Positive mental health literacy for teachers: adaptation and construct validation.

Mental health promotion has been gaining recognition as an important teacher competency. Hence, it is imperative that teachers have adequate mental health literacy (MHL). However, most studies and programs on teacher MHL focus on teachers' knowledge of mental disorders, whereas very few have explored their knowledge of positive mental health, perhaps due to the lack of measures for this construct. In this study, we adapted and validated the Mental Health-Promoting Knowledge Scale (MHPKS), a measure of positive MHL, for teachers. We looked into its factor structure and examined its relationships with knowledge of mental disorders, and mental health and teaching-related outcomes. The sample included 470 Filipino preservice teachers. Results of the confirmatory factor analysis provided support for the single-factor model of the MHPKS. Positive MHL was found to be positively associated with knowledge of mental disorders, well-being, teaching engagement, and teaching satisfaction. It predicted well-being, teaching engagement, and teaching satisfaction above and beyond the variance accounted for by knowledge of mental disorders, indicating construct validity. MHPKS is a valid tool that can be used to complement measures of knowledge of mental disorders for a more holistic assessment of teacher mental health knowledge.

A comparison of DSM-5 and ICD-11 models of PTSD: Measurement invariance and psychometric validation in Filipino trauma samples.

This study examined and compared the factor structure of DSM-5 and ICD-11 PTSD models and their relationships with transdiagnostic symptoms (i.e., anxiety, depression, negative affect, and somatic symptoms) in eight trauma samples: (1) natural disaster relocatees; (2) Typhoon Haiyan survivors; (3) indigenous people exposed to armed conflict; (4) internally displaced persons due to armed conflict; (5) soldiers regularly involved in armed conflict; (6) police exposed to work-related traumatic events; (7) abused women; and (8) college students with diverse trauma experiences. Results showed that while the ICD-11 PTSD has better model fit than that of DSM-5, the DSM-5 PTSD model has stronger relationships with all transdiagnostic symptoms in almost all of the samples. The study highlights that in choosing which PTSD nomenclature to use, both the factor structure and comorbidity with other symptoms must be considered.

Applying motivational framework in medical education: a self-determination theory perspectives.

BACKGROUND: The application of self-determination theory in explaining student achievement has been well-established in various contexts. However, its application to medical education, particularly in interprofessional education (IPE) remains underexplored. Understanding how students' motivation plays a role in students' engagement and achievement is essential to optimize efforts to improve learning and instruction. OBJECTIVE: This two-stage study aims to contextualize the SDT framework to IPE through the adaptation of the Basic Psychological Need Satisfaction to IPE (Study 1) and to demonstrate how SDT can be applied in IPE by examining a model of SDT constructs (Study 2) in predicting outcomes (behavioral engagement, team effectiveness, collective dedication, goal achievement). DESIGN: In Study 1 (n=996), we adapted and validated BPNS-IPE using confirmatory factor analysis and multiple linear regression using data from 996 IPE students (Chinese Medicine, Medicine, Nursing, and Pharmacy). In Study 2 (n=271), we implemented an IPE program where we integrated SDT approaches and examined the relationship of SDT constructs with IPE outcomes using multiple linear regression. RESULTS: Our data supported the three-factor structure (autonomy, competence, and relatedness) of BPNS-IPE, meeting the required model fit. Autonomy predicted team effectiveness (F=51.290, p<.05, R2=.580); competence predicted behavioral engagement (F=55.181, p<.05, R2=.598); while relatedness predicted significantly four IPE outcomes: behavioral engagement (F=55.181, p<.01, R2=.598), team effectiveness (F=51.290, p<.01, R2=.580), collective dedication (F=49.858, p<.01, R2=.573), goal achievement (F=68.713, p<.01, R2=.649). CONCLUSIONS: The SDT motivational framework can be adapted and applied in the IPE context to understand and enhance student motivation in medical education. Potential studies with the use of the scale are provided to guide researchers.

Why do I teach? Teachers' instrumental and prosocial motivation predict teaching quality across East and West.

BACKGROUND: Individuals pursue teaching careers for numerous reasons, such as for instrumental or prosocial purposes. AIMS: This study examined the personal (instrumental motivation) and social (prosocial motivation) utility of teaching as predictors of teaching quality in terms of clarity of instruction, classroom management, and cognitive activation. SAMPLE: We used data from the Teaching and Learning International Survey (TALIS) 2018, which included 50,595 teachers from 1252 schools in 10 countries and regions. METHODS: We performed a series of regression analyses to test a model of instrumental and prosocial motivation to predict three indicators of teaching quality (clarity of instruction, classroom management, and cognitive activation) while controlling for demographic characteristics (age, sex, educational level, and teaching experience). We examined this model in countries and regions from Eastern (Japan, Korea, Singapore, Shanghai and Taipei) and Western (Australia, Canada, New Zealand, United Kingdom and the United States of America) cultures. RESULTS: Results demonstrated that instrumental motivation predicted clarity of instruction in the East and classroom management in both the East and West; prosocial motivation, however, was a more consistent predictor of all indicators of teaching quality, except classroom management in the West, across cultures. CONCLUSION: Teachers' prosocial motivation to benefit others and contribute to society must be considered to understand teaching quality across various cultural contexts. Implications for theory, practice and policy are discussed.

Validating the Suicide Behavior Questionnaire-Revised among Filipino adults during the COVID-19 pandemic.

The study aimed to examine the validity of the Suicide Behavior Questionnaire-Revised (SBQ-R) among adult Filipinos experiencing severe depression symptoms during the COVID-19-related lockdowns in 2020. Results support SBQ-R's internal reliability. Confirmatory factor analyses supported SBQ-R's one-factor structure and its measurement invariance across gender and age. The SBQ-R's positive relationship with negative affect and its negative relationships with positive affect and family support demonstrate the questionnaire's criterion-related validity. The SBQ-R's cutoff of ≥8 shows that 78% of the sample were at-risk for suicide. The SBQ-R is valid in assessing suicide risk among severely depressed adults during the COVID-19 pandemic.

Exploring the interplay between socioeconomic status and reading achievement: An expectancy-value perspective.

BACKGROUND: Socioeconomic status (SES) and motivation are both important predictors of student achievement. However, most studies have investigated these factors separately, and very few have looked into the interplay between SES and motivation as determinants of student reading achievement. AIMS: We intend to bridge this gap by examining a model of SES predicting reading achievement through motivation (i.e., expectancy and value) at both student and school levels. SAMPLE: We used the data from the Programme for International Student Assessment (PISA) 2018 of 26,281 students from four regions in Greater China (Mainland China, Hong Kong, Macau, and Taipei). METHODS: We used multi-group multilevel path analysis to test whether SES would predict reading achievement mediated by expectancy and value in student and school levels across four regions, with gender as a covariate. RESULTS: Results showed that at the student level, SES significantly predicted reading achievement indirectly through both expectancy and value across four regions. At the school level, the relationship between school SES and school reading achievement was mostly direct. CONCLUSION: The study was able to demonstrate the motivational gap as a pathway in which economic inequality can contribute to students' reading achievement gap.

Migrant domestic workers' character strengths and the role of work-related factors: A strengths-based perspective.

Most studies on migrant domestic workers (MDW) focus on their problems and vulnerabilities, whereas not much is known about their positive attributes and character strengths. Hence, this study intends to deviate from the usual deficit-based view of MDW, which portrays them as victims, to a strengths-based perspective, which highlights their character strengths. In this study, we examined MDW's character strengths (i.e. positive human attributes that contribute to the thriving of oneself and others) and work-related factors associated with it. The participants of the study were 631 Filipino female MDW in Hong Kong. We examined how work-related factors (employer support and working conditions) predicted different character strength domains (courage, humanity, justice, moderation, transcendence and wisdom) through strengths use. Results of structural equation modelling revealed that employer support consistently predicted all six domains of character strengths through increased strengths use. These findings highlight the important role of employer support on MDW's character strengths. More importantly, it can raise critical awareness on MDW's strengths and well-being, and provide a platform for future strengths-based programmes and policies.

Autonomy is equally important across East and West: Testing the cross-cultural universality of self-determination theory.

INTRODUCTION: Self-determination theory (SDT) posits the importance of three basic psychological needs (i.e., relatedness, autonomy, and competence) in promoting achievement. However, some cross-cultural researchers have cast doubt on the generalizability of the theory to non-Western cultures. The primary aim of the study was to test whether provision of support for relatedness, autonomy, and competence would be associated with achievement across both Western and Eastern cultures. METHOD: We drew on a subsample of students from the Program for International Student Assessment (PISA) (n = 92,325 students from Australia, Canada, New Zealand, UK, and USA (Western societies); and Hong Kong SAR, Japan, Macau SAR, Shanghai, South Korea, and Taipei (Eastern societies); 46,006 were females and 46,319 were males, with a mean age of 15.77 (SD = 0.29) years). We used multi-group confirmatory factor analysis (MG-CFA) and multi-group structural equation modeling (MG-SEM) to analyze the data. RESULTS: Provision of the three basic needs correlated positively with achievement across cultures, providing broad support for the cross-cultural universality of SDT. MG-SEM indicated that relatedness and autonomy support were equally important for student achievement in both Western and Eastern cultures, whereas competence support was found to be more important to students in the West than in the East. CONCLUSION: Findings support the cross-cultural relevance of SDT while at the same time highlighting important cultural variations such as greater importance of competence support in the West, suggesting the need to be cognizant of both cross-cultural universality and variability in motivational theorizing.

The factor structure of complex PTSD in combat-exposed Filipino soldiers.

The World Health Organization recently released the 11th revision of the International Classification of Diseases with the inclusion of Complex Posttraumatic Stress Disorder (CPTSD). Despite the emerging research examining the symptom structure of CPTSD, to date, none so far have reached consensus on what best represents CPTSD, particularly in soldiers who are exposed regularly in combat situations. This study examined seven latent CPTSD models in a sample of Filipino combat-exposed soldiers (n = 450). Results of confirmatory factor analyses indicated that the correlated 6 factor first-order model (model 2), comprising of re-experiencing, avoidance, persistent sense of current threat, affective dysregulation, negative self-concept, and disturbances in relationships, has the best fit. These findings have implications for understanding CPTSD as a diagnostic entity and provide information on the assessment and crafting of complex trauma interventions, particularly among Filipino combat-exposed soldiers.

Indirect Effect of Hopelessness on Depression Symptoms Through Perceived Burdensomeness.

Hopelessness theory of depression posits that hopelessness due to negative inferences may serve as a proximal and sufficient cause of depression, while interpersonal theories suggest that interpersonal stress resulting from relationship problems and social rejection may lead to symptoms of depression. We propose that the two perspectives can be integrated by examining a model in which hopelessness predicts depression symptoms through two specific interpersonal stress constructs, thwarted belongingness and perceived burdensomeness, in a sample of university students from Macau (N = 350). Results of mediation analysis revealed a significant indirect effect of hopelessness on depression symptoms through perceived burdensomeness (indirect effect = .45; 95% confidence interval = .28 to .65), but not thwarted belongingness (indirect effect = .06; 95% confidence interval = -.05 to .18). Alternative models were also tested. When each interpersonal construct was treated as a separate mediator without controlling for the other, significant indirect effects of both perceived burdensomeness and thwarted belongingness were found. Moreover, when hopelessness was assigned as the mediator and interpersonal constructs as independent variables, significant indirect effects were likewise found for perceived burdensomeness and thwarted belongingness. Findings suggest that the two different yet compatible views about depression-hopelessness and interpersonal theories-may be integrated to provide a better understanding of the process of how depression symptoms occur. It also reinforces the importance of considering interpersonal factors in the study of depression, especially in societies where interpersonal relationships are highly valued.

Centrality of Event and Mental Health Outcomes in Child and Adolescent Natural Disaster Survivors.

The experience of trauma could be considered a central event in one's life, such that it could be a core component of one's identity and life story. Indeed, trauma memories are well-remembered, vivid, intense, and easily accessible (Berntsen & Rubin, 2006). The present study investigated the mediating role of sensory-based trauma memory quality in the relationship between centrality of event and mental health outcomes among child and adolescent survivors of a natural disaster (N = 225) in its immediate aftermath. Results of mediation analyses revealed that centrality of trauma event is related to symptoms of acute stress disorder and depression through sensory-based trauma memory quality (indirect effect 95% C.I. [.06, .11] and [.04, .10], respectively). These findings support the contention that centrality of event is associated to heightened accessibility and vividness of sensory-based trauma memory quality, which in turn is related to an increase in trauma-related symptoms in the immediate aftermath of a natural disaster, where the reminders of trauma are particularly salient in the survivors' environment and daily activities.

Assessing the Latent Structure of Posttraumatic Growth and Its Relationship With Cognitive Processing of Trauma Among Filipino Women Victims of Intimate Partner Abuse.

The study intends to find out which model best represents posttraumatic growth's (PTG) latent factor structure in a sample of Asian, particularly Filipino, women victims of intimate partner abuse (IPA) using Posttraumatic Growth Inventory (PTGI). In addition, it also aims to find out the differential relationships of the components of the best-fitting PTG model with cognitive processing strategies. Confirmatory factor analyses were conducted with the one-factor, three-factor, and five-factor models of PTG in a sample of 217 Filipino women who have history of IPA within the last 6 months of a previous or current relationship. Results revealed that the five-factor model comprised of appreciation of life, new possibilities, personal strength, spiritual change, and relating to others best fits the sample. Furthermore, all the components of the five-factor model were found to be positively correlated with cognitive processing of trauma strategies, including positive cognitive restructuring, denial, downward comparison, regret, and resolution/acceptance, albeit in varying degrees. These findings confirmed the robustness of the five-factor model of PTG compared with other models in a sample of women victims of IPA. In addition, the findings demonstrated the relationship of PTG with cognitive processing of trauma. These findings would be useful in developing cognitive interventions for women who experienced IPA.

Centrality of event and mental health outcomes in child and adolescent natural disaster survivors

The experience of trauma could be considered a central event in one's life, such that it could be a core component of one's identity and life story. Indeed, trauma memories are well-remembered, vivid, intense, and easily accessible (Berntsen & Rubin, 2006). The present study investigated the mediating role of sensory-based trauma memory quality in the relationship between centrality of event and mental health outcomes among child and adolescent survivors of a natural disaster (N = 225) in its immediate aftermath. Results of mediation analyses revealed that centrality of trauma event is related to symptoms of acute stress disorder and depression through sensory-based trauma memory quality (indirect effect 95% C.I. [.06, .11] and [.04, .10], respectively). These findings support the contention that centrality of event is associated to heightened accessibility and vividness of sensory-based trauma memory quality, which in turn is related to an increase in trauma-related symptoms in the immediate aftermath of a natural disaster, where the reminders of trauma are particularly salient in the survivors' environment and daily activities

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PTSD's Underlying Dimensions in Typhoon Haiyan Survivors: Assessing DSM-5 Symptomatology-Based PTSD Models and Their Relation to Posttraumatic Cognition.

The recent changes in posttraumatic stress disorder (PTSD) symptomatology in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) call for a re-examination of PTSD's latent factor structure. The present study assessed six competing models of PTSD based on DSM-5 symptomatology using confirmatory factor analysis in a sample of young adult Filipino survivors of typhoon Haiyan, one of the strongest typhoons in the world ever recorded at the time of its landfall (N = 632). Furthermore, the differential relationships of the factors of the best-fitting model with posttraumatic cognitions were also investigated. Results showed the 7-factor hybrid model of PTSD comprised of intrusion, avoidance, negative affect, anhedonia, externalizing behaviors, anxious arousal, and dysphoric arousal, to be the best fitting model. In addition, the varying degrees of relationship with posttraumatic cognitions support the distinctiveness of each factor. These findings are pertinent in light of the changes in DSM-5 PTSD symptomatology, as well as in understanding the underlying dimensions of PTSD among Asian, particularly Filipino, survivors of a natural disaster.

PTSD factor structure and relationship with self-construal among internally displaced persons.

The present study examined the factor structure of six competing posttraumatic stress disorder (PTSD) models based on the recent changes in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) in a sample that, while highly vulnerable to PTSD, very few studies have focused on-Asians, particularly Filipino internally displaced persons (IDPs). In recognition of the role of culture in PTSD factor structure, we also investigated the associations of the factors of the best-fitting model with self-construal. A sample of 460 IDPs in government resettlement communities participated in the study. Results of confirmatory factor analyses revealed the seven-factor hybrid model composed of intrusion, avoidance, negative affect, anhedonia, externalizing behaviors, anxious arousal, and dysphoric arousal as the best-fitting model. Furthermore, it was found that associations between independent self-construal and PTSD factors were higher than that of interdependent self-construal and PTSD factors.

Social complexity beliefs predict posttraumatic growth in survivors of a natural disaster.

OBJECTIVE: Most studies on posttraumatic growth (PTG) have focused on personal characteristics, interpersonal resources, and the immediate environment. There has been less attention on dynamic internal processes related to the development of PTG and on how these processes are affected by the broader culture. Calhoun and Tedeschi's (2006) model suggests a role of distal culture in PTG development, but empirical investigations on that point are limited. The present study investigated the role of social complexity-the generalized belief about changing social environments and inconsistency of human behavior-as a predictor of PTG. Social complexity was hypothesized to be associated with problem-solving approaches that are likely to give rise to cognitive processes that promote PTG. METHOD: A sample of 446 survivors of Typhoon Haiyan, 1 of the strongest typhoons ever recorded at the time, answered self-report measures of social complexity, cognitive processing of trauma, and PTG. RESULTS: Structural equation modeling indicated a good fit between the data and the hypothesized model; belief in social complexity predicted stronger PTG, mediated by cognitive processing. CONCLUSION: The results provide evidence for how disaster survivors' beliefs about the changing nature of social environments and their corresponding behavior changes are predictors of PTG and suggest a psychological mechanism for how distal culture can influence PTG. Thus, assessing social complexity beliefs during early the phases of a postdisaster psychosocial intervention may provide useful information on who is likely to experience PTG. Trauma workers might consider culture-specific social themes related to social complexity in disaster-affected communities. (PsycINFO Database Record

Examining posttraumatic stress disorder's latent structure between treatment-seeking and non-treatment-seeking Filipinos.

BACKGROUND: The discourse of latent structure of posttraumatic stress disorder (PTSD) has been extensive in trauma literature. Although findings have been consistent in rejecting DSM-IV-TR's three-factor model, alternative models are still fervently argued. This study contributes to the discussion by examining and comparing PTSD factor structure of the three most validated models­numbing model (King et al., 1998), dysphoria model (Simms et al., 2002), and dysphoric arousal model (Elhai et al., 2011b)­and determining if these are generalizable across treatment-seeking and non-treatment-seeking Filipinos with exposure to trauma events. METHODS: Filipino-Tagalog version of Harvard Trauma Questionnaire (HTQ; Mollica et al., 1992) was administered to a sample of 737 treatment-seeking (n=526) and non-treatment-seeking (n=211) Filipinos who experienced and witnessed varied trauma events. Confirmatory factor analysis (CFA) was conducted involving the three models in order to determine the best-fitting model and generalizability across samples. RESULTS: Results showed that all three models achieved excellent fit, with dysphoric arousal model slightly fitting better than numbing and dysphoria models in both treatment-seeking and non-treatment-seeking samples. Series of invariance testing, however, indicated that although dysphoric arousal model fits significantly better than dysphoria model, it did not significantly differ from numbing model. Results revealed that aside from the factor loadings, the two groups are noninvariant in all parameters. Treatment-seeking sample had larger intercepts, factor variances and covariances and factor means than non-treatment-seeking group. DISCUSSION: The findings strongly contribute to the literature by showing how the type of groupings (treatment-seeking vs. non-treatment-seeking) moderates PTSD latent structure. It affirms the suggestion of Biehn et al. (2012) to be cautious in concluding the generalizability of PTSD models in the context that type of participants moderates PTSD's factor structure.