Stress and health : journal of the International Society for the Investigation of Stress最新文献_第10页

Posttraumatic growth and burnout in pediatric nurses: The mediating role of secondary traumatization and the moderating role of meaning in work. 儿科护士创伤后成长与倦怠:继发性创伤的中介作用及工作意义的调节作用。

IF 4.1

Stress and health : journal of the International Society for the Investigation of Stress Pub Date : 2021-08-01 Epub Date: 2020-11-20 DOI: 10.1002/smi.3007

Yaira Hamama-Raz, Liat Hamama, Ruth Pat-Horenczyk, Yaffa Naomi Stokar, Tal Zilberstein, Efrat Bron-Harlev

{"title":"Posttraumatic growth and burnout in pediatric nurses: The mediating role of secondary traumatization and the moderating role of meaning in work.","authors":"Yaira Hamama-Raz, Liat Hamama, Ruth Pat-Horenczyk, Yaffa Naomi Stokar, Tal Zilberstein, Efrat Bron-Harlev","doi":"10.1002/smi.3007","DOIUrl":"https://doi.org/10.1002/smi.3007","url":null,"abstract":"The current study focused on pediatric nurses. It explored the direct link between posttraumatic growth as a coping resource and burnout and the indirect link between posttraumatic growth and burnout via secondary traumatic stress (mediating effect). Moreover, meaning in work was examined as a moderator variable in relation to the direct link and the indirect link. One hundred and thirty-eight nurses working at a pediatric medical center filled out self-report questionnaires regarding personal and professional data, burnout, posttraumatic growth, secondary traumatic stress, and meaning in work. Posttraumatic growth was found to be a coping resource that linked to pediatric nurses' burnout directly and indirectly. Directly, there was an inverse correlation between the two; indirectly, posttraumatic growth linked negatively to secondary traumatic stress, and secondary traumatic stress linked positively to burnout. Moreover, meaning in work played a dual moderating role. First, it moderated the relationship between posttraumatic growth and secondary traumatization. Second, it moderated the direct relationship between posttraumatic growth and burnout, namely, the negative link between posttraumatic growth and burnout became stronger as meaning in work increased. As such, we recommend enhancing personal and professional posttraumatic growth, as well as designing interventions that promote meaningful work among pediatric nurses.","PeriodicalId":309674,"journal":{"name":"Stress and health : journal of the International Society for the Investigation of Stress","volume":" ","pages":"442-453"},"PeriodicalIF":4.1,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/smi.3007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38598840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 19

Social capital, social support and perceived stress in college students: The role of resilience and life satisfaction. 大学生社会资本、社会支持与感知压力:心理弹性与生活满意度的作用。

IF 4.1

Stress and health : journal of the International Society for the Investigation of Stress Pub Date : 2021-08-01 Epub Date: 2020-11-27 DOI: 10.1002/smi.3008

Argyroula Kalaitzaki, George Tsouvelas, Sofia Koukouli

{"title":"Social capital, social support and perceived stress in college students: The role of resilience and life satisfaction.","authors":"Argyroula Kalaitzaki, George Tsouvelas, Sofia Koukouli","doi":"10.1002/smi.3008","DOIUrl":"https://doi.org/10.1002/smi.3008","url":null,"abstract":"The study examined whether online and offline social capital and offline social support are associated with less perceived stress in 403 undergraduate Greek college students through the mediating role of resilience and life satisfaction. Gender differences were also explored. A path analysis explored the relationships among the study variables and multi-group analysis explored gender differences. Perceived stress was predicted indirectly by offline social support and offline bonding social capital through resilience and life satisfaction and directly by online bonding. However, offline bonding was associated with reduced resilience and life satisfaction, whereas social support was associated with increased levels of both. Interestingly, whereas offline bonding was associated with reduced perceived stress through resilience for women, for men it occurred through life satisfaction, and it was primarily resilience for women and life satisfaction for men that predicted reduced perceived stress. It was concluded that different personal ties/relationships are associated with perceived stress through diversified pathways and the pathways are different for men and women. Offline social support between closely tied persons is positively associated and offline bonding is negatively associated with the inner resources for a person to cope with stress, whereas online bonding is beneficial in directly decreasing stress.","PeriodicalId":309674,"journal":{"name":"Stress and health : journal of the International Society for the Investigation of Stress","volume":" ","pages":"454-465"},"PeriodicalIF":4.1,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/smi.3008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38619324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 28

Stress and sleep in college students prior to and during the COVID-19 pandemic. 在COVID-19大流行之前和期间，大学生的压力和睡眠

IF 4.1

Stress and health : journal of the International Society for the Investigation of Stress Pub Date : 2021-08-01 Epub Date: 2020-12-19 DOI: 10.1002/smi.3016

Grant Benham

{"title":"Stress and sleep in college students prior to and during the COVID-19 pandemic.","authors":"Grant Benham","doi":"10.1002/smi.3016","DOIUrl":"https://doi.org/10.1002/smi.3016","url":null,"abstract":"Within the short timeframe of the COVID-19 pandemic, there has been increasing interest in its potential impact on psychological stress and sleep. Using standardized self-report measures, we examined differences in stress and sleep by comparing responses from three independent samples of undergraduates in the United States. Samples were obtained prior to COVID-19 (Spring 2019) and at two periods during the pandemic (Spring 2020 and Summer 2020) which corresponded to an increasing impact of COVID-19 at the local level. Within the combined sample of 1222 students, 94% identified as Hispanic. Contrary to our hypotheses, stress, sleep quality and insomnia were not significantly higher in the samples collected during the COVID-19 pandemic. However, in support of our hypotheses, bedtime and waketime were significantly later during the pandemic, and sleep duration was significantly longer. Although scores on the global measure of sleep quality did not differ across semesters, supplemental exploratory analyses demonstrated a more complex picture of differences in sleep variables. Among the findings, there was evidence of greater sleep latency, greater sleep medication use and poorer sleep efficiency during the pandemic. Our results suggest that, within the US college student population, COVID-19's impact on stress and sleep may not be entirely negative.","PeriodicalId":309674,"journal":{"name":"Stress and health : journal of the International Society for the Investigation of Stress","volume":" ","pages":"504-515"},"PeriodicalIF":4.1,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/smi.3016","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38707318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 84

Like clouds in a windy sky: Mindfulness training reduces negative affect reactivity in daily life in a randomized controlled trial. 就像有风的天空中的云:在一项随机对照试验中，正念训练减少了日常生活中的负面情绪反应。

IF 4.1

Stress and health : journal of the International Society for the Investigation of Stress Pub Date : 2021-04-01 Epub Date: 2020-10-04 DOI: 10.1002/smi.2989

Mario Wenzel, Zarah Rowland, Thomas Kubiak

{"title":"Like clouds in a windy sky: Mindfulness training reduces negative affect reactivity in daily life in a randomized controlled trial.","authors":"Mario Wenzel, Zarah Rowland, Thomas Kubiak","doi":"10.1002/smi.2989","DOIUrl":"https://doi.org/10.1002/smi.2989","url":null,"abstract":"While prior research has found mindfulness to be linked with emotional responses to events, less is known about this effect in a non-clinical sample. Even less is known regarding the mechanisms of the underlying processes: It is unclear whether participants who exhibit increased acceptance show decreased emotional reactivity (i.e., lower affective responses towards events overall) or a speedier emotional recovery (i.e., subsequent decrease in negative affect) due to adopting an accepting stance. To address these questions, we re-analysed two Ambulatory Assessment data sets. The first (NStudy1 = 125) was a 6-week randomized controlled trial (including a 40-day ambulatory assessment); the second (NStudy2 = 175) was a 1-week ambulatory assessment study. We found state mindfulness to be more strongly associated with emotional reactivity than with recovery, and that only emotional reactivity was significantly dampened by mindfulness training. Regarding the different facets of mindfulness, we found that the strongest predictor of both emotional reactivity and recovery was non-judgemental acceptance. Finally, we found that being aware of one's own thoughts and behaviour could be beneficial or detrimental for emotional recovery, depending on whether participants accepted their thoughts and emotions. Together, these findings provide evidence for predictions derived from the monitoring and acceptance theory.","PeriodicalId":309674,"journal":{"name":"Stress and health : journal of the International Society for the Investigation of Stress","volume":" ","pages":"232-242"},"PeriodicalIF":4.1,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/smi.2989","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38522460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Association between trajectories of personal growth initiative and post-traumatic stress after Hurricane Harvey: A latent growth mixture modeling approach. 哈维飓风后个人成长主动性与创伤后应激轨迹之间的关系:一种潜在增长混合模型方法。

IF 4.1

Stress and health : journal of the International Society for the Investigation of Stress Pub Date : 2021-04-01 Epub Date: 2020-10-10 DOI: 10.1002/smi.2995

Yuki Shigemoto

{"title":"Association between trajectories of personal growth initiative and post-traumatic stress after Hurricane Harvey: A latent growth mixture modeling approach.","authors":"Yuki Shigemoto","doi":"10.1002/smi.2995","DOIUrl":"https://doi.org/10.1002/smi.2995","url":null,"abstract":"Studies examining the association between personal growth initiative (PGI) and post-traumatic stress symptoms (PTSS) have often utilized cross-sectional research designs, and as a result, the changes in the levels of PGI and its association with the trajectory of PTSS remain unclear. The current study aimed to (1) explore the different trajectories in both PGI and PTSS and (2) examine the associations of the identified trajectories between PGI and PTSS among individuals. The final sample were 419 adults who were physically residing in the area when Hurricane Harvey made landfall on 26 August 2017. The initial data collection occurred approximately 16 months after the Hurricane, and participants were asked to participate again after 1- and 3-month later. A result from the latent growth mixture modeling revealed that for PGI, the 4-class model was the best-fitting model, and for PTSS, the 3-class model was the best-fitting model. When examining the association between the trajectories of PGI and PSS, individuals classified to higher PGI subgroups were more likely to be associated with the Recovery PTSS subgroup. The current study suggests that disaster survivors with higher PGI were more likely to recover from PTSS, raising an importance of incorporating PGI to alleviate future PTSS.","PeriodicalId":309674,"journal":{"name":"Stress and health : journal of the International Society for the Investigation of Stress","volume":" ","pages":"285-296"},"PeriodicalIF":4.1,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/smi.2995","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38558728","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Evolving the validity of a mental toughness measure: Refined versions of the Mental Toughness Questionnaire-48. 心理韧性量表效度的演化:心理韧性问卷的改良版-48。

IF 4.1

Stress and health : journal of the International Society for the Investigation of Stress Pub Date : 2021-04-01 Epub Date: 2020-11-11 DOI: 10.1002/smi.3004

Masato Kawabata, Toby G Pavey, Tristan J Coulter

{"title":"Evolving the validity of a mental toughness measure: Refined versions of the Mental Toughness Questionnaire-48.","authors":"Masato Kawabata, Toby G Pavey, Tristan J Coulter","doi":"10.1002/smi.3004","DOIUrl":"https://doi.org/10.1002/smi.3004","url":null,"abstract":"The Mental Toughness Questionnaire-48 (MTQ48) is a 48-item self-report instrument to measure one's level of mental toughness. Despite its wide popularity in psychological studies, the questionnaire has been criticized due to its factorial validity. The present study aimed to re-assess the factorial validity of the instrument and propose alternative models to provide researchers with theoretically and practically useful instruments to measure mental toughness. Two studies were conducted using large samples of university students (Study 1: n = 2186; Study 2: n = 3209). In Study 1, none of one-, four- and six-factor models with 48 items satisfactorily fit the data set. Instead, two refined 18- and 6-item versions of the questionnaire, covering six aspects of mental toughness, were proposed: the Short MTQ and Very Short MTQ. Both measures demonstrated excellent fit to the data. These results were replicated with a larger independent sample in Study 2. With the Short MTQ, it is possible to represent mental toughness as a multidimensional construct consisting of a global mental toughness factor and six specific factors. The Very Short MTQ is a practical tool for occasions where constraints prevent use of the Short MTQ. The refined questionnaires are promising options to measure and understand individuals' mental toughness with the MTQ.","PeriodicalId":309674,"journal":{"name":"Stress and health : journal of the International Society for the Investigation of Stress","volume":" ","pages":"378-391"},"PeriodicalIF":4.1,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/smi.3004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38563790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Stress coping strategies and stress reactivity in adolescents with overweight/obesity. 超重/肥胖青少年的压力应对策略和应激反应。

IF 4.1

Stress and health : journal of the International Society for the Investigation of Stress Pub Date : 2021-04-01 Epub Date: 2020-10-05 DOI: 10.1002/smi.2987

Tiwaloluwa A Ajibewa, Tessa A Adams, Amaanat K Gill, Lauren E Mazin, Julia E Gerras, Rebecca E Hasson

{"title":"Stress coping strategies and stress reactivity in adolescents with overweight/obesity.","authors":"Tiwaloluwa A Ajibewa, Tessa A Adams, Amaanat K Gill, Lauren E Mazin, Julia E Gerras, Rebecca E Hasson","doi":"10.1002/smi.2987","DOIUrl":"https://doi.org/10.1002/smi.2987","url":null,"abstract":"This study explored the associations between the frequency and effectiveness of habitual stress coping strategies on physiological and psychological stress responses to an acute laboratory stressor in adolescents with overweight/obesity (51 adolescents; 47% female; ages 14-19 years). Coping strategies were assessed using the Schoolager's Coping Strategies Inventory. Acute physiological stress responses were measured as salivary cortisol and α-amylase output during the Trier Social Stress Test and during a control condition. Acute psychological stress was measured using a Likert-type scale, and systolic blood pressure (SBP) and heart rate were measured at baseline. Results revealed that higher coping effectiveness was associated with lower log-based α-amylase during the stress (β = -0.025, p = 0.018) and control (β = -0.030, p = 0.005) conditions, but not with cortisol across either condition (all ps > 0.05). SBP moderated the association between coping effectiveness and α-amylase during the stress condition, with higher coping effectiveness associated with lower α-amylase only among individuals with lower SBP (β = 0.002, p = 0.027). Coping frequency was not associated with cortisol responses, neither was habitual stress coping strategies associated with psychological stress (all ps > 0.05). These findings provide preliminary evidence that effective use of stress coping strategies may provide a dampening effect on sympathetic activity in an at-risk adolescent population.","PeriodicalId":309674,"journal":{"name":"Stress and health : journal of the International Society for the Investigation of Stress","volume":" ","pages":"243-254"},"PeriodicalIF":4.1,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/smi.2987","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38421817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Differences in depression, anxiety and stress disorders between fibromyalgia associated with rheumatoid arthritis and primary fibromyalgia. 类风湿关节炎纤维肌痛与原发性纤维肌痛在抑郁、焦虑和应激障碍方面的差异

IF 4.1

Stress and health : journal of the International Society for the Investigation of Stress Pub Date : 2021-04-01 Epub Date: 2020-10-06 DOI: 10.1002/smi.2992

Alessandra Alciati, Mariateresa Cirillo, Ignazio Francesco Masala, Piercarlo Sarzi-Puttini, Fabiola Atzeni

{"title":"Differences in depression, anxiety and stress disorders between fibromyalgia associated with rheumatoid arthritis and primary fibromyalgia.","authors":"Alessandra Alciati, Mariateresa Cirillo, Ignazio Francesco Masala, Piercarlo Sarzi-Puttini, Fabiola Atzeni","doi":"10.1002/smi.2992","DOIUrl":"https://doi.org/10.1002/smi.2992","url":null,"abstract":"Fibromyalgia (FM) was frequently observed in patients with rheumatoid arthritis (RA). We aimed to evaluate the differences in psychiatric comorbidities and life adversities between patients with Rheumatoid arthritis + FM (secondary fibromyalgia [SFM]) and people with primary FM (PFM). In a cross-sectional, observational study, patients with PFM and SFM underwent a structured interview for the lifetime diagnosis of major depression (MDD), panic disorder (PD) and post-traumatic stress disorder (PTSD) and were assessed for childhood/adulthood adversities and FM-related symptoms severity. Thirty patients with PFM and 40 with SFM were recruited. The univariate analysis showed that the lifetime rates of MDD were significantly higher in PFM versus SFM (76.7 % and 40%, respectively, p < 0.003), as well as the rates of PD (50 % and 15%, respectively, p < 0.003), whereas there was no difference in PTSD rates. The rates of sexual abuse and physical neglect were significantly higher in PFM patients versus SFM patients (p < 0.005 and p < 0.023). Life events occurring before FM onset were different in PFM and SFM groups. In the logistic regression model, lifetime PD and physical neglect remain independent risk factors for PFM. PFM and SFM differ in psychiatric comorbidities and environmental adversities, suggesting that common pathogenesis may develop through different pathways.","PeriodicalId":309674,"journal":{"name":"Stress and health : journal of the International Society for the Investigation of Stress","volume":" ","pages":"255-262"},"PeriodicalIF":4.1,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/smi.2992","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38529795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

A qualitative study to investigate the psychosocial effects of operational deployments on Medical Emergency Response Team personnel. 开展定性研究，调查行动部署对医疗应急反应队人员的心理社会影响。

IF 4.1

Stress and health : journal of the International Society for the Investigation of Stress Pub Date : 2021-04-01 Epub Date: 2020-11-09 DOI: 10.1002/smi.3001

Di Lamb, Rich Dj Withnall

{"title":"A qualitative study to investigate the psychosocial effects of operational deployments on Medical Emergency Response Team personnel.","authors":"Di Lamb, Rich Dj Withnall","doi":"10.1002/smi.3001","DOIUrl":"https://doi.org/10.1002/smi.3001","url":null,"abstract":"The stressors associated with emergency medical teams responding to critical incidents are well documented; however, the impact of such duties on the UK military personnel had never been investigated. This study explored the psychosocial effects of Medical Emergency Response Teams (MERT) operating in Afghanistan to inform the development of a Resilience Model. A structured and contextually relevant process could then be applied for a team's preparation for, delivery of and recovery from, their duties. A qualitative cross-sectional design used semi-structured interviews and 15 multidisciplinary team members participated. Interviews were transcribed verbatim and data were systematically analysed using grounded theory. Emergent theory poses that developing resilience against the demands of this role is dependent upon personnel having a realistic understanding of the deployed environment by phased immersion within it. This preparatory training generates situational awareness, trust and strong team cohesion, which together with peer and organizational support are necessary factors to effectively cope with the role. To limit the costs of caring, there is a need for MERT personnel to segregate the physiological and emotional aspects of delivering care to the injured; those unable to do so may be at greater risk of poor mental health outcomes. The preparatory training of MERT personnel must be further developed to provide an immersive environment that more closely matches the reality of the role. A period of stability is required post deployment with the support of peers to enable personnel to more efficiently transition back to their home life.","PeriodicalId":309674,"journal":{"name":"Stress and health : journal of the International Society for the Investigation of Stress","volume":" ","pages":"364-377"},"PeriodicalIF":4.1,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/smi.3001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38535615","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

A comparison of the associations between alexithymia and both non-suicidal self-injury and risky drinking: The roles of explicit outcome expectancies and refusal self-efficacy. 述情障碍与非自杀性自我伤害和危险饮酒的关系比较:显性结果预期和拒绝自我效能的作用。

IF 4.1

Stress and health : journal of the International Society for the Investigation of Stress Pub Date : 2021-04-01 Epub Date: 2020-10-07 DOI: 10.1002/smi.2991

Danyelle Greene, Penelope Hasking, Mark Boyes

{"title":"A comparison of the associations between alexithymia and both non-suicidal self-injury and risky drinking: The roles of explicit outcome expectancies and refusal self-efficacy.","authors":"Danyelle Greene, Penelope Hasking, Mark Boyes","doi":"10.1002/smi.2991","DOIUrl":"https://doi.org/10.1002/smi.2991","url":null,"abstract":"Both non-suicidal self-injury (NSSI) and risky drinking are positively associated with alexithymia, a personality trait characterized by difficulties appraising feelings and an externally orientated thinking style. Although researchers have studied the associations between alexithymia and both NSSI and risky drinking, the underlying factors of both associations are rarely compared. Using path analysis, we compared the mediating effects of behaviour-specific outcome expectancies and self-efficacy beliefs on the associations between alexithymia and both NSSI and risky drinking. A sample of 627 university students (76.10% female, Mage = 20.75, SD = 1.88) completed a battery of questionnaires. Alexithymia exhibited indirect effects on NSSI via affect regulation expectancies, pain expectancies, communication expectancies, and low self-efficacy to resist NSSI. Alexithymia exhibited indirect effects on risky drinking via expectations of increased confidence and negative consequences. However, the indirect effects differed depending on the valance of the emotion the individual had difficulties appraising. Our findings indicate that the underlying factors in the associations between alexithymia and both NSSI and risky drinking could differ. Where individuals who have difficulties appraising negative emotions may engage in NSSI to help regulate negative feelings, they may consume alcohol to gain more confidence in expressing their feelings. Clinical implications are discussed.","PeriodicalId":309674,"journal":{"name":"Stress and health : journal of the International Society for the Investigation of Stress","volume":" ","pages":"272-284"},"PeriodicalIF":4.1,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1002/smi.2991","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38432397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 7