PRELIMINARY EVALUATION OF THE PSYCHOMETRIC PROPERTIES OF THE "HARDINESS-RESILIENCE GAUGE" IN AN UNDERGRADUATE SAMPLE

The purpose of the study was to examine the psychometric properties of a new hardiness scale, the Hardiness-Resilience Gauge (HRG). Data were collected from 280 Greek undergraduates, studying in a social science department. Data analyses included the examination of factorial validity, internal consistency, and correlation with external criteria. Results supported a hierarchical model with three factors (commitment, control, and challenge) nested under the higher-order construct of hardiness. Moderate to high reliability coefficients were reported for the total HRG scale (α = .89) and for the three subscales, commitment (α=.86), control (α=.75), and challenge (α=.72). Moreover, HRG’s concurrent and predictive validity was supported. These findings provide support for the appropriateness of the scale in Greek undergraduates, suggesting that HRG may be a useful measure of psychological hardiness. Limitations and future research directions are also discussed

Human Adaptability for Deep Space Missions: An Exploratory Study

The present qualitative study conducts in-depth interviews with astronauts and other subject matter experts in order to shed light on human adaptability in extreme environments. Deep space travel will entail a range of highly stressful conditions to which astronauts must adapt. Feelings of isolation will be increased, as the space traveler is farther from Earth for longer periods of time. Daily life will take place in small and confined areas, for durations extending into years. The dangers of the extreme environment of space are ever-present, and failure of critical equipment or components can lead to death. Astronauts will need to function more autonomously, with diminished support from Earth. It is thus important to select and train future astronauts who are able to adapt to such extreme and variable conditions and continue to function effectively. Subject matter experts identify the central adaptive challenges faced by crewmembers, and what are the key individual attributes associated with human adaptability. Results also point to organizational factors, as well as several coping and resource strategies that can be applied to improve human adaptability to extreme environments and missions. These results can be used to inform selection and training programs, as well as the design of space vehicles, systems, and habitats in order to enhance astronaut adaptive task performance

Psychopathy, anxiety, and resiliency – Psychological hardiness as a mediator of the psychopathy–anxiety relationship in a prison setting

The literature on the association between psychopathy and anxiety is somewhat mixed, but it has been proposed that one possible advantage of psychopathy might be resiliency against anxiety. Another construct related to resiliency is psychological hardiness, and several studies have identified associations between psychological hardiness, anxiety responses, and physical and mental health effects of stress. The aim of the current study is to examine whether characteristics of psychological hardiness mediate the relationship between traits of psychopathy and experienced anxiety in a prison setting. The results showed a divergence in the psychopathy construct, since two underlying factors (the two-factor model of the PCL-R) had divergent relationships with anxiety. Through mediation analyses (PROCESS), we found this relationship to be partly mediated by the commitment dimension of psychological hardiness. To the best of our knowledge, this is the first study to explore the possible mediating effect of psychological hardiness on the relationship between psychopathy and anxiety. The relative immunity to anxiety previously linked to psychopathy could thus be partly explained by higher levels of hardiness commitment.publishedVersio

Crossing the Antarctica: Exploring the Effects of Appetite-Regulating Hormones and Indicators of Nutrition Status during a 93-Day Solo-Expedition

Future deep space astronauts must maintain adequate nutrition despite highly stressful, isolated, confined and dangerous environments. The present case-study investigated appetite regulating hormones, nutrition status, and physical and emotional stress in a space analog condition: an explorer conducting a 93-day unsupported solo crossing of Antarctica. Using the dried blood spot (DBS) method, the subject drew samples of his blood on a regular basis during the expedition. The DBSs were later analyzed for the appetite regulating hormones leptin and adiponectin. Energy intake and nutritional status were monitored by analysis of albumin and globulin (including their ratio). Interleukin-6 (IL-6) was also analyzed and used as an energy sensor. The results showed a marked reduction in levels of the appetite-reducing hormone, leptin, and the appetite stimulating hormone, adiponectin, during both extreme physical and psychological strain. Nutrition status showed a variation over the expedition, with below-normal levels during extreme psychological strain and levels abutting the lower bounds of the normal range during a phase dominated by extreme physical hardship. The IL-6 levels varied substantially, with levels above the normal range except during the recovery phase. It was concluded that a daily intake of 5058 to 5931 calories seemed to allow recovery of both appetite and nutritional status between extreme physical and psychological hardship during a long Arctic expedition. Furthermore, IL-6 may be a sensor in the muscle-liver, muscle-fat and muscle-brain crosstalk. These results may help guide nutrition planning for future astronaut crews, mountaineers and others involved in highly demanding missions.publishedVersio

Albiglutide and cardiovascular outcomes in patients with type 2 diabetes and cardiovascular disease (Harmony Outcomes): a double-blind, randomised placebo-controlled trial

Background: Glucagon-like peptide 1 receptor agonists differ in chemical structure, duration of action, and in their effects on clinical outcomes. The cardiovascular effects of once-weekly albiglutide in type 2 diabetes are unknown. We aimed to determine the safety and efficacy of albiglutide in preventing cardiovascular death, myocardial infarction, or stroke. Methods: We did a double-blind, randomised, placebo-controlled trial in 610 sites across 28 countries. We randomly assigned patients aged 40 years and older with type 2 diabetes and cardiovascular disease (at a 1:1 ratio) to groups that either received a subcutaneous injection of albiglutide (30–50 mg, based on glycaemic response and tolerability) or of a matched volume of placebo once a week, in addition to their standard care. Investigators used an interactive voice or web response system to obtain treatment assignment, and patients and all study investigators were masked to their treatment allocation. We hypothesised that albiglutide would be non-inferior to placebo for the primary outcome of the first occurrence of cardiovascular death, myocardial infarction, or stroke, which was assessed in the intention-to-treat population. If non-inferiority was confirmed by an upper limit of the 95% CI for a hazard ratio of less than 1·30, closed testing for superiority was prespecified. This study is registered with ClinicalTrials.gov, number NCT02465515. Findings: Patients were screened between July 1, 2015, and Nov 24, 2016. 10 793 patients were screened and 9463 participants were enrolled and randomly assigned to groups: 4731 patients were assigned to receive albiglutide and 4732 patients to receive placebo. On Nov 8, 2017, it was determined that 611 primary endpoints and a median follow-up of at least 1·5 years had accrued, and participants returned for a final visit and discontinuation from study treatment; the last patient visit was on March 12, 2018. These 9463 patients, the intention-to-treat population, were evaluated for a median duration of 1·6 years and were assessed for the primary outcome. The primary composite outcome occurred in 338 (7%) of 4731 patients at an incidence rate of 4·6 events per 100 person-years in the albiglutide group and in 428 (9%) of 4732 patients at an incidence rate of 5·9 events per 100 person-years in the placebo group (hazard ratio 0·78, 95% CI 0·68–0·90), which indicated that albiglutide was superior to placebo (p<0·0001 for non-inferiority; p=0·0006 for superiority). The incidence of acute pancreatitis (ten patients in the albiglutide group and seven patients in the placebo group), pancreatic cancer (six patients in the albiglutide group and five patients in the placebo group), medullary thyroid carcinoma (zero patients in both groups), and other serious adverse events did not differ between the two groups. There were three (<1%) deaths in the placebo group that were assessed by investigators, who were masked to study drug assignment, to be treatment-related and two (<1%) deaths in the albiglutide group. Interpretation: In patients with type 2 diabetes and cardiovascular disease, albiglutide was superior to placebo with respect to major adverse cardiovascular events. Evidence-based glucagon-like peptide 1 receptor agonists should therefore be considered as part of a comprehensive strategy to reduce the risk of cardiovascular events in patients with type 2 diabetes. Funding: GlaxoSmithKline

Building a transdisciplinary expert consensus on the cognitive drivers of performance under pressure: An international multi-panel Delphi study

IntroductionThe ability to perform optimally under pressure is critical across many occupations, including the military, first responders, and competitive sport. Despite recognition that such performance depends on a range of cognitive factors, how common these factors are across performance domains remains unclear. The current study sought to integrate existing knowledge in the performance field in the form of a transdisciplinary expert consensus on the cognitive mechanisms that underlie performance under pressure.MethodsInternational experts were recruited from four performance domains [(i) Defense; (ii) Competitive Sport; (iii) Civilian High-stakes; and (iv) Performance Neuroscience]. Experts rated constructs from the Research Domain Criteria (RDoC) framework (and several expert-suggested constructs) across successive rounds, until all constructs reached consensus for inclusion or were eliminated. Finally, included constructs were ranked for their relative importance.ResultsSixty-eight experts completed the first Delphi round, with 94% of experts retained by the end of the Delphi process. The following 10 constructs reached consensus across all four panels (in order of overall ranking): (1) Attention; (2) Cognitive Control—Performance Monitoring; (3) Arousal and Regulatory Systems—Arousal; (4) Cognitive Control—Goal Selection, Updating, Representation, and Maintenance; (5) Cognitive Control—Response Selection and Inhibition/Suppression; (6) Working memory—Flexible Updating; (7) Working memory—Active Maintenance; (8) Perception and Understanding of Self—Self-knowledge; (9) Working memory—Interference Control, and (10) Expert-suggested—Shifting.DiscussionOur results identify a set of transdisciplinary neuroscience-informed constructs, validated through expert consensus. This expert consensus is critical to standardizing cognitive assessment and informing mechanism-targeted interventions in the broader field of human performance optimization

Social and organizational influences on psychological hardiness: How leaders can increase stress resilience

Abstract Today's security forces must operate in environments of increasing complexity, uncertainty and change, a fact that has led to increased stress levels along with the challenge to adapt. For many people, such stressful conditions can lead to a range of health problems and performance decrements. But others remain healthy, showing resilience under stress. What accounts for such resilience? This paper focuses on psychological hardiness, a set of mental qualities that has been found to distinguish resilient from non-resilient people. Those high in psychological hardiness show greater commitment -the abiding sense that life is meaningful and worth living; control -the belief that one chooses and can influence his/her own future; and challenge -a perspective on change in life as something that is interesting and exciting. This paper begins with a brief discussion of the major stress sources in modern military and security operations, and the broad range of factors that can influence resilience in organizations. Next the concept of psychological hardiness is described, including theoretical background, representative research findings, and biological underpinnings. Finally, some strategies are suggested for how psychological hardiness can be built up in organizations, primarily through leader actions and policies. By focusing more attention on increasing psychological hardiness, security organizations can realize enhanced health and performance in the workforce, while also preventing many stress-related problems

Positive organizational behavior and safety in the offshore oil industry: Exploring the determinants of positive safety climate

Much research has now documented the substantial influence of safety climate on a range of important outcomes in safety critical organizations, but there has been scant attention to the question of what factors might be responsible for positive or negative safety climate. The present paper draws from positive organizational behavior theory to test workplace and individual factors that may affect safety climate. Specifically, we explore the potential influence of authentic leadership style and psychological capital on safety climate and risk outcomes. Across two samples of offshore oil-workers and seafarers working on oil platform supply ships, structural equation modeling yielded results that support a model in which authentic leadership exerts a direct effect on safety climate, as well as an indirect effect via psychological capital. This study shows the importance of leadership qualities as well as psychological factors in shaping a positive work safety climate and lowering the risk of accidents