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Biomedical subjects

G F Koeske

Publications and source records attributed to G F Koeske.

9 recordsLinked to original sources

Negative social interactions, distress, and depression among those caring for a seriously and persistently mentally ill relative.

Investigated both positive and negative social interactions and their effect on mental health for 106 individuals caring for a seriously mentally ill family member. Results from mixed-model (hierarchial and stepwise) multiple regression analyses in which caregiver age, socioeconomic status, caregiving demand, and severity of patient symptoms was controlled showed that negative social interaction accounted for a significant portion of variance in the caregivers' feelings of distress and depression. Moderated multiple regression analyses showed that under conditions of high negative interaction, the relationship between demand and distress was intensified. Implications of these findings for the conceptualization and measurement of negative social interaction as well as its clinical implications were discussed.

Adult↗

The impact of overinvolvement on burnout and job satisfaction.

A process model proposing that overinvolvement affects job satisfaction exclusively through its impact on worker burnout was tested. The model was supported strongly in both a current sample of social workers and an earlier study of helping professionals. Methodological limitations are discussed and implications for practice are examined.

Adult↗

The effect of characteristics of human service workers on subsequent morale and turnover.

The authors examine the relationship of sociopsychological characteristics of human services workers to their subsequent morale and continuance on the job. Eighty-two intensive case managers (half of them social workers) who had caseloads of clients with severe mental disorders were invited to participate in a four-wave panel study. Explored are the relationships between 16 predictors (general background, prior work experience and training, and social psychological variables) and worker outcomes (beliefs, attitudes, perceptions, and turnover). The major finding was that better personal well-being at the time of hiring was the most consistent and significant predictor of lower burnout, higher job satisfaction, and generally higher worker morale at later points in time. Those from higher social class backgrounds and those with lower starting salaries were more likely to leave the job. Those workers with more experience had a tendency to perceive greater client improvement.

Adult↗

Perceptions of professional competence: cross-disciplinary ratings of psychologists, social workers, and psychiatrists.

Psychiatrists, psychologists, social workers, and nurses rated members of the first three disciplines on effectiveness of intervention for six hypothetical clients representing a range of mental health problems. Results revealed within-group bias, with perceptions that professionals sharing raters' own professional affiliation would be more helpful, expert, and warm, as well as the preferred recipient of referrals. Clinical social workers were rated highest on warmth by all raters but lowest on referral intent by raters from other disciplines.

Adult↗

Changes in health and job attitudes of case managers providing intensive services.

OBJECTIVE: The health, personal life, and attitudes of case managers providing intensive services to severely mentally ill clients were evaluated to see how the managers changed over their first 18 months on the job. The authors report here on changes on major variables related to health status and job attitudes. METHODS: A cohort of 82 case managers newly hired during the first year of New York State's intensive case management program was followed for 18 months. A battery of measures of health, life events, life satisfaction, social support, job situation, and job attitude was administered by mail questionnaire at job entry and at three, 12, and 18 months to case managers who remained employed in the program. RESULTS: Approximately 80 percent of the eligible (still-employed) case managers responded at each time point; 64 were still employed at the end of the study. Over time they experienced increasing amounts of job stress and emotional exhaustion, depersonalized clients more, and reported significantly more stress-related physical symptoms and depressive symptoms. However, their sense of personal accomplishment and their job satisfaction remained stable. CONCLUSIONS: Case managers appeared able to overcome job pressures and persevere in their professional commitment. What difficulties they had appeared to level off after one year, at least among those who continued in their positions. Although the findings do not indicate that case managers need intensive help, early support and preventive intervention for job difficulties would be helpful.

Adult↗

The buffering effect of social support on parental stress.

In a study of 125 mothers, parental stress was associated with lower role satisfaction and maternal self-esteem and with higher psychological and somatic symptomatology for those mothers with less social support. In addition, more highly educated mothers were found to be less affected by parental stress. Theoretical and policy implications of the findings are discussed.

Adaptation, Psychological↗

An attributional approach to moods and the menstrual cycle.

Acceptance of an attribution pattern linking negative moods (depression, irritability) to the approach of menstruation and the likelihood of internal and external attributions were examined in a questionnaire study in which cycle phase (pre- versus postmenstrual), mood (positive versus negative), and environment (pleasant versus unpleasant) were varied. Subjects' rating indicated that (a) biology was judged important for explaining negative moods occurring premenstrually: (b) inconsistency between mood and environment produced more internal (personality) attributions, while consistency enhanced external attributions; and (c) emotionally expressive behavior was thought to reflect underlying personality dispositions despite extenuating situational factors (assumed personal causation). The theoretical relevance of the findings to a new conceptualization of premenstrual emotionality and to an attributional chain relating female self-concept and premenstrual tension is discussed.

Depression↗

Deviance and a generalized disposition toward internality: an attributional approach.

Two studies were carried out to test the hypothesis, derived from attribution theory, that adolescents might acquire an identity and mediating beliefs about reality (internal locus of control) by deviating from norms when they perceived adults to be powerful. In line with this expectation, the major study found that students rated by teachers as "deviant," but not those rated as "conformant," showed greater internality in beliefs about man (control ideology), p = .024, under conditions of high power. Despite the following limitations or exceptions, attribution theory seemed to best explain the predicted effect: (1) the effect for beliefs about control was nonsignificantly weaker for females then males, perhaps because of different meanings of deviance for males and females and female socialization for conformity rather than independence; (2) in the major study the effect was absent for questions dealing with respondents' personal feelings of control ("self-attributions"); and (3) in both studies there was a tendency for deviant females to show more personal externality (relative to conformers) when perceived power was high.

Adolescent↗