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1.
PLoS One ; 19(4): e0299593, 2024.
Article En | MEDLINE | ID: mdl-38625856

Maladaptive personality, the motivational systems, and intolerance of uncertainty play important roles in the statistical explanation of depression and anxiety. Here, we notably examined for the first time whether symptoms of depression, anxiety, health anxiety, and fear of COVID-19 share similar associations (e.g., variance explained) with these important dispositional dimensions. For this cross-sectional study, data from 1001 participants recruited in Germany (50% women; mean age = 47.26) were collected. In separate models, we examined the cross-sectional associations of the symptoms of depression, anxiety, health anxiety, and fear of COVID-19 with the Personality Inventory for DSM Short Form Plus scales, the Behavioral Inhibition System / Flight-Fight-Freeze System / Behavioral Activation System scales, and Intolerance of Uncertainty scales. Relative weight analyses were used to determine the within-model importance of the different scales in the prediction of the symptoms. All in all, our study showed that maladaptive personality and intolerance of uncertainty dimensions are more important sets of predictors of the studied outcomes (with which depressive and anxious symptomatology feature very similar associations) than are the motivational system dimensions. Within predictor sets, the scales with the most important predictors were: Negative Affectivity, the Behavioral Inhibition System, and Burden due to Intolerance of Uncertainty. Our findings highlight the relevance of focusing behavioral targets of psychotherapy on these within-set traits and identify potential research priorities (maladaptive personality and intolerance of uncertainty) in relation to the symptoms of interest.


COVID-19 , Phobic Disorders , Humans , Female , Middle Aged , Male , Cross-Sectional Studies , Depression , Anxiety , Personality , Uncertainty
2.
Heliyon ; 10(2): e23528, 2024 Jan 30.
Article En | MEDLINE | ID: mdl-38293550

Large-scale mental health assessments increasingly rely upon user-contributed social media data. It is widely known that mental health and well-being are affected by minority group membership and social disparity. But do these factors manifest in the language use of social media users? We elucidate this question using spatial lag regressions. We examined the county-level (N = 1069) associations of lexical indicators linked to well-being and mental health, notably depression (e.g., first-person singular pronouns, negative emotions) with markers of social disparity (e.g., the Area Deprivation Index-3) and ethnicity, using a sample of approximately 30 million content-coded tweets (U.S. county-level aggregation). Results confirmed most expected associations: County-level lexical indicators of depression are positively linked with county-level area disparity (e.g., economic hardship and inequity) and percentage of ethnic minority groups. Predictive validity checks show that lexical indicators are related to future health and mental health outcomes. Lexical indicators of depression and adjustment coded from tweets aggregated at the county level could play a crucial role in prioritizing public health campaigns, particularly in socially deprived counties.

3.
Front Psychol ; 14: 1325109, 2023.
Article En | MEDLINE | ID: mdl-38078275
4.
BMC Public Health ; 23(1): 1509, 2023 08 09.
Article En | MEDLINE | ID: mdl-37559013

BACKGROUND: The COVID-19 pandemic has caused numerous casualties, overloaded hospitals, reduced the wellbeing of many and had a substantial negative economic impact globally. As the population of the United Kingdom was preparing for recovery, the uncertainty relating to the discovery of the new Omicron variant on November 24 2021 threatened those plans. There was thus an important need for sensemaking, which could be provided, partly, through diffusion of information in the press, which we here examine. METHOD: We used topic modeling, to extract 50 topics from close to 1,500 UK press articles published during a period of approximately one month from the appearance of Omicron. We performed ANOVAs in order to compare topics between full weeks, starting on week 48 of 2021. RESULTS: The three topics documenting the new variant (Omicron origins, Virus mutations, News of a new variant) as well as mentions of vaccination excluding booster, Scotlands First minister statement (Communications) travel bans and mask wearing (Restrictions) and the impact of market and investing (Domains and events) decreased through time (all ps < .01). Some topics featured lower representation at week two or three with higher values before and after: Government's Scientific Advisory Group for Emergencies recommendations (Communications), Situation in the US, Situation in Europe (Other countries and regions), all ps < .01. Several topics referring to symptoms and cases-e.g., rises of infections, hospitalisations, the pandemic the holidays, mild symptoms and care; restrictions and measures-e.g., financial help, Christmas and Plan B, restrictions and New Year; and domains of consequences and events-e.g., such as politics, NHS and patients, retail sales and airlines, featured increasing representation, (all ps < .01). Other topics featured less regular or non-significant patterns. CONCLUSION: Changes in sensemaking in the press closely matched the changes in the official discourse relating to Omicron and reflects the trajectory of the infection and its local consequences.


COVID-19 , Pandemics , Humans , Pandemics/prevention & control , COVID-19/epidemiology , SARS-CoV-2/genetics , United Kingdom
5.
Front Aging ; 4: 1161814, 2023.
Article En | MEDLINE | ID: mdl-37334045

In the last decades, important progress has been achieved in the understanding of the neurotrophic effects of intermittent fasting (IF), calorie restriction (CR) and exercise. Improved neuroprotection, synaptic plasticity and adult neurogenesis (NSPAN) are essential examples of these neurotrophic effects. The importance in this respect of the metabolic switch from glucose to ketone bodies as cellular fuel has been highlighted. More recently, calorie restriction mimetics (CRMs; resveratrol and other polyphenols in particular) have been investigated thoroughly in relation to NSPAN. In the narrative review sections of this manuscript, recent findings on these essential functions are synthesized and the most important molecules involved are presented. The most researched signaling pathways (PI3K, Akt, mTOR, AMPK, GSK3ß, ULK, MAPK, PGC-1α, NF-κB, sirtuins, Notch, Sonic hedgehog and Wnt) and processes (e.g., anti-inflammation, autophagy, apoptosis) that support or thwart neuroprotection, synaptic plasticity and neurogenesis are then briefly presented. This provides an accessible entry point to the literature. In the annotated bibliography section of this contribution, brief summaries are provided of about 30 literature reviews relating to the neurotrophic effects of interest in relation to IF, CR, CRMs and exercise. Most of the selected reviews address these essential functions from the perspective of healthier aging (sometimes discussing epigenetic factors) and the reduction of the risk for neurodegenerative diseases (Alzheimer's disease, Huntington's disease, Parkinson's disease) and depression or the improvement of cognitive function.

6.
Behav Res Methods ; 55(5): 2595-2620, 2023 08.
Article En | MEDLINE | ID: mdl-35879505

Sentiment analysis is the automated coding of emotions expressed in text. Sentiment analysis and other types of analyses focusing on the automatic coding of textual documents are increasingly popular in psychology and computer science. However, the potential of treating automatically coded text collected with regular sampling intervals as a signal is currently overlooked. We use the phrase "text as signal" to refer to the application of signal processing techniques to coded textual documents sampled with regularity. In order to illustrate the potential of treating text as signal, we introduce the reader to a variety of such techniques in a tutorial with two case studies in the realm of social media analysis. First, we apply finite response impulse filtering to emotion-coded tweets posted during the US Election Week of 2020 and discuss the visualization of the resulting variation in the filtered signal. We use changepoint detection to highlight the important changes in the emotional signals. Then we examine data interpolation, analysis of periodicity via the fast Fourier transform (FFT), and FFT filtering to personal value-coded tweets from November 2019 to October 2020 and link the variation in the filtered signal to some of the epoch-defining events occurring during this period. Finally, we use block bootstrapping to estimate the variability/uncertainty in the resulting filtered signals. After working through the tutorial, the readers will understand the basics of signal processing to analyze regularly sampled coded text.


Social Media , Humans , Emotions
7.
PLoS One ; 17(12): e0278018, 2022.
Article En | MEDLINE | ID: mdl-36516149

The COVID-19 pandemic has been repeatedly associated with poor mental health. Previous studies have mostly focused on short time frames such as around the first lockdown periods, and the majority of research is based on self-report questionnaires. Less is known about the fluctuations of psychological states over longer time frames across the pandemic. Twitter timelines of 4,735 users from London and New York were investigated to shed light on potential fluctuations of several psychological states and constructs related to the pandemic. Moving averages are presented for the years 2020 and 2019. Further, mixed negative binomial regression models were fitted to estimate monthly word counts for the time before and during the pandemic. Several psychological states and constructs fluctuated heavily on Twitter during 2020 but not during 2019. Substantial increases in levels of sadness, anxiety, anger, and concerns about home and health were observed around the first lockdown periods in both cities. The levels of most constructs decreased after the initial spike, but negative emotions such as sadness, anxiety, and anger remained elevated throughout 2020 compared to the year prior to the pandemic. Tweets from both cities showed remarkably similar temporal patterns, and there are similarities to reactions found on Twitter following other previous traumatic events.


COVID-19 , Social Media , Humans , COVID-19/epidemiology , Pandemics , Communicable Disease Control , Mental Health
8.
Heliyon ; 8(12): e12133, 2022 Dec.
Article En | MEDLINE | ID: mdl-36561692

We report on the first investigation of large-scale temporal associations between emotions expressed in online news media and those expressed on social media (Twitter). This issue has received little attention in previous research, although the study of emotions expressed on social media has bloomed owing to its importance in the study of mental health at the population level. Relying on automatically emotion-coded data from almost 1 million online news articles on disease and the coronavirus and more than 6 million tweets, we examined such associations. We found that prior changes in generic emotional categories (positive and negative emotions) in the news on the topic of disease were associated with lagged changes in these categories in tweets. Discrete negative emotions did not robustly feature this pattern. Emotional categories coded in online news stories on the coronavirus generally featured weaker and more disparate lagged associations with emotional categories coded in subsequent tweets.

9.
PLoS One ; 16(9): e0257409, 2021.
Article En | MEDLINE | ID: mdl-34520484

BACKGROUND: Trypophobia is characterised by an aversion to or even revulsion for patterns of holes or visual stimuli featuring such patterns. Past research has shown that trypophobic stimuli trigger emotional and physiological reactions, but relatively little is known about the antecedents, prodromes, or simply covariates of trypophobia. AIM: The goals of this study were (a) to draw the contours of the nomological network of trypophobia by assessing the associations of symptoms of trypophobia with several constructs that were deemed relevant from past research on anxiety disorders and specific phobias, (b) to compare such associations with those found for symptoms of spider phobia and blood and injection phobia (alternative dependent variables), and (c) to investigate the main effect of gender on symptoms of trypophobia and replicate the association of gender with symptoms of spider phobia and blood and injection phobia (higher scores for women). METHODS: Participants (N = 1,134, 53% men) in this cross-sectional study completed an online questionnaire assessing the constructs of interest. RESULTS: Most assessed constructs typically associated with anxiety disorders (neuroticism, conscientiousness, anxiety sensitivity, trait anxiety, disgust sensitivity, and disgust propensity) were also associated with trypophobia in the predicted direction. All of these constructs were also associated with spider phobia and blood and injection phobia. Behavioral inhibition was negatively associated with trypophobia and spider phobia-contrary to what was expected, but positively with blood and injection phobia. We found no gender difference in trypophobia, whereas women scored higher on spider phobia and blood and injection phobia. DISCUSSION: Although some differences were observed, the nomological network of trypophobia was largely similar to that of spider phobia and blood and injection phobia. Further studies are needed to clarify similarities and dissimilarities between trypophobia and specific phobia.


Fear/psychology , Form Perception , Phobic Disorders/diagnosis , Phobic Disorders/physiopathology , Adult , Affect , Animals , Anxiety , Behavior , Cross-Sectional Studies , Disgust , Emotions , Female , Humans , Male , Sex Factors , Spiders , Surveys and Questionnaires
10.
R Soc Open Sci ; 8(5): 201900, 2021 May 26.
Article En | MEDLINE | ID: mdl-34084541

The study of temporal trajectories of emotions shared in tweets has shown that both positive and negative emotions follow nonlinear circadian (24 h) and circaseptan (7-day) patterns. But to this point, such findings could be instrument-dependent as they rely exclusively on coding using the Linguistic Inquiry Word Count. Further, research has shown that self-referential content has higher relevance and meaning for individuals, compared with other types of content. Investigating the specificity of self-referential material in temporal patterns of emotional expression in tweets is of interest, but current research is based upon generic textual productions. The temporal variations of emotions shared in tweets through emojis have not been compared to textual analyses to date. This study hence focuses on several comparisons: (i) between Self-referencing tweets versus Other topic tweets, (ii) between coding of textual productions versus coding of emojis, and finally (iii) between coding of textual productions using different sentiment analysis tools (the Linguistic Inquiry and Word Count-LIWC; the Valence Aware Dictionary and sEntiment Reasoner-VADER and the Hu Liu sentiment lexicon-Hu Liu). In a collection of more than 7 million Self-referencing and close to 18 million Other topic content-coded tweets, we identified that (i) similarities and differences in terms of shape and amplitude can be observed in temporal trajectories of expressed emotions between Self-referring and Other topic tweets, (ii) that all tools feature significant circadian and circaseptan patterns in both datasets but not always, and there is often a correspondence in the shape of circadian and circaseptan patterns, and finally (iii) that circadian and circaseptan patterns obtained from the coding of emotional expression in emojis sometimes depart from those of the textual analysis, indicating some complementarity in the use of both modes of expression. We discuss the implications of our findings from the perspective of the literature on emotions and well-being.

11.
BMC Psychol ; 8(1): 119, 2020 Nov 07.
Article En | MEDLINE | ID: mdl-33160397

BACKGROUND: Cognitive enhancement (CE) refers to the voluntary improvement of human cognitive capabilities. Few studies have examined the general attitude of the public towards CE. Such studies have suggested that the use of CE is considered largely unacceptable by the public. In parallel, past research indicates that individuals scoring high on the Dark Triad of personality (Machiavellianism, narcissism, and psychopathy) and competitiveness have atypical views of ethical questions. In this study, we examined (a) whether attitudes towards CE are associated with individual differences in the Dark Triad of personality as well as in trait and contextual competitiveness and (b) whether the Dark Triad moderates the effect of trait and contextual competitiveness on attitudes towards CE. METHOD: US employees (N = 326) were recruited using Mechanical Turk. Participants completed a web survey. Data were analyzed by means of (robust) hierarchical regression and (robust) ANCOVAs. RESULTS: The Dark Triad of personality and one of its subscales, Machiavellianism, predicted positive attitudes towards CE. Neither trait competitiveness nor contextual competitiveness were linked to general attitudes towards CE, but the DT was a positive moderator of the association between contextual competitiveness and positive attitudes. CONCLUSION: Our findings extend the incipient knowledge about the factors relating to favourable views of CE by highlighting the role of dark personality traits in shaping such views. Our study further shows contextual factors can play a differentiated role with respect to such attitudes depending upon dark personality traits. Implications for policy-making are discussed.


Antisocial Personality Disorder/psychology , Attitude , Machiavellianism , Narcissism , Nootropic Agents , Cognition/drug effects , Competitive Behavior , Humans , Nootropic Agents/pharmacology
12.
Front Sociol ; 5: 596429, 2020.
Article En | MEDLINE | ID: mdl-33869522

While belongingness is a predictor of mental and physical health, the lack of social bonds is an issue for many people in occidental countries. This issue calls for global and affordable solutions. In this study, we notably investigated (a) the presumed positive relationships between agentic and communal interactional motives and belongingness, and (b) the mediating role of self-reported non-verbal immediacy-an indicator of availability to interact-in these relationships. Cross-sectional and longitudinal data were collected by means of questionnaires to test these hypotheses (N Crossectional = 344; N Longitudinal = 126) using the General Belongingness Scale, the Non-verbal Immediacy Scale, and the Bem Sex Role Inventory. Results supported the hypotheses: Interpersonal motives and non-verbal immediacy are associated cross-sectionally to belongingness, non-verbal immediacy mediates the interpersonal motives-belongingness relationship and positive changes in non-verbal immediacy are also related to increased belongingness. Practical and research implications are discussed.

13.
J Health Psychol ; 25(10-11): 1567-1575, 2020 09.
Article En | MEDLINE | ID: mdl-29600730

A sample of 1015 educational staff members, exhibiting various levels of burnout and depressive symptoms, underwent a memory test involving incident encoding of positive and negative words and a free recall task. Burnout and depression were each found to be associated with increased recall of negative items and decreased recall of positive items. Results remained statistically significant when controlling for history of depressive disorders. Burnout and depression were not related to mistakes in the reported words, or to the overall number of recalled words. This study suggests that burnout and depression overlap in terms of memory biases toward emotional information.


Burnout, Professional , Depression , Bias , Emotions , Humans , Memory
14.
PLoS One ; 14(9): e0221278, 2019.
Article En | MEDLINE | ID: mdl-31532770

Interactive conversation drives the transmission of cultural information in small groups and large networks. In formal (e.g. schools) and informal (e.g. home) learning settings, interactivity does not only allow individuals and groups to faithfully transmit and learn new knowledge and skills, but also to boost cumulative cultural evolution. Here we investigate how interactivity affects performance, teaching, learning, innovation and chosen diffusion mode (e.g. instructional discourse vs. storytelling) of previously acquired information in a transmission chain experiment. In our experiment, participants (n = 288) working in 48 chains with three generations of pairs had to learn and complete a collaborative food preparation task (ravioli-making), and then transmit their experience to a new generation of participants in an interactive and non-interactive condition. Food preparation is a real-world task that it is taught and learned across cultures and transmitted over generations in families and groups. Pairs were defined as teachers or learners depending on their role in the transmission chain. The number of good exemplars of ravioli each pair produced was taken as measurement of performance. Contrary to our expectations, the results did not reveal that (1) performance increased over generations or that (2) interactivity in transmission sessions promoted increased performance. However, the results showed that (3) interactivity promoted the transmission of more information from teachers to learners; (4) increased quantity of information transmission from teachers led to higher performance in learners; (5) higher performance generations introduced more innovations in transmission sessions; (6) learners applied those transmitted innovations to their performance which made them persist over generations; (7) storytelling was specialized for the transmission of non-routine, unexpected information. Our findings offer new insights on how interactivity, innovation and storytelling affect the cultural transmission of complex collaborative tasks.


Cultural Evolution , Food , Learning , Communication , Female , Humans , Male , Social Behavior
15.
PLoS One ; 14(3): e0213619, 2019.
Article En | MEDLINE | ID: mdl-30870469

Some individuals seek to enhance their cognitive capabilities through the use of pharmacology. Such behavior entails potential health risks and raises ethical concerns. The aim of this study was to examine whether a precursor of behavior, ethical judgement towards the use of existing biological cognitive enhancers (e.g., coffee, legal and illegal drugs), is shaped by the perceived characteristics of these cognitive enhancers. Students and employees completed an online questionnaire which measured perceived characteristics of 15 substances presented as potential cognitive enhancers and a measure of ethical judgement towards these cognitive enhancers. Results of mixed model regression analyzes show that ethical judgement is more favourable when cognitive enhancers are perceived as being legal, familiar, efficient, and safe for users' health, supporting all hypotheses. Results further show that 36% of variance (in the null model) lies at the level of cognitive enhancers and 21% at the level of participants. In conclusion, cognitive enhancers vary widely in terms of ethical judgement, which is explained by the perception of the mentioned characteristics. Implications regarding prevention and policy-making are discussed.


Central Nervous System Stimulants , Coffee , Illicit Drugs , Nootropic Agents/pharmacology , Pharmaceutical Preparations , Students/psychology , Adult , Cognition/drug effects , Female , Health Knowledge, Attitudes, Practice , Health Policy , Humans , Judgment/drug effects , Male , Morals , Regression Analysis , Surveys and Questionnaires , Switzerland , Young Adult
16.
Psychol Health Med ; 23(9): 1094-1105, 2018 10.
Article En | MEDLINE | ID: mdl-29792073

In this 257-participant study (76% female; mean age: 44.84), we examined two ideas that are widespread among burnout researchers: (a) the idea that burnout is primarily related to occupational-level factors; and (b) the idea that burnout should be considered a sentinel indicator in research on negative occupational outcomes. We investigated the links between burnout and a series of generic and work-related variables, namely, depressive symptoms, neuroticism, extraversion, effort-reward imbalance in the job [ERI], social support at work (SSW), and turnover intention. Burnout was assessed with the Shirom-Melamed Burnout Measure, depressive symptoms with the PHQ-9, neuroticism and extraversion with the NEO-Five Factor Inventory, ERI with the 10-item version of the Effort-Reward Imbalance Questionnaire, SSW with the Job Content Questionnaire, and turnover intention with a dedicated 3-item measure. Correlation, multiple regression, and relative weight analyses were conducted. Burnout was not found to be more strongly linked to organizational and work-contextualized variables than to personality traits. In addition, turnover intention was not associated to a greater extent with burnout than with ERI. Burnout and depressive symptoms were highly correlated and exhibited overlapping nomological networks. Overall, our findings question the way burnout has been generally conceived.


Burnout, Professional/psychology , Depression/psychology , Intention , Personality , Personnel Turnover , School Teachers/psychology , Social Support , Adult , Extraversion, Psychological , Female , Humans , Job Satisfaction , Male , Middle Aged , Neuroticism , Organizations , Patient Health Questionnaire , Perception , Regression Analysis , Reward , Surveys and Questionnaires
17.
Int J Nurs Stud ; 70: 46-57, 2017 May.
Article En | MEDLINE | ID: mdl-28231442

OBJECTIVES: Researchers in nursing science interested in the study of nurse-patient and nurse-relative interactions have displayed an ever increasing interest in ethnomethodology and conversation analysis. This review assesses the scope of this literature. We categorize the papers in thematic categories determined both inductively and deductively and synthesize the main findings of this literature within category. Finally we discuss the interactional determinants of the lack patient participation, the limitations of the field, and focus on implications. DESIGN: A scoping review on nurse-patient and nurse-relative interactions. DATA SOURCES: Forty articles focusing on nurse-patient interactions and nurse-relative interactions. All the articles relied on ethnomethodology and/or conversation analysis. REVIEW METHODS: A literature search has been carried out on Medline (all articles until June 2016; keywords were: nurs*.ab. and "conversation analysis"; nurs*.ab. and ethnomethodology). A similar search was performed on other platforms. The scope of the literature was identified by inductively and deductively analyzing the themes of the relevant articles. RESULTS: Six thematic categories emerged: Organization of nurse-patient interaction (eleven articles); Organization of mediated nurse-patient interaction (seven articles); Information, explanation and advice (eight articles); Negotiation and influence asymmetry (six articles); Managing emotions in critical illness (two articles); and Interacting with patients presenting reduced interactional competences (six articles). CONCLUSIONS: Across most thematic categories it appeared that patient participation is far from ideal as interactional asymmetry was most observed in favor of nurses. When the encounters occurred at the patients' homes this pattern was reversed. Computer-mediated interactions were often reported as non-optimal as the standardized process constrained communication and delayed patients' presentation of their ailments. Micro-analyses of interaction present a clear potential for the development of guidelines for nurse-patient interactions. Implications for practice are described.


Ethnicity , Nurse-Patient Relations , Humans , Patient Participation
18.
Front Psychol ; 7: 1582, 2016.
Article En | MEDLINE | ID: mdl-27822189

Gaze is instrumental in coordinating face-to-face social interactions. But little is known about gaze use when social interactions co-occur with other joint activities. We investigated the case of walking while talking. We assessed how gaze gets allocated among various targets in mobile conversations, whether allocation of gaze to other targets affects conversational coordination, and whether reduced availability of gaze for conversational coordination affects conversational performance and content. In an experimental study, pairs were videotaped in four conditions of mobility (standing still, talking while walking along a straight-line itinerary, talking while walking along a complex itinerary, or walking along a complex itinerary with no conversational task). Gaze to partners was substantially reduced in mobile conversations, but gaze was still used to coordinate conversation via displays of mutual orientation, and conversational performance and content was not different between stationary and mobile conditions. Results expand the phenomena of multitasking to joint activities.

19.
Front Psychol ; 6: 779, 2015.
Article En | MEDLINE | ID: mdl-26106354

Women have a life-expectancy advantage over men, but a marked disadvantage with regards to morbidity. This is known as the female-male health-survival paradox in disciplines such as medicine, medical sociology, and epidemiology. Individual differences in physical and mental health are further notably explained by the degree of stress individuals endure, with women being more affected by stressors than men. Here, we briefly examine the literature on women's disadvantage in health and stress. Beyond biological considerations, we follow with socio-cognitive explanations of gender differences in health and stress. We show that gender roles and traits (masculinity in particular) explain part of the gender differences in stress, notably cognitive appraisal and coping. Stress in turn degrades health. Implications are discussed. In conclusion, traditional socialization is advantageous for men in terms of health.

20.
Nurs Open ; 2(3): 130-140, 2015 Nov.
Article En | MEDLINE | ID: mdl-27708808

AIM: To document the prevalence of perturbations of handover meetings and understand how nurses manage temporal, physical and social meeting boundaries in response to perturbations. BACKGROUND: Handovers are joint activities performed collaboratively by participating nurses. Perturbations of handover are frequent and may potentially threaten continuity of care. DESIGN: We observed and videotaped handovers during five successive days in four nursing care units in two Swiss hospitals in 2009. METHODS: Videorecordings were transcribed. All perturbations during the handovers were noted. We performed content analysis of the sources of perturbations from the notes and interactional micro-analyses of handover interactions based on video and transcripts. RESULTS: Nurses are the most frequent sources of perturbations during handovers. Perturbations are collaboratively managed. A tacit division of labour is enacted via multimodal communication strategies, whereby perturbations are dealt with using both linguistic and bodily signals.

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