Perfectionism and burnout in canoe polo and kayak slalom athletes: The mediating influence of validation and growth-seeking

Recent research suggests that validation-seeking and dimensions of perfectionism may be antecedents of athlete burnout. The present investigation examined whether validation and growth-seeking mediate the relationship between selforiented and socially prescribed perfectionism and burnout. One-hundred and fifty canoe polo and kayak slalom athletes recruited from the top two divisions in the UK completed measures of validation and growth-seeking (GOI), perfectionism (HMPS), and athlete burnout (ABQ). Analyses supported the mediating role of validation-seeking in the relationship between socially prescribed perfectionism and burnout. However, while bivariate correlations indicated that self-oriented perfectionism was positively related to both validation and growth-seeking, neither mediated the self-oriented perfectionism-burnout relationship. The findings suggest that validation-seeking may be an important psychological factor in the development of burnout for athletes exhibiting high levels of socially prescribed perfectionism. The relationship between self-oriented perfectionism and athlete burnout remains unclear because of its association with multiple motives and with socially prescribed perfectionism

A Three-Wave Longitudinal Test of Self-Determination Theory's Mediation Model of Engagement and Disaffection in Youth Sport.

Research adopting self-determination theory (SDT) supports a mediation model whereby coach motivational styles (autonomy support and interpersonal control) predict athletes' engagement and disaffection in youth sport via the satisfaction and frustration of psychological needs (autonomy, competence, and relatedness). Our study extends this research by examining SDT's mediation model longitudinally with three waves of data. Two hundred fifty-two youth sports participants (Mage = 12.98; SD = 1.84; range = 11-17; female n = 67) completed measures of study variables at the start, middle, and end of a competitive soccer season. Cross-lagged path analyses revealed that associations between the two coach motivational styles and athletes' engagement were mediated by psychological need satisfaction. Furthermore, a positive reciprocal association between psychological need satisfaction and engagement emerged over time. This study therefore supports the temporal assumptions underpinning SDT's mediation model but, importantly, evidences a mutually reinforcing interplay between athletes' psychological needs and their engaged behavior

Perfectionism, burnout, and engagement in dance: The moderating role of autonomy support

Previous findings highlight the relationships between 2 × 2 perfectionism and burnout in dancers, but researchers are yet to examine the relationships between 2 × 2 perfectionism and, the opposing outcome of, engagement in dance. Similarly, we know little about the factors that may moderate these relationships. We therefore sought to extend previous research by examining the relationships between 2 × 2 perfectionism and both burnout and engagement in dancers, and by assessing whether autonomy support moderated the relationships between subtypes of perfectionism and the two opposing outcomes. Adolescent dancers (N = 244, female n = 198, M age = 15.00 years, SD = 2.90 years) completed measures capturing four subtypes of perfectionism (pure personal standards perfectionism, pure evaluative concerns perfectionism, mixed perfectionism, and non-perfectionism), burnout dimensions (reduced sense of accomplishment, emotional/physical exhaustion, devaluation), engagement dimensions (confidence, dedication, vigour, enthusiasm), and autonomy support provided by their dance teacher. Moderated regression analyses supported all four hypotheses of the 2 × 2 perfectionism model for burnout (all dimensions) and dedication, vigour, and enthusiasm, and supported three hypotheses for confidence (Hypotheses 1a, 2 and 3). In addition, autonomy support moderated the relationships between subtypes of perfectionism and burnout (reduced accomplishment and devaluation) and engagement (all dimensions). The findings suggest that providing autonomy support offers a potential strategy to prevent burnout and promote engagement in perfectionistic dancers

HTR4 gene structure and altered expression in the developing lung

Background: Meta-analyses of genome-wide association studies (GWAS) have identified single nucleotide polymorphisms (SNPs) spanning the 5-hydroxytryptamine receptor 4 (5-HT4R) gene (HTR4) associated with lung function. The aims of this study were to i) investigate the expression profile of HTR4 in adult and fetal lung tissue and cultured airway cells, ii) further define HTR4 gene structure and iii) explore the potential functional implications of key SNPs using a bioinformatic approach

Using a Multi-Level Process Comparison for Process Change Analysis in Cancer Pathways

The area of process change over time is a particular concern in healthcare, where patterns of care emerge and evolve in response to individual patient needs. We propose a structured approach to analyse process change over time that is suitable for the complex domain of healthcare. Our approach applies a qualitative process comparison at three levels of abstraction: a holistic perspective (process model), a middle-level perspective (trace), and a fine-grained detail (activity). Our aim was to detect change points, localise and characterise the change, and unravel/understand the process evolution. We illustrate the approach using a case study of cancer pathways in Leeds where we found evidence of change points identified at multiple levels. In this paper, we extend our study by analysing the miners used in process discovery and providing a deeper analysis of the activity of investigation in trace and activity levels. In the experiment, we show that this qualitative approach provides a useful understanding of process change over time. Examining change at three levels provides confirmatory evidence of process change where perspectives agree, while contradictory evidence can lead to focused discussions with domain experts. This approach should be of interest to others dealing with processes that undergo complex change over time

Identifying people at higher risk of melanoma across the U.K.: a primary-care-based electronic survey

BACKGROUND: Melanoma incidence is rising rapidly worldwide among white populations. Defining higher-risk populations using risk prediction models may help targeted screening and early detection approaches. OBJECTIVES: To assess the feasibility of identifying people at higher risk of melanoma using the Williams self-assessed clinical risk estimation model in U.K. primary care. METHODS: We recruited participants from the waiting rooms of 22 general practices covering a total population of > 240 000 in three U.K. regions: Eastern England, North East Scotland and North Wales. Participants completed an electronic questionnaire using tablet computers. The main outcome was the mean melanoma risk score using the Williams melanoma risk model. RESULTS: Of 9004 people approached, 7742 (86%) completed the electronic questionnaire. The mean melanoma risk score for the 7566 eligible participants was 17·15 ± 8·51, with small regional differences [lower in England compared with Scotland (P = 0·001) and Wales (P < 0·001), mainly due to greater freckling and childhood sunburn among Scottish and Welsh participants]. After weighting to the age and sex distribution, different potential cut-offs would allow between 4% and 20% of the population to be identified as higher risk, and those groups would contain 30% and 60%, respectively of those likely to develop melanoma. CONCLUSIONS: Collecting data on the melanoma risk profile of the general population in U.K. primary care is both feasible and acceptable for patients in a general practice setting, and provides opportunities for new methods of real-time risk assessment and risk stratified cancer interventions

Process mining in oncology using the MIMIC-III dataset

Process mining is a data analytics approach to discover and analyse process models based on the real activities captured in information systems. There is a growing body of literature on process mining in healthcare, including oncology, the study of cancer. In earlier work we found 37 peer-reviewed papers describing process mining research in oncology with a regular complaint being the limited availability and accessibility of datasets with suitable information for process mining. Publicly available datasets are one option and this paper describes the potential to use MIMIC-III, for process mining in oncology. MIMIC-III is a large open access dataset of de-identified patient records. There are 134 publications listed as using the MIMIC dataset, but none of them have used process mining. The MIMIC-III dataset has 16 event tables which are potentially useful for process mining and this paper demonstrates the opportunities to use MIMIC-III for process mining in oncology. Our research applied the L* lifecycle method to provide a worked example showing how process mining can be used to analyse cancer pathways. The results and data quality limitations are discussed along with opportunities for further work and reflection on the value of MIMIC-III for reproducible process mining research

Passion and burnout in elite junior soccer players: The mediating role of self-determined motivation

Objectives: The purpose of the study was to examine the relationship between forms of passion (harmonious and obsessive; Vallerand et al., 2003) and athlete burnout, and whether these relationships are mediated by self-determined motivation. The proposed model posited that because harmonious passion originates from an authentic self, it will be positively associated with self-determined regulation. Conversely, because obsessive passion originates from ego-invested structures within the self, it will be negatively associated with self-determined regulation. In turn, consistent with research examining the relationship between motivation regulation and athlete burnout, self-determined regulation was expected to be negatively associated with athlete burnout. Design: Cross-sectional survey. Method: This model was tested in 149 (M age¼ 16.2, s ¼ 2.0, range¼ 12e21) male junior athletes who attended soccer academies in the UK. Participants completed the Passion Scale (Vallerand et al., 2003), the Sport Motivation Scale (Pelletier et al., 1995), and the Athlete Burnout Questionnaire (Raedeke & Smith, 2001). Results: Harmonious passion was negatively related to a latent athlete burnout factor, whereas obsessive passion was unrelated to a latent athlete burnout factor. The relationship between harmonious passion and burnout was fully mediated by self-determined regulation. Conclusions: The results suggest that harmonious passion may offer some protection from burnout for athletes due to higher levels of self-determined motivatio