Evaluation of a Cognitive Behavioral Model of Tinnitus Distress: A Cross-Sectional Study Using Structural Equation Modeling

AbstractPast reports indicated that total-body irradiation at low to moderate doses could be responsible for cardiovascular disease risks, but the mechanism remains unclear. The purpose of this study was to investigate the association between radiation exposure and atherosclerosis, an underlying pathology of cardiovascular diseases, in the Japanese atomic bomb survivors. We performed a cross-sectional study measuring 14 clinical-physiological atherosclerosis indicators during clinical exams from 2010 to 2014 in 3274 participants of the Adult Health Study cohort. Multivariable analyses were performed by using a structural equation model with latent factors representing underlying atherosclerotic pathologies: (1) arterial stiffness, (2) calcification, and (3) plaque　as measured with indicators chosen a priori on the basis of clinical-physiological knowledge. Radiation was linearly associated with calcification (standardized coefficient per Gy 0.15, 95 % confidence interval: CI [0.070, 0.23]) and plaque (0.11, 95 % CI [0.029, 0.20]), small associations that were comparable to about 2 years of aging per Gy of radiation exposure, but not with arterial stiffness (0.036, 95 % CI [− 0.025, 0.095]). The model fitted better and had narrower confidence intervals than separate ordinary regression models explaining individual indicators independently. The associations were less evident when the dose range was restricted to a maximum of 2 or 1 Gy. By combining individual clinical-physiological indicators that are correlated because of common, underlying atherosclerotic pathologies, we found a small, but significant association of radiation with atherosclerosis.

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Motivasi Kerja, Sertifikasi, Kesejahteraan dan Kinerja Guru

Persona Jurnal Psikologi Indonesia ◽

10.30996/persona.v3i02.379 ◽

2014 ◽

Vol 3 (02) ◽

Author(s):

Mohammad Zulkifli ◽

Arif Darmawan ◽

Edy Sutrisno

Keyword(s):

Structural Equation ◽

Teacher Performance ◽

Cross Sectional Study ◽

Model Fit ◽

Equation Modeling ◽

Test Results ◽

Sectional Study ◽

Cross Sectional ◽

Research Findings ◽

And Performance

Abstract. This cross-sectional study empirically examines the motivation and certification as antecedent welfare and performance of teachers and welfare as antecedent performance. Slovin formulation is used to take a sample of 244 teachers. Samples were taken from a population of 624 teachers who are already certified. Testing the model fit using Structural Equation Modeling. The test results demonstrate the value of Ï‡2 = 449.163; p = 0.542; RMSEA = 0.000; GFI = 0.901; AGFI = 0.884; CMN / DF = 0.991; TLI = 1.001, and; CFI = 1.000. Results Analysis of Moment Structures / AMOS all support the model fit hypothesis. The findings of the study stated motivation and certification plays an important role in efforts to enhance the welfare and performance of teachers. Teacher performance can be predicted through the welfare of teachers. The research findings will be discussed in the context of motivational teacher certification program.Keywords: motivation, certification, welfare, performance

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The influence of belief conflict on stress and burnout syndrome in healthcare workers: using structural equation modeling in a cross-sectional study

10.7287/peerj.preprints.809 ◽

2015 ◽

Author(s):

Makoto Kyougoku ◽

Mutsumi Teraoka

Keyword(s):

Structural Equation Modeling ◽

Structural Equation ◽

Healthcare Workers ◽

Physical Therapists ◽

Cross Sectional Study ◽

Burnout Syndrome ◽

Equation Modeling ◽

Response Scale ◽

Cross Sectional ◽

Causal Sequence

Purpose: Belief conflict has been hypothesized to contribute to increased stress and burnout syndrome among healthcare workers. However, tests on this hypothesis have been limited. The aim of this study was to evaluate the effect of belief conflict on stress and burnout syndrome in healthcare workers using structural equation modeling (SEM). Method: A sample of 488 participants (4.3% physicians, 32.4% nurses, 16.2% occupational therapists, 10.7% physical therapists, 36.4% other) responded to a questionnaire based on the Assessment of Belief Conflict in Relationship-14 (ABCR-14), Stress Response Scale-18 (SRS-18), and Japanese Burnout Scale (JBS). These data were examined using descriptive statistics and a causal sequence model. Results : The hypothesized model exhibited an excellent model fit (RMSEA = 0.041, CFI = 0.937, TLI = 0.933). The results suggested that belief conflict has positive causal effects on stress and burnout syndrome: standardized total effect = 0.676 (S.E. = 0.041, Est . /S.E. = 16.334, p-value = 0.000, 95% CI = 0.411; 0.646), standardized total indirect effect = 0.221 (S.E. = 0.031, Est . /S.E. = 7.066, p-value = 0.000, 95% CI = 0.115; 0.231), standardized direct effect = 0.455 (S.E. = 0.048, Est . /S.E. = 9.497, p-value = 0.000, 95% CI = 0.257; 0.455). Conclusion: This study indicated that healthcare workers suffer stress and burnout related to belief conflict. Therefore, assessment of belief conflict in healthcare workers, followed by appropriate intervention where indicated, would be beneficial in preventing stress and burnout.

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The relationship between work, mental health, physical health, and fatigue in patients with rheumatoid arthritis: A cross-sectional study

Journal of Health Psychology ◽

10.1177/1359105317727842 ◽

2017 ◽

Vol 25 (5) ◽

pp. 665-673 ◽

Cited By ~ 1

Author(s):

Dorota Żołnierczyk-Zreda ◽

Anna Jędryka-Góral ◽

Joanna Bugajska ◽

Sylwia Bedyńska ◽

Marek Brzosko ◽

...

Keyword(s):

Rheumatoid Arthritis ◽

Mental Health ◽

Physical Health ◽

Structural Equation ◽

Cross Sectional Study ◽

Equation Modeling ◽

Occupational Activity ◽

Sectional Study ◽

Cross Sectional ◽

The Relationship

To evaluate the relationship between work, mental health, physical health, and fatigue in patients with rheumatoid arthritis, the data of 282 participants were drawn from baseline. The results of structural equation modeling showed that among rheumatoid arthritis patients, those who were engaged in occupational activity had lower levels of fatigue compared to those who did not work and that this relationship was mediated by better mental health, not by physical health.

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Personality Disorders and Unhealthy Lifestyle: A Cross-Sectional Study

ACTA MEDICA IRANICA ◽

10.18502/acta.v59i3.5787 ◽

2021 ◽

Author(s):

Mohammad Reza Mohammadi ◽

Parandis Pourdehghan ◽

Seyed-Ali Mostafavi ◽

Zahra Hooshyari ◽

Seyyed Salman Alavi ◽

...

Keyword(s):

Personality Disorders ◽

Structural Equation ◽

Cross Sectional Study ◽

Equation Modeling ◽

Cluster Sampling ◽

Sectional Study ◽

Unhealthy Lifestyle ◽

Cross Sectional ◽

Millon Clinical Multiaxial Inventory ◽

Lifestyle Questionnaire

Personality disorders (PDs) would be associated with an unhealthy lifestyle. To date, however, there have not been sufficient studies on the relationship between them. This study aimed to investigate the association between personality disorders and an unhealthy lifestyle by using an analytical cross-sectional study. We selected 1538 married women based on the multistage cluster sampling method. We used the Millon Clinical Multiaxial Inventory (MCMI) and Lifestyle Questionnaire (LSQ). Apart from descriptive statistics, a one-sample t-test, multivariate analysis, and structural equation modeling were used. Analysis of the data suggested that negativistic (β= -0.321), schizotypal (β= -0.285), schizoid (β= -0.159), borderline (β= -0.136), melancholic (β= -0.079) PDs had a significant association with an unhealthy lifestyle, respectively. Cluster A personality disorders were prone to an unhealthy lifestyle more than the other two clusters.

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The influence of belief conflict on stress and burnout syndrome in healthcare workers: using structural equation modeling in a cross-sectional study

10.7287/peerj.preprints.809v1 ◽

2015 ◽

Author(s):

Makoto Kyougoku ◽

Mutsumi Teraoka

Keyword(s):

Structural Equation Modeling ◽

Structural Equation ◽

Healthcare Workers ◽

Physical Therapists ◽

Cross Sectional Study ◽

Burnout Syndrome ◽

Equation Modeling ◽

Response Scale ◽

Cross Sectional ◽

Causal Sequence

Purpose: Belief conflict has been hypothesized to contribute to increased stress and burnout syndrome among healthcare workers. However, tests on this hypothesis have been limited. The aim of this study was to evaluate the effect of belief conflict on stress and burnout syndrome in healthcare workers using structural equation modeling (SEM). Method: A sample of 488 participants (4.3% physicians, 32.4% nurses, 16.2% occupational therapists, 10.7% physical therapists, 36.4% other) responded to a questionnaire based on the Assessment of Belief Conflict in Relationship-14 (ABCR-14), Stress Response Scale-18 (SRS-18), and Japanese Burnout Scale (JBS). These data were examined using descriptive statistics and a causal sequence model. Results : The hypothesized model exhibited an excellent model fit (RMSEA = 0.041, CFI = 0.937, TLI = 0.933). The results suggested that belief conflict has positive causal effects on stress and burnout syndrome: standardized total effect = 0.676 (S.E. = 0.041, Est . /S.E. = 16.334, p-value = 0.000, 95% CI = 0.411; 0.646), standardized total indirect effect = 0.221 (S.E. = 0.031, Est . /S.E. = 7.066, p-value = 0.000, 95% CI = 0.115; 0.231), standardized direct effect = 0.455 (S.E. = 0.048, Est . /S.E. = 9.497, p-value = 0.000, 95% CI = 0.257; 0.455). Conclusion: This study indicated that healthcare workers suffer stress and burnout related to belief conflict. Therefore, assessment of belief conflict in healthcare workers, followed by appropriate intervention where indicated, would be beneficial in preventing stress and burnout.

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Smartphone Addiction and Checking Behaviors Predict Aggression: A Structural Equation Modeling Approach

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph182413020 ◽

2021 ◽

Vol 18 (24) ◽

pp. 13020

Author(s):

Shuna Shiann Khoo ◽

Hwajin Yang

Keyword(s):

Structural Equation Modeling ◽

Screen Time ◽

Structural Equation ◽

Cross Sectional Study ◽

Equation Modeling ◽

Smartphone Addiction ◽

Cross Sectional ◽

Targeted Interventions ◽

Aggression Questionnaire ◽

Smartphone Use

Despite the potential risks of excessive smartphone use for maladaptive outcomes, the link between smartphone use and aggression remains less understood. Furthermore, prior findings are inconclusive due to a narrow focus on limited aspects of smartphone use (e.g., screen time) and reliance on self-reported assessments of smartphone use. Therefore, using objective measures of smartphone use, we sought to examine the associations between several key indices of smartphone use—screen time, checking behaviors, and addictive tendency—and multifaceted aggression (i.e., confrontation, anger, and hostility). In a cross-sectional study, we administered a series of questionnaires assessing aggressive tendencies (i.e., The Aggression Questionnaire) and various aspects of smartphone use (N = 253, Mage = 21.8 years, female = 73.2%). Using structural equation modeling, we found that smartphone checking and addictive smartphone use predicted only hostility. In contrast, both objective and subjective measures of screen time did not predict any facets of aggression. These results highlight differing impacts of various indices of smartphone use on aggression and imply that excessive checking and addictive smartphone use are problematic smartphone-use behaviors that require more targeted interventions with respect to hostility.

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