1,538 research outputs found
UMSL Bulletin 2023-2024
The 2023-2024 Bulletin and Course Catalog for the University of Missouri St. Louis.https://irl.umsl.edu/bulletin/1088/thumbnail.jp
The role of social support on vocational school students’ career choices
Strengthening career choices for vocational students is essential in preparing them to enter the world of work. Many studies highlighted the importance of career choices that are by the areas of expertise for vocational students and even examine the mechanism for strengthening their career choices. However, limited studies still focused on testing models for forming career choices by involving social support, career self-efficacy, and vocational identity in an integrative manner. Therefore, this study investigated the model of developing student career choices by applying for social support, career self-efficacy, and vocational identity. This study used structural equation modelling (SEM) analysis with Amos 18 software. The study results revealed that social support, career self-efficacy, and vocational identity factors directly influence vocational students’ career choices. In addition, career self-efficacy mediates the effect of social support on career choice. Finally, vocational identity moderates the interaction of the independent variables (social support and career self-efficacy) and the dependent variable (career choice). The results of this study provided important implications for lecturers to implement learning strategies that aim to strengthen vocational students’ career choices
Pragmatic randomised controlled trial of guided self-help versus individual cognitive behavioural therapy with a trauma focus for post-traumatic stress disorder (RAPID)
This is the final version. Available on open access from the NIHR Journals Library via the DOI in this recordData availability: All available data can be obtained from the corresponding author.BACKGROUND: Guided self-help has been shown to be effective for other mental conditions and, if effective for post-traumatic stress disorder, would offer a time-efficient and accessible treatment option, with the potential to reduce waiting times and costs. OBJECTIVE: To determine if trauma-focused guided self-help is non-inferior to individual, face-to-face cognitive-behavioural therapy with a trauma focus for mild to moderate post-traumatic stress disorder to a single traumatic event. DESIGN: Multicentre pragmatic randomised controlled non-inferiority trial with economic evaluation to determine cost-effectiveness and nested process evaluation to assess fidelity and adherence, dose and factors that influence outcome (including context, acceptability, facilitators and barriers, measured qualitatively). Participants were randomised in a 1 : 1 ratio. The primary analysis was intention to treat using multilevel analysis of covariance. SETTING: Primary and secondary mental health settings across the United Kingdom's National Health Service. PARTICIPANTS: One hundred and ninety-six adults with a primary diagnosis of mild to moderate post-traumatic stress disorder were randomised with 82% retention at 16 weeks and 71% at 52 weeks. Nineteen participants and ten therapists were interviewed for the process evaluation. INTERVENTIONS: Up to 12 face-to-face, manualised, individual cognitive-behavioural therapy with a trauma focus sessions, each lasting 60-90 minutes, or to guided self-help using Spring, an eight-step online guided self-help programme based on cognitive-behavioural therapy with a trauma focus, with up to five face-to-face meetings of up to 3 hours in total and four brief telephone calls or e-mail contacts between sessions. MAIN OUTCOME MEASURES: Primary outcome: the Clinician-Administered PTSD Scale for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, at 16 weeks post-randomisation. Secondary outcomes: included severity of post-traumatic stress disorder symptoms at 52 weeks, and functioning, symptoms of depression, symptoms of anxiety, alcohol use and perceived social support at both 16 and 52 weeks post-randomisation. Those assessing outcomes were blinded to group assignment. RESULTS: Non-inferiority was demonstrated at the primary end point of 16 weeks on the Clinician-Administered PTSD Scale for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition [mean difference 1.01 (one-sided 95% CI -∞ to 3.90, non-inferiority p = 0.012)]. Clinician-Administered PTSD Scale for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, score improvements of over 60% in both groups were maintained at 52 weeks but the non-inferiority results were inconclusive in favour of cognitive-behavioural therapy with a trauma focus at this timepoint [mean difference 3.20 (one-sided 95% confidence interval -∞ to 6.00, non-inferiority p = 0.15)]. Guided self-help using Spring was not shown to be more cost-effective than face-to-face cognitive-behavioural therapy with a trauma focus although there was no significant difference in accruing quality-adjusted life-years, incremental quality-adjusted life-years -0.04 (95% confidence interval -0.10 to 0.01) and guided self-help using Spring was significantly cheaper to deliver [£277 (95% confidence interval £253 to £301) vs. £729 (95% CI £671 to £788)]. Guided self-help using Spring appeared to be acceptable and well tolerated by participants. No important adverse events or side effects were identified. LIMITATIONS: The results are not generalisable to people with post-traumatic stress disorder to more than one traumatic event. CONCLUSIONS: Guided self-help using Spring for mild to moderate post-traumatic stress disorder to a single traumatic event appears to be non-inferior to individual face-to-face cognitive-behavioural therapy with a trauma focus and the results suggest it should be considered a first-line treatment for people with this condition. FUTURE WORK: Work is now needed to determine how best to effectively disseminate and implement guided self-help using Spring at scale. TRIAL REGISTRATION: This trial is registered as ISRCTN13697710. FUNDING: This award was funded by the National Institute for Health and Care Research (NIHR) Health Technology Assessment programme (NIHR award ref: 14/192/97) and is published in full in Health Technology Assessment; Vol. 27, No. 26. See the NIHR Funding and Awards website for further award information.National Institute for Health and Care Research (NIHR
The role of heterosocial perception in men's likelihood to sexually harass
Sexual harassment against women represents sexually aggressive and coercive behaviour that violates women’s dignity and creates an offensive environment, which threatens women’s well-being and ability to prosper in day to day life (Pina, Gannon & Saunders, 2009). Understanding the perceptual characteristics of men with inclinations to sexually harass, through how they perceive women is important in delineating the reasons why some men may engage in the sexual harassment of women. Heterosocial perception is a concept of how an individual perceives another person interacting with the opposite sex. It is typically measured using the Test of Reading Affective Cues (TRAC), a tool encompassing an array of video clips showing a woman interacting with a man, whereby the woman displays a range of affective cues. The perceiver is assessed on their perceptual accuracy when judging the affective cues. Perceptual accuracies of male rapists and male child molesters have been well researched (Lipton, McDonel & McFall, 1987; Stahl & Sacco, 1995), yet male sexual harassment as a singular category has been neglected. The current thesis explores the potential heterosocial perception characteristics of a distinct group of men who are relatively high in the likelihood to engage in sexual harassment of women from scores on Pryor’s (1987) Likelihood to Sexually Harass (LSH) scale focusing on their differences in performance on the TRAC in comparison to those men who are lower in the likelihood to engage in sexual harassment of women.
Five empirical studies are reported in this thesis. Study 1 presents a modernized version of the TRAC and incorporates an analysis to develop it as a research tool, enabling judgements on five affective cues displayed by a woman; friendly, romantic, neutral, bored and rejecting. The tool provides this range of affective cues that were used in later studies to measure differences in heterosocial perception. Study 2 addressed theoretical explanations taken from previous perception research with sexually aggressive men (Malamuth & Brown, xiv 1994) to explain differences in heterosocial perception for men high in LSH. Explanations are given for potential biases evidenced by men high in LSH focusing on Error Management Theory (Haselton & Buss, 2000) arguing that an overperception bias will increase the frequency of falsely inferring a woman’s sexual intent towards sexual pursuit, but considerably reduce the costs of losing a sexual opportunity by falsely inferring that a woman lacked sexual intent. Altogether, study 2 provided support for the misidentification of negative affective cues (negativeness blindness), the overperception of negative affective cues and the romantic overperception bias of friendly affective cues in the perception of men high in LSH.
Study 3 tested the established theoretical link that internal concepts of social power have within men who report sexual aggression and sexual coercion and the subsequent impact on perception. Unexpectedly, power did not exacerbate perceptual inaccuracy for negative affective cues and the romantic overperception bias of friendly affective cues. In study 4, objectification was assessed in its relationship to perception in high LSH men. Instrumental and both specific and general sexual objectification were significantly higher for men high in LSH. Specific sexual objectification was found to negatively mediate romantic categorizations of romantic affective cues, but general sexual objectification was found to positively mediate romantic categorizations of friendly affective cues for men high in LSH. Results also showed that men high in LSH showed poorest perceptual accuracy on bored and rejecting affective cues, and evidenced a greater romantic judgement of friendly affective cues overperception bias. In study 5, the impact of different mental states on perception was assessed, via the use of a cooling system to facilitate self-regulation. A cooling system is a psychological framework proposed for understanding self-control (Metcalfe & Mischel, 1999), and in this study it incorporated techniques of distraction, distancing and empathy enhancement. Results showed that the cooling system was not beneficial in making high LSH xv men’s perceptual judgements more accurate and in making their judgements accurate to the level of low and medium LSH men for negative affective cues. However, cooling did improve perceptual accuracy of friendly affective cues removing the overperception bias to romantic judgements in comparison to the neutral condition. The cooling system was not found to reduce instrumental and sexual objectification for high LSH men. There were differences found on empathy between men high and low and medium on LSH. Differences were found such that men high in LSH showed more state empathy, but less trait empathy than men low and medium in LSH
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