Min Tao

Objective: The present study aimed to probe the intergenerational transmission of intolerance of uncertainty (IU) and trust in physicians. Besides, through the actor-partner interdependence model (APIM), the predictive effect of parents’ IU on their own and their spouses’ trust in physicians was examined. A mediation model was further constructed to probe the mechanisms by which parents’ IU affects children’s trust in physicians. Methods: The Intolerance of Uncertainty Scale-12 (IUS-12) and the Wake Forest Physician Trust Scale (WFPTS) were employed to conduct the questionnaire survey among 384 families (each family with a father, mother, and one child). Results: IU and trust in physicians were found to be intergenerationally transmitted. The results of the APIM analyses showed that fathers’ total IUS-12 scores negatively predicted their own (β = − 0.419, p < 0.01) and mothers’ (β = − 0.235, p < 0.01) total WFPTS scores. Mothers’ total IUS-12 scores negatively predicted their own (β = − 0.353, p < 0.01) and fathers’ (β = − 0.138, p = 0.017) total WFPTS scores. The results of mediation analyses indicated that parents’ total WFPTS scores and children’s total IUS-12 scores mediated the effect of parents’ total IUS-12 scores on children’s total WFPTS scores. Conclusion: The public’s IU is a crucial influencing factor of their trust in physicians. Besides, the IU between couples and between parents and children could be mutually affected. On the one hand, husbands’ IU could affect their own and their wives’ trust in physicians, and vice versa. On the other hand, parents’ IU and trust in physicians could affect their children’s IU and trust in physicians, respectively.

Background/Objective: Internalized occupational stigma may develop in physicians as a result of their identification with the public negative labels and stereotypes about them, and then internalization of them as a part of their self-concept. This study aims to develop the Physician Internalized Occupational Stigma Scale (PIOSS) and to examine its reliability and validity. Methods: In study 1, the initial scale was used to investigate 356 physicians. While in study 2, a total of 346 physicians were investigated with the survey tools named the PIOSS, the Career Commitment Scale (CCS), the Workplace Well-Being Scale (WWBS), the Scale for the Doctor with Patient-doctor Relationship (DDPRQ-10), the Intent to Leave Scale (ILS) and the Occupational Disidentification Scale (ODS). Results: The PIOSS includes 19 items divided into 3 dimensions: label identification, status loss, and career denial. The results of confirmatory factor analysis (CFA) reveal that the three-factor model fitted well (χ²/df=2.574, RMSEA= 0.068, CFI= 0.931, IFI= 0.931, TLI= 0.919, PNFI= 0.762, PCFI= 0.795). The PIOSS total and each dimension scores were significantly negatively correlated with the CCS and the WWBS scores and remarkably positively associated with the DDPRQ-10, the ILS, and the ODS scores. Cronbach’s α coefficients for the PIOSS total scale and dimensions ranged from 0.775 to 0.914, and split-half reliability coefficients ranged from 0.801 to 0.931. In addition, the PIOSS exhibited cross-gender invariance. Conclusion: Having good reliability and validity, the PIOSS can serve as a valid tool for the assessment of physician internalized occupational stigma.

Objective: Drawing on the actor-partner interdependence model (APIM), the present study investigated the relationship between Chinese middle-aged and old couples' Confucian coping thinking and their marital quality in the hope to provide a theoretical basis for ameliorating marital quality.Methods: With 744 middle-aged and old couples as participants, the Confucian Coping Questionnaire (CCQ) and the Quality of Marriage Index (QMI) were employed to probe the relationship between responsibility thinking (RT), pro-setback thinking (PT), fate thinking (FT), and marital quality.Results: Husbands' and wives' scores in responsibility thinking and pro-setback thinking had significantly positive correlations with their own and their spouses' scores in marital quality, respectively, and husbands' and wives' scores in fate thinking had significantly negative correlations with their own and their spouses' marital quality, respectively. Husbands' responsibility thinking, pro-setback thinking, and fate thinking had a significant actor effect. Husbands' responsibility thinking and fate thinking had a significant partner effect. Wives' responsibility thinking, pro-setback thinking, and fate thinking had a significant actor effect. Wives' responsibility thinking and pro-setback thinking had a significant partner effect.Conclusion: From the perspective of dyadic relationships, the present study found that responsibility thinking and pro-setback thinking could positively predict marital quality, while pro-setback thinking could negatively predict marital quality.

Introduction: The Brief Barratt Impulsiveness Scale (BBIS) can be used in large scale rapid assessments and improves data quality while reducing subject response burden. It has been verified to have good reliability and cross-cultural consistency in multiple countries. However, there are no tests of impulsivity for the Chinese married population. Aim: To investigate the applicability of the BBIS among the Chinese married population. Methods: The BBIS was administered to 664 married middle-aged adults (sample 1) for item analysis and exploratory factor analysis (EFA), and to 758 married middle-aged adults (sample 2) for confirmatory factor analysis (CFA). At the same time, the trait anger scale (TAS), the quality marriage index (QMI) and the emotion reactivity scale (ERS) are selected as the calibration standards to test the correlation validity of the calibration standards. Results: BBIS includes 8 items, which are composed of two dimensions of poor self-control and behavioral impulsivity; the two dimensions explained 68.10% of the total variance. CFA demonstrated that the fit index of the two-factor structure of the scale was good (χ²/df=2.315, RMSEA=0.042, RFI=0.971, CFI=0.989, NFI=0.982, IFI=0.990). The internal consistency reliability of each dimension and total scores were 0.824, 0.826 and 0.787, respectively. Total BBIS scores were significantly positively correlated with trait anger and emotional reactivity, and showed a significant negative correlation with marital quality. The Chinese version of BBIS had measurement equivalence between men and women. Conclusion: The BBIS has good reliability and validity in the Chinese married population, and the measurement results can be compared across groups between different genders, which can be used as a suitable tool for impulse related research.