Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 30
Filtrar
1.
Psychol Rep ; : 332941241253599, 2024 May 13.
Artigo em Inglês | MEDLINE | ID: mdl-38739905

RESUMO

Canadian universities are experiencing a dramatic increase in enrollment of students from diverse backgrounds. Evidence suggests many educators are not prepared to teach in multicultural contexts. Educators' lack of preparedness to teach in such contexts may lead them to develop burnout, which can negatively impact their mental and professional well-being. However, self-efficacy beliefs may buffer against job burnout and promote mental well-being. Hence, multicultural efficacy is an important factor for teaching in multicultural settings. In this study, we examined the relationships of multicultural efficacy with university instructors' burnout and mental well-being. A total of 158 faculty and sessional instructors were recruited from four prominent higher education institutions in Canada. The results revealed that multicultural efficacy was significantly related to the Personal Accomplishment facet of burnout and mental well-being, even after controlling variance accounted for by demographics, job-related characteristics, teaching self-efficacy, and colour-blind racial attitudes. These findings indicate that domain specific multicultural efficacy and general teaching self-efficacy are distinct constructs. Further, findings may inform the development of training opportunities and diversity-related workshops to enhance university instructors' awareness of diversity, social justice issues, and multicultural efficacy to better equip them for instruction in multicultural classrooms.

2.
Mil Psychol ; : 1-11, 2023 Aug 28.
Artigo em Inglês | MEDLINE | ID: mdl-37640383

RESUMO

The applicant faking literature suggests that faking warnings - brief messages that dissuade applicants from faking - can reduce faking on personality tests by up to 50%. However, the efficacy of warnings may be limited by their atheoretical construction. Further, these threatening messages can cause applicants to feel negatively about the personality test, potentially reducing their validity during the selection process. We tried to improve the efficacy of faking warnings, while minimizing negative applicant reactions, by leveraging theory from the accountability and morality literatures. We tested three new faking warnings that emphasized short-term accountability, long-term accountability, and morality. To do so, we tested 466 military trainees undergoing basic training at the Canadian Armed Forces and asked them to engage in a selection simulation. We assigned groups of trainees to the different faking warning conditions and guided them through the simulation. We found that a faking warning emphasizing short-term accountability, which threatened to detect fakers by contacting references and using "internal integrity checks," reduced applicant faking. None of the other messages had any effect when compared to a no-warning control group.

3.
Artigo em Inglês | MEDLINE | ID: mdl-37510563

RESUMO

While CBT is an effective treatment for depression, uptake can be low. This is largely due to attitudinal barriers. Accordingly, the goals of the current investigation were to (a) tailor and develop persuasive psychoeducational materials to match dominant cultural beliefs about the causes of depression and (b) examine the effectiveness of tailored CBT descriptions in improving CBT perceptions. We examined the believability of CBT mechanisms by invoking commonly endorsed etiological models of depression and investigated whether tailoring CBT descriptions to match etiological beliefs about depression influences perceptions of CBT. Participants were recruited using TurkPrime. In Study 1, participants (n = 425) read a CBT description that was generic or framed to match an etiological model of depression (biological, stress/environmental, or relationship/interpersonal). The participants indicated believability of each model as adopted by CBT. In study 2, the participants (n = 449) selected what they believed was the most important cause of depression. Subsequently, the participants were randomised to receive either a CBT description tailored to their endorsed model or a generic CBT description, and they provided ratings for CBT's acceptability, credibility, and expectancy. In Study 1, the believability of biological CBT mechanisms was low across conditions, but participants reported greater believability when receiving a biological description than when receiving other mechanistic descriptions. Participants who received the stress- and relationship-focused descriptions did not rate the respective models as more believable than those who received a generic description. In study 2, there were no differences in the perceptions of acceptability, credibility and expectancy between participants who received a tailored description and those who received a generic description. Our findings suggest that CBT is believed to be a psychologically appropriate treatment; however, the believability of biological mechanisms is improved by presenting a biology-focused description.


Assuntos
Terapia Cognitivo-Comportamental , Depressão , Humanos , Depressão/terapia , Resultado do Tratamento , Medicamentos Genéricos
4.
Mindfulness (N Y) ; 14(3): 538-553, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36845644

RESUMO

Objectives: Indigenous university students experience high rates of anxiety and depression due primarily to the pernicious and persistent effects of colonialism, racism, and discrimination. Mindfulness-based interventions (MBIs) hold promise, but likely require adaptation to make them culturally relevant for Indigenous peoples. We sought to gather Indigenous students' perspectives on the consistency and adaptability of MBIs for Indigenous students experiencing symptoms of depression and anxiety. Method: This three-part longitudinal investigation employed a qualitative design mixed with Indigenous research methods to elicit feedback from students (n = 14; M age = 28.92) on the acceptability of MBIs and ways to tailor MBIs to make them more consistent with Indigenous cultures and student lifestyles. We subsequently used this feedback to develop an outline for an adapted MBI that was then re-evaluated by the same participants for its cultural relevance and safety. Results: Indigenous students emphasized the need for the adapted MBI to incorporate (a) traditional Indigenous practices; (b) Indigenous facilitators; (c) holistic conceptualizations of mental health that include spirituality; and (d) practices and methods that could improve flexibility and accessibility of the adapted intervention. Based on this feedback, we presented students with an outline of an adapted MBI tentatively titled Miyowâyâwin Mindful Wellbeing Program, which received favorable evaluations by students for cultural consistency and safety. Conclusions: We confirmed the perceived acceptability and consistency of mindfulness and mindfulness programs with Indigenous cultures. The need for a flexible MBI that centers Indigenous elements and Indigenous facilitators was highlighted by Indigenous participants. This study paves the way for latter steps of the development and subsequent evaluation of the Miyowâyâwin Mindful Wellbeing Program. Preregistration: This study is not preregistered.

5.
BMC Psychol ; 10(1): 295, 2022 Dec 09.
Artigo em Inglês | MEDLINE | ID: mdl-36494748

RESUMO

BACKGROUND: Public safety personnel (PSP; e.g., border services personnel, correctional workers, firefighters, paramedics, police, public safety communicators) are frequently exposed to potentially psychologically traumatic events. Such events contribute to substantial and growing challenges from posttraumatic stress injuries (PTSIs), including but not limited to posttraumatic stress disorder. METHODS: The current protocol paper describes the PSP PTSI Study (i.e., design, measures, materials, hypotheses, planned analyses, expected implications, and limitations), which was originally designed to evaluate an evidence-informed, proactive system of mental health assessment and training among Royal Canadian Mounted Police for delivery among diverse PSP (i.e., firefighters, municipal police, paramedics, public safety communicators). Specifically, the PSP PTSI Study will: (1) adapt, implement, and assess the impact of a system for ongoing (i.e., annual, monthly, daily) evidence-based assessments; (2) evaluate associations between demographic variables and PTSI; (3) longitudinally assess individual differences associated with PTSI; and, (4) assess the impact of providing diverse PSP with a tailored version of the Emotional Resilience Skills Training originally developed for the Royal Canadian Mounted Police in mitigating PTSIs based on the Unified Protocol for the Transdiagnostic Treatment of Emotional Disorders. Participants are assessed pre- and post-training, and then at a follow-up 1-year after training. The assessments include clinical interviews, self-report surveys including brief daily and monthly assessments, and daily biometric data. The current protocol paper also describes participant recruitment and developments to date. DISCUSSION: The PSP PTSI Study is an opportunity to implement, test, and improve a set of evidence-based tools and training as part of an evidence-informed solution to protect PSP mental health. The current protocol paper provides details to inform and support translation of the PSP PTSI Study results as well as informing and supporting replication efforts by other researchers. TRIAL REGISTRATION: Hypotheses Registration: aspredicted.org, #90136. Registered 7 March 2022-Prospectively registered. TRIAL REGISTRATION: ClinicalTrials.gov, NCT05530642. Registered 1 September 2022-Retrospectively registered. The subsequent PSP PTSI Study results are expected to benefit the mental health of all participants and, ultimately, all PSP.


Assuntos
Bombeiros , Transtornos de Estresse Pós-Traumáticos , Humanos , Canadá , Transtornos de Estresse Pós-Traumáticos/prevenção & controle , Transtornos de Estresse Pós-Traumáticos/psicologia , Saúde Mental , Emoções
6.
Mindfulness (N Y) ; 13(12): 3028-3042, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36312006

RESUMO

Objectives: The COVID-19 pandemic has been associated with a dramatic rise in symptoms of depression and anxiety. Dispositional mindfulness (DM) and self-compassion (SC) have consistently been associated with psychological disorder symptoms and appear to buffer the effects of stress on depression and anxiety. Methods: Across two studies (n = 888), we examined direct and indirect (moderation) relationships of DM, SC, COVID-19-related stress, and symptoms of depression and anxiety. We also examined the differential effects of several DM measures (FFMQ-15; FFMQ-39; MAAS) in the relationships of COVID-19 stress and psychological disorder symptoms. We recruited participants (Study 1 n = 350; 42.2% cis women; Study 2 n = 538; 44.3% cis women) online (MTurk) and examined associations of DM, SC, and COVID-19 stress, and emotional impact, and the moderating effect of DM and SC in the relationships of COVID-19-related fears, stress, emotional impacts, and psychological disorder symptoms. Results: DM and SC were moderately and negatively correlated with COVID-19 fears and stress (correlations ranging r = - .14 to r = - .42) across studies. Study 1 moderation analyses demonstrated SC, but not DM (FFMQ-15), significantly moderated relationships of COVID-19 fears and emotional impacts with symptoms. Study 2 analyses demonstrated the FFMQ-39, but not the MAAS, significantly moderated relationships of COVID-19 stress and psychological disorder symptoms. Conclusions: These results support the potential protective roles of DM and SC in disrupting pathological trajectories related to naturally elevated pandemic stress. Results also demonstrate the differential associations of several DM measures with COVID-19 stress. Future research should replicate such findings with more diverse samples and using various measures of self-compassion and risk metrics. Supplementary Information: The online version contains supplementary material available at 10.1007/s12671-022-02008-0.

7.
Artigo em Inglês | MEDLINE | ID: mdl-35954975

RESUMO

OBJECTIVE: Mindfulness-based programs (MBPs) cultivate the capacity for mindfulness, defined as nonjudgmental acceptance and awareness of present-moment experience. Mindfulness has been associated with a host of benefits for users, such as improved indices of mental well-being. We examined public perceptions of acceptability (i.e., how appropriate the treatment is for a given problem) and credibility (i.e., how logical and convincing a treatment seems) of MBPs as a form of mental health intervention. The main objective of this study was to examine whether higher specificity of psychoeducational content improved perceptions of the acceptability and credibility of MBPs. METHODS: Participants (n = 188; female% = 39.4) were recruited online and randomly assigned to one of two conditions. In one condition, participants received balanced and evidence-based psychoeducation specific to MBPs for mental health. In the other condition, participants received general information about psychological treatments for mental health. Acceptability and credibility perceptions were measured by questionnaires across time (pre-and post-psychoeducation) and across specificity conditions (specific vs. general psychoeducation). RESULTS: Participants randomized to the general, but not the specific, psychoeducation-endorsed higher scores of acceptability of MBPs post-psychoeducation. Further, participants endorsed higher scores of MBP credibility post-psychoeducation, regardless of the specificity of psychoeducation provided. CONCLUSIONS: Perceptions of the acceptability of MBPs were improved following exposure to general psychoeducation, and perceptions of the credibility of MBPs were improved following psychoeducation, regardless of specificity. Examining public perceptions of MBPs is important for informing strategies to support access to and use of MBPs.


Assuntos
Atenção Plena , Feminino , Humanos , Saúde Mental
8.
Artigo em Inglês | MEDLINE | ID: mdl-35742221

RESUMO

Background-Public safety personnel (PSP) are at heightened risk of developing mental health challenges due to exposures to diverse stressors including potentially psychologically traumatic experiences. An increased focus on protecting PSP mental health has prompted demand for interventions designed to enhance resilience. While hundreds of available interventions are aimed to improve resilience and protect PSPs' mental health, research evidence regarding intervention effectiveness remains sparse. Methods-Focus groups with PSP elicited a discussion of psychoeducational program content, preferred modes of program delivery, when such training should occur, and to whom it ought to be targeted. Results-The results of thematic analyses suggest that PSP participants feel that contemporary approaches to improving mental health and resilience are lacking. While welcomed, the provision of sporadic one-off mental health and resilience programs by organizations was seen as insufficient, and the available organizational mental health supports were perceived as being questionable. The available programs also left participants feeling insufficiently prepared to deal with personal mental health problems and in discussing mental health concerns with co-workers. Conclusions-Participants reported needing more engaging methods for delivering information, career-long mental health knowledge acquisition, and a systems approach to improve the workplace culture, particularly regarding mental health.


Assuntos
Bombeiros , Transtornos Mentais , Pessoal Técnico de Saúde , Humanos , Saúde Mental , Local de Trabalho
9.
Artigo em Inglês | MEDLINE | ID: mdl-35627463

RESUMO

Public safety personnel (PSP) face frequent stressors that increase their risk of developing symptoms of depression and anxiety. In addition to being exposed to potentially traumatic events, PSP trainees may face a compounded risk of developing mental health symptoms, as their training environments are conducive to social comparisons and the resultant painful emotion of envy. Envy is associated with numerous negative health and occupational outcomes. Fortunately, there are several individual difference factors associated with increased emotional regulation, and such factors may offer resilience against the damaging mental health effects of envy. In this study, we examined the interplay between dispositional mindfulness, self-compassion, and dispositional envy in predicting job satisfaction, stress, experience of positive and negative emotions, subjective resilience, and symptoms of depression and anxiety in a sample of police trainees (n = 104). A substantial minority of trainees reported clinically significant symptoms of depression (n = 19:18.3%) and anxiety (n = 24:23.1%) in accordance with the cut-off scores on screening measures. Consistent with hypotheses, dispositional envy was associated with lower job satisfaction, greater stress, and greater anxiety and depression. Furthermore, envy was associated with higher negative emotions, lower positive emotions, and lower subjective resilience. Dispositional mindfulness and self-compassion were associated with greater job satisfaction, lower stress, and reduced symptoms of depression and anxiety. Moreover, mindfulness and self-compassion were both associated with lower negative emotions, higher positive emotions, and subjective resilience. The associations between envy and the relevant job and mental health outcomes were significantly diminished after controlling for mindfulness and self-compassion. This suggests that these protective traits may serve as transdiagnostic buffers to the effects of envy on mental health. The results of this study confirmed the damaging effects of envy and suggested the potential remediation of these effects through the cultivation of mindfulness and self-compassion.


Assuntos
Atenção Plena , Empatia , Ciúme , Saúde Mental , Atenção Plena/métodos , Autocompaixão
10.
Psychoneuroendocrinology ; 130: 105277, 2021 08.
Artigo em Inglês | MEDLINE | ID: mdl-34058560

RESUMO

BACKGROUND: The menopause transition is associated with an increased risk of depressive symptoms. The current study aimed to test whether Mindfulness-Based Stress Reduction, an 8-week group intervention involving meditation and yoga, might reduce the risk of depressive symptoms among perimenopausal women. A secondary aim was to examine baseline characteristics, including sensitivity to estradiol fluctuation, as a moderator of treatment effects. METHODS: 104 healthy women from the community in the menopause transition were enrolled and randomized to MBSR (n = 52) or a waitlist control condition (n = 52). Randomization was carried out using a random number generator and opaque sealed envelopes. Depressive symptoms, the main outcome, were assessed every two weeks for 6 months using the Center for Epidemiologic Studies Depression Scale (CES-D). The occurrence of an elevated CES-D score (≥16) and of a major depressive episode were pre-identified secondary outcomes. The following surveys were used to assess additional outcomes of interest every two months: the Perceived Stress Scale, Spielberger Trait Anxiety Inventory, Connor-Davidson Resilience Scale, and Pittsburgh Sleep Quality Index. Baseline characteristics examined as potential moderators of treatment benefit included: baseline CES-D score, past depressive episodes, recent stressful life events, a history of physical or sexual abuse, and emotional sensitivity to reproductive hormone fluctuation. Outcome assessors were blinded to the participants' assigned treatment arm. RESULTS: Outcome data were available for 44 women assigned to MBSR and 51 women in the waitlist condition. Women randomized to MBSR reported fewer depressive symptoms, less perceived stress, less anxiety, increased resilience, and improved sleep (ps < 0.001). Furthermore, several baseline characteristics predicted a greater mood benefit of MBSR, including: a history of major depression (p for the interaction <0.001), a greater number of recent stressful life events (p < .001), being in the early menopause transition (p = .002), and an increased emotional sensitivity to reproductive hormone fluctuation (p = .004). There were no group differences in the occurrence of major depressive episodes (p > .05). CONCLUSIONS: MBSR appears to be an effective intervention for the prevention of depressive symptoms in the menopause transition.


Assuntos
Transtorno Depressivo Maior , Atenção Plena , Depressão/prevenção & controle , Transtorno Depressivo Maior/prevenção & controle , Estradiol , Feminino , Humanos , Perimenopausa , Qualidade do Sono , Estresse Psicológico/terapia
11.
J Am Coll Health ; 69(8): 872-880, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-31995461

RESUMO

ObjectiveDepression and anxiety are major concerns among students. Unfortunately, there are disparities between the mental health of majority culture students (White; Judeo-Christian) and that of Indigenous students. Although mindfulness, self-compassion, and reappraisal are correlated with symptoms of psychopathology among White students, these relationships have never been examined among Indigenous students. Participants: Undergraduate Indigenous students recruited from a Canadian institution. Methods: We administered self-report measures of depression, anxiety, dispositional mindfulness, self-compassion, and emotion regulation strategies (cognitive reappraisal and emotional suppression). Results: 37.5% (n = 33) and 40.9% (n = 36) reported significant symptoms of depression or anxiety, respectively. Dispositional mindfulness and self-compassion were negatively and strongly associated with depression symptoms (r = -.58 and r = -.58, respectively). Further, both constructs were also negatively and strongly associated with anxiety symptoms (r = -.55 and r = -.53, respectively). We also found a negative correlation between reappraisal and depression and anxiety symptoms. Conclusions: Mindfulness, self-compassion, and reappraisal are associated with depression and anxiety symptoms among this sample of Indigenous students.


Assuntos
Atenção Plena , Ansiedade , Canadá , Depressão , Empatia , Humanos , Autocompaixão , Estudantes , Universidades
12.
Psychol Psychother ; 94(2): 201-216, 2021 06.
Artigo em Inglês | MEDLINE | ID: mdl-32755009

RESUMO

OBJECTIVES: This research examined whether people's causal explanations of depression were associated with acceptability and efficacy-related treatment perceptions and likelihood to choose cognitive behavioural therapy (CBT) and antidepressant medication (ADM) as depression treatments. DESIGN: A cross-sectional internet-based design was used. METHODS: A general population sample was used over a clinical sample to study those who had not yet chosen to enter treatment. A total of 422 individuals were recruited through a crowdsourcing platform to complete an online survey. Measures included perceived causes of depression, perceived acceptability, efficacy and choice likelihood for ADM and CBT, and demographics. RESULTS: Those with biological causal explanations of depression were more favourable towards ADM on all three perceptual measures of acceptability, efficacy and likelihood to choose ADM as a treatment for depression. Personality/character-related causal explanations of depression were positively related to perceived efficacy and likelihood to choose CBT as a depression treatment. Those endorsing environmental stress causes of depression were more likely to choose CBT as a treatment for depression. CONCLUSIONS: Results indicated that people's beliefs about the causes of depression were related to their perceptions of and likelihoods to choose ADM and CBT as depression treatments. PRACTITIONER POINTS: Provides evidence of how different causal explanations of depression influence sufferers' likelihoods to choose ADM and CBT as possible treatments for their depression. Provides support for exploring potential patients' causal explanations about depression prior to recommending a treatment regimen.


Assuntos
Terapia Cognitivo-Comportamental , Depressão , Antidepressivos/uso terapêutico , Estudos Transversais , Humanos , Percepção
13.
Behav Res Ther ; 134: 103724, 2020 11.
Artigo em Inglês | MEDLINE | ID: mdl-32942203

RESUMO

OBJECTIVES: The demand for effective psychological treatments for depression, anxiety, and heightened stress is far outstripping their supply. Accordingly, internet delivered, self-help interventions offer hope to many people, as they can be easily accessed and at a fraction of the price of face-to-face options. Mindfulness and self-compassion are particularly exciting approaches, as evidence suggests interventions that cultivate these skills are effective in reducing depression, anxiety, and heightened stress. We examined the effectiveness of a newly developed program that combines mindfulness, self-compassion, and goal-setting exercises into a brief self-guided intervention (Mind-OP). The secondary aim of this study was to investigate the feasibility of conducting a randomized-controlled trial entirely on a popular crowdsourcing platform, Amazon's Mechanical Turk (MTurk). METHODS: We randomized 456 participants reporting heightened depression, anxiety, or stress to one of two conditions: the 4-week Mind-OP intervention (n = 227) or to an active control condition (n = 229) where participants watched nature videos superimposed onto relaxing meditation music for four consecutive weeks. We administered measures of anxiety, depression, perceived stress, dispositional and state mindfulness, self-compassion, and nonattachment. RESULTS: Intent-to-treat and per-protocol analyses revealed that, compared to participants in the control condition, participants in the Mind-OP intervention condition reported significantly less anxiety and stress at the end of the trial, as well as significantly greater mindfulness, self-compassion, and nonattachment. CONCLUSIONS: Mind-OP appears effective in reducing anxiety symptoms and perceived stress among MTurk participants. We highlight issues (e.g., attrition) related to feasibility of conducting randomized trials on crowdsourcing platforms such as MTurk.


Assuntos
Ansiedade/terapia , Depressão/terapia , Empatia , Intervenção Baseada em Internet , Atenção Plena/métodos , Autoimagem , Estresse Psicológico/terapia , Adulto , Ansiedade/psicologia , Depressão/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Angústia Psicológica , Estresse Psicológico/psicologia , Adulto Jovem
14.
J Relig Health ; 59(6): 3211-3226, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-32441015

RESUMO

Classic fatalism is the belief that regardless of actions, events are predestined to occur (Straughan and Seow 1998). Researchers have found that fatalism is positively correlated with depression symptoms and higher endorsement of an external locus of control. Although fatalism is thought to be a unitary construct, based on the current literature, we hypothesized fatalism may take on other forms. We defined active fatalism as the belief in a predestined personal and global future, combined with the belief that one must do their part to bring this predestined future into fruition. Therefore, we predicted that active fatalism will be negatively correlated with depression symptoms, external locus of control, and negative coping skills. We recruited a sample of religious participants online (n = 282; 49.3% female) who completed self-report scales measuring depression symptoms, classic fatalism, active fatalism, coping skills, and locus of control. We found that while classic fatalism was significantly and positively associated with depression and negative coping, active fatalism was positively correlated with positive coping skills, and negatively correlated with depression and external locus of control. Finally, the present study found that active fatalism explained variance in both depression and anxiety symptoms above and beyond the classic form of fatalism. This confirmed our hypotheses and suggested that there may be several forms of fatalism, each differentially predicting mental health processes and outcomes. The significant positive correlation of positive coping and negative correlations of depression and external locus of control with active fatalism offer evidence in support of the notion that this form of fatalism may in fact be associated with protective mechanisms against depression. Differential assessment of these varying concepts may be appropriate for assessment and psychotherapy.


Assuntos
Adaptação Psicológica , Ansiedade/psicologia , Depressão/psicologia , Controle Interno-Externo , Religião , Adulto , Atitude Frente a Saúde , Estudos Transversais , Feminino , Humanos , Masculino , Religião e Psicologia
15.
BMC Psychiatry ; 20(1): 18, 2020 01 13.
Artigo em Inglês | MEDLINE | ID: mdl-31931769

RESUMO

BACKGROUND: Cognitive-behavioral therapy (CBT) is one of the most widely tested and empirically supported psychological treatments for depression. Beck and other scholars established the theoretical foundations of CBT among North American populations, yet surprisingly few studies have examined central hypotheses of the cognitive model of depression among people living in non-Western regions. METHODS: In the present study, we used the alignment method to minimize measurement bias to examine several central hypotheses of the cognitive model among adults living on four continents (n = 752): North America (n = 103; female = 29.1%), Europe (n = 404; female = 36.4%), South America (n = 108; female = 18.5%), and Asia (n = 136; female = 19.9%). RESULTS: Depressive symptoms were positively and strongly correlated with negative automatic thoughts about self (ATQ-N), and moderately associated with dysfunctional attitudes (DAS) among people living on the four continents. Further, use of emotional suppression strategies to regulate emotion (ERQ-Suppression) was moderately and positively associated with depressive symptoms among people on all four continents, while use of cognitive-reappraisal (ERQ-Reappraisal) was not systematically associated with depressive symptoms. CONCLUSIONS: Results of this study offer preliminary cross-continental support for foundational hypotheses of the cognitive model of depression. Negative thoughts appear to be associated with depression in all regions of the world, cementing this construct as a hallmark feature of the disorder.


Assuntos
Depressão , Regulação Emocional , Adulto , Ásia , Cognição , Depressão/terapia , Europa (Continente) , Feminino , Humanos
16.
J Ment Health ; 29(6): 677-683, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-28488909

RESUMO

Background: Researchers have found that an earlier age of disorder onset and the severity of the first depressive episode are associated with recurrence in depression. Additionally, neuroticism has been shown to be an important factor in the recurrence of the disorder.Aims: This exploratory study aimed to replicate and extend previous research by examining the relationships between features of the first experienced depressive episode (age of onset, severity), the five factors of personality, and lifetime chronicity of depression.Method: Forty-three previously depressed participants completed measures of personality, current depression, hopelessness, and perfectionism. Previous depressive episodes were assessed using a semi-structured interview, and features of these episodes experienced by participants were recorded.Results: Pearson correlations showed that depression chronicity, measured in the number of weeks depressed in a lifetime, was significantly correlated with age of onset and number of symptoms experienced in the first episode. Personality measures were not significantly associated with depression chronicity.Conclusion: Earlier and more severe first episodes of depression may play an important role in the recurrence of the disorder. Future research should focus on replication and determining the causal role of these features.


Assuntos
Depressão , Transtorno Depressivo Maior , Afeto , Depressão/epidemiologia , Humanos , Neuroticismo , Índice de Gravidade de Doença
17.
Stress Health ; 36(1): 3-10, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31736208

RESUMO

Heightened perceived stress is consistently associated with symptoms of psychopathology. Perceived stress can be reliably linked with physiological responses, such as increased heart rate. Even though dispositional mindfulness is associated with lower self-reported stress, no studies to date have examined whether dispositional mindfulness can predict physiological responses to and recovery from stress. We recruited 142 student participants and administered a measure of dispositional mindfulness (Five Facet Mindfulness Questionnaire-Short Form/FFMQ-SF) and a modified version of the Trier Social Stress Test (TSST). Specifically, during the TSST, we instructed participants that they were about to deliver a presentation to a panel of judges, then informed them they no longer need to deliver this presentation, all while measuring their heart rate. We found that total FFMQ-SF and non-reactivity subscale scores were positively and significantly correlated with heart rate reactivity to the lab stressor. Further, we found that the FFMQ-SF facet of non-judgment was negatively and significantly correlated with the time it took for participants' heart rates to return to and stabilize at baseline. The results of this study elucidate potential mechanisms of mindfulness in stress. Specifically, mindfulness may not necessarily make people less reactive to stressors, but may operate through top-down processes to enhance recovery and resilience during stress.


Assuntos
Frequência Cardíaca , Atenção Plena , Personalidade , Estresse Psicológico/fisiopatologia , Adolescente , Adulto , Feminino , Humanos , Masculino , Psicometria , Inquéritos e Questionários , Adulto Jovem
18.
PLoS One ; 14(11): e0224865, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31743357

RESUMO

The current study replicated and extended previous studies by examining the mediating and moderating role of rumination in the relationship between intolerance of uncertainty (IU) and depression in a community sample using both cross-sectional (n = 494; 56.9% female) and a two-months longitudinal (n = 321; 48.4% female) designs. Participants in each study were recruited through online crowdsourcing websites and completed study questionnaires. Results from Study 1 suggested that, while rumination did not appear to moderate the relationship between IU and depression, rumination appeared to partially mediates such relationship. Results from Study 2 supported rumination as fully mediating the relationship between IU and depression over two months. The brooding and reflection rumination subtypes exerted a significant indirect, but not moderating, effect on the relationship between IU and depression. Brooding exhibited a stronger mediation effect than did reflection. Overall, current results suggest that high levels of IU fuel the development of depression symptoms over time through engagement in heightened rumination. The IU-depression association appeared fully explained through rumination as it is a passive and contextually-dependent coping response that may enhance individuals' emotion and facilitate the development of depressive symptoms.


Assuntos
Depressão/psicologia , Emoções , Incerteza , Adulto , Estudos Transversais , Feminino , Humanos , Estudos Longitudinais , Masculino , Negociação
19.
Behav Ther ; 50(5): 851-863, 2019 09.
Artigo em Inglês | MEDLINE | ID: mdl-31422843

RESUMO

The majority of people with depression in the United States either never seek treatment or gravitate exclusively to antidepressant medication (ADM), despite the existence of other effective treatments, such as cognitive-behavioral therapy (CBT). Reluctance to use psychotherapy is partly due to lack of appropriate mental health literacy and perceptions of low treatment acceptability (appropriateness for a given problem) and credibility (treatment logicalness, and whether the patient expects improvement). In the current investigation, we examined whether providing psychoeducation about CBT for depression would change participant perceptions of the treatment's acceptability and credibility. We recruited 554 (female n = 314; 57%) participants across two online studies, and assessed their baseline perceptions of CBT and ADM using modified Treatment Acceptability (TAAS) and Treatment Credibility and Expectancy (CEQ) scales. Participants were subsequently presented with evidence-based, expert-vetted psychoeducational materials describing CBT and ADM, and were asked to recomplete the TAAS and CEQ. In Study 1, participants endorsed significantly higher CBT-CEQ (credibility/expectancy) scores postpsychoeducation. In Study 2, participants endorsed significantly lower CBT-TAAS (acceptability), and among those with no exposure to depression treatments, endorsed significantly higher CBT-CEQ scores postpsychoeducation. In both studies, there were no perceptual changes of ADM after the psychoeducation. Finally, in Study 2, endorsement of a biological model of depression and depressive symptoms were negatively predictive of CBT's acceptability and credibility and expectancy postpsychoeducation. Perceptions of credibility and expectancy of CBT for depression appear malleable even after exposure to brief psychoeducation, whereas shifting perceptions of CBT's acceptability may require more extensive intervention.


Assuntos
Antidepressivos/administração & dosagem , Terapia Cognitivo-Comportamental/métodos , Adulto , Cognição , Depressão/terapia , Transtorno Depressivo/psicologia , Transtorno Depressivo/terapia , Feminino , Humanos , Masculino , Psicoterapia/métodos , Resultado do Tratamento
20.
Can J Psychiatry ; 63(1): 54-64, 2018 01.
Artigo em Inglês | MEDLINE | ID: mdl-28845686

RESUMO

BACKGROUND: Canadian public safety personnel (PSP; e.g., correctional workers, dispatchers, firefighters, paramedics, police officers) are exposed to potentially traumatic events as a function of their work. Such exposures contribute to the risk of developing clinically significant symptoms related to mental disorders. The current study was designed to provide estimates of mental disorder symptom frequencies and severities for Canadian PSP. METHODS: An online survey was made available in English or French from September 2016 to January 2017. The survey assessed current symptoms, and participation was solicited from national PSP agencies and advocacy groups. Estimates were derived using well-validated screening measures. RESULTS: There were 5813 participants (32.5% women) who were grouped into 6 categories (i.e., call center operators/dispatchers, correctional workers, firefighters, municipal/provincial police, paramedics, Royal Canadian Mounted Police). Substantial proportions of participants reported current symptoms consistent with 1 (i.e., 15.1%) or more (i.e., 26.7%) mental disorders based on the screening measures. There were significant differences across PSP categories with respect to proportions screening positive based on each measure. INTERPRETATION: The estimated proportion of PSP reporting current symptom clusters consistent with 1 or more mental disorders appears higher than previously published estimates for the general population; however, direct comparisons are impossible because of methodological differences. The available data suggest that Canadian PSP experience substantial and heterogeneous difficulties with mental health and underscore the need for a rigorous epidemiologic study and category-specific solutions.


Assuntos
Socorristas/estatística & dados numéricos , Transtornos Mentais/epidemiologia , Doenças Profissionais/epidemiologia , Adulto , Canadá , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Transtornos de Estresse Pós-Traumáticos/epidemiologia , Adulto Jovem
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...