Unfavorable Experiences Research Articles

The Association Between Chronic Pain, Substance use, and Primary Care Experience Among Veterans with Ongoing or Recent Homelessness.

Chronic pain and problematic substance use are prevalent among Veterans with homeless experience (VHE) and may contribute to a challenging primary care experience. To examine the association of chronic pain and problematic substance use with unfavorable primary care experiences among VHE and to explore the association of pain treatment utilization and unfavorable care experiences in VHE with chronic pain. We surveyed VHE (n = 3039) engaged in homeless-tailored primary care at 29 Veterans Affairs Medical Centers (VAMCs). We assessed unfavorable primary care experiences with four validated Primary Care Quality-Homeless (PCQ-H) scales: multivariable logistic regressions explored associations between unfavorable care experiences for VHE with chronic pain and problematic substance use, chronic pain alone, problematic substance use alone, or neither. We then examined the association between receipt of pain treatments and unfavorable experiences among VHE with chronic pain. Last, we identified PCQ-H items that had the greatest difference in unfavorable response rates between VHE with and without chronic pain. The prevalence of unfavorable primary care experience was higher on all four scales for patients reporting chronic pain (with or without problematic substance use) (all p < 0.001), but not for problematic substance use alone, compared to VHE with neither pain nor problematic substance use. In analyses limited to VHE with chronic pain, those on long-term opioids were less likely to report an unfavorable experience (OR = 0.49, 95%CI 0.34-0.69). Receipt of occupational therapy was associated with lower odds of reporting an unfavorable experience (OR = 0.83, 95%CI 0707-0.98). PCQ-H items related to trust, relationships, and provider communication had the greatest differences in dissatisfaction ratings (all p < 0.001). Chronic pain is associated with unfavorable primary care experiences among VHE, potentially contributing to poor care outcomes. Strategies are needed to enhance patient-provider trust and communication and increase VHE's access to effective pain treatments.

Perceptions of extended-release buprenorphine among people who received medication for opioid use disorder in jail: a qualitative study

BackgroundIncarceration provides an opportunity for health interventions, including opioid use disorder (OUD) treatment and prevention of opioid-related overdoses post-release. All FDA-approved forms of medication for OUD (MOUD) treatment were mandated in several Massachusetts jails in 2019, with some jails offering extended-release buprenorphine (XR-Bup). Little is known about patient perspectives on and experiences with XR-Bup in carceral settings.MethodsWe conducted semi-structured interviews in 2022 with community-dwelling people who received MOUD during a recent incarceration in a Massachusetts jail. We asked participants about their experiences with and perspectives on XR-Bup while in jail. Qualitative data were double-coded deductively and reviewed inductively to identify emergent themes, which were structured using the Theoretical Framework of Acceptability (TFA).ResultsParticipants (n = 38) had a mean age of 41.5 years, were 86% male, 84% White, 24% Hispanic, and 95% continued to receive MOUD at the time of their interview, including 11% receiving XR-Bup. Participants who viewed XR-Bup favorably appreciated avoiding the taste of sublingual buprenorphine; avoiding procedural difficulties and indignities associated with daily dosing in carceral settings (e.g., mouth checks, stigmatizing treatment from correctional staff); avoiding daily reminders of their addiction; experiencing less withdrawal; having extra time for other activities, such as work; and reduction of diversion of MOUD within the jail setting. Participants who viewed XR-Bup less favorably preferred to maintain their daily dosing routine; liked daily time out of their housing unit; wanted to know what was “going into my body everyday”; and feared needles and adverse events. Participants also reported that jail clinicians used XR-Bup for patients who were previously caught diverting sublingual buprenorphine, suggesting limited patient participation in decision-making around XR-Bup initiation in some jails.ConclusionPeople who received MOUD in Massachusetts jails had both favorable and unfavorable views and experiences with XR-Bup. Understanding these preferences can inform protocols in jails that are considering implementation of XR-Bup treatment.

Attachment and body representations in adolescents with personality disorder.

Attachment theory has served as an influential framework for understanding psychopathology, partly due to reliable assessment methodology. The influence of insecure attachment on attitudes towardthe body and the impact this might have for the development of psychopathology is however less well elucidated. A total of 123 adolescents (35 with borderline personality disorder or BPD, 25 with other personality disorders [OPD]and 63 comprising a normative control group) were interviewed with the Adult Attachment Interview (AAI) and the Mirror Interview (MI). The MI questions respondents about how they feel about their bodies, as they look in the mirror. The AAIs from the Borderline group were predominantly insecure-preoccupied and unresolved. These adolescents had significantly lower levels of a positive and integrated sense of self and body than the other groups. Regression results revealed a high loving relationship with fathers, low involving anger with father, high coherence of mind, slight derogation of mother &low levels of unresolved loss uniquely and additively predicted 55% of variance in the summary score assigned to MIresponses, that is,the summary score for a Positive and Integrated Body Representation (PIBR). Unfavorable attachment experiences and current states of mind regarding attachment may give rise to problems with establishing PIBRs, and thus play a role in the development of psychopathology, especially BPD.

Motherhood, Trauma and Justice: A Critical Look at Black Women's Reentry Pathways

Objectives: This article seeks to investigate the particular problems that Black mothers with justice involvement experience upon reentry and to offer a more effective framework for their assistance. Hypothesis: Traditional reentry frameworks fail to address the complexity that emerges from the combination of race, gender, and trauma experienced by Black mothers. Methods: The article conducts a critical intersectional analysis using Critical Race Theory (CRT), Black Feminist Theory (BFT), and Trauma-Informed Care (TIC). This study analyzes previous research and combines the findings from each framework. Results: The research demonstrates three essential things: that systemic racism in the criminal justice system disproportionately imprisons Black women, contributing to unfavorable reentry experiences; that Black women show perseverance and opposition to carceral regimes, but their unique perspectives and agency are frequently left unattended; and that trauma is common among Black women and has an immense impact on their reentry experiences. The requirement for trauma-informed support programs is vital. Conclusion: Based on the findings, a re-conceptualized reintegration support framework is presented, focusing on racial justice, gender equality, and the well-being of Black women and their families.

Loneliness and socioemotional memory

AbstractDo chronically high‐lonely individuals exhibit specific memory biases when recalling past social episodes? We explored negative memory biases, focusing on the recall of unfavourable social experiences and social memory biases, emphasizing the recall of social experiences irrespective of emotional valence. We conducted a dictionary‐based semantic analysis of autobiographical episodes obtained from 4095 participants via four datasets. Participants recalled a positive, negative or emotionally neutral episode from their recent past. High‐lonely individuals predominantly exhibited a decline in recalling positive social episodes, providing partial support for negative memory biases. However, both high‐ and low‐lonely individuals were similarly inclined to recall negative social episodes. These results suggest that the primary issue among high‐lonely individuals is the limited recall of positive social experiences rather than the general negativity in memory biases or the hypersensitivity to general social memories.

Influence of Neglectful Parenting Approaches on Self-esteem of Teenagers Aged 13-19 Years in Selected Day Secondary Schools in Lari Sub County in Kiambu County, Kenya

Purpose: Parents play a critical role in influencing the self-esteem of teenagers. The main aim of the study was to investigate how neglectful parenting approaches influence the self-esteem of teenagers aged 13- 19 years in day secondary schools in Lari Sub County, in Kiambu County, Kenya. Methodology: The researcher used a concurrent correlational research design. In this approach both qualitative and quantitative data collection strategies were used simultaneously to investigate the relationship between the variables. The target population was 4500 students. The sample size was 1280 participants. Questionnaires and structured interviews guides were used for data collection Stratified and Simple random sampling techniques were used to select the accessible study population. The qualitative data was collected using interview guides and presented thematically in narrative form. At the univariate level, the quantitative data was analyzed using (SPSS) software version 27 and presented in tables. At the bivariate level Pearson’s product moment correlation coefficient was used to obtain correlations and significance. Findings: From the descriptive findings 38.7% of the teenagers from neglectful parents are experiencing unhealthy self-esteem.24.0% of teenagers from authoritative parents have a healthy self-esteem. 37.3% of the teenagers had moderate self-esteem. The results also indicate that out of 1200 respondents (371) 30.9% of respondents had good experiences with their parents. 117(9.8%) had moderate experiences with their parents and 712(59.3%) had antagonistic experiences with their parents. From the inferential findings a statistically significant relationship was also found between neglectful parenting approach and teenage self-esteem, (r =0.740, p =.000). From thematic findings presented in narrative mode from school and peer counsellors, it was evident that neglectful parenting dominates the Lari Sub County region since most of the clients had unfavorable experiences with their parents. Few have lovely experiences with their parents. Unique Contribution to Theory, Practice and Policy: The research was guided by the Albert Bandura Social Learning Theory. The theory provides insight that during their initial interaction with their family children observe and learn from the actions and behaviors of caregivers or parents. Therefore, decent actions, words and behaviors from parent’s influence positively the self-esteem of teenagers. The teenagers feel good, secure and loved to be part of a warm and loving family which gives them confidence to explore their world and try new things. However, toxic words, actions and behaviors in parental relationships with teenagers influence negatively the self-esteem of many teenagers. The study recommended that policy makers in the state department of early childhood education in Lari Sub County should embrace programs to educate teenagers on healthy ways to adapt to unfriendly experiences with neglectful parents since they cannot change them but they can only build their individual self-esteem. It also recommends that parents to be educated on the need to embrace authoritative parenting strategies to cultivate health self-esteem of teenagers.

The Development of Epistemic Vigilance and Epistemic Trust Across the Lifespan: Perspectives from Empirical Research on Self-Regulatory Social Learning.

The Development of Epistemic Vigilance and Epistemic Trust Across the Lifespan: Perspectives from Empirical Research on Self-Regulatory Social Learning This article examines what we know about the development of epistemic vigilance and epistemic trust between early infancy and adolescence.With this brief review, we intend to help put into perspective the hypotheses advanced by Fonagy and his colleagues within the socio-epistemic theory of psychopathology, according to which psychopathology reflects a closure to interpersonal communication resulting from unfavorable learning experiences in early development. Here, we will discuss how children become sensitive to overt interpersonal communication, and what cognitive skills underpin such sensitivity. Next, we shall discuss the empirical evidence that children in the second year of life already possess a rudimentary capacity for epistemic vigilance: they seem to evaluate the competence of different adult informants and appear to seek information and learn from adults based on such evaluations. Third, we will outline studies showing that in the third year of life children appear to increasingly trust ostensive communication, up to the point of becoming (at least apparently) less sensitive to the possibility of being misinformed or deceived. Finally, we will discuss how, between late childhood and adolescence, children first learn to distinguish lies, then irony, and increasingly engage in complex communication ecologies. Our review simultaneously supports the basic principles of the socio-epistemic theory of psychopathology and suggests that the theory needs further refinement of its ontogenetic predictions.

Motivation vs. Hopelessness: The Well-Being Following Predictive Testing for Huntington’s Disease

Predictive genetic testing for Huntington’s Disease, a fatal and progressive neurodegenerative disorder with no cure, can lead to a multitude of favorable and unfavorable responses, impacts, and experiences. Utilizing many qualitative studies, participants’ reactions to their gene-positive test results were categorized into the opposing psychological states of motivation vs. hopelessness. Key milestones of adulthood, such as education and career, romantic and familial relationships, reproductive choices, and financial investments, were used as metrics for the two categories. By studying the psychological well-being of at-risk individuals for Huntington’s, this literature review also argues for the use and improvement of long-term, tailored genetic counseling.

The Effects of BCDs in Unilateral Conductive Hearing Loss: A Systematic Review.

Bone conduction devices (BCDs) are widely used in the treatment of conductive hearing loss (CHL), but their applications on unilateral CHL (UCHL) patients remain controversial. To evaluate the effects of BCDs in UCHL, a systematic search was undertaken until May 2023 following the PRISMA guidelines. Among the 391 references, 21 studies met the inclusion criteria and were ultimately selected for review. Data on hearing thresholds, speech recognition, sound localization, and subjective questionnaire outcomes were collected and summarized. Moderate hearing threshold improvements were found in UCHL patients aided with BCDs. Their speech recognition abilities improved significantly. However, sound localization results showed wide individual variations. According to subjective questionnaires, BCDs had an overall positive influence on the daily life of UCHL patients, although several unfavorable experiences were reported by some of them. We concluded that the positive audiological benefits and subjective questionnaire results have made BCDs a credible intervention for UCHL patients. Before final implantations, UCHL patients should first go through a period of time when they were fitted with non-implantable BCDs as a trial.

The effect of loneliness on depression in young people: a multiple mediated effects model.

The COVID-19 pandemic led to prolonged isolation and disrupted people's social relationships, contributing to increased loneliness among students. Loneliness is associated with various psychological disorders, including depression, which may result in severe consequences such as self-harm and suicide. This study aims to investigate the factors through which loneliness influences depression. The study involved administering questionnaires to 879 secondary and higher education students in Guangzhou, Guangdong Province, China, during the COVID-19 epidemic. The data that were gathered underwent a comprehensive analysis. The data analysis revealed a significant positive predictive effect of loneliness on depression. Additionally, the study found that a goal-oriented approach and resilience partially mediated the relationship between feelings of loneliness and symptoms of depression. Furthermore, resilience and goal focus were identified as mediators in a chain, independent of the levels of expression inhibition and cognitive reappraisal. Cognitive reappraisal showed a negative moderating effect on the mediation between loneliness and depression. Moreover, expressive inhibition positively mediated the relationship between loneliness and depression, with resilience playing a role in this association. The findings indicate that the inability to alleviate negative emotions through socialization and interpersonal companionship during COVID-19 contributed to increased loneliness and subsequent depression. Reduced resilience due to loneliness may lead individuals to project unfavorable interpersonal experiences onto other aspects of life and believe they are incapable of overcoming challenges, thereby deteriorating depression conditions. Enhancing an individual's resilience may help them better adapt to the pandemic-induced changes, mitigating the risk of depression. Similarly, individuals with high levels of goal focus tend to learn from their experiences, adjust their pace of life, and exhibit lower levels of depression. Targeted interventions to enhance goal focus may be beneficial in reducing depression levels. Moreover, individuals who inhibit the expression of their unhappiness may experience elevated depression levels, while those with high cognitive reappraisal skills tend to experience less depression by altering their cognitive perspective on distressing situations.

Dynamics of Student Internship System in Faculty of Art of KNUST, Kumasi, Ghana: Exploring Perceptions, Values, Access and Development Outcomes

An internship programme is a great way to connect what is learnt in class with actual work experience. Existing research has underscored the positive contribution of internship to the educational process and career outcomes among students. The internship programme for students of Faculty of Art, KNUST is a requirement or considered as a compulsory 15 credit hour course for the award of undergraduate degree. As such it is a vital component of the curriculum. Nonetheless, empirical literature on the dynamics of the internship programme at the university is sparse. Without insight into these dynamics however, there will be lack of information that could inform policy and continuous improvement of the programme. To bridge this gap, this paper seeks to analyze the internship experiences of students to determine what factors seem to create the greatest perceived value. The study employed the descriptive exploratory study design approach. Data was obtained from a total of 376 students of the Faculty of Art through the use of questionnaire designed in open and close ended patterns and focus discussions. The statistical package for the social sciences (SPSS) computer package was used for data analysis, while descriptive statistical tools such as frequency and percentage were used to analyze the facts sought from the questionnaire. The students described a variety of skills learned during the internship including mastering the use of some equipment, software, and report writing. About 80% of the participants indicated that the internship programme was important and linked the classroom work to real work environment. All the students regardless of their experiences indicated they had value for the internship which they believe will play a role in their future career objectives. On the other hand, some of the students had some unfavourable experiences including inadequate work space, provision of inadequate PPEs, boring and difficult tasks. Others were engaged in other duties that were not related to their field of studies, all of which could potentially influence the perception of students.

Analysis of female pre-clinical students’ readiness, academic performance and satisfaction in online learning: an assessment of quality for curriculum revision and future implementation

BackgroundThe acceptance of online courses by medical and dental students, especially during the coronavirus disease 2019 crisis, is substantial, as reported in various studies. However, the unfavourable online learning experiences of the students during the pandemic were also highlighted. As the teaching-learning process is returning to the “new normal,“ it is necessary to identify online learning domains implemented during the pandemic crisis that may be applied in pre-clinical courses in the future.MethodsA validated Student Online Learning Readiness questionnaire assessed pre-clinical students’ online learning competence. Students’ academic performance in face-to-face post-pandemic was compared with their performance in online settings during the pandemic crisis. Students’ satisfaction with online learning was evaluated using a self-made survey questionnaire. Descriptive statistics, the t-test, and multiple regression analysis were used to analyze the data gathered with a p-value ≤ 0.05 considered statistically significant.ResultsExcept for social skills with classmates and groupmates, in which 47.5% of respondents indicated unreadiness, most students were prepared for online learning. Theory-wise, online learners outperformed traditional learners, but the difference was insignificant. In contrast, students’ practical skills in face-to-face modality are significantly higher (p = 0.029). Students rated their satisfaction with online learning higher for interactions with instructors and staff and lower for interactions with classmates and group mates and skill acquisition.ConclusionProviding high-quality pre-clinical online teaching was achieved for theoretical components but not practical skills acquisition. Students’ social engagement with peers is one of the key elements crucial to online learning success. Academic leaders and curriculum developers must recognize potential gaps as they transition to online learning.

Idiosyncrasy in a Spanish-speaking developing country and Employment: study of general population and Multiple Sclerosis (P5-3.005)

<h3>Objective:</h3> Assess differences in the association of cognitive and clinical variables with work status between people with multiple sclerosis (PwMS) and healthy controls (HCs) and study the association between work-related difficulties - negative work events (NWE) and work hours per week - and work status in PwMS and HCs through the BVMS. <h3>Background:</h3> PwMS are vulnerable to diverse unfavorable work experiences, from reduced hours to unemployment. <h3>Design/Methods:</h3> We enrolled 80 PwMS &amp; 80 HCs for a single examination that included Symbol Digit Modalities Test (SDMT), California Verbal Learning Test (CVLT), Brief Visuospatial Memory Test-Revised (BVMTR), &amp; Dysexecutive Questionnaire (DEX). We used the Buffalo Vocational Monitoring Survey (BVMS) to investigate work status and work-related difficulties. Work status was classified into: Stable, Challenged or Loss. Work-related difficulties includes absenteeism, income, hours worked per week, and NWEs (verbal reprimands, demotions, etc.). Exploratory factor analyses (EFA) and Pearson correlations were performed. <h3>Results:</h3> PwMS and HCs were matched on demographics. PwMS (EDSS: 3.18±2.44; disease duration: 13.23±9.14), were impaired on SDMT: 45.16±14.56, CVLT: 48.71±12.71, BVMTR: 21.30±12.65, and DEX: 21.36±12.04. Work status (PwMS vs. HCs): Stable: 51.2% vs. 90%, Challenged: 25% vs. 6.2%, &amp; Loss: 23.8% vs. 3.8%. PwMS: EFA (KMO 0.664, Bartlett 0.000), work status (0.779), SDMT (0.841), CVLT (0.821), and BVMTR (0.560) (α=.590) loaded into the 1° factor, and work status (0.021), DEX (0.891) and depression (0.897) (α=.765) into the 2° factor. HCs: EFA (KMO 0.572, Bartlett 0.000) work status (0.182), SDMT (0.790), CVLT (0.678) and BVMTR (0.751) (α .593) loaded into the 1° factor, and work status (−0.431), DEX (0.808) and depression (0.856) (α=.459) into the 2° factor. In both groups, work status was associated with NWEs (PwMS: <i>r</i>=.864; <i>p</i>=.000, HCs: <i>r</i>= −.758; <i>p</i>=.000) and work hours per week (PwMS: <i>r</i>=.778;<i>p</i>=.000, HCs: <i>r</i>=.393; <i>p</i>=.000). <h3>Conclusions:</h3> Processing speed and memory are associated with worse work status in PwMS, and depression and impaired executive functioning in HCs. <b>Disclosure:</b> Sandra Vanotti has received research support from Merck S.A.,Buenos Aires, Argentina, an affiliate Merck S.A.,Buenos Aires, Argentina, an affiliate of Merck KGaA, Darmstadt, Germany Merck KGaA, Darmstadt, Germany. Maria Sol Román has nothing to disclose. Miss Bardoneschi has nothing to disclose. Mr. Jaworski III has nothing to disclose. Mrs. De Los Santos has nothing to disclose. Miss Daniele has nothing to disclose. Maria Laura Saladino has nothing to disclose. Dr. Benedict has received personal compensation in the range of $10,000-$49,999 for serving as a Consultant for Novartis. Dr. Benedict has received personal compensation in the range of $50,000-$99,999 for serving as a Consultant for Roche. Dr. Benedict has received personal compensation in the range of $5,000-$9,999 for serving as a Consultant for Sanofi. Dr. Benedict has received personal compensation in the range of $5,000-$9,999 for serving as a Consultant for Biogen. Dr. Benedict has received personal compensation in the range of $10,000-$49,999 for serving as a Consultant for Bristol Meyers Squibb. Dr. Benedict has received personal compensation in the range of $50,000-$99,999 for serving on a Scientific Advisory or Data Safety Monitoring board for Roche. Dr. Benedict has received personal compensation in the range of $10,000-$49,999 for serving on a Speakers Bureau for Biogen. Dr. Benedict has received personal compensation in the range of $500-$4,999 for serving on a Speakers Bureau for Brystal Mier Squibb. Dr. Benedict has received personal compensation in the range of $5,000-$9,999 for serving on a Speakers Bureau for EMD Serono. The institution of Dr. Benedict has received research support from Genzyme. The institution of Dr. Benedict has received research support from Biogen. The institution of Dr. Benedict has received research support from Bristol Myer Squib. Dr. Benedict has received intellectual property interests from a discovery or technology relating to health care. Fernando Caceres has nothing to disclose.

Unmet needs with antipsychotic treatment in schizophrenia and bipolar I disorder: patient perspectives from qualitative focus groups

BackgroundSchizophrenia (SZ) and bipolar I disorder (BD-I) are chronic mental health disorders often treated with antipsychotic medications. This qualitative study sought to better understand disease burden and treatment experiences with oral antipsychotic medications in participants living with SZ or BD-I.MethodsSix 90-min focus groups were conducted with participants diagnosed with SZ or BD-I. Trained moderators facilitated discussions using a semistructured guide. Participants described symptoms, impacts of disease, and experiences with oral antipsychotic medications, whether favourable or unfavourable.ResultsAmong participants with SZ (n = 15; 3 groups, 5 per group), 53% were male and 33% were white, with a mean of 18.6 years since diagnosis. Of participants with BD-I (n = 24; 3 groups, 8 per group), 33% were male and 42% were white, with a mean of 13.0 years since diagnosis. Participants described numerous symptoms of their illnesses that impacted relationships and daily life, including effects on emotional health, the ability to work, and encounters with law enforcement. Previous antipsychotic medications were deemed effective by 14/15 (93%) participants with SZ and 12/16 (75%) participants with BD-I. Most participants with SZ (13/15; 87%) or with BD-I (16/24; 67%) reported discontinuing their antipsychotic medication at some point. Side effects were a common reason for discontinuing or switching medications for participants with SZ (8/15; 53%) and for those with BD-I (11/24; 46%). The most common side effects reported in both cohorts were weight gain, drowsiness, sexual problems, and neurologic symptoms. Side effects negatively affected quality of life, leading to serious health problems and issues with self-esteem.ConclusionsPeople living with SZ or BD-I cited a range of favourable and unfavourable experiences with oral antipsychotic medications. Most participants reported that their antipsychotics were effective at controlling their symptoms, but multiple side effects impacted their quality of life, caused additional serious health problems, and often led to discontinuation of or switching antipsychotics. Findings from this study contribute to a better understanding of patients’ experiences with antipsychotics and highlight a need for new medications with favourable benefit/risk profiles.

Higher self-perceived stress reactivity is associated with increased chronic pain risk.

Experiencing stress can contribute to unfavorable pain experiences, but outcomes vary across individuals. Evidence suggests that a person's specific reactivity to stressful events may influence pain responses. Previous studies measuring physiological stress reactivity have found associations with pain both clinically and in the laboratory. However, the time and cost required for testing physiological stress reactivity may limit clinical application. Self-reported perception of one's own stress reactivity has been shown to correlate with physiological stress reactivity in relation to health outcomes and may represent a valuable tool in clinical pain assessment. Using data from the Midlife in the US survey, we selected participants who did not have chronic pain at baseline (n = 1512) and who had data at follow-up 9 years later. Stress reactivity was assessed using a subscale of the Multidimensional Personality Questionnaire. We conducted a binary logistic regression to determine the odds of developing chronic pain, controlling for demographics and other health-related variables. Results indicate that higher reported stress reactivity at baseline increased the odds of developing chronic pain at follow-up (odds ratio (OR) = 1.085, 95% confidence interval (CI) (1.021, 1.153), P = 0.008), with the only other significant predictor being the number of chronic conditions (OR = 1.118, 95% CI (1.045, 1.197), P = 0.001). Findings provide evidence for the predictive criterion validity of self-reported stress reactivity in the context of chronic pain risk. More generally, with increased need for virtual assessment and care, self-reported stress reactivity may be a useful, time-efficient, and cost-efficient tool for predicting pain outcomes in research and clinical contexts.

Negative customer engagement behaviour in a service context

ABSTRACT Negative customer engagement (NCE) has negative consequences on firms; however, research on NCE is limited. This study empirically investigates the impact of different intensities of NCE on subsequent outcomes such as the intention to switch and engage in negative word-of-mouth recommendations. Critical incident technique and a survey method were employed with 404 respondents to understand the negative valences of customer engagement behaviour in response to unfavourable service experiences within an emerging market context. A typology of NCE behaviours was subsequently developed. Neglect was conceptualised as disengaged behaviour while complaining that seeks redress from the service provider, aggression, online complaining, third-party complaining, switching to another service provider and negative word-of-mouth were conceptualised as negatively engaged behaviour. These behaviours were not found to occur in isolation, but rather occurred within a broader developmental process of NCE. Understanding how the process of NCE occurs enables management to develop proactive management strategies to counter it.

An Adversarial Dance: Toward an Understanding of Insiders’ Responses to Organizational Information Security Measures

Despite the increased focus on organizational security policies and programs, some employees continue to engage in maladaptive responses to security measures (i.e., behaviors other than those recommended, intended, or prescribed). To help shed light on insiders’ adaptive and maladaptive responses to IS security measures, we conducted a case study of an organization at the forefront of security policy initiatives. Drawing on the beliefs-actions-outcomes (BAO) model to analyze our case data, we uncover a potentially nonvirtuous cycle consisting of security-related beliefs, actions, and outcomes, which we refer to as an “adversarial dance.” Explaining our results, we describe a novel belief framework that identifies four security belief profiles and uncovers an underexplored outcome of IS security: insiders’ lived security experiences. We find that individuals’ unfavorable lived security experiences produce counterproductive security-related beliefs that, in turn, lead to maladaptive behaviors. Maladaptive behaviors create new potential for security risk, leading to increased organizational security measures to counter them. Thus, the adversarial dance continues, as the new security measures have the potential to reinforce counterproductive security-related beliefs about the importance and risk of IS security and lead to new maladaptive behaviors. To help situate our findings within the current security literature, we integrate the results with prior research based on extant theories. While this paper is not the first to suggest that security measures can elicit maladaptive behaviors, the emergent belief framework and expanded BAO model of IS security constitute an important contribution to the behavioral IS security literature.

Visualizing Underemployment Dynamics in Australia: Combining Sankey and Sequence Analysis Plots

This visualization uses annual data from the Household, Income and Labour Dynamics in Australia (HILDA) Survey to illustrate the dynamics of underemployment for Australian men and women in their early careers (ages 25–34 years). Visualizing the dynamics of underemployment reveals that it is a persistent and gender-biased issue. Women are more likely to experience underemployment in their early careers compared with men. Additionally, women are more likely to become trapped in a cycle of underemployment and inactivity, leading to unfavorable long-term work experiences. This disparity highlights the need for policies that improve women’s human capital and productivity by addressing underemployment in their early careers.

The Lived Experiences of the Graduate School Students in using Off-Campus Internet Facilities as an Alternative Source for Research Activities: A Phenomenological Inquiry

The objective of this study was to examine and explore the lived experiences of the graduate school students who frequently used off-campus internet facilities for their research activities. It utilized the qualitative method by means of phenomenological inquiry. A total of 21 participants were interviewed, ten for in-depth and eleven for focus group discussions. Use was made of research questions carefully formulated to elicit more responses from the interviewees. Both positive and negative aspects of their experiences were highlighted in this paper's findings. The accessibility to all websites, availability, longer use of the internet, and comfort in using facilities and gadgets emerged as favorable while expensive facility services; noisy, crowded and unsafe environment; unreliability of information; vulnerability of computer units to viruses that could infect flash drives; susceptibility to power interruption; and lack of privacy appeared to be their unfavorable experiences. These results implied the urgency of creating a deeper study on the lived experiences of the students to include the actual conditions of the university on-campus internet facility as a sequel to this investigation.

The study of mindfulness as an intervening factor for enhanced psychological well-being in building the level of resilience.

By using a practice like mindfulness, people may become more adaptable and flexible in difficult situations, which lowers the levels of unfavorable experiences. Only a small number of research have examined the connection between mindfulness and resilience, with mindfulness as a source of PWB influencing millennials' resilience when faced with adversity. This study sought to close this gap by exploring the role that mindfulness practice plays in millennials' PWB and subsequent increases in resilience to adversity. In this study, key components linked to mindfulness, PWB, and resilience are combined with a thorough literature assessment. Millennials who are active members of the Ti-Ratana Youth in Malaysia and the Buddhist Missionary Society of Malaysia (BMSM) Youth Section make up the study's sample population. Before completing the online survey form, each participant was instructed to engage in 4 weeks of supervised mindfulness practice. To assure the validity of the data gathered, it was crucial to secure the youth's commitment. Only 231 of the 300 respondents who received the link to the online survey had replies that could be used for further research. To analyze the collected data and conduct hypothesis testing, Smart-PLS was used. Academic research has shown that factors, such as a heavy workload, time constraints, lengthy workdays, work-related home conflicts, and an unstable and uncertain environment all lead to a drop in PWB. According to the findings, the two most significant variables promoting resilience are mindfulness and positive PWB. The outcomes of this experimental study confirmed earlier findings that millennials' PWB and resilience are enhanced by mindfulness training. The study's findings suggest that, in times of high uncertainty, mindfulness-based intervention programs should be expanded to include all young people. This study offers empirical support for the effectiveness of mindfulness-based interventions in raising PWB and resilience.