Todd Lucas

Organizational climate, occupational stress, and employee mental health: mediating effects of organizational efficiency.

Objective: To determine whether the relationship between organizational climate and employee mental health is consistent (ie, invariant) or differs across four large hospitals, and whether organizational efficiency mediates this relationship. Methods: Participants (total N = 5316) completed validated measures of organizational climate variables (social climate, participatory management, goal clarity, and performance feedback), organizational efficiency, occupational stress, and mental health. Results: Path analysis best supported a model in which organizational efficiency partially mediated relationships between organizational climate, occupational stress, and mental health. Conclusions: Focusing on improving both the psychosocial work environment and organizational efficiency might contribute to decreased employee stress, improved mental well-being, and organizational performance.

Marital satisfaction in four cultures as a function of homogamy, male dominance and female attractiveness

Mate choice and mate retention may both depend in part on the principle of homogamy, or positive assortative mating. In humans, the more similar couples are, the happier and more stable their relationships are. However, the practice of homogamy in mate selection must be balanced against the need to select qualities in a mate that are slightly different from ones own, and evolutionary theory has suggested that male dominance and female attractiveness are two particularly adaptive qualities that are sought in a mate. The present study investigated the relationship between marital satisfaction and homogamy in American, British, Chinese and Turkish couples. In addition, the present research assessed the evolutionary hypothesis that spousal ascendancies on dominance and attractiveness would relate to marital satisfaction. Cross-culturally, romantic love for ones spouse increased as a function of both homogamy and some evolutionarily predicted divergences on both dominance and attractiveness. However, marital ...

Where does work stress come from? A generalizability analysis of stress in police officers

Differences among workers and workplace stressors both contribute to perceiving work as stressful. However, the relative importance of these sources to work stress is not well delineated. Moreover, the extent to which work stress additionally reflects unique matches between specific workers and particular job stressors is also unclear. In this study, we use generalizability theory to specify and compare sources of variance in stress associated with police work. US police officers (N = 115) provided ratings of 60 stressors commonly associated with policing duties. Primary and secondary stress appraisal ratings reflected differences among officers in tendencies to generally perceive work stressors as stressful (14–15% officer effect), and also agreement among officers in viewing some stressors as more stressful than others (18–19% stressor effect). However, ratings especially reflected distinct pairings of officers and stressors (38–41% interaction effect). Additional analyses revealed individual differences and stressor characteristics associated with each variance component, including an officer × stressor interaction – compared to officers low in neuroticism, highly neurotic officers provided lower primary appraisal ratings of stressors generally seen as not serious, and also higher primary appraisal ratings of stressors that were seen as serious. We discuss implications of the current approach for the continued study of stress at work.

Marital Satisfaction Across Three Cultures: Does the Number of Children Have an Impact After Accounting for Other Marital Demographics?:

U.S. studies indicate that children tend to stabilize marriage but, paradoxically, to reduce marital satisfaction. To explore whether this finding exists in a similar fashion in other cultures, the authors studied the impact of number of children on spousal love in the United States, United Kingdom, and Turkey, while accounting for other marital demographics (such as duration of marriage and the ages of wives and husbands). The number of children predicted diminished marital satisfaction in couples from all three cultures, although this effect arguably was not present in Turkish wives. In addition, marital satisfaction in couples from all three cultures was generally negatively predicted by the duration of marriage. Marital satisfaction was generally unrelated to wife’s age. The effect of husband’s age was important to marital satisfaction in couples from all cultures, although the nature of this effect diverged in relating positively to marital satisfaction for British and American couples but negatively for Turkish couples and especially Turkish wives. The authors identify several potentially important implications of these results.

Healthcare Provider Cultural Competency: Development and Initial Validation of a Patient Report Measure

OBJECTIVE Health researchers have proposed that provider cultural competency may contribute to health disparities. Yet, this belief continues to lack empirical support, and this is due in part to measurement issues that have plagued the cultural competency construct. In the present research, we report on the development of a theoretically grounded, generally applicable, and patient report measure of provider cultural competency. DESIGN Samples of predominantly African American patients (N=310) were recruited from three urban medical clinics to complete a survey about their relationship with their physician. MAIN OUTCOME MEASURES We examined the factor structure, validity and other psychometric characteristics of a newly proposed patient report measure of provider cultural competency. RESULTS Psychometric analyses supported a tripartite model of cultural competency that was comprised of patient judgments of their physicians cultural knowledge, awareness, and skill. In addition, this result was replicated across multiple clinical contexts, while also demonstrating convergent and incremental validity when correlated with measures of trust, satisfaction and discrimination. CONCLUSION This newly proposed measure addresses prior limitations in cultural competency measurement and may enhance future research by providing a standardized tool for use in multiple clinical and cultural contexts.

A preliminary experimental examination of worldview verification, perceived racism, and stress reactivity in African Americans.

OBJECTIVE According to worldview verification theory, inconsistencies between lived experiences and worldviews are psychologically threatening. These inconsistencies may be key determinants of stress processes that influence cardiovascular health disparities. This preliminary examination considers how experiencing injustice can affect perceived racism and biological stress reactivity among African Americans. Guided by worldview verification theory, it was hypothesized that responses to receiving an unfair outcome would be moderated by fairness of the accompanying decision process, and that this effect would further depend on the consistency of the decision process with preexisting justice beliefs. METHOD A sample of 118 healthy African American adults completed baseline measures of justice beliefs, followed by a laboratory-based social-evaluative stressor task. Two randomized fairness manipulations were implemented during the task: participants were given either high or low levels of distributive (outcome) and procedural (decision process) justice. Glucocorticoid (cortisol) and inflammatory (C-reactive protein) biological responses were measured in oral fluids, and attributions of racism were also measured. RESULTS The hypothesized 3-way interaction was generally obtained. Among African Americans with a strong belief in justice, perceived racism, cortisol, and C-reactive protein responses to low distributive justice were higher when procedural justice was low. Among African Americans with a weak belief in justice however, these responses were higher when a low level of distributive justice was coupled with high procedural justice. CONCLUSIONS Biological and psychological processes that contribute to cardiovascular health disparities are affected by consistency between individual-level and contextual justice factors. (PsycINFO Database Record

Do women seek humorousness in men because it signals intelligence? A cross-cultural test

Abstract Miller has suggested that people seek humorousness in a mate because humor connotes intelligence, which would be valuable in a spouse. Since males tend to be the competing sex, men have been more strongly selected to be humorous. To test this notion, we explored the role of humor in marriage cross-culturally, in the United States, the United Kingdom, China, Turkey, and Russia. In the first four societies, husbands were perceived to make wives laugh more than the reverse, but wives were funnier in Russia. Spousal humorousness was associated with marital satisfaction in all cultures, especially the wifes satisfaction. Spousal humorousness was less consistently related to spousal intelligence than to some alternative possibilities: spousal kindness, dependability, and understanding. Furthermore, the relationship between these four variables and marital satisfaction was mediated by spousal humorousness. Humor is gratifying in other social contexts as well. Humorists may gain social credit by providing amusement, and may also use humor to gauge anothers mood and to engender liking, perhaps especially in courtship and marriage. Spouses may also take humorousness as a sign of motivation to be amusing, kind, understanding, dependable — as a sign of commitment.

Perceived discrimination, racial identity, and multisystem stress response to social evaluative threat among African American men and women

Objective Understanding individual differences in the psychobiology of the stress response is critical to grasping how psychosocial factors contribute to racial and ethnic health disparities. However, the ways in which environmentally sensitive biological systems coordinate in response to acute stress is not well understood. We used a social-evaluative stress task to investigate coordination among the autonomic nervous system, hypothalamic-pituitary-adrenal axis, and immune/inflammatory system in a community sample of 85 healthy African American men and women. Methods Six saliva samples, 2 at each of baseline, event, and recovery phases of the stressor task, were assayed for cortisol, dehydroepiandrosterone-sulfate, salivary alpha-amylase, and salivary C-reactive protein. Individual differences in perceived discrimination and racial identity were also measured. Results Factor analysis demonstrated that stress systems were largely dissociated before stressor exposure but became aligned during event and recovery phases into functional biological stress responses (factor loadings ≥ .58). Coordinated responses were related to interactions of perceived discrimination and racial identity: when racial identity was strong, highly perceived discrimination was associated with low hypothalamic-pituitary-adrenal axis activity at baseline (Bs = .68–.72, p < .001), low stress mobilization during the task (Bs = .46–.62, p < .049), and a robust inflammatory response (salivary C-reactive protein) during recovery (Bs = .72–.94, p < .002). Conclusion Culturally relevant social perceptions may be linked to a specific pattern of changing alignment in biological components of the stress response. Better understanding these links may significantly advance understanding of stress-related illnesses and disparities.

Individuals and illnesses as sources of perceived preventability

Perceived preventability of illness is an important predictor of health behaviour and response to illness. Yet, health experts remain largely unaware of the extent to which preventability attributions reflect characteristics of persons, illnesses and their interaction. Quantifying the sources of variance that compose illness preventability attributions may be especially useful for designing effective preventative health interventions. In the present study, we used generalisability theory to examine the sources of variance in illness preventability attributions. Undergraduate college students (N = 44) rated the personal preventability of 12 well-known physical illnesses. Preventability attributions were shown to most substantially reflect characteristics of illnesses (57.5% target effect). However, preventability attributions also strongly reflected interactions of individuals and illnesses (26.0% relationship effect). Characteristics of individuals were also significant, although they explained a relatively smaller amount of variance (7.1% perceiver effect). In general, these results suggest new directions for conceptualising theory and research on perceived preventability of illness.

Do ratings of African-American cultural competency reflect characteristics of providers or perceivers? Initial demonstration of a generalizability theory approach

Provider cultural competency is often identified as an important component of effective ethnic minority healthcare. However, there is limited knowledge of the manner in which cultural competency judgments operate. This study sought to provide an initial demonstration of a hitherto overlooked methodology for examining the extent to which provider cultural competency ratings reflect characteristics of providers, differences among perceivers, and also idiosyncratic pairings of specific perceivers and providers. Second and third year medical residents rated four attending physicians for cultural competency when treating African-American patients. Using a Generalizability Theory approach, cultural competency ratings were shown to most substantially reflect unique perceiver and provider pairings (47.0% relationship effect). However, cultural competency also strongly reflected differences among resident raters in their tendency to perceive attending physicians as culturally competent, regardless of the characteristics of physicians (35.0% perceiver effect). Although cultural competency significantly reflected the characteristics of providers this effect was small (3.0% provider effect). This study demonstrates an overlooked methodological approach and suggests important new directions for conceptualizing theory and research.