Too depressed and anxious to speak up: The relationships between weekly fluctuations in mental health and silence at work.

While it is widely acknowledged that some employees are more prone to silence than others, emerging research suggests that silence is much more dynamic than previously indicated, as even the most vocal employee will withhold input in some situations. However, given scant empirical attention to intraindividual fluctuations in silence, several important questions remain regarding its etiological antecedents, the mechanisms underlying such effects, and potential factors mitigating them. We respond by integrating the silence and mental health literature to consider how fluctuations in employees' experiences of depression and anxiety relate to fluctuations in silence via distinct silence motives. Specifically, we propose that employees are likely to engage in silence while experiencing episodes of depression because depressive symptomology shifts perceptions toward voice being pointless (i.e., ineffectual silence motive). Likewise, we propose that employees are likely to engage in silence while experiencing flare-ups of anxiety because anxious symptomology shifts perceptions toward voice being dangerous (i.e., defensive silence motive). Finally, we argue that voice endorsement attenuates these relationships by interrupting the link between silence motives and behaviors, such that employees experiencing heightened ineffectual and defensive silence motives are less likely to remain silent during weeks in which they experience high voice endorsement. We find support for these predictions via an experience sampling methodology study conducted with 136 employees across 4 weeks. We discuss how these results enhance theoretical clarity on the dynamic links between mental health and silence and offer insights into how organizations can counteract intrapersonal variations in silence. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Leaders' emotional labour and abusive supervision: The moderating role of mindfulness.

In this study, we examine how leaders' emotional labour strategies (surface acting and deep acting) deplete leaders' self-control resources to predict abusive supervision, in addition to the moderating role of leader mindfulness. Integrating ego-depletion theory and emotion regulation theory, we hypothesise that deep acting and surface acting predict higher levels of abusive supervision, which is mediated by reduced self-control. Furthermore, we predict that leaders' trait mindfulness moderates the relationship between emotional labour and self-control on abusive supervision. Results from a three-wave study of leader-follower dyads supported mediation hypotheses; both deep and surface acting predicted abusive supervision, which is mediated by reduced self-control. Our moderated mediation hypotheses were supported for deep acting but not surface acting. This research contributes to the literature by demonstrating the depleting nature of emotional labour in leadership and the importance of leader mindfulness as a boundary condition that can make deep acting less harmful for leader behaviour.

Indirect effects of obstructive sleep apnea treatments on work withdrawal: A quasi-experimental treatment outcome study.

The effect of sleep on work is now receiving appropriate research attention, yet most results have been based on community (i.e., nonclinical) populations. Based on previous findings that clinical treatment for diagnosed obstructive sleep apnea benefits sleep quality, we hypothesized that sleep quality would mediate the effects of such treatment on work withdrawal behaviors (i.e., emotional exhaustion, cognitive distraction, work neglect, and partial absenteeism). A total of 125 adults with potential sleep apnea, who were referred to a midsized hospital's sleep disorders laboratory, participated in this 3-wave (pretest, posttest 1 month following initial treatment, and a follow-up 3 months later), quasi-experimental study. Clinical assessment using pretest data resulted in 83 participants being diagnosed with sleep apnea and receiving treatment (i.e., continuous positive airway pressure, n = 62; or positional therapy, n = 21); 42 patients who were not diagnosed with sleep apnea comprised the control group. Consistent with our hypotheses, treatment positively affected sleep quality, which in turn decreased emotional exhaustion, cognitive distraction, and partial absenteeism (but not work neglect). We discuss the implications of these findings for future research on sleep and its work-related consequences and organizational practice. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Adult attention deficit hyperactivity disorder symptoms and passive leadership: The mediating role of daytime sleepiness.

Passive leadership is attracting empirical interest with the detrimental effects of this type of leadership on a broad array of individual and organizational outcomes becoming apparent. However, just why leaders would engage in this type of nonleadership has received less research attention. We investigate whether and how leaders' attention deficit hyperactivity disorder (ADHD) is associated with passive leadership. Using a framework specifying how the physiology of sleepiness impacts the workplace, we hypothesize that leaders' ADHD is associated with passive leadership indirectly through daytime sleepiness. After controlling for leaders' age, gender, and preclinical symptoms of depression and anxiety, standard ordinary least squares regression procedures were implemented through Hayes' PROCESS models. Multisource data from 98 leader-follower groups (M number of followers per leader = 4.38, SD = 1.78) showed that the effects of leaders' ADHD symptoms on passive leadership were mediated by daytime sleepiness. Conceptual, methodological, and practical implications are discussed.

Scarred for the Rest of My Career? Career-Long Effects of Abusive Leadership on Professional Athlete Aggression and Task Performance.

Based on the contention that leadership has sustained effects on followers even after the leader-follower relationship has ended, we investigated the career-long effects of abusive coach leadership on athlete aggression and task performance. Abusive leadership scores were derived from ratings by two independent raters' evaluations of coaches' biographies, and athlete aggression and task performance data were derived from objective sources. Data were obtained from players (N = 693) and coaches (N = 57) involved in the National Basketball Association (NBA) between the 2000-2001 and 2005-2006 seasons. Controlling for tenure, salary, team winning percentage, and absence due to injuries, multilevel modeling showed that exposure to abusive leadership influenced both the trajectory of psychological aggression and task performance over players' careers. These findings suggest that the effects of abusive leadership extend far longer than currently acknowledged, thus furthering our understanding of the nature and effects of abusive leadership.

Efficacy of botulinum toxin a intradetrusor injections for non-neurogenic urinary urge incontinence: a randomized double-blind controlled trial.

OBJECTIVE: To determine the efficacy of intradetrusor injections of botulinum toxin A for non-neurogenic urinary urge incontinence. METHODS: We conducted a six-month, randomized, double-blind controlled trial involving women with urinary urge incontinence. Participants received intradetrusor injections of either botulinum toxin (100U in 10 mL) via cystoscopy or a placebo control (saline injection). The primary outcome was maximum bladder capacity at cystoscopy. Secondary outcomes included quality-of-life measures, 24-hour leakage rate, patients' subjective assessment, and safety data. RESULTS: There were 21 participants: 11 in the botulinum toxin (treated) group and 10 in the placebo (control) group. There were no significant differences between the groups at baseline. After six months the mean maximum bladder capacity at cystoscopy was 161.6 mL greater in the treated group than in the control group (P = 0.018). There were no differences in diary data or quality-of-life measures. The 24-hour pad test (a measure of leakage) after three months showed significant improvement in the treated group (difference 272.12g, P = 0.016); treated subjects also showed subjective benefit at three months (difference 1.29, P = 0.007) and at six months (difference 1.16, P = 0.01). There was no significant difference in rates of urinary tract infection between groups. There was one serious adverse event (a perioperative cardiac event) in the botulinum toxin group. CONCLUSION: Botulinum toxin increased bladder capacity at cystoscopy and reduced urinary incontinence on 24-hour pad testing in adult females with urinary urge incontinence. There was one adverse event in the group treated with botulinum toxin.

Temporal artery thermometer use in the prehospital setting.

OBJECTIVES: Prehospital vital signs are an important and required component of patient assessment. We compared the temporal artery thermometer (TAT) to the digital thermometer currently used in our emergency medical service (EMS) system and then to the digital thermometer used in the emergency department. The primary objective of this study was to assess the usefulness of the TAT in the prehospital setting. Other outcomes of interest included whether extraneous factors or cold ambient temperatures affected the TAT readings and paramedic satisfaction with the TAT. METHODS: This was a prospective, observational study. Patient temperature was taken by EMS personnel with both the digital thermometer and the TAT, and a chart review was conducted on a sample of these patients to compare the TAT to the emergency department digital thermometer. RESULTS: A total of 818 patients had their temperatures taken with both thermometers in the prehospital setting. The relationship between the TAT and digital thermometer measurement was positive and moderate; however, there was poor agreement between the two devices. Sixty-nine charts were reviewed, and a positive correlation was found between the TAT and the emergency department digital thermometer, with good agreement between the two devices. No extraneous factors were found to have a noticeable effect on the temperature measurements; the TAT performed well in cold weather, and the EMS personnel reported it to be easy to use. CONCLUSION: The TAT appears to be a suitable alternative to digital thermometers currently used in many EMS systems. The paramedics involved in this study liked the TAT better than the in-ambulance digital thermometer and believed it to be more accurate. Further research on this topic is required.