People high in attachment avoidance typically respond more negatively to partner support, but some research suggests they can be calmed by high levels of practical support. In the present research, we attempted to reconcile these inconsistencies by modeling curvilinear associations between romantic partners' support and support recipients' outcomes and testing whether these curvilinear associations were moderated by recipients' degree of attachment avoidance. We examined the effect of partner support during support-relevant discussions (Studies 1-3) and in daily life (Study 4) on support recipients' distress (Studies 1-4), self-efficacy (Studies 2 and 3), perceived partner control/criticism (Studies 2 and 4), and distancing from the partner (Study 4). The results and a meta-analysis across all four studies (N = 298 couples) demonstrated that the curvilinear effect of practical support on recipients' outcomes was moderated by attachment avoidance. Highly avoidant recipients exhibited more negative responses as their partner provided them low-to-moderate levels of practical support, including increasing distress, perceived partner control/criticism and distancing, and decreasing self-efficacy. However, as partners' practical support shifted from moderate to high levels, highly avoidant recipients experienced more positive outcomes, including decreasing distress, perceived partner control/criticism and distancing, and increasing self-efficacy. Less avoidant individuals were resilient and experienced better outcomes regardless of the level of partner support they received. These results demonstrate the utility of curvilinear models in reconciling the costs and benefits of support, and indicate that high levels of practical support can overcome the defenses of highly avoidant individuals by offering undeniable evidence of the partner's availability.
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http://dx.doi.org/10.1037/a0038866 | DOI Listing |
Leadersh Health Serv (Bradf Engl)
January 2025
Department of Management and Marketing, Notre Dame University Louaize, Zouk Mosbeh, Lebanon.
Purpose: This study aims to examine the relationships between organizational culture, employee loyalty, trust and job satisfaction within the Lebanese health-care sector. It addresses the critical need to improve employee retention and organizational performance in a context marked by economic instability and political uncertainty. By analyzing data from 270 health-care professionals, the study aims to explore how different aspects of organizational culture - such as transparency, supportiveness and ethical leadership - affect employee trust and satisfaction.
View Article and Find Full Text PDFImportance: Routine preoperative blood tests and electrocardiograms before low-risk surgery do not prevent adverse events or change management but waste resources and can cause patient harm. Given this, multispecialty organizations recommend against routine testing before low-risk surgery.
Objective: To determine whether a multicomponent deimplementation strategy (the intervention) would reduce low-value preoperative testing before low-risk general surgery operations.
J Ethn Subst Abuse
January 2025
Centre of Research Excellence: Indigenous Sovereignty & Smoking, Auckland, New Zealand.
Maternal smoking increases adverse risks for both the mother's pregnancy and the unborn child and remains disproportionately high among some Indigenous peoples. Decreasing smoking among pregnant Indigenous women has been identified as a health priority in New Zealand because of wide inequities in smoking-related harms. Using pre- and post-intervention questionnaires, this feasibility study assessed the acceptability and potential efficacy of a novel cessation program designed for Indigenous women by Indigenous experts utilizing traditional knowledge and practice.
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Recent Findings: The review highlights significant differences between the 2024 and 2022 outbreaks, including total case numbers, demographic distribution, and fatality rates.
Pain Ther
January 2025
Robert Wood Johnson University Hospital/Rutgers Medical School, New Brunswick, NJ, USA.
Introduction: Many interventional strategies are commonly used to treat chronic low back pain (CLBP), though few are specifically intended to target the distinct underlying pathomechanisms causing low back pain. Restorative neurostimulation has been suggested as a specific treatment for mechanical CLBP resulting from multifidus dysfunction. In this randomized controlled trial, we report outcomes from a cohort of patients with CLBP associated with multifidus dysfunction treated with restorative neurostimulation compared to those randomized to a control group receiving optimal medical management (OMM) over 1 year.
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