| 1. |
- Garcia, Danilo, 1973, et al.
(författare)
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Person-Centered Care
- 2018
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Ingår i: V. Zeigler-Hill & T. Shackelford (Eds.), Encyclopedia of Personality and Individual Differences. - Cham, Switzerland : Springer.
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Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- Person-centered care is a model for health care that involves a biopsychosocial approach on health (physical, psychological, and social) and the person (body, mind, and psyche; Cloninger, 2004, 2013ab) through the alliance between the one giving care and the one seeking care as equal partners. One of the main aims is to implement a process that goes beyond the diagnostic formulation of identifying a disease state or ill-health, that is, a process of total health status, including ill-being and well-being (Mezzich et al., 2016). A second main aim is to empower the person seeking care to make self-directed informed choices to promote well-being in all planes of her/his life by including her/his subjective narratives, values, and meanings of illness and health as well as personal preferences and choices in treatment and care (Wong & Cloninger, 2010). A third main aim is the promotion of a working alliance in the health care process (Rogers, 1946; Kitwood & Bredin, 1992). This alliance includes the health care personnel, the person seeking the care, significant others, and also other community stakeholders involved in the health care of the person.
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| 2. |
- Al Nima, Ali, et al.
(författare)
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The ABC of happiness: Validation of the tridimensional model of subjective well-being (affect, cognition, and behavior) using Bifactor Polytomous Multidimensional Item Response Theory
- 2024
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Ingår i: Heliyon. - : CELL PRESS. - 2405-8440. ; 10:2
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Tidskriftsartikel (refereegranskat)abstract
- Background: Happiness is often conceptualized as subjective well-being, which comprises people's evaluations of emotional experiences (i.e., the affective dimension: positive and negative feelings and emotions) and judgements of a self-imposed ideal (i.e., the cognitive dimension: life satisfaction). Recent research has established these two dimensions as primary parts of a higher order factor. However, theoretical, conceptual, and empirical work suggest that people's evaluations of harmony in their life (i.e., the sense of balance and capacity to behave and adapt with both acceptance and flexibility to inter- and intrapersonal circumstances) constitutes a third dimension (i.e., the behavioral dimension). This tridemensional conceptualization of subjective well-being has recently been verified using Unidimensional Item Response Theory (UIRT) and Classical Test Theory (CTT). Here, we use a recently developed and more robust approach that combines these two methods (i.e., Multidimensional Item Response Theory, MIRT) to simultaneously address the complex interactions and multidimensionality behind how people feel, think, and behave in relation to happiness in their life. Method: A total of 435 participants (197 males and 238 females) with an age mean of 44.84 (sd = 13.36) responded to the Positive Affect Negative Affect Schedule (10 positive affect items, 10 negative affect items), the Satisfaction with Life Scale (five items), and the Harmony in life Scale (five items). We used Bifactor-Graded Response MIRT for the main analyses. Result: At the general level, each of the 30 items had a strong capacity to discriminate between respondents across all three dimensions of subjective well-being. The investigation of different parameters (e.g., marginal slopes, ECV, IECV) strongly reflected the multidimensionality of subjective well-being at the item, the scale, and the model level. Indeed, subjective well-being could explain 64 % of the common variance in the whole model. Moreover, most of the items measuring positive affect (8/10) and life satisfaction (4/5) and all the items measuring harmony in life (5/5) accounted for a larger amount of variance of subjective well-being compared to that of their respective individual dimensions. The negative affect items, however, measured its own individual concept to a lager extent rather than subjective well-being. Thus, suggesting that the experience of negative affect is a more independent dimension within the whole subjective well-being model. We also found that specific items (e.g., “Alert”, “Distressed”, “Irritable”, “I am satisfied with my life”) were the recurrent exceptions in our results. Last but not the least, experiencing high levels in one dimension seems to compensate for low levels in the others and vice versa. Conclusion: As expected, the three subjective well-being dimensions do not work separately. Interestingly, the order and magnitude of the effect by each dimension on subjective well-being mirror how people define happiness in their life: first as harmony, second as satisfaction, third as positive emotions, and fourth, albeit to a much lesser degree, as negative emotions. Ergo, we argue that subjective well-being functions as a complex biopsychosocial adaptive system mirroring our attitude towards life in these three dimensions (A: affective dimension; B: behavioral dimension; C: cognitive dimension). Ergo, researchers and practitioners need to take in to account all three to fully understand, measure, and promote people's experience of the happy life. Moreover, our results also suggest that negative affect, especially regarding high activation unpleasant emotions, need considerable changes and further analyses if it is going to be included as a construct within the affective dimension of a general subjective well-being factor.
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| 3. |
- Amato, Clara, et al.
(författare)
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Individual and Organizational Factors at the Basis of Newly Graduated Nurses’ Burnout
- 2020
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Ingår i: XXXII International Congress of Psychology, Prague, Czech Republic.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Background: Nurses’ burnout is extremely costly for hospitals and society in general. This is of special concern among newly graduated nurses, because about 25%-30% of them burnout or drop their jobs after the first year of employment. The aim of the present study was to investigate if newly graduated nurses’ perception of their work climate mediated the relationship between their personality and burnout symptoms. Method: At the beginning of their first year of work, 120 Swedish nurses answered the Temperament and Character Inventory, the Learning Climate Questionnaire, and the Maslach Burnout Inventory. We conducted hierarchical regression analysis to test if the effect of personality on burnout was mediated by nurses’ outlook on their work climate. Results: The mediation model was significant (F = 2.30, F-change = 4.71, p < .05, R2 = .14). Both Harm Avoidance ( = .27, p < .05) and Persistence ( = .22, p < .05) were related to higher levels of burnout. However, nurses’ perception of their work climate totally mediated the effect of both Harm Avoidance ( = .19, p = .10) and Persistence ( = .16, p = .15) on burnout. Conclusion: Nurses with a personality profile characterized by excessive worrying, pessimism, shyness, and fear (i.e., high Harm Avoidance) and who were perseverant in spite of fatigue or frustration (i.e., high Persistence) were more vulnerable to burnout because of their tendency to perceive lack of support and a highly demanding workplace. Moreover, they perceived a general feeling of work dissatisfaction and lacked sense of control over organizational events and the opportunity to learn and develop their competence. In sum, interventions aimed to mitigate the effect of critical work factors on burnout have to consider personality first; that is, the key to prevent burnout might be the development of a resilient personality profile.
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| 4. |
- Amato, Clara, et al.
(författare)
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Newly Graduated Nurses' Learning Work Climate, Health, Resilience, and Burnout Symptoms
- 2020
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Ingår i: 32nd Association for Psychological Science Annual Convention. Chicago, Illinois, USA.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- The results provide an indication of important learning work climate factors associated to newly graduated nurses’ health, ability to cope successfully in adverse circumstances (i.e., resilience), and burnout symptoms. It is, however, plausible that there is an interconnection between personal vulnerability, learning climate, and health (Stoyanov & Cloninger, 2011).
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| 5. |
- Cloninger, Kevin M., et al.
(författare)
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A Randomized Controlled Pilot Study using Mind-Body Interventions among Refugees in Sweden
- 2019
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Ingår i: The International Journal of Person Centered Medicine. - : University of Buckingham Press. - 2043-7730 .- 2043-7749. ; 9:3, s. 19-34
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Tidskriftsartikel (refereegranskat)abstract
- Background: Migration is one of the major challenges of the 21st century with many refugees being victims of torture and experiencing war and the collapse of their society. Sweden, for example, received about 169,520 refugees during 2015 and 20–30% of them were estimated to suffer from mental illness. Nevertheless, research shows that about 66.40% of refugees never reveal their traumatic experiences to a doctor and a majority refuse psychiatric help. Hence, we need innovative methods to promote the physical, mental, and social health of refugees. Objective: We examined the effects of Anthropedia’s Well-Being Coaching (i.e., a biopsychosocial approach to coaching) and Well-Being Spa (i.e., modern version of age-old Spa interventions) on the personality and health of a sample of refugees living in Sweden. Methodology: Participants were recruited as part of a health and employment project in Blekinge, Sweden. A total of 70 Syrian refugees were randomly assigned to a six-month intervention comprising either Well-Being Coaching, or Well-Being Spa, or both (i.e., Mind–Body). The participants reported personality (temperament and character), well-being (positive and negative affect, life satisfaction, and harmony in life), and ill-being (defeat and entrapment, and anxiety and depression) at the beginning and at the end of the six-month intervention period. Results: Participants assigned to the Well-Being Coaching intervention showed increases in self-directedness (Cohen’s d = 0.84), cooperativeness (Cohen’s d = 0.36), positive affect (Cohen’s d = 0.43), and life satisfaction (Cohen’s d = 0.56), and decreases in both negative affect (Cohen’s d = 0.38) and defeat (Cohen’s d = 0.89). Participants assigned to the Well-Being Spa intervention showed decreases in harm avoidance (Cohen’s d = 0.55), reward dependence (Cohen’s d = 0.69), negative affect (Cohen’s d = 0.82), anxiety (Cohen’s d = 0.53), defeat (Cohen’s d = 0.34), and external entrapment (Cohen’s d = 0.42). Participants assigned to the Mind–Body intervention showed significant decreases in harm avoidance (Cohen’s d = 0.47), anxiety (Cohen’s d = 0.61), depression (Cohen’s d = 0.34), defeat (Cohen’s d = 0.56), external entrapment (Cohen’s d = 0.44), and internal entrapment (Cohen’s d = 0.79) and increases in persistence (Cohen’s d = 0.27), self-directedness (Cohen’s d = 0.28), cooperativeness (Cohen’s d = 0.43), self-transcendence (Cohen’s d = 0.51), positive affect (Cohen’s d = 0.42), and harmony in life (Cohen’s d = 0.36). Conclusions: The results of the present study suggest that Well-Being Coaching strengthens refugees’ character, while the Well-Being Spa treatments reduced participants’ tendency to worry and anxiety. Finally, the combination of these two interventions seems to promote the development of health-related traits, reduce ill-health, and stress, and increase well-being in a wider biopsychosocial perspective.
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| 6. |
- Cloninger, Kevin M., et al.
(författare)
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Anthropedia’s Biopsychosocial Approach to Health and Well-Being Coaching
- 2019
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Ingår i: 12th Geneva Conference on Person Centered Medicine - Promoting Well-Being and Overcoming Burn-Out. Geneve, Switzerland.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- The level of stress in modern times is increasing the rates of lifestyle and stress-related illness in all populations, including health care professionals who have the double burden on their personal problems and those of their patients to manage (C.R. Cloninger, 2004; Cloninger et al., 2010). Today there is great need for complementary approaches to assist mental health care professionals in addressing the health and well-being of an increasingly stressed population. This talk will explore Anthropedia’s biopsychosocial model of health and well-being coaching and its application in public health endeavors. Specifically, we will discuss studies we’ve conducted in the US and Sweden that demonstrate the impact of our coaching on character development, resilience, and well-being in training and program participants. Health care professionals participating in our trainings have been shown to show significant increases in character development as measured by the Temperament and Character Inventory, as well as general increases in subjective well-being as measured by various scales. We’ll also describe research conducted in conjunction with the Blekinge Center of Competence at Region Blekinge in Sweden. These studies examined a number of programs funded by the European Social Fund, FINSAM, and Region Blekinge to serve long-term unemployed individuals, nurses, and youth with Anthropedia’s well-being coaching methodology. Similar to participants in Anthropedia’s training programs, program participants show significant increases in subjective well-being and character development including self-acceptance, empathy, moral reasoning, and self-transcendence. We will discuss implications for public health practices worldwide.
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| 7. |
- Cloninger, Kevin M., et al.
(författare)
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Burn-Out in Education
- 2019
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Ingår i: 12th Geneva Conference on Person Centered Medicine - Promoting Well-Being and Overcoming Burn-Out. Geneve, Switzerland..
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- All the helping professions are seeing a rise in stress levels, and consequently burnout and depression; teaching is no exception. There has been considerable debate about how to quantify rates of burnout and the resulting teacher attrition. Burnout rates are mediated by social and personal factors, and so rates of burnout vary by country (Farber, 1991). For example, studies conducted in the United States have shown that 15 to 30% of beginning teachers leave the profession within the first five years (Murnane et al., 1988). Huston (2001) and others have looked at factors that mediate burnout in teachers. They identified factors that work together to induce burnout, such as a feeling of powerlessness (lack of decision-making power), role conflicts, a lack of freedom and autonomy, and the lack of adequate support. They estimate that more than 50% of teacher’s experience burnout. In this talk, I will explore how the organizing principles of modern education are participating in burnout rates. Particularly, the emphasis on participation in the global economy has undermined the schools’ role in helping children learn about living a good life. The pursuit of the “good life” has been replaced by the pursuit of a “good job.” This vain pursuit devalues the profession and those who practice it, and ultimately erodes the meaning of the work that most would consider a vocation. The authoritarian structures of modern school practice lead to an increase in violence and bullying, reduce job satisfaction, and ultimately undermine teacher autonomy and agency.
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| 8. |
- Cloninger, Kevin M., et al.
(författare)
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Cloninger, C. Robert
- 2019
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Ingår i: V. Zeigler-Hill & T. Shackelford (Eds.), Encyclopedia of Personality and Individual Differences. - : Springer. - 9783319246109
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Bokkapitel (övrigt vetenskapligt/konstnärligt)abstract
- Claude Robert Cloninger (born April 4, 1944) is an American psychiatrist and geneticist noted for his research on the biological, psychological, social, and spiritual foundation of both mental health and mental illness. He holds the Wallace Renard Professorship of Psychiatry, is professor of psychology and genetics, and serves as director of the Sansone Family Center for Well-Being at Washington University in St. Louis. Cloninger is a member of the evolutionary, neuroscience, and statistical genetics programs of the Division of Biology and Biomedical Sciences at Washington University, and is recognized as an expert clinician in the treatment of general psychopathology, substance dependence, and personality disorders. He is also an adjunct professor at the Blekinge Center of Competence, the research and development unit in the county of Blekinge, Sweden. In his most recent research Cloninger and his research team have succeeded in identifying nearly all the genes for human personality (Zwir et al., 2018ab). Since human personality is highly complex and the strongest predictor of our physical, mental, and social health overall as well as the actual cause of most mortality and chronic disease, these revolutionary findings might make it possible to understand the basic mechanisms that influence our emotions as well as the way we can self-regulate our feelings, goals, and values in order to live healthy and satisfying lives. This recent finding by Cloninger and his research team could provide a foundation for a systematic understanding of the complex molecular and brain processes that regulate human health and well-being.
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| 9. |
- Cloninger, Kevin M., et al.
(författare)
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Increases in character development, resilience, and well-being among participants in Anthropedia's well-being coaching training
- 2018
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Ingår i: 30th APS Annual Convention. San Francisco, CA, USA: 24-27 May 2018.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- This study examined the impacts of the year-long, 270-hour, Anthropedia Well-Being Coaching Training on character development, health, and resilience. There was a significant increase in subjective well-being, and character development including self-acceptance, empathy, moral reasoning, and self-transcendence as a whole as measured by the Temperament and Character Inventory (TCI).
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| 10. |
- Cloninger, Kevin M., et al.
(författare)
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The Health Effects of Anthropedia’s Well-Being Coaching: A 6-Month Pilot Study Among Long-Term Unemployment Swedish Young Adults
- 2019
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Ingår i: 3rd Biennial International Convention of Psychological Science, Paris, France.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- In recent years Sweden had an increased number of asylum seekers entering the country. Asylum seeking can affect the physical and mental health of individuals due to prolonged application processes and waiting times which can lead to inactivity. Physical inactivity is one of the leading risk factors leading to noncommunicable diseases and overall mortality. The Public Health Report Blekinge 2014 states that groups with low socioeconomic status are less likely to be physically active in comparison with groups with a high socioeconomic status. Physical activity contributes to physical and mental well-being, and increases the possibilities for creating social networks as well as being part of the society. The project “Health for Everybody” (Hälsa för Alla) offers physical and cultural activities to approximately 300 refugees who have been granted asylum in the Blekinge region. The activities are conducted with the help of physical trainers, testing staff and community workers. In its current format each group of 20 to 30 refugees is offered training once a week for a 10-week period. The participants’ physical and psychological health and lifestyle habits are measured before and after the program through bioimpedance, physical conditioning tests and self-reports of psychological aspects related to health and lifestyle. We examined the health effects of cultural activities and Well-Being Coaching among long-term unemployed Swedish young adults. While individuals receiving cultural activities only showed a slight decrease in anxiety, those receiving Well-Being Coaching showed significant increases in subjective well-being and decreases in depression, anxiety, and sense of defeat and entrapment.
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