Influence Of Significant Others Research Articles

Understanding the Sociocognitive Determinants Underlying Intentions to Exercise for Postconcussion Symptom Relief: An Application of the Theory of Planned Behavior.

This study investigated individual sociocognitive factors from the theory of planned behavior and their relationship to exercise for postconcussion recovery. Four hundred and fifty-nine Australian adults, two-thirds of whom had no concussion history (66%), completed an online survey of their beliefs and attitudes toward exercise for postconcussion recovery. Secondary questions evaluated program design features that could affect engagement (eg,session frequency). Structured equation modeling found that subjective norms were the strongest significant predictor of intention to participate in exercise for postconcussion recovery. Perceived behavioral control was also a significant predictor of intention to participate but to a lesser extent. Attitude did not predict participation intention. The design features identified as key were personalization and being supervised during the program. This study found that people's intention to participate in a program of exercise postconcussion recovery is shaped by individual psychological factors and identified program design features that could be adjusted for increased engagement. Program success could be maximized through strategies such as supporting individuals to have a stronger sense of control over their participation through the choice of session timing or frequency and harnessing the influence of significant others via supportive messaging from key professionals.

The Unique Way Balinese Medicine Works To Achieve Well-Being

Everyone always expects health, and this is one of the indications that individuals have good well-being. Treatment is one of the efforts to be able to restore individual health. There are two types of treatment, namely medical and traditional treatment. Balinese people do not only medical treatment but also traditional treatment known as Balian treatment. The study aimed to determine the process of health-seeking behavior of Balinese people who switch from medical treatment to Balian treatment. The research method is descriptive qualitative, using five respondents selected through purposive sampling. The results of this study indicate that the causes of individuals who switch medical treatment to Balian treatment in Bali are dissatisfaction with the results of medical treatment, the influence of significant others, individual beliefs and perceptions of Balian practices, and cultural traditions. The primary purpose of Balinese people switching from medical treatment to Balian treatment is to get healing as a unique effort to achieve well-being.

Why are African immigrants in Montreal reluctant to use mental health services?: a systematic inventory of reasons.

Previous research has shown that non-Caucasian immigrants in Western countries are less likely than native-born people to use mental health services. This study examined the reasons underlying reluctance to use mental health services among African immigrants in Montreal, Canada. The study participants were 280 African immigrants who had experienced symptoms suggesting depression but did not use formal mental health services. They were presented with a questionnaire that contained 65 statements referring to reasons for not using formal mental health services while experiencing those symptoms and were asked to indicate their degree of agreement with each of the statements on a scale of 0-10. Responses were then analyzed using factor analysis. An eight-factor structure of reasons was found: "Minimizing symptoms and perceived self-efficacy" (61% of the sample), "Relying on spiritual care" (56% of the sample), "Cost and waiting time" (45% of the sample), "Influence of significant others" (34% of the sample), "Lack of cultural competence" (32% of the sample), "Fear of stigmatization" (23% of the sample), "Nature of the consultation" (10% of the sample) and "Social models" (8% of the sample). Scores on these factors were related to participants' demographics. Effectively addressing the underutilization of mental health services among African immigrants requires a multifaceted approach rather than one focused on a single barrier. Our findings suggest critical points that could help develop tailored interventions to address the various barriers to care.

Introducing Sources of Self-efficacy and Dysfunctional Career Beliefs in Socio-cognitive Career Theory in Entrepreneurship

A missing link between entrepreneurship education and career choices is how and when alumni decide to behave entrepreneurially. This question pertains to the impact of entrepreneurship education as envisaged in various educational policies. The vast majority of relevant studies have examined the concepts of entrepreneurial self-efficacy and entrepreneurial intention across courses and audiences worldwide. A recent trend adopts more systematic career development theories as the social cognitive career theory (SCCT). In this line, the present article provides new insights in SCCT models including the construct of dysfunctional career beliefs that represents an essential element in career decision-making. The article presents a small-scale quantitative research through a sample of Greek adults aimed to examine the relations between entrepreneurial intention and dysfunctional career beliefs as well as the informational sources of self-efficacy representing fundamental premises of SCCT. The pilot findings show that “significant others”, a dimension of dysfunctional career beliefs, influence the entrepreneurial career decision process as an extraneous personal parameter. Linear multiple regression analysis demonstrated that positive emotions, mastery experiences and the perceptions regarding significant others’ influence in career decision-making significantly predicted entrepreneurial intention. It is also shown that influence from significant others moderates the relationship between positive emotions and entrepreneurial intention, that is, intensifying the previous relationship when influence of significant others is low and decreasing it when this influence is high. These findings are discussed in the context of entrepreneurial career decision making with implications to educational and career counselling practices.

The significant other in professional path planning and readiness for scientific activity: The case of Russian students and postgraduates

Introduction. The formation of professional plans by student youth is going on under the influence of significant others. The circle of significant others is suffering profound transformations in the conditions of changing cyber-technological paradigm, overflowing traditional family circle, friends, school masters (mentors), and needs clarification. The orientation and intensity of the impact of significant others on the modern educated youth’s professional planning are not sufficiently studied. Solving the task of staff renewal in the Russian scientific sphere shows the necessity to reveal the roles of significant others in Russian students’ and postgraduates’ readiness to build a scientific career.Aim. In this research, the significant other is a really existing or imaginary person, who significantly influences student professional path planning, when a student identifies himself/herself with the significant other. The present research aims to reveal significant others, who influence professional plans of Russian students and postgraduates, and to establish the nature of its impact; to elicit the role of significant others in the students’ and postgraduates’ readiness to build a scientific career.Methodology and research methods. A three-part questionnaire was applied to collect data. In the first part, general information about the respondents was collected. The second part included three stages, which allowed the authors to identify three significant others, who influenced the respondents’ professional plans, as well as to discover the nature of this influence. In the third part, the respondents reported about their readiness to build a scientific career. Primary data processing was carried out with the help of content-analysis. Secondary data processing involved descriptive statistics methods, non-parametric Pearson test, χ2, qualitative analysis. 1026 young people aged from 17 to 35, whose average age was 21, took part in the investigation. There were 951 students and 75 postgraduates from 10 Russian universities.Results. It was established that significant others influence the respondents’ professional plans positively, neutrally and negatively. The positive impact prevails sharply over the neutral and negative ones. Over one-third of the students and postgraduates find it difficult to identify significant others. Among the significant others, there are both real people, who live now or have lived in the past, and imaginary characters. The real significant others can be subdivided into two groups: distant and close community. The role of significant other from distant community predominates over the influence of close community representatives.Scientific novelty. The authors designed the empirical model of significant others influencing the professional path planning. It was revealed that the students and postgraduates, who are not ready to become scientists, less often plan their professional paths under the influence of significant others from scientists and discoverers, than the other respondents. The hierarchical structures of students’ and postgraduates’ significant others have different readiness levels (from five to seven) to build a scientific career and have various component composition. In addition, a higher rank of scientists and discoverers as significant others in the sampling of future scientists should be noted.Practical significance. The obtained results, which deepen the understanding of the mechanism of professional identification and career decision-making, can be used in the practice of professional orientation and career counselling for young people. Since most students and postgraduates have difficulties in building professional plans or identify themselves with fictional characters or people involved in the public spheres like culture, art and mass media, the right choice of content and channels of professional propaganda can encourage young people to get a higher education and choose educational areas that are socially significant for the country.

Self-awareness and Social Influences as Predictors of Body Dissatisfaction and Acceptance of Cosmetic Surgery for Social Reasons Among Men

BackgroundBody dissatisfaction and the use of surgery for purely aesthetic reasons among men is steadily increasing. Nevertheless, compared to women, few studies have focused on specific sociocultural and individual factors predicting men’s body dissatisfaction and interest in cosmetic surgery procedures. The present study investigated the role of media, significant others, public and private self-awareness in predicting men’s body dissatisfaction and acceptance of cosmetic surgery for social reasons.MethodsParticipants were 203 men (mean-age 24 years), who completed a questionnaire containing the Sociocultural Attitudes Toward Appearance Questionnaire-4R, the Situational Self-Awareness Scale, the Muscular internalization subscale, the Male Body Attitudes Scale, and the Social subscale of the Acceptance of Cosmetic Surgery Scale. A path analysis was performed.ResultsThe influence of significant others and public self-awareness predicted men’s body dissatisfaction directly and indirectly, via muscularity internalization, while media was only directly associated with body dissatisfaction. A significant link between private self-awareness and body dissatisfaction was found. Moreover, media was not associated with cosmetic surgery either directly or indirectly and public self-awareness showed only a significant association with internalization.ConclusionsThese findings provide information about the role that self-awareness and sociocultural factor play on body dissatisfaction and acceptance of surgery for social reasons among men. The study highlighted the importance of designing preventive programs aimed at enhancing men’s ability to resist various forms of pressure regarding body image and its management. Moreover, the advantages of focusing one’s attention on internal states and feelings can limit body dissatisfaction and can discourage consideration of cosmetic surgery for social benefits.Level of Evidence VThis journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

Prevention of Re-Hospitalization for Acute Exacerbations: Perspectives of People with Chronic Obstructive Pulmonary Disease: A Qualitative Study.

Current guidelines for prevention of acute exacerbation of chronic obstructive pulmonary disease (AECOPD) reflect clinical understanding of the causes of exacerbations but with a limited recognition of person-specific contributing factors. As part of a randomized trial of a person-centered intervention aiming to promote self-determination, we describe personal perspectives of those with chronic obstructive pulmonary disease (COPD) on what they saw as the causes and best ways to stay well and prevent rehospitalization after an AECOPD. Twelve participants (mean age 69.3 years, six female, six male; eight New Zealand European, two Māori, one Pacific, and one other) were interviewed about their experiences of staying well and out of hospital. Data were collected via individual semi-structured interviews one year following an index hospital admission for AECOPD and focused on the participants' views and experiences of their health condition, their beliefs about staying well, and the causes of and factors preventing further exacerbations and hospitalizations. Data were analyzed using constructivist grounded theory methods. Three main themes were identified that described participants' views on what helped or hindered them to stay well and out of hospital: 1) Being Positive: The importance of having a positive mindset; 2) Being Proactive: Practical steps to reduce the risk of, and consequences from, episodes of AECOPD; and 3) Being in Control: Feeling in command of one's life and health. Each of these was affected by Being Connected: The influence of significant others, particularly close family. This research expands our understanding of how patients manage COPD and adds patient perspectives to current knowledge on how to prevent recurrent AECOPD. Programs which promote self-efficacy and positivity would be beneficial additions to AECOPD prevention strategies, as could the inclusion of family or significant others in wellbeing plans.

Relating Acute Care Rehabilitation Use and Discharge Disposition Among Individuals Hospitalized for COVID-19

<h3>Research Objectives</h3> To examine the extent to which acute care rehabilitation predicts discharge to post-acute care (PAC) in hospitalized COVID-19 patients. To identify social determinants that influence discharge to PAC for hospitalized COVID-19 patients. <h3>Design</h3> Secondary analysis of de-identified electronic health record (EHR) data obtained from 14 hospitals during January 2020 through April 2021. The dependent variable was discharge disposition (post-acute care or home). Independent variables included age, sex, ethnic/race minority status, presence of significant other, education level, income, insurance type, rural-urban-frontier residence, acute care occupational therapy (OT) and physical therapy (PT), ICU stay. Descriptive statistics and binary logistic regression were employed. <h3>Setting</h3> Fourteen acute care hospitals that are part of a single health network in Colorado. <h3>Participants</h3> 5,654 individuals were admitted and diagnosed with COVID-19 during the observation window. To be included in our analyses, cases had to meet the following criteria: survival to discharge, discharged to home or PAC, complete data for variables of interest. After applying these criteria, 979 individuals were excluded resulting in a final sample size of 4,675 individuals. <h3>Interventions</h3> Receipt of acute care OT or PT. <h3>Main Outcome Measures</h3> The primary outcome (dependent variable) was discharge disposition, which we categorized as "discharged to Post-Acute Care (PAC)" or "home". <h3>Results</h3> Age (Odds ratio, OR = 1.03), Medicare (OR = 2.21), receipt of acute care OT (OR = 3.41), receipt of acute care PT (OR = 5.05), and ICU stay (OR = 1.49) significantly predicted discharge to inpatient PAC. Sex, race/ethnicity, significant other status, residence type, education level, and income level were not significant predictors of discharge disposition. <h3>Conclusions</h3> Individuals who were older, Medicare beneficiaries, received OT or PT, and had an ICU stay were the most likely hospitalized COVID-19 patients to be discharged to inpatient PAC. Contrary to pre-pandemic studies that demonstrate the influence of significant others, residence location (e.g., rural), income, and education level have on discharge disposition, our findings suggest these factors mattered less in the context of COVID-19. <h3>Author(s) Disclosures</h3> The authors have no conflicts.

Reflections on a Scholarly Career in Sport and Exercise Psychology: The Influence of Significant Others on the Psychosocial Well-Being of Children, Adolescents, and Young Adults

This paper is based on a Senior Scholar presentation delivered at the 2020 annual meeting of the North American Society for the Psychology of Sport and Physical Activity. The paper begins with a summary of the research work completed by the author and coinvestigators in regard to the influences that significant others (parents, peers, and coaches) exert on the psychosocial well-being of individuals in sport and physical activity. In each of these three areas, illustrative research studies are summarized in a predominantly chronological order with a commentary at the end of each section that identifies unanswered questions and suggests future research directions. In the second section, four particular lessons learned by the author over the course of a scholarly career are identified and explained.

Barriers and facilitators for treatment-seeking in adults with a depressive or anxiety disorder in a Western-European health care setting: a qualitative study

BackgroundPrevious research on barriers and facilitators regarding treatment-seeking of adults with depressive and anxiety disorders has been primarily conducted in the Anglosphere. This study aims to gain insight into treatment-seeking behaviour of adults with depressive and anxiety disorders in a European healthcare system.MethodsIn-depth semi-structured interviews were conducted with 24 participants, aged ≥18 years and diagnosed with an anxiety disorder and/or depressive disorder according to DSM-IV. Participants were purposively sampled from an outpatient department for mental health care in the Netherlands. The seven steps of framework analysis were used to identify relevant themes emerging from the interviews.ResultsData analysis suggested an interplay between individual aspects, personal social system, healthcare system and sociocultural context influences. Amongst the most relevant themes were mental health illiteracy, stigma, a negative attitude toward professional help, the influence of significant others and general practitioner, and waiting time. Financial barriers were not of relevance.ConclusionsEven in a country with a well-developed mental health care system and in absence of financial barriers, there are many barriers to treatment-seeking in adult patients with depressive and anxiety disorders. National campaigns to increase awareness and decrease stigma in the general population, and to empower the social environment might reduce the treatment gap.

Effect of checklist based box system interventions on improving institutional delivery among reproductive age women in Northwest Ethiopia: generalized structural equation modeling

BackgroundPrevious studies have shown that there is low utilization of institutional delivery in Ethiopia, as well as various factors contributing to this low utilization. Notably, there is paucity around interventions to improve institutional delivery. Hence, this study examines the effectiveness of checklist-based box system intervention on improving institutional delivery and to investigate the association through which the intervention is linked to institutional delivery.MethodThe study used data from a larger trial, on the effectiveness of checklist-based box system intervention on improving maternal health service utilization. In the intervention arm, mothers received regular community-level pregnancy screening and referral, service utilization monitoring boxes, drop-out tracing mechanisms, regular communication between health centers and health posts, and person-centered health education for mothers. This study used the existing government-led maternal health program as a control arm. A total of 1062 mothers who gave birth one-year before the survey were included in the final analysis. A difference-in-difference estimator was used to test the effectiveness of the intervention. Generalized structural equation modeling was used to examine the direct and/ indirect associations between the intervention and institutional delivery.ResultAmong participants, 403 (79.5%) mothers from intervention and 323 (58.2%) mothers from control clusters gave birth at health facilities. The result of the study revealed a 19% increase in institutional delivery in the intervention arm (19, 95%CI: 11.4-27.3%). In this study the pathway from checklist-based box system intervention to institutional delivery was mainly direct - (AOR = 3.32, 95%CI: 2.36-4.66), however, 33% of the effect was partially mediated by attendance of antenatal care four visits (AOR = 1.39, 95%CI: 1.02-1.92). The influence of significant others (AOR = 0.25, 95%CI: 0.15-0.43) and age (AOR = 0.03, 95%CI: 0.01- 0.09) had an inverse relation with institutional delivery.ConclusionThe implementation of a checklist-based box system significantly increased institutional delivery utilization, both directly and indirectly by improving antenatal care four attendance. A larger-scale implementation of the intervention was recommended, taking the continuum of care approach into account.Trial registrationClinicalTrials.gov, NCT03891030, Retrospectively registered on 26 March, 2019.

Causes of Drug Initiation among Adolescents

Drug use is a behaviour frequently seen among adolescents. The World Drug Report draws attention to the increase in this phenomenon. The studies were undertaken to look for determinants that promote drug use and those that protect against reckless activities. It seems important to determine the causes of drug initiation. The presented study aimed to identify the determinants favouring first contact with drugs among adolescents. Eighteen respondents participated in the study. Purposive sampling was used and data were collected using categorized interviews. The exploratory nature of the interviews focused on obtaining information on three areas: family life, peer influences and the role of mass culture products. Education, financial background, and inquiries about life plans, dreams, and their realization were also recorded. The analysis of empirical data made it possible to establish interesting factors conducive to the respondents’ first contact with drugs both in the family environment, peer environment, but also related to popular culture, lifestyle, the influence of significant others, as well as to the dangers of the Internet. Established causes of drug initiations are indicated. The obtained results can be used in designing preventive interventions among adolescents. They can also be the basis for planning further studies with this group.&#x0D;

Stressors in Indoor and Field Brazilian Soccer: Are They Perceived as a Distress or Eustress?

Soccer players inescapably live under stress during the sportive career, and many real-life aspects of soccer situations operate in the ongoing performance. This study’s main objective was to elaborate the List of Stressors in Professional Indoor and Field Soccer, a self-report instrument designed to measure the impact of 77 soccer situations upon the sport performance. Participants were 138 indoor and field soccer players from the Brazilian Premier League. Each situation was evaluated on a 7-point scale, ranging from the most negative (−3) to the most positive (+3). Data were analyzed according to the players’ perception of the items: distress or eustress and its intensity, and after that, situations perceived as plus −1 and +1 were compared by time in which they were experienced and distributed among five categories established by the literature: Expectations about the Performance, Personal Factors, Competition Aspects, Training Demands, and Relationship with Significant People. Narratives of athletes’ experiences were also used to discuss the results. An Exploratory Structural Equation Modeling using Bi-factorial (BI-ESEM) was employed to assess the factor structure. For the total participants, 49 situations were perceived as distress and 28 as eustress. Using the criteria established a priori, the distribution was among the five categories in the remaining 32 situations. Differences in perception between less and more experienced players were found in 11 situations. The results revealed that Brazilian professional soccer players experience various stressful situations. These events are important representations of environmental demands and could predict the performance as they are perceived as eustress or distress. Some of these stressful situations are inherent in sport and others adjacent to the sports system or environment. Coach pressure to win and conflicts with teammates are examples of stressors in-sport, family problems and disputes with press or fans are examples of stressors external to the team, also called peripheral opponents, and showed the relative social influence of significant others in soccer performance. We can conclude that the knowledge of the direction of a given stress situation has important practical implications in preparing athletes and helping them face the performance stressors that are part of soccer daily life.

Dietetic Students' Drivers and Barriers to Healthy Eating While Studying to Be a Healthcare Professional (a Pilot Study).

Background: For Dietetics students, starting university means developing the knowledge and skills required to be a healthcare practitioner. This pilot study aimed to explore the perceptions and views of the students on their drivers and barriers of healthy eating while studying Dietetics at university. Methods: A qualitative study was undertaken with a purposive sample of six final year Dietetic students at a UK university. Semi-structured in-depth interviews were used to elicit students’ experiences and perceptions of barriers to healthy eating. Interview data were analysed thematically. Results: Five themes emerged from the interview data including studying Dietetics, placement, influence of significant others, food security, and social and cultural aspects of the university life, with several sub-themes, and perspectives about the future beyond the university life. Conclusions: The findings suggest a potential need for Dietetics course providers to consider the range of barriers to healthy eating that students may encounter whilst studying and how these may undermine their ability to develop healthy eating practices and effective professional skills. Further research is required that explores the extent of barriers to healthy eating and examine whether these impinge upon effective practice.

Finding Sanctuary in the Occupational Choice of Animal Shelter Work

Abstract This paper examines the occupational choice of animal shelter work. While the Human-Animal Studies (HAS) literature tends to implicitly assume shelter entry to be based on loving nonhuman animals, this study finds evidence that loving them is a necessary but insufficient antecedent. I understand and explain my respondents’ choice as processual; early experiences and influence of significant others, serendipitous events or changes in the life course, and alienation from previous workplaces combine to precede shelter entry. In terms of the decision to stay, shelter work appears to offer sanctuary to human actors as well as to the animals in their care. My respondents have found an alternative experience of the economy, one which is not isolated from, but embedded in, their values and moral rationalities. Shelter work offers sanctuary from the market economy in nature, as embodied by other animals.

Why Nationalism?

The article is based on an analysis of four selected biographies of nationalist activists in Poland – taken from a larger sample of 30 biographical-narrative interviews conducted with members of organizations such as the All-Polish Youth, National Radical Camp, and National Rebirth of Poland (2011–2015). During the analysis of all of the collected interviews, three main biographical paths to the nationalist movement were distinguished: (a) an individual project (with two subtypes), (b) the influence of significant others, and (c) being ‘found’ by an organization. The paper explores four individuals’ life stories – each representing one of the paths – and takes a closer look at all three main paths, including the role of family political orientation, circle of friends, and interests. The analysis shows that the Polish nationalist movement can be seen as a space that allows individuals to meet their various needs (the need to resist the political and social situation in the country; to express their values, discontent, and opinions; to maintain a feeling of doing something valuable and important; to carry out social work, promote patriotism, and to engage in educational activities). Moreover, when it comes to explanations of the growing popularity of nationalism nowadays, it can be said that the nationalist movement involves people who are dissatisfied with politics and looking for grassroots alternatives; feel endangered by cultural (liberal) changes; are seeking a return to tradition and Catholicism; and who are looking for stronger narratives (those opposed to liberalism and postmodernism).

The Influence of Motives and Significant others in Adolescent Tobacco Smoking: Evidence from a Survey of Secondary School Adolescents in Dar es Salaam

This study explored the psychosocial influence of tobacco smoking among secondary school adolescents in Ilala district, Dar es Salam region. Specifically, the study sought to explore the influence of significant others and motives on tobacco smoking among secondary school adolescents. A cross-sectional survey was conducted among 400 secondary school adolescents aged between 12 and 22. The findings revealed that the major motive that drives adolescents to smoke tobacco was experimentation. Other motives include; the desire to reduce frustration, pleasure, persuaded to smoke, a way of solving problem, and the habit of being sent to light up cigarette. It was further revealed that smoking cigarette as a way of keeping busy had little influence on secondary schools’ adolescents in Ilala district while the influence of close friends and brothers made a strong contribution to secondary school adolescents in Ilala district to smoke tobacco. Significant others like sister, mother and father were found to have little influence on secondary schools’ adolescents’ tobacco smoking behavior.Based on the findings of this study, it is recommended that factors such as motives and the influence of significant others need to be taken into account when considering psycho-educational intervention programs to preventing smoking.

The contribution of professional youth work to the development of socially vulnerable youngsters: A multiple case study

The central question in this study is how, for whom, and under which conditions professional youth work contributes to the personal development of socially vulnerable youngsters, the reinforcement of their social network, the enhancement of their social participation, and the timely finding of appropriate specialized care services in relation to contextual factors such as life events and the influence of significant others. This research used a multiple case study with a comparative design. During a 12-month period, youth workers (N = 20) participated in group intervision meetings and kept diaries reporting on their actions and the development of the youngsters (N = 23). An analysis of this data revealed four patterns of development of socially vulnerable youngsters in youth work settings. Each pattern consisted of a specific form of multi-methodic action that resulted in a specific outcome. The study also revealed how these processes of development are influenced by important life events and significant others. The findings suggest that youth work contributes to personal development and social participation and thereby may lessen the need for formal social care services.

남녀 초등학생들의 자아존중감 변화에 대한 의미있는 타자들의 종단적 영향

이 연구는 남녀 초등학생들의 자아존중감의 변화 과정에서 주변의 의미있는 타자들과의 관계가 미치는 효과를 탐색하였다. 한국아동·청소년패널조사(KCYPS)의 초등학교 1학년의 종단 자료를 사용하여, 개인별(intra-individual) 성장모형을 분석하였다. 자아존중감을 두 가지의 하위 요인, 즉 자신감과 자기비하로 구분하였으며, 의미있는 타자들의 관계 변화가 자아존중감의 변화율에 미치는 효과도 고려하였다. 분석 결과에 따르면, 아동기에 높았던 여학생들의 자아존중감은 청소년기에 들어서면서 남녀가 역전되는 현상이 나타났다. 여학생들의 낮아진 자아존중감은 자기비하의 증가보다는 자신감이 하락하면서 나타난 결과로 보인다. 또한, 남녀 모두 초기 자아존중감 수준에 따른 개인 간 차이는 시간에 따라 더욱 벌어지는 것으로 분석되었다. 자아존중감이 높은 학생들과 낮은 학생들 사이의 격차가 성장과정에서 확대될 가능성을 암시한다. 끝으로, 자아존중감의 향상에는 가정 배경 보다는 부모, 친구, 교사와 같은 주변의 의미있는 타자들과의 관계 개선이 더 큰 효과를 미치는 것으로 나타났다. 특히, 여학생들은 친구들과의 관계가, 남학생들은 부모님과의 관계가 자아존중감의 향상에 더욱 중요한 영향 요인이었다.

Assessing significant others’ cognitions and behavioral responses in occupational health care for workers with a chronic disease

Purpose To examine current practices of occupational health professionals in assessing significant others’ cognitions and behavioral responses that may influence work outcomes of workers with a chronic disease. Methods A survey study among occupational health professionals, focusing on the assessment of illness perceptions, work-related beliefs and expectations, and behavioral responses of significant others of workers with a chronic disease. We performed linear regression analyses to investigate which factors are related to occupational health professionals’ assessment practices. We used thematic analysis to analyze qualitative data on occupational health professionals’ reasons to assess or overlook significant others’ cognitions and behavioral responses. Results Our study sample included 192 occupational health professionals. Most seldom asked about significant others’ cognitions and behavioral responses. Organizational norms and occupational health professionals’ self-efficacy were related to reported assessment practices. Reasons to assess significant others’ cognitions and behavioral responses included recognizing their influence on work participation, and occurrence of stagnation. However, occupational health professionals indicated some doubt whether such assessment would always contribute to better care. Conclusions It is not common practice for occupational health professionals to assess significant others’ cognitions and behavioral responses, although they recognize the influence of these factors on work outcomes. More research is needed as to how occupational health professionals can best address the role of significant others, and apply these new insights in their daily practice. Implications for rehabilitation Most occupational health professionals do not commonly ask about significant others’ cognitions and behavioral responses despite the possible influence of these factors on work outcomes. Occupational health professionals may be able to better support workers with a chronic disease by paying more attention to the influence of significant others. Aside from asking about practical support, occupational health professionals should consider asking about significant others’ illness perceptions, work-related beliefs and expectations, and other behavioral responses.