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J Pregnancy ; 2020: 7019676, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32953177


Background: Ethiopia still suffers high levels of neonatal and maternal mortality, so the maternity continuum of care is a continuous framework for the delivery of maternal care from pregnancy to the postnatal period. Skilled care during pregnancy, childbirth, and the postpartum period is an important intervention in reducing maternal and neonatal morbidity and mortality. But in Ethiopia, there are limited studies on the completion of the maternity continuum of care, so this study will help to suggest interventions in order to reduce the dropout of the maternity continuum of care. Objective: To assess the completion of the maternity continuum of care and factors associated with it among mothers who gave birth in the last one year in Enemay District, Northwest Ethiopia. Method and Materials. A community-based cross-sectional study was conducted from February 25 to March 10, 2019, on 651 women who gave birth in the last one year. The data were collected by a face-to-face interview through pretested and structured questionnaires. Binary logistic regression was used to identify predictors of the completion of the maternity continuum of care. Variables with a P value < 0.05 in multivariable analysis were declared as statistically significant associated factors. Results: This study revealed that about 45% (95% CI: 40.9%, 48.8%) of respondents completed the continuum of care. Women with secondary education (AOR = 6, 95% CI: 2.26, 16.6), women whose occupation is farming (AOR = 0.18, 95%, CI: 0.1, 0.32), women who have autonomy in health care decision (AOR = 4, 95% CI: 2.26, 7.2), women who have exposure to media (AOR = 1.97, 95% CI: 1.2, 3.27), women with wanted pregnancies (AOR = 3.33, 95% CI: 1.87, 5.9), para five and above women (AOR = 2.85, 95% CI: 1.28, 6.3), and women whose husbands are employed (AOR = 4.97, 95% CI: 1.16, 21.2) were significantly associated with the completion of the maternity continuum of care. Conclusions and Recommendation. This study showed that less than half of the participants had achieved the continuum of care and education level, and both respondents and their husband's occupation, parity, autonomy in health care decision, exposure to the mass media, and wantedness of pregnancy were associated with the completion of the maternity continuum of care; therefore, working on enhancing the capacity of women's autonomy in health care and decision-making and preventing unintended pregnancy helps to improve the completion of the maternity continuum of care.

Assistência à Saúde , Serviços de Saúde Materna/estatística & dados numéricos , Mães , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Adulto , Estudos Transversais , Tomada de Decisões , Escolaridade , Etiópia/epidemiologia , Feminino , Humanos , Meios de Comunicação de Massa , Autonomia Pessoal , Gravidez , Gravidez não Planejada , Inquéritos e Questionários , Fatores de Tempo , Adulto Jovem
Lima; Perú. Ministerio de Salud; 1 ed; 20200900. 8 p. ilus.
Monografia em Espanhol | LILACS, MINSAPERU | ID: biblio-1121806


La publicación describe un conjunto de actividades que busca proteger y promover la autonomía y participación de las personas para el cuidado de su propia salud, facilitar espacios de apoyo mutuo y construcción de iniciativas colectivas.

Saúde Mental , Assistência Centrada no Paciente , Impacto Psicossocial , Autonomia Pessoal , Pessoas
S Afr Med J ; 110(9): 858-863, 2020 08 13.
Artigo em Inglês | MEDLINE | ID: mdl-32880268


As COVID-19 spreads rapidly across Africa, causing havoc to economies and disruption to already fragile healthcare systems, it is becoming clear that despite standardised global health strategies, national and local government responses must be tailored to their individual settings. Some African countries have adopted stringent measures such as national lockdown, quarantine or isolation, in combination with good hand hygiene, mandatory wearing of masks and physical distancing, to prevent an impending healthcare crisis. The impact of stringent measures in low- to middle-income African countries has bought time for healthcare facilities to prepare for the onslaught of COVID-19 cases, but some measures have been challenging to implement. In some settings, public health measures have been associated with serious violations of individual rights owing to abuse of power and gaps in implementation of well-intentioned policy. Collateral damage with regard to non-COVID-19 diseases that were suboptimally managed in pre-pandemic times may mean that lives lost from other diseases could exceed those saved from COVID-19. While individuals complying with lockdown regulations have embraced an acceptance of the concept of the common good, at a broad community level many are finding the transition from individualism to collective thinking required during a pandemic difficult to navigate. In this article, we look at government responses to the pandemic in six African countries (Malawi, South Africa, Uganda, Zambia, Zimbabwe and Botswana), and highlight ethical concerns arising in these contexts.

Direitos Civis/ética , Infecções por Coronavirus/prevenção & controle , Pandemias/prevenção & controle , Autonomia Pessoal , Pneumonia Viral/prevenção & controle , Saúde Pública/ética , África , Betacoronavirus , Botsuana , Direitos Civis/legislação & jurisprudência , Infecções por Coronavirus/epidemiologia , Liberdade , Humanos , Malaui , Pneumonia Viral/epidemiologia , Saúde Pública/legislação & jurisprudência , África do Sul , Uganda , Zâmbia , Zimbábue
Cuad Bioet ; 31(102): 167-182, 2020.
Artigo em Espanhol | MEDLINE | ID: mdl-32910670


In this paper present, from a bioethical perspective, a reflection on how to reconcile efforts to combat the COVID-19 pandemic with the safeguard of human rights. To do this, I develop three points. First, the regulatory framework that justifies the restriction or suspension of rights in the face of serious threats to public health. Second, the declarations of the international bioethics committees on the way in which human rights should be protected during public health crisis. And third, a review of the main rights threatened both by the public health crisis and by the means adopted to combat it. Before going into each of these points, I offer a preliminary note to clarify certain legal concepts and underline the need to overcome disjunctive approaches in considering human rights.

Betacoronavirus , Controle de Doenças Transmissíveis/legislação & jurisprudência , Direitos Humanos/ética , Pandemias/prevenção & controle , Saúde Pública/ética , Controle de Doenças Transmissíveis/métodos , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Comissão de Ética , União Europeia , Liberdade , Recursos em Saúde/ética , Recursos em Saúde/provisão & distribução , Acesso aos Serviços de Saúde/ética , Direitos Humanos/legislação & jurisprudência , Humanos , Pandemias/ética , Pandemias/legislação & jurisprudência , Direitos do Paciente/ética , Direitos do Paciente/legislação & jurisprudência , Autonomia Pessoal , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Guias de Prática Clínica como Assunto , Saúde Pública/legislação & jurisprudência , Quarentena/ética , Quarentena/legislação & jurisprudência , Sujeitos da Pesquisa , Alocação de Recursos/ética , Espanha , UNESCO
J Med Ethics ; 46(10): 662-667, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32769094


In March 2020, the Government produced a document entitled "Responding to COVID-19: The Ethical Framework for Adult Social Care" ('The Ethical Framework'). In this article, we summarise the key features of the proposed ethical framework and subject it to critical analysis. We highlight three primary issues. First, the emphasis placed on autonomy as the primary ethical principle. We argue if ever there was a context in which autonomy should dominate the ethical analysis, this is not it. Second, we examine the interface between ethics and law which is largely overlooked in the document. Finally, we explore the surprising lack of attention paid to the concept of responsibility and communal obligations within the framework.

Infecções por Coronavirus/terapia , Tomada de Decisões/ética , Análise Ética , Ética Médica , Legislação Médica/ética , Autonomia Pessoal , Pneumonia Viral/terapia , Responsabilidade Social , Adulto , Betacoronavirus , Infecções por Coronavirus/epidemiologia , Teoria Ética , Humanos , Pandemias , Pneumonia Viral/epidemiologia , Medicina Estatal/ética , Medicina Estatal/legislação & jurisprudência , Reino Unido
J Appl Psychol ; 105(9): 931-943, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32852985


We investigate the psychological recovery process of full-time employees during the 2-week period at the onset of the Coronavirus pandemic (COVID-19). Past research suggests that recovery processes start after stressors abate and can take months or years to unfold. In contrast, we build on autonomy restoration theory to suggest that recovery of impaired autonomy starts immediately even as a stressor is ongoing. Using growth curve modeling, we examined the temporal trajectories of two manifestations of impaired autonomy-powerlessness and (lack of) authenticity-to test whether recovery began as the pandemic unfolded. We tested our predictions using a unique experience-sampling dataset collected over a 2-week period beginning on the Monday after COVID-19 was declared a "global pandemic" by the World Health Organization and a "national emergency" by the U.S. Government (March 16-27, 2020). Results suggest that autonomy restoration was activated even as the pandemic worsened. Employees reported decreasing powerlessness and increasing authenticity during this period, despite their subjective stress-levels not improving. Further, the trajectories of recovery for both powerlessness and authenticity were steeper for employees higher (vs. lower) in neuroticism, a personality characteristic central to stress reactions. Importantly, these patterns do not emerge in a second experience-sampling study collected prior to the COVID-19 crisis (September 9-20, 2019), highlighting how the pandemic initially threatened employee autonomy, but also how employees began to recover their sense of autonomy almost immediately. The present research provides novel insights into employee well-being during the COVID-19 pandemic and suggests that psychological recovery can begin during a stressful experience. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Infecções por Coronavirus , Modelos Psicológicos , Pandemias , Autonomia Pessoal , Pneumonia Viral , Betacoronavirus , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/psicologia , Humanos , Pneumonia Viral/epidemiologia , Pneumonia Viral/psicologia
Pediatrics ; 146(Suppl 1): S18-S24, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32737228


With a few notable exceptions, adolescents do not possess the legal authority to provide consent for or refuse medical interventions. However, in some situations, the question arises regarding whether a mature minor should be permitted to make a life-altering medical decision that would be challenged if made by the minor's parent. In this article, I explore what we currently know about the adolescent brain and how that knowledge should frame our understanding of adolescent decision-making. The prevailing approach to determining when adolescents should have their decisions respected in the medical and legal context, an approach that is focused on establishing capacity under a traditional informed consent model, will be reviewed and critiqued. I will suggest that the traditional model is insufficient and explore the implications for the adolescent role in health care decision-making.

Desenvolvimento do Adolescente , Encéfalo/crescimento & desenvolvimento , Tomada de Decisão Clínica , Doença de Hodgkin/tratamento farmacológico , Consentimento Livre e Esclarecido/psicologia , Recusa do Paciente ao Tratamento/psicologia , Adolescente , Comportamento do Adolescente/psicologia , Fatores Etários , Feminino , Humanos , Consentimento Livre e Esclarecido/legislação & jurisprudência , Competência Mental/legislação & jurisprudência , Competência Mental/psicologia , Mães , Patient Self-Determination Act , Autonomia Pessoal , Recusa do Paciente ao Tratamento/legislação & jurisprudência , Estados Unidos
Pediatrics ; 146(Suppl 1): S25-S32, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32737229


In this article, I examine the role of minors' competence for medical decision-making in modern American law. The doctrine of parental consent remains the default legal and bioethical framework for health care decisions on behalf of children, complemented by a complex array of exceptions. Some of those exceptions vest decisional authority in the minors themselves. Yet, in American law, judgments of minors' competence do not typically trigger shifts in decision-making authority from adults to minors. Rather, minors' decisional capacity becomes relevant only after legislatures or courts determine that the default of parental discretion does not achieve important policy goals or protect implicated constitutional rights in a particular health care context and that those goals can best be achieved or rights best protected by authorizing capable minors to choose for themselves. It is at that point that psychological and neuroscientific evidence plays an important role in informing the legal inquiry as to whether minors whose health is at issue are legally competent to decide.

Tomada de Decisão Clínica , Competência Mental/legislação & jurisprudência , Menores de Idade/legislação & jurisprudência , Consentimento dos Pais/legislação & jurisprudência , Adolescente , Desenvolvimento do Adolescente , Criança , Desenvolvimento Infantil , Serviços de Saúde da Criança/legislação & jurisprudência , Educação Infantil , Bem-Estar da Criança/legislação & jurisprudência , Direitos Civis , Tomada de Decisão Clínica/ética , Família , Acesso aos Serviços de Saúde/legislação & jurisprudência , Humanos , Consentimento Informado por Menores/ética , Consentimento Informado por Menores/legislação & jurisprudência , Competência Mental/normas , Menores de Idade/psicologia , Relações Pais-Filho , Consentimento dos Pais/ética , Patient Self-Determination Act , Autonomia Pessoal , Procurador/legislação & jurisprudência , Recusa do Paciente ao Tratamento/legislação & jurisprudência , Estados Unidos
Artigo em Inglês | MEDLINE | ID: mdl-32635673


In the context of education, this study examined the relationship between perceiving a transformational physical education (PE) teacher and student's leisure-time physical activity (PA). Furthermore, we tested the potential mediation role of motivational learning climate, passion and self-determined motivation in this relationship. The sample was composed of 2210 high-school PE students (1145 males, 1065 females) between 16 and 20 years of age. Results of structural equation modeling revealed that the perceived transformational PE teacher-PA outcomes relationship was stronger when students perceived a task-involving climate, when they were harmoniously passionate, and when they were self-determined. We conclude that students' health-enhancing behaviours could be improved if their PE teachers use transformational teaching style and created a task-oriented learning climate.

Exercício Físico , Motivação , Autonomia Pessoal , Educação Física e Treinamento , Adolescente , Feminino , Humanos , Aprendizagem , Atividades de Lazer , Masculino , Cultura Organizacional , Ensino , Adulto Jovem
Rev. bioét. derecho ; (49): 25-40, jul. 2020.
Artigo em Espanhol | IBECS | ID: ibc-192092


La relación médico-paciente se encuentra en un proceso de cambio y evolución hacia un tratamiento más humano, sustentado sobre el principio de autonomía, con el objetivo de respetar los derechos del paciente y no sólo imponer la voluntad del médico. Un instrumento que salvaguarda esta situación es el Documento de Voluntades Anticipadas, como extensión del consentimiento informado. A pesar de su regulación internacional y nacional, en ciertos contextos, como el de la salud mental, el modelo hegemónico-paternalista sigue imperando y nos preguntamos por qué

The doctor-patient relations are undergoing a process of change and evolution towards a more humane approach, based on the principle of autonomy , with the aim of respecting the rights of patients and not just imposing the will of the phyisician. Advance Directives, as an extension of Informed Consent documents, can further safeguard such rights. Despite its international and national regulation, in certain contexts, such as mental health, the hegemonic-paternalistic model persists, and the authors question the underlying motive

La relació metge-pacient es troba en un procés de canvi I evolució cap a un tractament més humà basat en el principi d'autonomia, amb l'objectiu de respectar els drets del pacient I no només imposar la voluntat de metge. Un instrument que salvaguarda aquesta situació és el Document de Voluntats Anticipades, com a extensió del consentiment informat. Malgrat la seva regulació internacional I nacional, en certs contextos, com el de la salut mental, el model hegemònic-paternalista segueix imperant I ens preguntem per què

Humanos , Diretivas Antecipadas/ética , Diretivas Antecipadas/legislação & jurisprudência , Legislação Médica , Saúde Mental/ética , Pessoas Mentalmente Doentes/legislação & jurisprudência , Planejamento/ética , Saúde Mental/legislação & jurisprudência , Planejamento/legislação & jurisprudência , Relações Médico-Paciente/ética , Autonomia Pessoal , Assistência Centrada no Paciente/ética
Rev. bioét. derecho ; (49): 93-106, jul. 2020.
Artigo em Catalão | IBECS | ID: ibc-192096


L'educació, tant en els primers nivells de socialització com en les seves etapes posteriors d'educació formal, està posant en risc el desenvolupament de l'autonomia individual tan necessària perquè l'alumne arribi a la maduresa pròpia de l'etapa adulta. Les polítiques educatives, els nous models educatius I la societat mateixa estan desvinculant l' autonomia progressiva de la responsabilitat, els sentiments de la raó, l'emoció de la voluntat I la motivació del deure en la seva praxi educativa. Les conseqüències són que els alumnes queden ancorats en actituds infantils d'omnipotència amb incapacitat de fer un ajustament adequat amb la realitat I reaccionant en la majoria de casos amb agressivitat. La bioètica I l'educació tenen una relació necessària amb la construcció de subjectes morals I autònoms És urgent traçar una línia per sota de la qual no es donin les condiciones necessaries pel desenvolupament ple de la nostra joventut. La bioètica, que té un caràcter multidisciplinar I interdisciplinar, ha d' atendre als problemes actuals I complexos de l' educació I contribuir a pensar models educatius que formin ciutadans compromesos, responsables I solidaris. Un model educatiu s'ha de construir dins d'un debat bioètic i, en el marc de l'ètica del cuidar, sense desvincular-se de les ètiques de caràcter normatiu

La educación, tanto en los primeros niveles de socialización como en sus etapas posteriores de educación formal, está poniendo en riesgo el desarrollo de la autonomía individual tan necesaria para que el alumno llegue a la madurez propia de la etapa adulta. Las políticas educativas, los nuevos modelos educativos y la sociedad misma están desvinculando la autonomía progresiva de la responsabilidad, los sentimientos de la razón, la emoción de la voluntad y la motivación del deber en su praxis educativa. Las consecuencias son que los alumnos quedan anclados en actitudes infantiles de omnipotencia con incapacidad de hacer un ajuste adecuado con la realidad y reaccionando en la mayoría de casos con agresividad. La bioética y la educación tienen una relación necesaria con la construcción de sujetos morales y autónomos. Es urgente trazar una línea por debajo de la cual no se den las condiciones necesarias para el desarrollo pleno de nuestra juventud. La bioética, que tiene un carácter multidisciplinar e interdisciplinar, debe atender a los problemas actuales y complejos de la educación y contribuir a pensar modelos educativos que formen ciudadanos comprometidos, responsables y solidarios. Un modelo educativo debe construirse dentro de un debate bioético y, en el marco de la ética del cuidar, sin desvincularse de las éticas de carácter normativo

Education, both at the early levels of socialization and in the later stages of formal education, is putting at risk the development of the individual autonomy so necessary for the student to reach the maturity of adulthood. Educational policies, the new educational models and society itself are dissociating progressive autonomy from responsibility, feelings of reason, emotion from will and motivation of duty in their educational practice. The consequences are that students are anchored in childish attitudes of omnipotence with an inability to adjust accordingly to reality and reacting, in most cases, aggressively. Bioethics and education have a necessary relationship with the construction of moral and autonomous subjects. Bioethics, which has a multidisciplinary and interdisciplinary character, must address the current and complex problems of education and contribute to thinking about educational models that form committed, responsible and supportive citizens. An educational model must be constructed within a bioethical debate and, within the framework of the ethics of care, without dissociating itself from normative ethics

Humanos , Empatia/ética , Modelos Educacionais , Bioética/educação , Comportamento Infantil/ética , Socialização , Autonomia Pessoal , Educação/ética , Agressão/ética
Rev. bioét. derecho ; (49): 155-171, jul. 2020.
Artigo em Português | IBECS | ID: ibc-192100


Este artigo debate as inovações trazidas com o Código Civil e Comercial argentino, junto a um paralelo com o Estatuto da Pessoa com Deficiência no Brasil, cujas leis se adequaram à Convenção de Nova York de 2006. A pesquisa partiu da análise de documentos normativos e autores de direito civil e bioética, de forma a questionar como se efetivará a manifestação de vontade dos doentes mentais na relação médico-paciente. Para tanto, será abordado inicialmente quais mudanças ocorreram na capacidade civil no ordenamento jurídico argentino. Após, discutir-se-á a relação entre autonomia e competência e sua configuração na relação médico-paciente, para após adentrar-se no consentimento dos doentes mentais. Por fim, comparar-se-á o tratamento dado a tais indivíduos com dois países

Este artículo analiza las innovaciones del Código Civil y Comercial argentino, haciendo un paralelo con el Estatuto de la Persona con Discapacidad en Brasil, cuyas leyes se adecuaron a la Convención de Nueva York de 2006. La investigación partió del análisis de documentos normativos y autores de derecho civil y bioética, para cuestionar cómo se efectúa la manifestación de voluntad de los enfermos mentales en la relación médico-paciente. Para ello, se abordará qué cambios ocurrieron en la capacidad civil en el ordenamiento jurídico argentino. Luego se discutirá la relación entre autonomía y competencia y su configuración en la relación médico-paciente, para después adentrarse en el consentimiento de los enfermos mentales. Por último, se comparará el tratamiento dado a tales individuos en ambos países

Aquest article analitza les innovacions del Codi Civil I Comercial argentí, fent un paral·lel amb l'Estatut de la Persona amb Discapacitat al Brasil, les lleis del qual es van adequar a la Convenció de Nova York de 2006. La investigació va partir de l'anàlisi de documents normatius I autors de dret civil I bioètica per qüestionar com s'efectua la manifestació de voluntat dels malalts mentals en la relació metge-pacient. Per a això, s'abordarà quins canvis van ocórrer en la capacitat civil en l'ordenament jurídic argentí. Després es discutirà la relació entre autonomia I competència I la seva configuració en la relació metge-pacient, per després endinsar-se en el consentiment dels malalts mentals. Finalment, es compararà el tractament donat a aquests individus als dos països

This article discusses the innovations brought with the Argentine Civil and Commercial Code, along with a parallel with the Statute of the Person with Disabilities in Brazil, whose laws were in line with the New York Convention of 2006. The research was based on the analysis of documents normative and authors of civil law and bioethics, in order to question how the manifestation of will of the mentally ill in the doctor-patient relationship will take place. To do so, it will be initially addressed what changes have occurred in civil capacity in the Argentine legal system. Afterwards, the relationship between autonomy and competence and its configuration in the doctor-patient relationship will be discussed, after entering into the consent of the mentally ill. Finally, the treatment given to such individuals with two countries will be compared

Humanos , Deficiência Intelectual/epidemiologia , Relações Médico-Paciente , Pessoas Mentalmente Doentes/legislação & jurisprudência , Direitos Civis , Consentimento Livre e Esclarecido/legislação & jurisprudência , Argentina , Autonomia Pessoal , Competência Clínica/legislação & jurisprudência , Brasil
PLoS One ; 15(7): e0236180, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32697801


INTRODUCTION: Sexual and reproductive health are significant aspects of quality of life. Healthcare often fails to provide adequate support for young cancer survivors in this area, hence the need to develop more effective interventions. The present study aimed to describe experiences of participating in a web-based psycho-educational intervention focusing on sexual dysfunction and fertility distress after cancer, and to explore these experiences within the theoretical frame of the basic psychological needs for competence, relatedness and autonomy according to self-determination theory. METHODS: Individual semi-structured interviews with 24 women and 4 men, age 19-40, were abductively analyzed using the Framework approach for qualitative content analysis. RESULTS: Participant experiences corresponded well with the three main deductive themes competence, relatedness and autonomy, divided into a total of nine subthemes illustrating varying degrees of basic need satisfaction with considerable nuance but not without ambiguity. While satisfaction of the need for competence could be linked to the amount of information in relation to participants' cognitive capacity, satisfaction of the need for relatedness seemed to be of special importance for these young adults with cancer experience. Invitation to the program meant a chance at alleviating loneliness and normalizing problems, symptoms and concerns. Participants' descriptions of perceived autonomy support were more challenging and ambiguous, because of the many contradictions in participants' responses to their variable situations. CONCLUSION: Basic psychological needs were confirmed as flexible positions along a continuum rather than discrete and mutually exclusive qualities. Understanding the variety of basic need satisfaction may enhance the design of future web-based interventions to be even more inclusive, tailorable and autonomy-supportive. Further research is warranted to determine the role of basic need satisfaction as a possible mediator for web-based psychoeducational interventions in cancer survivorship care.

Sobreviventes de Câncer/psicologia , Fertilidade , Neoplasias/complicações , Educação de Pacientes como Assunto/métodos , Angústia Psicológica , Disfunções Sexuais Fisiológicas/reabilitação , Adulto , Feminino , Humanos , Intervenção Baseada em Internet , Masculino , Neoplasias/psicologia , Autonomia Pessoal , Satisfação Pessoal , Pesquisa Qualitativa , Qualidade de Vida , Disfunções Sexuais Fisiológicas/etiologia , Disfunções Sexuais Fisiológicas/psicologia , Adulto Jovem
Artigo em Inglês | MEDLINE | ID: mdl-32646067


The aim of this paper is to analyze the relationships between a controlling interpersonal style, psychological need thwarting and burnout in adolescent soccer players and to test a structural equation model to analyze whether (a) a controlling interpersonal style is a predictor of psychological need thwarting and whether (b) psychological need thwarting is a predictor of burnout. A total of 103 male soccer players between the ages of 12 and 17 participated in the research (M = 14.91; SD = 5.56). The Controlling Coach Behaviors Scale, the Psychological Need Thwarting Scale, and the Athlete Burnout Questionnaire were used to evaluate the variables under study. The analyses revealed significant relationships between a controlling interpersonal style, psychological need thwarting and burnout. Furthermore, the proposed structural equations model, using the partial least squares (PLS) method, showed that a controlling style is a positive predictor of basic psychological need thwarting and that the latter is a predictor of burnout, as well as revealing an indirect relationship between a controlling style and burnout. This indirect effect of the controlling style variable on burnout can be enhanced (or attenuated) by the basic psychological need thwarting variable, which acts as a modulator.

Esgotamento Psicológico , Relações Interpessoais , Tutoria , Autonomia Pessoal , Satisfação Pessoal , Futebol , Adolescente , Criança , Humanos , Masculino , Inquéritos e Questionários
J Psychol ; 154(6): 446-465, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32605510


Given the apparent magnitude of the problems related to workaholism, the current research was designed to provide evidence about the impact of both personal and organizational variables on determining health-damaging work habits of the employees. This paper presents a study aimed at clarifying the mediating role that work motivation plays in the relationship between the perceived transformational leadership style and workaholism. Based on the Self-Determination Theory and the Job Demands-Resources model, we hypothesized that transformational leadership should be directly related to the lower levels of workaholism, whereas the indirect effect of transformational leadership was expected to increase the levels of workaholism through work motivation of the employees. Two hundred and fifty Lithuanian employees participated in the empirical study. The results confirmed the expected relationship between transformational leadership and workaholism via work motivation showing that the negative role of transformational leadership in workaholism is explained by its positive influence on intrinsic motivation, as well as introjected, integrated, identified regulations, which, in turn, enhance the employees' workaholism.

Satisfação no Emprego , Liderança , Motivação , Carga de Trabalho/psicologia , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Autonomia Pessoal , Adulto Jovem