty) using a non-patient, community sample. METHODS: Participants (N = 417) were recruited online through Amazon Mechanical Turk (mTurk) and paid a nominal fee for their participation. They reviewed randomly assigned fictitious physician profiles that differed in humility (high, low), general effectiveness (high, low), physician gender (male, female), and specialty (family practice, orthopedic surgery). Then they reported their likelihood to trust, adhere to recommendations, and be satisfied with the physician. They also conveyed how likely they would select and recommend this physician to others, and how much out-of-pocket money they would be willing to spend to see the physician. RESULTS: Humble physicians were rated higher than their non-humble counterparts on all five outcomes. For physicians who were generally ineffective, the physicians low in humility scored lower on intended adherence, trust, and anticipated satisfaction than the physicians high in humility. Additionally, for physicians specializing in family practice, physicians low in humility scored lower on anticipated satisfaction and out-of-pocket expenditure than the physicians high in humility. CONCLUSIONS: Findings from this study highlight how physician humility can affect the process of care even before it begins. PRACTICE IMPLICATIONS: The study emphasizes the need for deliberate pursuit of humility to improve outcomes for patients and physicians.

Humble Coaches and Their Influence on Players and Teams: The Mediating Role of Affect-Based (but Not Cognition-Based) Trust.

Humility is a desirable quality for leaders across different domains, but not much is known about humility in sports coaches. This study integrated positive and organizational psychology to define humility as it pertains to sports coaches and examined humble coaches' influence on player development and team climate. Additionally, trust was examined as a mediator between coaches' humility and the two outcomes. Participants (N = 184; Mage = 23.44, SDage = 8.69; 73.4% women) rated their coaches' humility and reflected on the coaches' influence and their team climate. Results indicated that affect-based, but not cognition-based, trust mediated the relationship between humility and coaches' influence on players and team climate. Theoretical and practical implications for sports coaches are discussed.

Humble doctors, healthy patients? Exploring the relationships between clinician humility and patient satisfaction, trust, and health status.

OBJECTIVE: In medicine, numerous commentaries implore clinicians (e.g., physicians, physician assistants, nurse practitioners) to display more humility. However, given the complex power dynamics between patients and clinicians, one should not presume that patients desire and appreciate humble clinicians. This paper examines the relationship between clinician humility and patient outcomes, and aims to provide empirical evidence for the significance of clinician humility. METHODS: In two studies, patients (N = 497) recalled their most recent visit to a clinician through an online survey platform (Qualtrics). Patients rated their clinician's humility, satisfaction and trust with their clinician, and health status. They also provided demographic information (e.g., gender, race, subjective SES), details about their clinician (e.g., gender, race, professional status) and information about their last medical visit with this clinician (e.g., purpose of visit, wait time during visit). RESULTS: Through hierarchical multiple regression, we demonstrated that clinician humility positively predicted patient satisfaction, trust, and self-report health (only in Study 2) above and beyond patient, clinician, and visit characteristics. CONCLUSION: The results demonstrated that clinician humility can predict important patient outcomes above and beyond objective characteristics of the medical interaction. PRACTICE IMPLICATIONS: These findings may shape clinician-patient interactions by validating the pursuit of humility during medical encounters.

Transformational leadership in primary care: Clinicians' patterned approaches to care predict patient satisfaction and health expectations.

Clinicians face the complex challenge of motivating their patients to achieve optimal health while also ensuring their satisfaction. Inspired by transformational leadership theory, we proposed that clinicians' motivational behaviors can be organized into three patient care styles (transformational, transactional, and passive-avoidant) and that these styles differentially predict patient health outcomes. In two studies using patient-reported data and observer ratings, we found that transformational patient care style positively predicted patients' satisfaction and health expectations above and beyond transactional and passive-avoidant patient care style. These findings provide initial support for the patient care style approach and suggest novel directions for the study of clinicians' motivational behaviors.

Who is satisfied with general surgery clinic visits?

BACKGROUND: Patient satisfaction is an important patient outcome because it informs researchers and practitioners about patients' experience and identifies potential problems with their care. Patient satisfaction is typically studied through physician-patient interactions in primary care settings, and little is known about satisfaction with surgical consultations. METHODS: Participants responded to questionnaires before and after a surgical consultation. The study was conducted in a diverse outpatient clinic within a county hospital in Southern California. Participants were patients who came to the surgery clinic for their first appointment after referral from a primary care provider for a surgical consultation. RESULTS: Patients' ethnicity, educational attainment, and insurance status predict their satisfaction, and patients reliably differed in their satisfaction with care providers and with the hospital where they received their care. CONCLUSIONS: These findings add to knowledge about patient care by highlighting associations between patients' demographic characteristics and patients' differential satisfaction with particular entities within the context of surgical care.

The relative importance of patients' decisional control preferences and experiences.

OBJECTIVE: Patients' role in treatment decision-making can influence psychosocial and health-related outcomes (i.e. satisfaction, felt respect, adherence). We examined decisional control in a surgical context, identifying correlates of patients' preferences and experiences. DESIGN: 380 patients and 7 surgeons were surveyed during initial surgical consultation visits in a low-income outpatient clinic. MEASURES: Patients reported preferences for (pre-consultation) and experiences of (post-consultation) decisional control, demographics, satisfaction with care, and adherence to treatment recommendations. Surgeons rated patients' health status. RESULTS: Preferences for and experiences of decisional control were unrelated, suggesting significant preference-experience misalignment. However, this misalignment did not appear to be consequential for patient outcomes. Rather, more decisional control, regardless of patients' preferences, predicted greater satisfaction with care and greater self-reported adherence as assessed at a post-surgical appointment. CONCLUSIONS: Decisional control predicts better outcomes for patients, regardless of their preferences for control over treatment decisions. These findings suggest that interventions should aim to increase patients' degree of decisional control when feasible and appropriate.

Predictors of genetic testing decisions: a systematic review and critique of the literature.

Genetic testing is increasingly available in medical settings and direct-to-consumer. However, the large and growing literature on genetic testing decisions is rife with conflicting findings, inconsistent methodology, and uneven attention across test types and across predictors of genetic testing decisions. Existing reviews of the literature draw broad conclusions but sacrifice nuanced analysis that with a closer look reveals far more inconsistency than homogeny across studies. The goals of this paper are to provide a systematic review of the empirical work on predictors of genetic testing decisions, highlight areas of consistency and inconsistency, and suggest productive directions for future research. We included all studies that provided quantitative analysis of subjective (e.g., perceived risk, perceived benefits of testing) and/or objective (e.g., family history, sociodemographic variables) predictors of genetic testing interest, intentions, or uptake, which produced a sample of 115 studies. From this review, we conclude that self-reported and test-related (as opposed to disorder-related or objective) predictors are relatively consistent across studies but that theoretically-driven efforts to examine testing interest across test types are sorely needed.