Simple Slope Analysis Research Articles

High Behavioral Inhibition System/Behavioral Activation System Sensitivity, Childhood Emotional Neglect and Their Interaction as Possible Related Factors for Adult Attachment Style in Depression.

ObjectiveIndividual differences in attachment insecurity are important in a broad range of mental health problems. However, few empirical studies have examined the clinical factors that contribute to individual differences in attachment style. This study examines the nature of interrelationships among adult attachment styles, sensitivities of behavioral activation system/behavioral inhibition system (BIS/BAS), and childhood trauma in patients with depressive disorders. MethodsPatients with depressive disorders (n=294) completed self-report questionnaires evaluating adult attachment style, childhood trauma, and BIS/BAS sensitivity. We performed multiple regression analyses to examine the associations between attachment style and other clinical factors, including childhood trauma and BIS/BAS sensitivity. We also conducted hierarchical regression analyses and simple slope analyses to examine the interaction between BIS/BAS sensitivity and childhood trauma. ResultsThe BAS sensitivity was negatively associated with attachment avoidance. The higher was the BIS/BAS sensitivity, the higher was the level of attachment anxiety. Among childhood trauma, emotional neglect contributed to both dimensions of insecure attachment. The interaction between BAS sensitivity and emotional neglect is significantly associated with attachment anxiety. ConclusionThis study used data regarding the interrelationship of childhood trauma and basic motivational systems to contribute to the understanding of adult insecure attachment behaviors, a risk factor for depression.

The moderating effect of psychological flexibility on event centrality in determining trauma outcomes.

Emerging research shows that event centrality, or the degree to which trauma is perceived as integral to one's worldviews and personal identity, has a substantial impact on trauma recovery. Given that high centrality fosters both distress and growth, additional research on potential moderators that could better distinguish the course of adjustment is needed. This study examined whether differences in psychological flexibility (or the ability to persist in a behavior despite urges to do otherwise) impacted posttraumatic stress symptoms (PTS) and perceived posttraumatic growth (PTG) as event centrality increased. One-hundred and 25 college students (52% female) with a history of trauma exposure were recruited from a large Midwestern university. Participants completed an electronic survey for course credit. There was a significant interaction between event centrality and psychological flexibility on PTS severity (B = 2.10, p = .003). A simple slopes analysis revealed that low psychological flexibility was associated with greater PTS severity as event centrality increased. Although event centrality and psychological flexibility independently predicted perceived PTG, no interaction effect was observed (B = -4.68, p = .080). This suggests that while differences in psychological flexibility may influence PTS severity following highly centralized traumatic experiences it has a more complicated relationship with perceived PTG that requires further investigation. Clinical implications are discussed. (PsycINFO Database Record (c) 2020 APA, all rights reserved).

Post-traumatic stress disorder's relation with positive and negative emotional avoidance: The moderating role of gender.

Post-traumatic stress disorder (PTSD) is characterized by avoidance of trauma-related emotions. Research indicates that this avoidance may extend to any emotional experience that elicits distress, including those that are unrelated to the trauma. Literature in this area has been limited in its exclusive focus on negative emotions. Despite evidence of gender differences in PTSD and emotional avoidance separately, no studies to date have examined gender as a moderator of their association. The goal of the current study was to extend research by exploring the moderating role of gender in the relation between PTSD symptom severity and positive and negative emotional avoidance. Participants were 276 trauma-exposed individuals (65.9% female, 65.6% White, Mage = 19.24) from a university in the north-eastern United States. Moderation results indicated a main effect for PTSD symptom severity on both positive (b = 0.07, p < .001) and negative (b = 0.04, p = .03) emotional avoidance. The interaction of gender and PTSD symptom severity was significant for positive emotion avoidance (b = 0.97, p = .01). Analysis of simple slopes revealed that PTSD symptom severity was significantly associated with positive emotional avoidance for males (b = 0.13, p < .001) but not females (b = 0.03, p = .08). Results suggest the importance of gender-sensitive recommendations for assessment and treatment of emotional avoidance in PTSD.

The association between resilience, perceived organizational support and fatigue among Chinese doctors: A cross-sectional study

BackgroundFatigue influences doctors’ physical and mental health seriously, additionally, the topic has received wide attention recently. This study aimed to identify the association among resilience, perceived organizational support (POS) and fatigue, and to further explore whether POS could be a moderator in the association between resilience and fatigue in Chinese doctors. MethodsA cross-sectional study was conducted in Liaoning Province in China in 2018. Out of 1000 randomly selected doctors, 866 completed the Chalder Fatigue Scale, the Connor-Davidson Resilience Scale, Survey of Perceived Organizational Support, and the questions about demographic characteristics and job condition variables. The association among resilience, POS and resilience × POS interaction with physical and mental fatigue were examined by hierarchical multiple regression. Simple slope analysis was conducted to visualize the interaction. ResultsThe association between resilience and physical fatigue was gradually increased in the low (1 standard deviation [SD] below the mean, β = –0.127, P< 0.05), mean (β = –0.292, P < 0.05) and high (1 SD above the mean, β = –0.457, P < 0.05) groups of POS. Additionally, the association was also different in the low (1 SD below the mean, β = –0.240, P < 0.01), mean (β = –0.357, P < 0.01) and high (1 SD above the mean, β = –0.474, P < 0.01) groups of POS. Limitations: Due to the cross-sectional design, the study cannot draw any conclusion of causal relationships among study variables. Conclusions: POS could moderate the association among resilience, physical and mental fatigue. More interventions related to resilience and POS will be helpful to alleviate fatigue among Chinese doctors.

Perceived Organizational Support Associated with Depressive Symptoms Among Petroleum Workers in China: A Cross-Sectional Study.

ObjectiveThe objective of this study was to explore the association between perceived organizational support (POS) and depressive symptoms, and to further explore whether self-efficacy can act as a moderator between POS and depressive symptoms among Chinese petroleum workers.MethodsThere was a cross-sectional study conducted at a petrochemical enterprise in Liaoning Province, China, from July to August 2018. A series of questionnaires were accomplished by 1836 petroleum workers, including the Center for Epidemiologic Studies Depression Scale (CES-D), the Survey of Perceived Organizational Support (SPOS), and the General Self-Efficacy Scale (GSES). Hierarchical regression analysis was used to examine the relationship of SPOS score, GSES score, and SPOS score×GSES score interaction with CES-D score. A simple slope analysis will be carried out if the interaction has statistical significance.ResultsHierarchical regression analysis showed that SPOS score (β=−0.538, P<0.01) and GSES score (β=−0.313, P<0.01) played a main influence on CES-D score. The SPOS score×GSES score interaction term significantly explained an extra 9.7% of the variance (F=253.932, adjusted R2=0.582, ΔR2=0.097, P<0.01). The interaction term was positively correlated with CES-D score (β=0.334, P<0.01). The relationship between SPOS score and CES-D score gradually decreased in the low (1 SD below the mean, β=−0.589, P<0.01), mean (β=−0.338, P<0.01), and high (1 SD above the mean, β=−0.087, P<0.01) groups of GSES score.ConclusionThis study showed that POS and self-efficacy played a main influence on depressive symptoms, and the interaction term was positively correlated with depressive symptoms. Self-efficacy could attenuate the association between POS and depressive symptoms. It suggests that appropriate POS and self-efficacy enhancement measures ought to be supplied to relieve depressive symptoms.

Interaction between locomotion and three subcategories for patients with stroke demonstrating fewer than 37 points on the total functional independence measure upon admission to the recovery ward.

[Purpose] To investigate the interaction between locomotion and improvements in performing self-care. [Participants and Methods] We retrospectively analyzed 930 patients with stroke who were registered in the Japanese Rehabilitation Database. We performed a correlation analysis to evaluate the relationships among all the collected data. Then, hierarchical multiple regression analysis was performed using the self-care motor score of the Functional Independent Measure (FIM) as the dependent variable. “Model 1” used two independent variables (National Institute of Health Stroke and Rankin Scale), “model 2” used two independent variables (locomotion gain and gain of an item with the closest coefficient correlation added to model 1), and “model 3” used a mean-centering value, which was added to model 2. R2 values were calculated using a simple slope analysis. [Results] Locomotion showed an interaction with three self-care activities. The R2 changes in models 1 and 2 (ΔR2) were significant for dressing upper body (ΔR2=0.001), bowel management (ΔR2=0.006), and toileting (ΔR2=0.006). The results of the simple slope analysis were significant. [Conclusion] Locomotion demonstrated an interaction with various activities for improving self-care. There were varying degrees of improvement in self-care despite a uniform improvement in the degree of locomotion. Therefore, locomotion interaction should be considered for each intervention that targets activities of daily living.

청소년기 애착외상 경험이 성인기 음주행동에 미치는 영향

Objectives: This study aimed to investigate the effect of adolescent attachment trauma experience in adolescence on the drinking behavior in adults. Methods: This study analyzed 293 men and women aged 20-49 with experience in attachment trauma were used in the survey. Collected data were analyzed by frequency, t-test, moderated multiple regression and simple slope analysis by SPSS 21.0. Results: First, the difference in gender was found in the experience of attachment trauma and drinking behavior. Men are more experienced in attachment trauma than women and men are more likely to drink alcohol. Second, the higher the level of childhood attachment trauma, the higher the level of drinking behavior. Conclusion: With this results, the study provides information for intervention, implications and the limitation and also discuss the clinical implications of the relationship between attachment trauma and drinking behavior as a specialized approach for this condition.

Relationship Between Dispositional Mindfulness and Living Condition and the Well-Being of First-Year University Students in Japan.

The present study was conducted to examine how dispositional mindfulness and living conditions are related to well-being among first-year university students in Japan. Participants were 262 Japanese first-year students (156 females and 106 males; Mage = 18.77 years, SDage = 0.85). Dispositional mindfulness was measured using the Mindful Attention Awareness Scale (MAAS), and living condition was operationalized as living at home or living alone after having left their home. Hierarchical multivariate regression analysis was used to analyze whether the factors of living condition and dispositional mindfulness had predictive effects on well-being. The results showed that dispositional mindfulness positively correlated with well-being in first-year university students; however, living condition had no significant correlation. On the other hand, the interaction between living condition and dispositional mindfulness significantly correlated with well-being. Simple slope analysis revealed that higher levels of dispositional mindfulness had a protective effect in the relationship between living condition and well-being. These results suggest that an intervention to promote dispositional mindfulness could be effective in protecting the well-being of first-year university students, especially for those who have left their home and are living alone. Further research will be necessary to examine, longitudinally, how mental health changes depending on the level of dispositional mindfulness of first-year university students.

Examining Personal and Media Factors Associated with Attitude towards Genetically Modified Foods among University Students in Kunming, China.

Guided by the theory of reasoned action and media system dependency theory, this study examined attitude towards genetically modified foods (GMF) among university students in Kunming, China, as well as personal and media factors related to such attitude. Data were collected from an online survey with 467 university students across eight universities in Kunming. Results showed that attitude towards GMF were more negative than positive. Moreover, food neophobia and media attention were negatively associated with attitude towards GMF. In contrast, perceived benefit was positively associated with attitude towards GMF. Although the interaction between media dependency and media attention was significant, simple slope analysis confirmed that the interaction slopes were nonsignificant, suggesting that media attention did not moderate the association between media dependency and attitude towards GMF in this study. Theoretical and practical implications are discussed.

Interaction Effects of Behavioral Inhibition System/Behavioral Activation System and Cost/Probability Biases on Social Anxiety

IntroductionSocial anxiety disorder (SAD) symptoms are maintained by cognitive biases, which are overestimations of the severity and likelihood of negative social events (cost/probability biases), and by sensitivity to rewards and punishments that are determined according to behavioral inhibition/behavioral activation systems (BIS/BAS). Cost/probability biases might activate the behavioral immune system and exacerbate the avoidance of social events. Earlier studies have proposed that low BIS or high BAS decrease SAD symptoms; BIS/BAS may even change the effects of cognitive biases on SAD symptoms. Hence, the current study investigates the interaction effects of BIS/BAS and cost/probability biases on SAD symptoms.MethodSeventy-six Japanese undergraduate students completed the Japanese version of the Liebowitz Social Anxiety Scale (LSAS), which comprises Fear and Avoidance subscales, the BIS/BAS Scale, and the Social Cost Probability Scale.ResultsA multiple regression analysis was performed to examine whether cost/probability biases, BIS/BAS, and their interactions affected SAD symptoms; following this, the main effects of cost bias and BIS were determined for LSAS-Fear (β = 0.64, p < 0.001; β = 0.33, p < 0.01) and LSAS-Avoidance (β = 0.49, p < 0.001; β = 0.35, p < 0.01). The interaction effect between cost bias and BAS was significant for LSAS-Avoidance (β = −0.32, p < 0.05). Simple slope analysis showed that the slope of cost bias was significant for low-BAS individuals (β = 0.77, p < 0.001) but not for high-BAS individuals (β = −0.21, n.s.). The interaction effect between probability bias and BAS was significant for LSAS-Avoidance (β = 0.40, p < 0.01) as well. Further, simple slope analysis revealed that the slope of probability bias was significant for low-BAS individuals (β = −0.53, p < 0.05) but not for high-BAS individuals (β = 0.17, n.s.).DiscussionThe study found interesting results with respect to the avoidance of social events. Low-BAS individuals with high cost or low probability biases regarding social events may have a tendency to avoid social events. In contrast, if high-BAS individuals overestimate the cost of social events or underestimate the probability of social events, their anticipation of rewards might prevent them from avoiding social events.

Adaptive thinking: Can adaptive dispositional attributions protect against the harmful effects of maladaptive situational attributions?

ObjectivesThe study was designed to examine if dispositional team-referent attributions moderate relationships between situational team-referent attributions and collective efficacy. DesignIn this cross-sectional design investigation, team athletes completed measures of dispositional team-referent attributions, situational team-referent attributions, and collective efficacy. Team outcome (i.e., win-loss status) was recorded. MethodAthletes (N = 163) on sport teams (K = 17) completed a measure of dispositional team-referent attributions (i.e., attributional style). They also completed a measure of situational team-referent attributions in reference to their most recent team competition and a measure of collective efficacy in reference to their next upcoming team competition. ResultsFollowing team victory, simple slopes analysis revealed a moderating effect such that adaptive dispositional team-referent attributions appeared to protect against the effects of maladaptive situational team-referent attributions on collective efficacy. This trend was demonstrated across stability and globality attribution dimensions. Following team defeat, no significant interaction effects were observed. ConclusionsThe results suggest that developing adaptive dispositional attributions after success may protect athletes from experiencing deleterious effects of maladaptive situational attributions. Future research is needed to confirm these results and understand how these results can be applied to attributional retraining interventions in sport.

"Doing good, feeling good? The roles of helping motivation and citizenship pressure": Correction to Lin, Savani, and Ilies (2019).

Reports an error in "Doing good, feeling good? The roles of helping motivation and citizenship pressure" by Katrina Jia Lin, Krishna Savani and Remus Ilies (Journal of Applied Psychology, 2019[Aug], Vol 104[8], 1020-1035). In the article, there are several errors in Figure 3 and Table 4. For Figure 3, results from the simple slope analyses are reversed in the figure. The corrected values are noted below: The value for lower citizenship pressure (the solid line) should be b = 0.21**, and the value for higher citizenship pressure (the dotted line) should be b = 0.40**. In Table 4 under within-variance%, the percentage signs of the first three values are missing. (The following abstract of the original article appeared in record 2019-05153-001.) Drawing on self-determination theory, this research investigates whether the motivation behind employees' helping behaviors is associated with their positive affect and their subsequent help provision, and whether citizenship pressure moderates these relationships. A recall-based experiment and an experience-sampling study capturing helping episodes among fulltime employees found that when employees helped coworkers because of higher autonomous (controlled) motivation in a helping episode, they experienced higher (lower) positive affect, and they had stronger (weaker) helping intentions and helped coworkers more (less) subsequently. We further found that citizenship pressure enhanced the positive relationship between episodic autonomous motivation and positive affect. Overall, the results challenge the universality of the "doing good-feeling good" effect and explicate the joint roles of citizenship pressure and helpers' episodic motivation in influencing employees' positive affect and their subsequent helping behaviors. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Therapist effects in yearlong psychodynamic therapy: An exploratory study.

A large body of research indicates that therapists can have a strong impact on treatment outcome, but little is known about the relationship between therapist effects and treatment phase. Our objective was to examine the interactive effect of therapist effectiveness and treatment phase on the outcome of 1year of dynamic therapy. Therapists' effectiveness scores were defined as the extent of change for each therapist on the OQ-45 scores across their clients at five time points. The sample included 24 therapists who conducted psychodynamic therapy with 65 clients in a naturalistic setting. A three-level hierarchical linear model was applied. In accordance with the hypotheses, a significant main effect was found for effectiveness (estimate=1.69, p<.05), for the two-way interactions between effectiveness and time (estimate=1.36, p<.01), and for effectiveness and initial severity of symptoms (estimate=-0.02, p<.05). Simple slope analysis was conducted showing that among the less effective therapists, no significant change in outcome was found as time progressed; among the more effective therapists, outcome improved as time progressed. In addition, therapists were more influential in the treatments of clients with low initial severity. Our findings lend some support to the notion that therapist effects become increasingly influential as therapy progresses. The findings highlight the need for further research into changes in the magnitude of therapists' effect in various phases of therapy. Furthermore, the severity level of the initial symptoms of the client should be taken into account.

Does self-compassion protect adolescents who are victimized or suffer from academic difficulties from depression?

ABSTRACTAdolescents face many social and academic difficulties which, if not managed properly, can lead to depression. Self-compassion, a kind and caring orientation towards oneself, has emerged as a possible resilience factor alleviating depression. Self-compassion comprises two factors: self-compassion and self-coldness. The present study set out to investigate whether self-compassion weakens or self-coldness strengthens the association between depression and two difficult circumstances: victimization and academic difficulties (ADs). The sample consisted of 2383 students who had recently made the transition to upper secondary education. The study was cross-sectional and employed a hierarchical regression analysis approach. Strongest interactions were followed up with simple slope analysis. Self-compassion (inversely), self-coldness, ADs, and victimization were statistically significant predictors of depression. Self-compassion weakened the association between ADs and depression. The results suggest encountering difficulties in adolescence and depression are related and that self-compassion may moderate the association.

The moderating role of parent gender on the relationship between restrictive feeding and a child's self–regulation in eating: Results from mother-only samples may not apply to both parents

Self-regulation in eating is increasingly becoming an area of interest especially in child obesity and development literature and prevention. This study aims to examine differences in the impact of overtly restrictive feeding practices across mothers and fathers on child's self-regulation in eating. A moderated multiple regression model was run to test the moderating effect of gender on the relationship between overtly restrictive feeding practices and self-regulation. A simple slope analysis was then used to probe the interaction term between overt restriction in feeding and gender. Results from a moderation analysis indicate parental gender to be a significant factor affecting the relationship between overtly restrictive feeding and a child's self-regulation in eating. On probing the interaction, the simple slope was negative and significant when gender was female meaning that women's use of overt restriction negatively impacts children's ability to self-regulate in eating compared to men. Feeding studies often generalize findings from mother-only samples to all parents but these results provide evidence against doing so.

Cognitive flexibility and the health of Black college-attending young adults experiencing interpersonal racial discrimination

This study examined the utility of cognitive flexibility for the health of college-attending Black young adults facing chronic interpersonal racial discrimination in a sample of 218 healthy students attending a predominantly White university in the southeastern United States. Path and simple slope analysis indicated that cognitive flexibility moderated the association between racial discrimination and waist circumference but not depressive symptoms. At high cognitive flexibility, more experiences of discrimination were significantly associated with larger waist circumference. Findings suggest that cognitive flexibility may be detrimental for physical health and not of paramount importance for mental health of college-attending Black young adults.

From uncertain boundaries to uncertain identity: Effects of entitativity threat on identity–uncertainty and emigration

AbstractWhen people feel uncertain about their national identity, they may want to emigrate from their nation. This uncertainty can arise when people are exposed to an alternative historical narrative about their own national (ingroup) origins promoted by a neighboring nation (outgroup). Drawing on uncertainty–identity theory we propose that the conditions that promote this process would include when: (a) a revised history threatens the entitativity of national identity, (b) people identify strongly with their nation, (c) a neighboring nation is numerically large enough to transform its own view into a new shared reality, and (d) a new interpretation of history is considered credible. We conducted an experiment in the context of historical disputes between China (outgroup) and Korea (ingroup) (N = 160). We measured Korean identification and manipulated a type of identity threat (valence threat vs. entitativity threat), relative group size (not salient vs. salient), and source credibility (low vs. high). Then, we measured identity–uncertainty and emigration as dependent variables. As predicted, hierarchical regression analyses yielded a significant four‐way interaction on identity–uncertainty. Simple slopes analyses revealed that entitativity (vs. valence) threat significantly increased identity–uncertainty among high identifiers when the outgroup's relative size was salient and its view was credible. Further, the elevated identity–uncertainty strengthened intentions to emigrate from the ingroup. Implications for intergroup communications and identity validation are discussed.

Geographic variation in compliance with Australian colorectal cancer screening programs: the role of attitudinal and cognitive traits.

Colorectal cancer (CRC) patients in regional and rural areas tend to be diagnosed at a more advanced stage than metropolitan patients and have poorer 5-year survival rates. Environmental and cultural factors in non-metropolitan areas often facilitate a more reactive approach to health care, which can result in lower participation in preventative health measures such as screening for early signs of cancer. Individual differences in attitudes and cognitive styles can also act as barriers to cancer screening. Currently, evidence regarding geographical disparity in CRC screening is inconclusive and based largely on test return in nationwide screening programs as opposed to compliance with program guidelines. This study investigates the effect of attitudinal and cognitive traits on compliance with, as opposed to participation in, population CRC screening programs in rural, regional and metropolitan environments. A representative cross-section of recipients (n=371, 71% female) of a faecal occult blood test as part of the National Bowel Cancer Screening Program were surveyed in 2017 (mean age = 61.26, standard deviation = 7.05). Participants were asked if they completed and returned the kit or had a valid reason not to (ie prior screening). Postcodes were used to identify participants as metropolitan, regional or rural using the Australian Standard Geographical Classification system. Fatalism, minimisation of problems and resignation (MPR), need for control and self-reliance, and consideration of future consequences (CFC) were measured as traits known to effect health-related help-seeking behaviour. Program compliance rates were compared between rural, regional and metropolitan areas, and logistic regression models with interaction terms were applied to test the differential effects of attitudinal and cognitive factors on program compliance across metropolitan, regional and rural groups. Compliance was significantly lower in regional compared to metropolitan areas (odds ratio (OR)=0.49, 95% confidence interval (CI)=0.29-0.84). Rural status significantly moderated the effect of MPR (OR=0.28, 95%CI=0.11-0.71) and CFC (OR=6.66, 95%CI=1.80-24.63) on compliance and regional status significantly moderated the effect of CFC on compliance (OR=3.41, 95%CI=1.37-8.44). Simple slopes analyses showed that high MPR was associated with lower bowel screening program compliance in rural (OR=0.26, 95%CI=0.11-0.59) and regional (OR=0.60, 95%CI=0.38-0.95) areas, but not in metropolitan areas. High CFC was associated with higher bowel screening program compliance in rural (OR=4.46, 95%CI=1.39-14.47) and regional (OR=2.30, 95%CI=1.19-4.43), but not metropolitan, areas. Sub-optimal compliance rates are evident in non-metropolitan areas with intervention most needed in regional areas where compliance is lowest, leaving residents at a potentially higher risk of CRCs going undetected. Efforts to increase CRC screening in rural and regional areas should promote the consideration of one's future and discourage attitudes that minimise health issues. This research highlights the way in which individual attitudes and thinking styles may impact preventive health behaviours differently in non-metropolitan communities.

Is more emotional clarity always better? An examination of curvilinear and moderated associations between emotional clarity and internalising symptoms

ABSTRACTLow emotional clarity has been a target for psychological interventions due to its association with increased internalising symptoms. However, theory suggests that very high emotional clarity may also lead to increased symptoms, particularly in combination with high levels of neuroticism. As an initial empirical test of this hypothesis, the present study examined curvilinear associations of emotional clarity with internalising symptoms (i.e. dysphoria, social anxiety, panic, traumatic intrusions) and a moderating role of neuroticism/negative affect in the association across two student samples and two clinical samples (total N = 920). Evidence of curvilinear associations and moderation varied across samples, with some supporting evidence in three samples. Specifically, neuroticism/negative affect moderated the curvilinear association of emotional clarity with traumatic intrusions in Clinical Sample 2 as well as the linear association between emotional clarity and dysphoria in Student Sample 2 and Clinical Sample 1. Simple slope analyses indicated that high emotional clarity was not consistently associated with lower symptoms. Also, the hypothesised quadratic effects of emotional clarity were found in Student Sample 2 and Clinical Sample 1 for panic, and in Clinical Sample 1 for dysphoria. Implications and limitations of these findings for conceptualisations of emotional clarity and current treatments were discussed.

Effects of job conditions, occupational stress, and emotional intelligence on chronic fatigue among Chinese nurses: a cross-sectional study.

Purpose: Nurses are undertaking considerable emotional and physical work, which may lead to unrecoverable fatigue. This study aimed to evaluate the level of chronic fatigue and explore its associated factors among Chinese nurses in the hope of providing scientific evidence for fatigue-reduction strategies.Methods: This cross-sectional study was carried out in Liaoning Province, China in 2018. The study recruited 700 nurses and collected 566 effective respondents. Chronic fatigue, demographic factors, job conditions, and emotional intelligence were assessed through questionnaires. Chronic fatigue was assessed with the Fatigue Scale 11, occupational stress with the Effort–Reward Imbalance Questionnaire, and emotional intelligence with the Wong and Law Emotional Intelligence Scale. Hierarchical multiple regression was used to explore factors related to chronic fatigue and to test the moderating effect of emotional intelligence on the association between occupational stress and chronic fatigue. Simple slope analysis was conducted to visualize the interaction.Results: The mean score of chronic fatigue among the Chinese nurses was 17.14±6.16. Being married, having long weekly work time, working night shifts, and discontent with the nurse–patient relationship were positively associated with chronic fatigue. Effort:reward ratio, overcommitment, and emotional intelligence were important factors related to chronic fatigue. Emotional intelligence played a moderating role in the relationship between the effort:reward ratio and chronic fatigue. When emotional intelligence was higher, the effect of the effort:reward ratio on chronic fatigue became weaker.Conclusion: Most nurses surveyed in China might have relatively high levels of chronic fatigue. Our results highlight the importance of interventions on these factors for the reduction of fatigue among nurses in China. Providing more opportunities and support and developing emotional intelligence are crucial strategies to reduce chronic fatigue among nurses in China.