125 results on '"embitterment"'
Search Results
2. Exploring the Role of Dark Personality Traits in Embitterment–Jealousy Dynamics: Insights from a Multi-Scale Analysis and Moderation Effects
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Ângela Leite and Rafaela Castro
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jealousy ,embitterment ,dark triad of personality ,relationship status ,Psychiatry ,RC435-571 - Abstract
This study aimed to explore how dark personality traits influence the interplay between embitterment and jealousy. We first assessed the appropriateness of the scales used to assess jealousy, personality, and embitterment for our study population, examining their performance across different relationship statuses and ensuring their reliability. Then, through correlation, regression, and moderation analyses, we investigated the relationships among these measures. Our results revealed that Machiavellianism and narcissism act as moderators in the embitterment–jealousy relationship. Specifically, Machiavellianism moderated associations between overall embitterment and its psychological state and behavioral jealousy, while narcissism moderated connections between total embitterment and its psychological state, behavioral jealousy, cognitive jealousy, and overall jealousy. Furthermore, the combined influence of a longer relationship duration and higher levels of embitterment and Machiavellianism contributed to total jealousy scores. These findings deepen our comprehension of jealousy’s intricacies and the underlying factors at play.
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- 2024
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3. Multicultural adults, microaggressions and embitterment: effects of heightened vigilance and culture acceptance.
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Seo, Sung Min, Kang, Min Hee, Yoon, Sung Chan, and Kim, Min Sun
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MICROAGGRESSIONS ,ADULTS ,YOUNG adults ,CULTURE - Abstract
This study examined the moderated mediation effect of heightened vigilance and Korean culture acceptance attitude on the relationship between microaggressions and embitterment in multicultural young adults aged 25 to 34 in South Korea. A total of 329 multicultural young adults aged 25 to 34 living in South Korea were surveyed. All participants had acquired Korean nationality, even if one of their parents was a non-Korean. First, a significant correlation was found between microaggressions and heightened vigilance, embitterment, and Korean culture acceptance attitude. Second, heightened vigilance partially mediated the relationship between microaggressions and embitterment. Third, Korean culture acceptance attitude moderated the relationship between heightened vigilance and embitterment. Fourth, heightened vigilance and Korean culture acceptance attitude had a moderated mediation effect on the relationship between microaggressions and embitterment. The present study is meaningful in that it examined the mechanisms of discrimination and psychological maladjustment among multicultural young adults and explored the factors that can be overcome in the context of the increasing immigrant population in Korea. [ABSTRACT FROM AUTHOR]
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- 2024
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4. Regions, emotions and left-behindness: a phase model for understanding the emergence of regional embitterment.
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Hannemann, Matthias, Henn, Sebastian, and Schäfer, Susann
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RIGHT-wing populism ,ECONOMIC geography ,EMOTIONS ,AWARENESS ,SOCIAL change - Abstract
Discontent is an important feature of 'left-behind places', often reflected by a high percentage of voting for populist parties. Drawing on insights from psychology, we extend previous analyses by focusing on collective embitterment as the central underlying emotional state in a region. Arguing that such negative emotions do not arise 'out of the blue', we develop a four-phase model of regional embitterment that accounts for the emotional characterisation of and the level of embitterment among the population, as well as the role of policy interventions. Based on a case study in East Thuringia, we conclude that emotions should be given more attention in future studies. [ABSTRACT FROM AUTHOR]
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- 2024
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5. Injustice and Embitterment: Crucial Stressors in Psychosomatic Patients.
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Linden, Michael and Lieberei, Barbara
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CLASSIFICATION of mental disorders , *BEHAVIORAL medicine , *BREACH of trust , *POST-traumatic stress disorder , *PSYCHOSOMATIC disorders , *HUMILIATION , *HARM (Ethics) - Abstract
Objective: "Disorders specifically associated with stress" are receiving increasing attention in clinical practice, research, and modern classification systems of mental disorders. This includes not only reactions to "extremely threatening or horrific events" as it is characteristic for "post-traumatic stress disorders" but also a variety of day-to-day experiences. Examples are experiences of injustice, humiliation, or breach of trust which can have dire psychological consequences such as feelings of embitterment, a strong and crippling emotion. This study investigated the frequency of feelings of injustice and concomitant embitterment across different areas of daily life of psychosomatic patients. Methods: In an observational archival study, 200 inpatients of a department of behavioral medicine filled in the "Differential Life Burden Scale, DLB-Scale" and the "Post-Traumatic Embitterment Scale, PTED-Scale" which asks for experiences of injustice and embitterment. Results: More than half of all patients (58.5%) reported about very or extremely unjust and unfair life events and 51.5% additionally about feelings of embitterment. This was primarily associated with complaints about problems in the family and the workplace and was accompanied by an impairment of well-being. Conclusions: The findings indicate that experiences of injustice and embitterment are frequently seen in psychosomatic inpatients and should get special attention. [ABSTRACT FROM AUTHOR]
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- 2024
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6. MENTAL TOUGHNESS AND PSYCHO-SOCIAL REACTIONS IN COVID-19 SUFFERERS: A MEDIATING ROLE OF EMBITTERMENT.
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Haroon, Linta and Zahra, Sayyeda Taskeen
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COVID-19 , *TOUGHNESS (Personality trait) , *YOUNG adults , *BACHELOR of science degree , *ASSOCIATION of ideas , *PROTECTIVE factors - Abstract
Objective: To explore the mediating role of embitterment in the association of mental toughness and psychosocial reactions in COVID-19 sufferers. Methodology: The cross-sectional study was conducted at three government and private universities of Islamabad Pakistan chosen through random selection and comprised a purposive sample of 202 young adults of BS degree, between ages limit 18-25. The overall mean age was 20.4 years with a standard deviation of 1.47. Boys constituted 49% and girls constituted 51% of the total sample. Study sample included 17% participants that had been infected with COVID-19, 52% whose family member had been infected and 15% had experienced the death of a family member due to COVID-19, 12% fell into 2 of the categories while 4% experienced all three circumstances. Results: Results show that male participants scored higher on psycho-social reactions as compared to females. Findings revealed a significant positive relationship of embitterment with psychosocial reactions (β = .49, SE=.06, p < .001). Embitterment also has a negative relationship with mental toughness (β = - .42, SE= .06, p <.001). Conclusion: COVID-19 sufferers faced psychological challenges along with health issues which led to extreme psychosocial reactions and feelings of embitterment, whereas mental toughness functioned as a protective factor. [ABSTRACT FROM AUTHOR]
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- 2024
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7. Comment: Injuries that Hurt – A Comment to “Embitterment – Conception of a Potential Moderator to Dysfunctional and Aggressive Behaviour in Children and Adolescents”
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Hardecker, David J. K. and Schmitz, Julian
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- 2024
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8. Brief Report: Protective or Risk Factor? Aftermath Effects of Perceived Social Support on Embitterment during the COVID-19 Pandemic.
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Koroma, Dennis, Znoj, Hansjörg, and Soravia, Leila M.
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COVID-19 pandemic , *SOCIAL support , *CONSPIRACY theories , *SOCIAL marginality , *PANDEMICS - Abstract
There are indications for a raise in embitterment during the COVID-19 pandemic. As embitterment is related to felt social exclusion, pessimism, and a proneness toward COVID-19-related conspiracy beliefs, embitterment may be a key factor to consider in the current pandemic. However, perceived social support (PSS), which is associated with hope during the COVID-19 pandemic could serve as an important resilience factor for bitterness. We therefore investigated the effects of PSS on embitterment in aftermath of the second wave of the COVID-19 pandemic. 52 individuals participated in our follow-up online study in October 2020 (T1) and May 2021 (T2). Embitterment (measured with the Berne Embitterment Inventory) and PSS were repeatedly assessed at T1 and T2. A double moderation analysis was conducted, using the PROCESS macro to examine the effects of embitterment, PSS, and age on embitterment 6 months later. The results suggest that the prediction of embitterment at T2 by embitterment at T1 was altered by changes in PSS. Here, in particular participants with high embitterment at T1 and a gain in PSS had higher embitterment scores at T2, whereas participants with low embitterment were found to have lower embitterment scores. This interaction effect was further influenced by the age of the participants, where the effects were more pronounced among middle-aged participants than younger participants. As embittered individuals seem to grow in bitterness with a gain in PSS, support is found for the notion that embittered individuals seeking allies supporting their mindset. [ABSTRACT FROM AUTHOR]
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- 2023
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9. Embitterment and metacognition in obsessive–compulsive disorder
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Paraskevi Mavrogiorgou, Sarah Becker, Sie-In Lee-Grimm, and Georg Juckel
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Embitterment ,Post-traumatic embitterment disorder (PTED) ,Metacognition ,Obsessive–compulsive disorder ,Psychiatry ,RC435-571 - Abstract
Abstract Objective Embitterment is a persistent emotion that is known to everybody in reaction to injustice and being let down, associated with feelings of helplessness and hopelessness. People with psychiatric disorders can develop bitterness, which is to be understood as a form of reactive embitterment to the illness. The aim of this explorative study was to investigate the occurrence of embitterment in obsessive–compulsive patients compared to healthy volunteers and in the context of their metacognitions and other biographical and clinical characteristics. Method Following a semi-structured diagnostic interview, a number of measures were administered to 31 patients with obsessive–compulsive disorder (OCD) [ICD-10 F42.X: mean age 35.2 (SD = 10.7) years] and 31 healthy volunteers [mean age 39.1 (SD = 15.0) years]. These measures included the Post-Traumatic Embitterment Disorder questionaire (PTEDq) for measuring embitterment, the Yale-Brown Obsessive–Compulsive Scale, the Metacognition Questionnaire and other psychometric questionnaires such as the Beck Depression Inventory and the State-Trait Anxiety Inventory. Results Patients with OCD scored more than three times higher (mean = 2.0, SD = 1.1) than the healthy participants in the PTEDq (mean = 0.6, SD = 0.8; p
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- 2023
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10. Embitterment in the Workplace
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Linden, Michael, Arnold, Christopher P., Grassi, Luigi, editor, McFarland, Daniel, editor, and Riba, Michelle B., editor
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- 2022
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11. Dietary identity and embitterment among vegans, vegetarians and omnivores
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Heike Reuber and Beate Muschalla
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Dietary pattern ,vegan ,vegetarian ,omnivorous ,embitterment ,Medicine ,Psychology ,BF1-990 - Abstract
Background Although vegetarian and vegan dietary can positively contribute to animal welfare, the environment and health, they also entail social costs for the people following them. These costs may be an increased risk of stigmatization and, presumably, feelings of embitterment.Methods In this study, we investigated for the first time the association between feelings of embitterment and dietary identity centrality and motivation. Dietary motivation, dietary pattern centrality for identity (DIQ-D), and embitterment (PTED scale) were assessed in and compared between people with vegan (n = 489), vegetarian (n = 339) and omnivorous (n = 319) dietary pattern.Results The vegan group reported higher embitterment and discrimination perception than the vegetarian and omnivorous groups. High (vegan) dietary centrality, eating disorder, moral motivation, discrimination perception was associated with embitterment.Conclusions The association between vegan dietary centrality and moral motivation with embitterment is relevant for actions in dietary education and counseling in clinical and public health settings. When dietary pattern becomes relevant for identity building this may come along with problems when it makes the person prone for discrimination perception.
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- 2022
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12. Prevalence and Correlates of Embitterment in a National Representative Sample.
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Muschalla, Beate
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LIFE change events , *SICK leave , *MENTAL illness , *LAYOFFS , *PRODUCTIVE life span - Abstract
Introduction: Embitterment may occur after stressful but normal life events, such as job loss, divorce, or unjust events. Embitterment is a normal affect, but it may become clinically relevant in case it becomes very strong and long-lasting, and impairs daily functioning. Objective: Until now, no epidemiological data on the frequency of high embitterment in the general population have been available. Methods: A national representative survey of 2,531 people was carried out in Germany in 2019. The participants gave ratings for their embitterment due to perceived events (Posttraumatic Embitterment Scale), their psychological capacity profile (Mini-ICF-APP-S), sick leave duration, and sociodemographics. Results: About 11.7% of the investigated representative population report moderate embitterment, and another 3.8% high embitterment. Embitterment was only low correlated with other psychopathology, here work anxiety (r = 0.281**). There are no differences between embittered and nonembittered in respect to age, sex, household members, and professional distribution. Those with the highest embitterment have been unemployed more often and have lower income. At least 7.2% of those with high embitterment have a severe psychological capacity impairment and are in need of support by thirds to fulfill daily duties. In 55% of the 802 who reported a stressful event, injustice by an important person has been reported. Injustice by an institution (14%) or societal injustice (12%) was least often reported as a relevant stressful event. Conclusion: Physicians, therapists, and public health must be aware of embitterment as a specific mental health problem which occurs frequently and may become chronic with work and life participation problems. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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13. Embitterment and metacognition in obsessive–compulsive disorder.
- Author
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Mavrogiorgou, Paraskevi, Becker, Sarah, Lee-Grimm, Sie-In, and Juckel, Georg
- Subjects
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OBSESSIVE-compulsive disorder , *METACOGNITION , *PEOPLE with mental illness , *STATE-Trait Anxiety Inventory , *BECK Depression Inventory - Abstract
Objective: Embitterment is a persistent emotion that is known to everybody in reaction to injustice and being let down, associated with feelings of helplessness and hopelessness. People with psychiatric disorders can develop bitterness, which is to be understood as a form of reactive embitterment to the illness. The aim of this explorative study was to investigate the occurrence of embitterment in obsessive–compulsive patients compared to healthy volunteers and in the context of their metacognitions and other biographical and clinical characteristics. Method: Following a semi-structured diagnostic interview, a number of measures were administered to 31 patients with obsessive–compulsive disorder (OCD) [ICD-10 F42.X: mean age 35.2 (SD = 10.7) years] and 31 healthy volunteers [mean age 39.1 (SD = 15.0) years]. These measures included the Post-Traumatic Embitterment Disorder questionaire (PTEDq) for measuring embitterment, the Yale-Brown Obsessive–Compulsive Scale, the Metacognition Questionnaire and other psychometric questionnaires such as the Beck Depression Inventory and the State-Trait Anxiety Inventory. Results: Patients with OCD scored more than three times higher (mean = 2.0, SD = 1.1) than the healthy participants in the PTEDq (mean = 0.6, SD = 0.8; p < 0.001), but the cut-off of < 2.5 for a clinically relevant embitterment disorder was not reached. Dysfunctionally distorted metacognition (MCQ-30), which is a consistent finding in OCD, as well as a generally high degree of clinical impairment were significantly cor related to the degree of embitterment. Conclusion: Our findings suggest that embitterment as measured by PTEDq is important in patients with OCD, who are characterized by metacognitive distortions with an injustice of fate as well as a mortification of their self-image. In future, it would be necessary to screen patients with OCD not only for depressive symptoms but also specifically for feelings of embitterment in order to be able to initiate appropriate psychotherapeutic measures at an early stage. [ABSTRACT FROM AUTHOR]
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- 2023
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14. EMBITTERMENT IN THE WORKPLACE: HOW DOES IT ASSOCIATE WITH BURNOUT AND WHAT TRIGGERS IT?
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Michailidis, Evie
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PSYCHOLOGICAL contracts (Employment) , *PSYCHOLOGICAL burnout , *BREACH of contract , *EMPLOYEE well-being , *PROFESSIONAL relationships - Abstract
Aim/Purpose Embitterment comprises a stress-related response to unjust life experiences. Studies have found that it can have a toll on employees' well-being. However, research on this matter is still in its infancy. Background Within the scope of the present study, sought to investigate how embitterment relates to burnout - the prolonged consequence of stress. This study further explored whether breaches of psychological contracts can trigger embitterment. Methodology The study employed a cross-sectional design where two hundred and eight (N = 208) participants from the general population completed an online survey. Contribution Findings suggest that the toll of embitterment might be much more than what research has suggested so far. Those who experience embitterment can become emotionally exhausted and cynical and these findings can be especially useful when identifying embitterment. Findings It was found that embitterment related to higher burnout levels and more specifically emotional exhaustion and cynicism. No significant findings were revealed for the relationship between professional inefficacy and embitterment. Also, psychological contract breach was found to be a significant predictor of embitterment, supporting further the notion that perceptions of injustice can trigger feelings of embitterment. Results also showed that embitterment mediated the relationship between psychological contract breach and burnout. Recommendations for Researchers The study highlights the notion that fairness is a key precursor of embitterment, and this finding is essential when developing interventions to prevent embitterment from arising. Future Research Future research could use a longitudinal study design to unravel whether burnout represents a precondition or the consequence of embitterment. Future research should also include more objective measures. For example, it would be useful to pair self-report data with more objective measures on embitterment (e.g. clinical interviews). [ABSTRACT FROM AUTHOR]
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- 2023
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15. Influence of Musical Activity on the Embitterment and Psychological Well-Being of Nurses.
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Choi, Jin Ho and Choo, Sang Hee
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PSYCHOLOGICAL well-being , *COVID-19 pandemic , *PSYCHOLOGY of nurses , *BRAIN waves , *NURSING students - Abstract
The global spread of the COVID-19 pandemic has increased the number of frontline medical staff complaining of problems such as anxiety, depression, and insomnia, thereby requiring urgent psychological support. Nurses are particularly exposed to various stressors and difficult environments, witnessing patients' pain, frustration, and death, while helping them recover. Music is known to be effective in inducing psychological stability by activating brain waves, relaxing the body, and alleviating negative reactions. This study examines how musical activities affect embitterment and psychological well-being among nurses and nursing students who suffer from various psychological difficulties. This study finds that musical activity helps nurses' psychological stability by lowering their embitterment index and increasing their psychological well-being. Further, the greater the music listening time is, the higher is the psychological well-being, indicating the necessity of increasing the music listening time and encouraging more musical activities for the psychological stability of nurses in the future. [ABSTRACT FROM AUTHOR]
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- 2023
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16. Embitterment during the COVID-19 Pandemic in Reaction to Injustice, Humiliation, and Breach of Trust
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Michael Linden, Christopher P. Arnold, and Beate Muschalla
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embitterment ,COVID ,corona ,injustice ,humiliation ,breach of trust ,Psychiatry ,RC435-571 - Abstract
The COVID-19 pandemic has not only had an impact on the health of many people, but also on politics, the economy, and everyday life at large. It has been shown that some people respond with anxiety and depression, which is not surprising. Another reaction in the context of COVID-19 is embittered fights and disruptions between family members, friends, and neighbors, but also problems on a societal and political level, mutual public insults, political demonstrations, and even aggressive outbursts with a high number of participants. This calls for a separate explanation. One trigger may be embitterment, an emotion known to anybody in reaction to injustice, humiliation, and breach of trust, in association with helplessness. It comes along with a nagging desire to fight back and is usually accompanied by aggressive fantasies and combatively impulses towards the wrongdoer. This emotion also spreads indiscriminately to other people and the world. There are few initial studies which show that there is a significant increase in the rate of embitterment during the COVID-19 pandemic. Increased embitterment was related to financial losses, concern about restricted societal freedom, job insecurity, oppositional attitudes, helplessness, dissatisfaction with life, and inclination to join anti-COVID-19 demonstrations. These findings suggest that it is important to foster resilience against stressors, be it because of the virus itself, restrictions in daily freedom, negative comments by other persons, or imbalanced press releases. Of importance is also to abstain from insulting comments towards people who do not follow the mainstream, to allow adjustment of rules to given situations, and to take people along by listening to their grievances, instead of leaving demonstrations on the street as the only method to voice concerns.
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- 2022
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17. Lawyer's perception of embitterment in legal disputes.
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Linden, Michael and Kassabova, Blagovesta
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LAWYERS , *LEGAL procedure , *LEGAL judgments , *LEGAL discourse , *BETRAYAL - Abstract
Participants in legal disputes can harbor feelings of injustice, betrayal, humiliation. An often associated emotion is embitterment, which is characterized by an urge to reinstall justice and to fight back, whatever the cost. Embitterment-related dysfunctional behavior can complicate legal procedures. Fifty-one lawyers were asked to think about their last regular client and a client which they consider to suffer from embitterment. In the group of regular clients, 20.7% were judged to show signs of embitterment. Increased scores of 2.5 or higher on a list of embitterment symptoms was found in 18.2% of the regular and 56.2% of the embittered clients. The average duration of the legal dispute was significantly longer in embittered clients and more lawyers were involved. No associations were found with socio-demographic characteristics or type of the legal problem. The data show that embitterment is known to lawyers and seen in many clients. Attorneys, law scholars, courts, lawmakers, and clinicians should be aware of embitterment. Open questions are how one should deal with embitterment in legal discourses and court decisions and how one can avoid that embitterment causes unsuccessful legal disputes. [ABSTRACT FROM AUTHOR]
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- 2022
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18. Dietary identity and embitterment among vegans, vegetarians and omnivores.
- Author
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Reuber, Heike and Muschalla, Beate
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VEGANS ,NUTRITION counseling ,VEGETARIANS ,OMNIVORES ,EXTERNALITIES - Abstract
Although vegetarian and vegan dietary can positively contribute to animal welfare, the environment and health, they also entail social costs for the people following them. These costs may be an increased risk of stigmatization and, presumably, feelings of embitterment. In this study, we investigated for the first time the association between feelings of embitterment and dietary identity centrality and motivation. Dietary motivation, dietary pattern centrality for identity (DIQ-D), and embitterment (PTED scale) were assessed in and compared between people with vegan (n = 489), vegetarian (n = 339) and omnivorous (n = 319) dietary pattern. The vegan group reported higher embitterment and discrimination perception than the vegetarian and omnivorous groups. High (vegan) dietary centrality, eating disorder, moral motivation, discrimination perception was associated with embitterment. The association between vegan dietary centrality and moral motivation with embitterment is relevant for actions in dietary education and counseling in clinical and public health settings. When dietary pattern becomes relevant for identity building this may come along with problems when it makes the person prone for discrimination perception. [ABSTRACT FROM AUTHOR]
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- 2022
- Full Text
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19. Embitterment – Conception of a Potential Moderator to Dysfunctional and Aggressive Behaviour in Children and Adolescents.
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Balder, Tim and Linden, Michael
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MATHEMATICAL models , *THEORY , *AGGRESSION (Psychology) , *EMOTIONS in children , *EMOTIONS in adolescence , *SOCIAL skills , *TRUST - Abstract
Embitterment is an emotion which is known to everybody in reaction to injustice, humiliation, and breach of trust. Children and adolescents have an understanding of justice/injustice and fairness, violations of injustice, humiliation, and breach of trust are also stressors at a young age. In this conceptual paper it is argued that embitterment is also seen in children and adolescents, and that parents, educators and therapists should recognize this emotion. This could possibly help to early identify children at risk for severe dysfunctional and aggressive behaviours, when preventive interventions are still possible. The article concludes with concepts on how to diagnose and treat children with embitterment. [ABSTRACT FROM AUTHOR]
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- 2022
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20. An exploratory study of embitterment in traumatized refugees
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Julia Spaaij, Matthis Schick, Richard A. Bryant, Ulrich Schnyder, Hansjörg Znoj, Angela Nickerson, and Naser Morina
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Post-migration living difficulties ,Moral injury ,Embitterment ,Self-efficacy ,Refugees ,Asylum seekers ,Psychology ,BF1-990 - Abstract
Abstract Background Refugees and asylum seekers are frequently exposed to violence, human rights violations and unstable living conditions before, during, and after their displacement. Elevated prevalence rates of psychiatric disorders in forcibly displaced persons are well documented. However, less is known about other problems related to common refugee experiences, such as embitterment, moral injury, and diminished self-efficacy, and how they are related to trauma exposure and post-migration living difficulties. Methods A cross-sectional sample of 71 refugees and asylum seekers in treatment were examined regarding exposure to potentially traumatic events, post-migration living difficulties, moral injury appraisals, self-efficacy, and embitterment. Results Elevated levels of embitterment were reported by 68% of participants. The regression analysis revealed that greater moral injury appraisals and low levels of self-efficacy were significantly associated with higher levels of embitterment. Conclusion The results provide first insights into embitterment and associated factors in refugee populations. Furthermore, they highlight the significance of moral transgressions and low levels of self-efficacy emerging from displacement and traumatic experiences for the development of mental health problems in a clinical sample of refugees. The findings have implications for future research, policy development and clinical practice.
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- 2021
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21. Chronic Embitterment in the NHS
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Dunn, Joanne
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362.1969 ,Embitterment ,Occupational Health - Abstract
Chronic Embitterment is a persistent and disabling negative reaction to an event perceived as unjust and is a frequent presentation in NHS Occupational Health settings. It is associated with distress and impairment and is difficult to treat. A lack of research on the psychological processes which underpin Chronic Embitterment has led to a lack of clarity about why some people become embittered while others, facing the same circumstances, do not. Certain psychological variables were proposed as potentially relevant. While rumination has been named as a characteristic feature of Chronic Embitterment, no published study had explored this association. In other studies, Positive beliefs about rumination have been indicated to underpin rumination. It was hypothesised that this may also be the case in Chronic Embitterment. Sense of Coherence describes a cognitive approach to problems which has been repeatedly linked to resilience following negative life events. The relationship of Sense of Coherence to rumination and Chronic Embitterment was unexplored. As both low Sense of Coherence and excessive rumination have evidence based treatments, exploring the roles of these factors in Chronic Embitterment was suggested as a useful direction for research. Seventy nine NHS staff attending two Occupational Health departments in greater London completed a cross sectional survey in relation to the psychological correlates of embitterment. Correlations with the severity of embitterment were found in Affective Rumination and Sense of Coherence, but not Positive beliefs about rumination. Moreover it was found that the relationship been embitterment and Affective Rumination was mediated by Sense of Coherence. The implications of this finding for the understanding, prevention and treatment of Chronic Embitterment are discussed.
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- 2016
22. Embitterment among the unemployed: A multiple mediation model of belief in a just world.
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Shin, Jeonghoon and You, Myoungsoon
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UNEMPLOYMENT ,SURVEYS ,EMOTIONS - Abstract
BACKGROUND: The negative consequences of job loss on financial and psychological quality of life have been well documented. OBJECTIVE: This study evaluated the level of unemployed individuals' embitterment and the mechanism by which negative life experiences increase embitterment by lowering the belief in a just world (BJW). METHODS: A survey was administered to 1,074 unemployed Korean adults who visited a regional Center for Employment and Welfare. Question items included the Korean version of posttraumatic embitterment disorder (PTED) self-rating scale, the BJW (personal and general) scale, negative life events, and sociodemographic characteristics. RESULTS: Only 45.9% of the participants were categorized as being in a 'normal state,' indicating that many of the unemployed were emotionally embittered. There was a positive direct effect of an increase in negative life events on embitterment. Negative life events also significantly and indirectly affected embitterment through personal BJW. CONCLUSIONS: Embitterment was prevalent among the unemployed participants and embitterment was a reactive emotion following personal downgrading, not so much related to conditions in the world at large. Thus, we recommend developing a screening program to detect extreme embitterment and an interventional program to help people better cope with emotional stress due to job loss. Efforts should be made to restore their violated expectation and trust that they would be treated in a just and fair way. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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23. The validity of clinicians’ diagnoses: Is it bread and butter?
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A. Stevens
- Subjects
Major depression ,diagnostic accuracy ,embitterment ,response bias ,Psychiatry ,RC435-571 - Abstract
Major depression has become one of the most frequent diagnoses in Germany. It is also quite prominent in cases referred for medicolegal assessment in insurance, compensation or disability claims. This report evaluates the validity of clinicians’ diagnoses of major depression in a sample of claimants. In 2015, n = 127 consecutive cases were examined for medicolegal assessment. All had been diagnosed with major depression by clinicians. All testees underwent a psychiatric interview, a physical examination, they answered questionnaires for depressive symptoms according to DSM-5, embitterment disorder, post-concussion syndrome (PCS) and unspecific somatic complaints. Performance and symptom validity tests were administered. Only 31% of the sample fulfilled the diagnostic criteria for DSM-5 major depression according to self-report, while none did so according to psychiatric assessment. Negative response bias was found in 64% of cases, feigned neurologic symptoms in 22%. Symptom exaggeration was indiscriminate rather than depression-specific. By self-report (i.e. symptom endorsement in questionnaires), 64% of the participants qualified for embitterment disorder and 93% for PCS. In conclusion, clinicians’ diagnoses of depression seem frequently erroneous. The reasons are improper assessment of the diagnostic criteria, confusion of depression with bereavement or embitterment and a failure to assess for response bias.
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- 2022
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24. Embitterment and Aggression in Psychotherapy Patients
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M. Linden
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aggression ,embitterment ,Psychotherapy ,Psychiatry ,RC435-571 - Abstract
Introduction Embitterment is an emotion which is known to everybody in reaction to injustice, humiliation, and breach of trust. In greater intensity it can cause severe suffering for the affected person and the social envirnment, can result in lasting impairment, and even lead to dysfunctional behavior, including aggression. Embittered patients need therapeutic help and are regularly seen in psychotherapy. The problem is often not properly recognized, because of the multiple accompanying symptoms and accusations against the environment. Objectives Goal of the present study was to learn about the prevalence of embitterment in psychotherapy patients Methods Outpatients in routine psychotherapy filled in the PTED scale (post-traumatic embitterment disorder selfrating scale), the K-FAF (short assessment of aggression) and the SCL-90 (symptom-checklist-90). Additionally, sociodemographic data were available. Results Included were 118 patients, of whom 22% showed a relevant severity of embitterment, 23.7% a relevant score for reactive aggression, and 54.2% a relevant score for irritable aggression. There was a significant correlation between the PTED scale and the aggression scale. Conclusions The data show that embitterment and related aggression are frequent phenomena in psychotherapy patients. Therapists should be aware of this emotion and take proper action to diagnose embitterment and aggressive ideation, which are often covered by other complaints. Special treatments are needed, as the aggressive and negativistic features of embitterment complicate the psychotherapy process. Disclosure No significant relationships.
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- 2022
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25. How Social Exclusion, Embitterment, and Conspiracy Beliefs Mediate Individual's Intention to Vaccination against COVID-19: Results from a Moderated Serial Mediation Analysis.
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Koroma, Dennis, Pestalozzi, Maria I., and Znoj, Hansjörg
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- *
CONSPIRACY theories , *SOCIAL marginality , *VACCINE refusal , *COVID-19 vaccines , *VACCINE hesitancy - Abstract
Introduction: As Switzerland faced the "second wave" of COVID-19 incidences, a discussion of a potential vaccine against the virus emerged. While some individuals accept vaccines, others challenge or refuse to be vaccinated, a phenomena called vaccine hesitancy. Here, trust plays a vital role in vaccination intention. Embitterment not only goes along with the sense of being treated unjust but also innates a distrust in others. Thus, embitterment may influence individuals' vaccination intention against COVID-19. In the present study, we investigate how feelings of being socially excluded and the perceived negative impact of the pandemic are associated with embitterment and in turn, how embitterment is related to individuals' vaccination intention and the tendency to hold COVID-19-related conspiracy beliefs (CCBs). This is in regard of the perceived communication style by the government. Method: A convenience sample of 281 individuals completed an online survey developed on Qualtrics. In this cross-sectional, nonexperimental designed study, indirect effects of a moderated serial mediation were analyzed using Jamm (Jamovi, Version 0.9; 2019). Results: Results indicated that embitterment went along with increased feelings of social exclusion (β = 0.45, p < 0.001). Further, individuals high in embitterment generally indicated a higher vaccination intention against COVID-19 (β = 0.15, p < 0.01). However, embittered individuals holding CCBs had a decreased vaccination intention against COVID-19 (β = −0.71, p < 0.001). Thus, whether or not embittered individuals develop CCBs might be a crucial determinant for their vaccination intention. Noteworthy, the relationship between embitterment and the tendency to hold CCBs was reinforced by the notion of an unsatisfactory style of communication by the government. Conclusion: Taken together, results suggest that embitterment not only plays a relevant role in vaccination intention against COVID-19 but also for the susceptibility to engage in conspiracy beliefs. [ABSTRACT FROM AUTHOR]
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- 2022
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26. Embitterment as a Specific Mental Health Reaction during the Coronavirus Pandemic.
- Author
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Muschalla, Beate, Vollborn, Clio, and Sondhof, Anke
- Subjects
- *
COVID-19 pandemic , *MENTAL health , *SOCIAL impact , *MENTAL illness , *PSYCHOLOGICAL adaptation - Abstract
Introduction: Embitterment can occur as a reaction to perceived injustice. During the pandemic and restrictions in daily living due to infection risk management, a range of many smaller or severe injustices have occurred. Objective: The aim of this study is to investigate what characterizes persons with high embitterment, mental illness, embitterment and mental illness, and those without embitterment or mental health problems. Methods: We conducted an online survey including persons from the general population in November 2020 and December 2020, the phase during which a second lockdown took place, with closed shops, restaurants, cultural and activity sites. 3,208 participants (mean age 47 years) gave self-ratings on their present well-being, burdens experienced during the pandemic, embitterment, wisdom, and resilience. Results: Embitterment occurred among 16% of the sample, which is a high rate in comparison with 4% during pre-pandemic times. Embitterment was weakly correlated with unspecific mental well-being. There were more persons with embitterment than those with embitterment and a mental health problem. Persons with embitterment reported less coronavirus-related anxiety than persons without embitterment. However, embittered persons reported more social and economic burdens and more frequent experiences of losses (job loss and canceling of medical treatments). Embittered persons perceive their own wisdom competencies on a similar level as persons with mental health problems or persons without mental health problems. Conclusion: Embitterment is a specific potentially alone-standing affective state, which is distinguishable from general mental health and coping capacities (here: wisdom). The economic and social consequences of pandemic management should be carefully recognized and prevented by policy. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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27. Complaints about bullying at the workplace are related to fantasies of aggression in psychosomatic patientss.
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Noack, Isabel and Linden, Michael
- Subjects
WORK environment & psychology ,MEDICAL rehabilitation ,SICK leave ,STATISTICS ,FANTASY (Psychology) ,PSYCHOTHERAPY patients ,ACQUISITION of data methodology ,PSYCHOSOMATIC disorders ,SOCIAL workers ,PATIENTS ,INTERVIEWING ,RETROSPECTIVE studies ,RISK assessment ,REHABILITATION of people with mental illness ,JOB security ,PSYCHOLOGICAL tests ,QUESTIONNAIRES ,DESCRIPTIVE statistics ,PSYCHOSOCIAL factors ,MEDICAL records ,AGGRESSION (Psychology) ,DATA analysis software ,DATA analysis ,BULLYING ,PSYCHOLOGICAL distress ,PSYCHOLOGICAL factors ,DISEASE complications - Abstract
BACKGROUND: The workplace can be associated with social stressors like vilification, humiliation, and breach of trust. A common emotional response is embitterment and aggressive behavior. OBJECTIVE: Aim of the study is to investigate the relation between work-related problems, including bullying, and fantasies of aggression. METHODS: Therapists of a department of behavioral medicine routinely had to fill in a diagnostic checklist whenever they saw signs of embitterment and/or aggression in their patients. The type of aggressive fantasies was categorized in no fantasy, minor harm, serious harm without bodily harm, or bodily harm. Independent of this interview, social workers assessed problems at work (duration of sickness absence, workplace insecurity, bullying at workplace, ability to work, expectation of pension). Patients were also asked to fill in an embitterment questionnaire and the Symptom-Checklist-90. Further sociodemographic and clinical information was taken from the hospital routine documentation. RESULTS: A total of 3211 patients were admitted to the hospital during the observation period. Therapists saw the indication for an in-depth interview because of aggressive fantasies in 102 (3.2%) patients. Aggressive ideations refer to "minor harm" in 27%, "serious harm" in 37%, and "bodily harm" in 35%of patients, respectively. There is a significant relation between the severity of aggressive ideations and bullying and duration of sick leave. There was also a significant correlation between ideas of aggression and feelings of embitterment. CONCLUSION: Aggressive ideations are interrelated with psychosomatic distress and workplace problems and feelings of embitterment. This is of importance for prevention and interventions in regard to workplace bullying. [ABSTRACT FROM AUTHOR]
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- 2021
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28. Reliability and validity of the Chinese version of the post‐traumatic embitterment disorder self‐rating scale (PTED‐21) among inpatients in general hospital.
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Wang, Xiaoyan, Gao, Yuting, Tan, Liangliang, Zhang, Yuqun, Yang, Ting, Shi, Linhua, Chu, Painan, Linden, Michael, and Yuan, Yonggui
- Subjects
- *
STATISTICAL reliability , *RESEARCH methodology evaluation , *RESEARCH methodology , *INTERVIEWING , *SEVERITY of illness index , *MULTITRAIT multimethod techniques , *FACTOR analysis , *MENTAL depression , *QUESTIONNAIRES , *RECEIVER operating characteristic curves , *ANXIETY , *STATISTICAL correlation ,RESEARCH evaluation - Abstract
Embitterment and in some cases also post‐traumatic embitterment disorder (PTED) are relevant problem in the general population and even more so in psychiatric patients. PTED screening should be an essential component of routine mental health management, which can be done by the 21‐item Post‐traumatic Embitterment Disorder Self‐Rating Scale (C‐PTED‐21), which measures the intensity of reactive stimulus bound embitterment. The PTED‐21 German version was translated into Chinese, and 200 nonpsychiatric inpatients, reporting major negative life events, were recruited through convenience sampling to evaluate test performance. Ninety patients were selected for retest 2 weeks later to examine scale reliability. Factor analysis was used to assess construct validity and receiving operating characteristic curve analysis based on the "PTED standardized diagnostic interview" to assess diagnostic utility. Correlations with depression, somatic symptom, and anxiety scales were examined to assess aggregate validity. The C‐PTED‐21 demonstrated high internal consistency (Cronbach's α = 0.944) and good test–retest reliability (total score r = 0.783, individual item r value range, 0.635–0.889). Factor analysis revealed three common factors consistent with PTED core features. Total C‐PTED‐21 score was strongly correlated with the score on the nine‐item Patient Health Questionnaire depression scale (PHQ‐9, r = 0.735). Mean PTED‐21 score ≥1.6 points distinguished clinical PTED as defined by diagnostic interview with 97.6% sensitivity and 90.5% specificity (AUC = 0.988, 95%CI: 0.976–0.999). The results show that the C‐PTED‐21 can assess the severity of PTED with good reliability and validity. [ABSTRACT FROM AUTHOR]
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- 2021
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29. An exploratory study of embitterment in traumatized refugees.
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Spaaij, Julia, Schick, Matthis, Bryant, Richard A., Schnyder, Ulrich, Znoj, Hansjörg, Nickerson, Angela, and Morina, Naser
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HUMAN rights violations ,SELF-efficacy ,HARM (Ethics) ,EXPLORATORY factor analysis - Abstract
Background: Refugees and asylum seekers are frequently exposed to violence, human rights violations and unstable living conditions before, during, and after their displacement. Elevated prevalence rates of psychiatric disorders in forcibly displaced persons are well documented. However, less is known about other problems related to common refugee experiences, such as embitterment, moral injury, and diminished self-efficacy, and how they are related to trauma exposure and post-migration living difficulties. Methods: A cross-sectional sample of 71 refugees and asylum seekers in treatment were examined regarding exposure to potentially traumatic events, post-migration living difficulties, moral injury appraisals, self-efficacy, and embitterment. Results: Elevated levels of embitterment were reported by 68% of participants. The regression analysis revealed that greater moral injury appraisals and low levels of self-efficacy were significantly associated with higher levels of embitterment. Conclusion: The results provide first insights into embitterment and associated factors in refugee populations. Furthermore, they highlight the significance of moral transgressions and low levels of self-efficacy emerging from displacement and traumatic experiences for the development of mental health problems in a clinical sample of refugees. The findings have implications for future research, policy development and clinical practice. [ABSTRACT FROM AUTHOR]
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- 2021
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30. COVID-19 시대의 울분과 외로움 관리를 위한 연결성의 중요성.
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한 창 수
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PSYCHOLOGICAL burnout ,SUICIDE ,COVID-19 ,INTERNET ,SOCIAL networks ,MEDICAL personnel ,SOCIAL isolation ,LONELINESS ,INTERPERSONAL relations ,PSYCHOSOCIAL factors ,EMOTIONS ,ANXIETY ,PSYCHOLOGICAL stress ,MENTAL illness ,MENTAL health services - Abstract
Background: Coronavirus disease 2019 (COVID-19) has made 'untact' life a new standard (next normal) way of life, minimizing physical contacts among people. Emotional exchanges between people are rapidly being replaced by contact through the Internet, social networks, and over-the-top services. Current Concepts: People are expressing more stress and anxiety that are caused by fear of infection, and also embitterment due to perceived distrust and injustice is increasing. In the era of COVID-19, it is necessary and important to manage burnout, depression, and anxiety symptoms of medical staff and quarantine personnel. The pandemic and the resulting social changes intensifies loneliness, leading to deterioration in mental and physical health. The World Health Organization has warned that loneliness and social isolation are leading to the exacerbation of physical illness and increased mortality due to suicide and other mental health problems. Discussion and Conclusion: It is needed to establish a next standard of mental health service such as untact diagnosis and follow-up support system. Government and society should establish a sustainable system even after the COVID-19 crisis, rather than stopgap measures made with people's sacrifice as collateral. [ABSTRACT FROM AUTHOR]
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- 2021
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31. Post-traumatic embitterment symptoms among woman victims of February 28th post-modern coup of Turkey after two decades: A comparative cross-sectional study.
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Görmez, Aynur, Yeni Elbay, Rümeysa, and Karatepe, Hasan Turan
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SELF-control , *POST-traumatic stress disorder , *PSYCHOLOGICAL tests , *SOCIOECONOMIC factors , *PSYCHOLOGY of women , *NATURAL disasters , *DESCRIPTIVE statistics , *MENTAL depression , *PATHOLOGICAL psychology , *EMOTION regulation , *ANXIETY , *PSYCHOLOGICAL stress , *PSYCHOLOGICAL resilience - Abstract
Background: Post-traumatic embitterment disorder (PTED) is characterized by embitterment reaction to stressful life events, which are seen as unjust and as a violation of basic beliefs. On 28 February 1997, a so-called post-modern coup took place in Turkey, declaring a ban on hijab which had a significant impact on women's lives by eliminating them from public sphere if they were to wear hijab. Aim: The aim of this study was to assess the frequency of PTED symptoms among woman victims of the coup after two decades, and to investigate its correlations. Embitterment reaction was also examined in woman victims of 1999 earthquakes of Turkey, and the findings were compared. Method: We used PTED, Beck Anxiety Inventory, Beck Depression Inventory and Brief Resilience Scale, and a purpose-designed socio-demographic form. Results: Out of eligible 101 hijab ban victims responded, substantial proportion of them (48%) were suffering from chronic embitterment as well as experiencing symptoms of anxiety (37.6%) and depression (26.8%) of moderate-to-severe intensity. There was no difference in the levels of anxiety, depression and resilience between the victims of the coup and earthquake (N = 20), but hijab ban victims were significantly more likely to present with PTED symptoms (p <.05). Women who had family support were more resilient with less likelihood of PTED (p <.05). Conclusion: This study provides some important insights into psychopathology of PTED as well as suggesting that it is more likely to manifest in people whose suffering is brought upon by fellow human beings. [ABSTRACT FROM AUTHOR]
- Published
- 2021
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32. Influence of disease phase on embitterment and emotional dysregulation in psoriatic patients.
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Almeida, V., Constante, D., Leite, A., Almeida, I. F., Rocha, J. C., Sá, R., Teixeira, M., and Teixeira, A.
- Subjects
- *
ADJUSTMENT disorders , *ANTIDEPRESSANTS , *ANXIETY , *COFFEE , *MENTAL depression , *ALCOHOL drinking , *EMOTION regulation , *PSORIASIS , *SATISFACTION , *SELF-control , *SMOKING , *TRANQUILIZING drugs , *SYMPTOMS , *DISEASE exacerbation , *FAMILY history (Medicine) , *PATIENTS' attitudes - Abstract
This study aimed to evaluate the psychosocial differences between patients with psoriasis in different phases of the disease. Seventy-one patients in exacerbation and 83 in remission were evaluated regarding sociodemographic, clinical and psychological variables, on the premise that the visibility of lesions (exacerbation phase) may impact the emotional regulation and embitterment. A regression analysis was performed to identify the variables that contribute to explain embitterment: a diagnosis of anxiety and/or depression and psoriasis severity are the identified ones. The results point to higher values of emotional dysregulation and embitterment, as well as more critical clinical variables in patients with active disease, namely, alcohol and coffee consumption, smoking and less satisfaction with current treatment, more diagnoses and more family history of anxiety and depression, more psychology/psychiatry consultations and more use of anxiolytics and antidepressants. However, only the results referring to alcohol consumption and embitterment are significantly higher in subjects in the exacerbation phase of the disease. Particular clinical attention should be provided to patients in exacerbation phase regarding psychotherapeutic approach. [ABSTRACT FROM AUTHOR]
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- 2021
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33. Modeling embitterment dynamics: The influence of negative life events and social support mediated by belief in a just world.
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You, Myoungsoon and Ju, Youngkee
- Subjects
- *
SOCIAL support , *STRUCTURAL equation modeling , *EMOTIONAL state , *POST-traumatic stress disorder , *SELF-report inventories , *MENTAL depression , *QUESTIONNAIRES , *EMOTIONS - Abstract
Background: Embitterment is an emotional state as a reaction to negative life events and is characterized as a nagging and burning feeling of being let down, insulted, or being a loser, and of being revengeful but helpless. There have been few studies concerning embitterment dynamics. This study aims to test a structural equation model for embitterment dynamics by examining likely factors that could have contributed to feelings of embitterment.Methods: A total of 2024 South Koreans completed Post-Traumatic Embitterment Disorder Self-Rating Scale and Bern Embitterment Inventory, as well as the scales of belief in a just world (BJW), negative life events, and social support.Results: Experiencing more negative life events was connected to a higher level of embitterment, whereas having more social supports decreased embitterment. As an indirect effect, BJW showed the most powerful influence on embitterment and BJW itself was reduced or increased either by negative life events or social support, respectively.Limitations: Although some significant influences on embitterment were examined, other aspects that include individual characteristics (self-efficacy, trust, political orientation, and media use) await examination.Conclusions: The level of embitterment was affected by BJW, social support, and negative life events, which suggests points of possible intervention. [ABSTRACT FROM AUTHOR]- Published
- 2020
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34. Querulant delusion and post-traumatic embitterment disorder.
- Author
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Linden, Michael
- Subjects
- *
POST-traumatic stress disorder , *ADJUSTMENT disorders , *AGGRESSION (Psychology) , *DELUSIONS , *EMOTIONS , *PSYCHOSES , *PSYCHOTHERAPY , *PSYCHOLOGICAL factors - Abstract
Injustice, breach of trust, and humiliation are social stressors which can result in embitterment, known to everybody and which has been described in the Bible (Cain and Abel) or by Aristotle in the Nicomachean Ethics. It has been discussed by several authors since the early days of psychiatric classification. In the textbook 'Psychiatry' by E. Kraepelin a full chapter is devoted to 'querulant delusion', named a reactive psychosis, which can be discriminated from endogenous psychosis or personality disorders. Core symptoms are embitterment, negativism, helplessness, self blame, unspecific somatic symptoms, phobic avoidance of persons or situations related to the event, intrusions, phantasies of revenge and aggression. Another name is 'Posttraumatic Embitterment Disorder' according to the leading emotion. This severe mental disorder has by and large been ignored over the years by health professionals. In ICD-11 the term embitterment is mentioned for the first time in the category '6B43 adjustment disorder'. Embitterment can be measured with the 'Bern Embitterment Inventory (BVI)' and the 'Post-Traumatic Embitterment Self-rating Scale (PTED scale)'. Treatment must take into account the special features of embitterment including often aggressive rejection of help. A promising treatment approach is, to refer to wisdom psychology and transfer this in 'wisdom psychotherapy'. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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35. Testing the benefits of expressive writing for workplace embitterment: a randomized control trial.
- Author
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Michailidis, Evie and Cropley, Mark
- Subjects
WRITING ,OCCUPATIONAL health services ,RUMINATION (Cognition) ,RANDOMIZED controlled trials ,PSYCHOLOGICAL disengagement - Abstract
Clinicians working in occupational health services often recognize features of embitterment in organizations; however, research on interventions for embitterment are scarce. The present study aimed to assess the effectiveness of an expressive writing intervention on working adults who experience workplace embitterment. Employing a randomized control trial we sought to test an expressive writing intervention for its effects on reducing embitterment, work-related rumination and sleep quality and assess whether the effect of the intervention was maintained over time by following up participants after one and three months. Findings partially supported our hypothesis as results showed that participants who completed the expressive writing intervention (N = 23) did not show significantly lower levels of embitterment, affective rumination, higher levels of detachment, either improved sleep quality, compared to participants who completed the factual writing (N = 21), when baseline values were controlled for. However, when looking at the mean scores embitterment and affective rumination levels diminished, detachment levels increased and sleep quality improved throughout the course of the intervention for both groups. Given the stability of embitterment and as findings from this study indicate embitterment diminished after a writing exercise irrespective of emotional disclosure taking place or not, further research and investigation are warranted. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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36. Exposure to Negative Life Events and Post-Traumatic Embitterment Symptoms in Young Adults in Korea: Cumulative and Differential Effects.
- Author
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Lee, Jung Hyun and Kim, Sori
- Abstract
Background: Post-traumatic embitterment disorder (PTED) has recently been introduced as a subgroup of adjustment disorders related to stressful life events. Embitterment is defined as persistent feelings of inadequacy or hoping for revenge after being insulted but feeling helpless after experiencing a life stressor. This study aims to investigate the cumulative and differential effects of negative life events on the risk of developing embitterment among young adults in South Korea. Methods: Data for the present study were collected from a web-based survey of 1,000 young adults aged 18–35 years. All participants completed a list of negative life events, the PTED Self-Rating Scale. Logistic regression analysis was conducted to evaluate the relationships between the number of negative life events and reactive embitterment. Analyses of the relationships between each negative life event and reactive embitterment were performed using covariates, including childhood trauma, depression, and anxiety symptoms. Results: The total number of participants with reactive embitterment (cut-off scores > 2.5) was 452 (45.2%). Greater exposure to negative life events increased the risk of reactive embitterment compared to no negative events. Negative life events, including financial problems, family problems, and being excluded by friends, had significant associations with the risk of reactive embitterment. Conclusions: The present study revealed a substantial number of young adults with a high level of embitterment. Furthermore, cumulative and differential effects of negative events increased the risk for reactive embitterment. Our findings underlined the crucial role of adverse life events in the development of reactive embitterment. [ABSTRACT FROM AUTHOR]
- Published
- 2019
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37. Major depression - a study on the validity of clinicians’ diagnoses in medicolegal assessment.
- Author
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Stevens, Andreas, Schmidt, Diana, and Hautzinger, Martin
- Subjects
- *
MENTAL depression , *FORENSIC toxicology , *RESPONSE styles (Examinations) , *ADAPTIVE testing - Abstract
Major depression ranges among the most frequently diagnosed psychiatric disorders. Accordingly, diagnoses of depression are often underlying insurance, compensation or disability claims. This report evaluates the validity of clinicians’ diagnoses of major depression in a sample of claimants. In 2015, n = 127 consecutive cases were examined for medicolegal assessment. For all of them, a diagnosis of major depression had been established by clinicians. All testees underwent a psychiatric interview, a physical examination, they answered questionnaires for depressive symptoms according to DSM-5, embitterment disorder, post concussion syndrome (PCS) and unspecific somatic complaints. Performance and symptom validity tests were administered. Only 31% fulfilled the diagnostic criteria for DSM-5 major depression according to self-report, while none did so according to psychiatric assessment. Negative response bias was found in 64% of cases, feigned neurologic symptoms in 22%. Symptom exaggeration was indiscriminate rather than depression-specific. By self-report, 64% of the participants qualified for embitterment disorder and 93% for PCS. In conclusion, clinicians’ diagnoses of depression seem often confounded by improper assessment of the diagnostic criteria, confusion of depression with bereavement or embitterment and also by response bias. [ABSTRACT FROM AUTHOR]
- Published
- 2018
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38. Suicidal and Aggressive Ideation Associated with Feelings of Embitterment.
- Author
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Linden, Michael and Noack, Isabel
- Subjects
- *
SUICIDAL behavior , *AGGRESSION (Psychology) , *SUICIDAL ideation , *MENTAL depression , *PATHOLOGICAL psychology - Abstract
Background: Mental disorders can be associated with suicidal or aggressive ideation and behavior, especially in the context of embitterment. The aim of this study is to investigate the types, prevalence, and dangerousness of aggressive and suicidal ideations associated with embitterment. Methods: When therapists from the department of behavioral medicine detected signs of embitterment, aggression, or suicidal thoughts in their patients, they routinely filled out a questionnaire on aggressive ideation, assessed the embitterment, and contacted a senior psychiatrist. Additionally, patients answered an embitterment scale. Results: There were 127 patients (3.84% of all patients) with suicidal and/or aggressive ideation. They had an increased score of 2.93 (SD 0.74) on the embitterment scale, associated with personal vilification (62.7%), breach of trust (30.2%), public humiliation (25.4%), death/loss (5.6%), or attacks by another person (14.3%). We found that 83.5% of the patients harbored aggressive ideations; in 94.1% of this group, these were directed against the person who had caused the problem, 88.3% wanted to inflict severe damage, 38.8% to harm another person, 31.5% showed suicidal ideation, and 3.2% had fantasies of murder-suicide. Only 34.3% of the patients reported spontaneously about their current aggressive ideation. The limitations of the study are that the data come from an inpatient sample and patients were identified according to clinical judgement. Conclusion: Aggressive ideation is regularly associated with embitterment. This deserves the attention of therapists for the prevention of aggressive acts. [ABSTRACT FROM AUTHOR]
- Published
- 2018
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39. Feelings of guilt and embitterment in parents of children with burns and its associations with depression.
- Author
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Sveen, Josefin and Willebrand, Mimmie
- Subjects
- *
BURNS & scalds in children , *MENTAL depression , *SYMPTOMS , *MEDICAL records , *QUESTIONNAIRES - Abstract
Objectives: The aim was to examine guilt and embitterment in mothers and fathers of children with burns and its associations with depression and burn severity.Methods: Parents (N=61, mothers n=41, fathers n=20) completed self-report questionnaires on guilt and embitterment, 0.8-5.6 years after their child's burn. Burn severity and socio-demographic variables were obtained from medical records and symptoms of depression were assessed with the Montgomery-Åsberg Depression Rating Scale (MADRS).Results: The parents reported low levels of guilt, embitterment and depression. Burn-specific and general guilt were higher in mothers than fathers, but there were no differences in embitterment or symptoms of depression. General guilt was associated with depression, whereas burn-specific guilt and embitterment were not.Conclusions: Parents with general guilt may suffer from symptoms of depression. An implication is that clinicians should address guilt feelings among parents in order to alleviate distress and to identify any need for further counseling. [ABSTRACT FROM AUTHOR]- Published
- 2018
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40. Embitterment as a Specific Mental Health Reaction during the Coronavirus Pandemic
- Author
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Clio Vollborn, Anke Sondhof, and Beate Muschalla
- Subjects
Corona-related anxiety ,medicine.medical_specialty ,Coping (psychology) ,Epidemiology ,media_common.quotation_subject ,Emotions ,Population ,Vulnerability ,Anger ,Anxiety ,Embitterment ,medicine ,Humans ,Psychiatry ,education ,Pandemics ,COVID ,media_common ,education.field_of_study ,Psychopathology ,Mental Disorders ,COVID-19 ,Middle Aged ,Mental illness ,medicine.disease ,Mental health ,Aggression ,Psychiatry and Mental health ,Clinical Psychology ,Psychological resilience ,medicine.symptom ,Psychology ,Research Article - Abstract
Introduction: Embitterment can occur as a reaction to perceived injustice. During the pandemic and restrictions in daily living due to infection risk management, a range of many smaller or severe injustices have occurred. Objective: The aim of this study is to investigate what characterizes persons with high embitterment, mental illness, embitterment and mental illness, and those without embitterment or mental health problems. Methods: We conducted an online survey including persons from the general population in November 2020 and December 2020, the phase during which a second lockdown took place, with closed shops, restaurants, cultural and activity sites. 3,208 participants (mean age 47 years) gave self-ratings on their present well-being, burdens experienced during the pandemic, embitterment, wisdom, and resilience. Results: Embitterment occurred among 16% of the sample, which is a high rate in comparison with 4% during pre-pandemic times. Embitterment was weakly correlated with unspecific mental well-being. There were more persons with embitterment than those with embitterment and a mental health problem. Persons with embitterment reported less coronavirus-related anxiety than persons without embitterment. However, embittered persons reported more social and economic burdens and more frequent experiences of losses (job loss and canceling of medical treatments). Embittered persons perceive their own wisdom competencies on a similar level as persons with mental health problems or persons without mental health problems. Conclusion: Embitterment is a specific potentially alone-standing affective state, which is distinguishable from general mental health and coping capacities (here: wisdom). The economic and social consequences of pandemic management should be carefully recognized and prevented by policy.
- Published
- 2021
- Full Text
- View/download PDF
41. Indikationsstellende Vorgespräche in der stationären Psychosomatik.
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Bachthaler, Susanne and Valdés-Stauber, Juan
- Abstract
Copyright of Psychotherapeut is the property of Springer Nature and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2017
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42. Return to Work After Traumatic Injury: Increased Work-Related Disability in Injured Persons Receiving Financial Compensation is Mediated by Perceived Injustice.
- Author
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Giummarra, Melita, Cameron, Peter, Ponsford, Jennie, Ioannou, Liane, Gibson, Stephen, Jennings, Paul, and Georgiou-Karistianis, Nellie
- Subjects
ANXIETY ,CHI-squared test ,CONFIDENCE intervals ,CONVALESCENCE ,DEMOGRAPHY ,MENTAL depression ,EMPLOYMENT reentry ,HEALTH status indicators ,LONGITUDINAL method ,POST-traumatic stress disorder ,PROBABILITY theory ,PSYCHOLOGICAL tests ,QUESTIONNAIRES ,REGRESSION analysis ,RESEARCH funding ,PSYCHOLOGICAL stress ,WORKERS' compensation ,WOUNDS & injuries ,LOGISTIC regression analysis ,PAIN measurement ,SEVERITY of illness index ,BRIEF Pain Inventory - Abstract
Purpose Traumatic injury is a leading cause of work disability. Receiving compensation post-injury has been consistently found to be associated with poorer return to work. This study investigated whether the relationship between receiving compensation and return to work was associated with elevated symptoms of psychological distress (i.e., anxiety, depression, and posttraumatic stress disorder) and perceived injustice. Methods Injured persons, who were employed at the time of injury ( n = 364), were recruited from the Victorian State Trauma Registry, and Victorian Orthopaedic Trauma Outcomes Registry. Participants completed the Hospital Anxiety and Depression Scale, Posttraumatic Stress Disorder Checklist, Injustice Experience Questionnaire, and appraisals of pain and work status 12-months following traumatic injury. Results Greater financial worry and indicators of actual/perceived injustice (e.g., consulting a lawyer, attributing fault to another, perceived injustice, sustaining compensable injury), trauma severity (e.g., days in hospital and intensive care, discharge to rehabilitation), and distress symptoms (i.e., anxiety, depression, PTSD) led to a twofold to sevenfold increase in the risk of failing to return to work. Anxiety, post-traumatic stress and perceived injustice were elevated following compensable injury compared with non-compensable injury. Perceived injustice uniquely mediated the association between compensation and return to work after adjusting for age at injury, trauma severity (length of hospital, admission to intensive, and discharge location) and pain severity. Conclusions Given that perceived injustice is associated with poor return to work after compensable injury, we recommend greater attention be given to appropriately addressing psychological distress and perceived injustice in injured workers to facilitate a smoother transition of return to work. [ABSTRACT FROM AUTHOR]
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- 2017
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43. Embitterment among German academic and non‐academic nurses
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van Eckert, Sandra, Gaidys, Uta, and Martin, Colin R.
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- 2011
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44. Embitterment - Conception of a Potential Moderator to Dysfunctional and Aggressive Behaviour in Children and Adolescents
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Michael Linden and Tim Balder
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medicine.medical_specialty ,Children and adolescents ,Social work ,Public health ,Stressor ,Humiliation ,Justice ,Dysfunctional family ,Critical Care and Intensive Care Medicine ,Moderation ,Injustice ,Developmental psychology ,Embitterment ,Emergency Medicine ,medicine ,Breach of trust ,Justice (ethics) ,Psychology ,600 Technik, Medizin, angewandte Wissenschaften::610 Medizin und Gesundheit::610 Medizin und Gesundheit - Abstract
Embitterment is an emotion which is known to everybody in reaction to injustice, humiliation, and breach of trust. Children and adolescents have an understanding of justice/injustice and fairness, violations of injustice, humiliation, and breach of trust are also stressors at a young age. In this conceptual paper it is argued that embitterment is also seen in children and adolescents, and that parents, educators and therapists should recognize this emotion. This could possibly help to early identify children at risk for severe dysfunctional and aggressive behaviours, when preventive interventions are still possible. The article concludes with concepts on how to diagnose and treat children with embitterment.
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- 2021
45. The investigation of childhood trauma and post traumatic embi̇tterment level in travesties: A comparative study
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Özdemir, Vuslat
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Travesti ,Transvestite ,Travma ,Embitterment ,Hayata küsme ,Trauma - Abstract
Danışman: PROF. DR. AYTEN ERDOĞAN Yer Bilgisi: İstanbul Gelişim Üniversitesi / Lisansüstü Eğitim Enstitüsü / Psikoloji Ana Bilim Dalı / Klinik Psikoloji Bilim Dalı Konu:Psikoloji = Psychology Dizin:Travma sonrası hayata küsme bozukluğu = Post-traumatic embitterment disorder ; Çocukluk çağı travmaları = Childhood traumas, Travesti bozukluğu, erkek bir bireyin kadın giysileri ve aksesuarları giymekten haz alma ile karakterize bir bozukluktur. Travesti bozukluğunun etiyolojisinde travmatik deneyimler önemli rol oynamaktadır. Diğer yandan kişinin bu travmatik deneyimlere bağlı olarak hayata küsme bozukluğu geliştirmesi de olasıdır. Amaç: Bu çalışmanın amacı travesti bireylerde çocukluk çağı travmaları ve travma sonrası hayata küsme düzeylerinin çeşitli değişkenler açısından incelenmesi ve heteroseksüel erkek bireylerle karşılaştırmasının yapılmasıdır. Gereç ve Yöntem: Yapılan çalışmada demografik veri formu, Çocukluk Çağı Travmaları Ölçeği ve Travma Sonrası Hayata Küsme Bozukluğu Ölçeği kullanılmıştır. Çalışmaya yaş ortalaması 31,35±5,85 olan 80 travesti birey ve yaş ortalaması 36,23±7,97 olan 80 heteroseksüel erkek birey olmak üzere toplam 160 kişi çalışmaya katılmıştır. Bulgular: Yapılan korelasyon analizi sonucunda travma sonrası hayata küsme ile çocukluk çağı travmaları arasındaki ilişkiler travesti bireylerde daha güçlü bulunmuştur. Travesti bireylerin çocukluk çağı travma ve travma sonrası hayata küsme puan ortalamaları heteroseksüel erkek bireylerden anlamlı şekilde yüksektir. Demografik değişkenlerden eğitim durumu, kardeş sayısı, doğum sırası, aile yapısı, yaşamın çoğunun geçtiği yer, cinsel yönelimin bireysel ve sosyal boyutları, yaşam memnuniyeti, kendine zarar verici davranış, travmatik deneyimleri hatırlama-kaçınma ve uyku sorunu travesti bireylerin travma sonrası hayata küsme ile çocukluk çağı travmaları puanlarına etki ettiği görülmüştür. Sonuç: Araştırmada elde edilen bulgulara göre, travesti bozukluğu olan bireylerde Çocukluk Çağı travmaları ve travma sonrası hayata küsme bozukluğu etkilidir. İlgili bozukluklar için uygun bir terapi yöntemi travesti bozukluğunun sağaltımında etkili olacaktır., Transvestite disorder is a disorder characterized by the pleasure of wearing a female individual's clothes and accessories. Traumatic experiences play an important role in the etiology of transvestite disorder. On the other hand, it is also possible for the person to develop post traumatic embitterment due to these traumatic experiences. Purpose: The aim of this study is to investigate childhood trauma and post traumatic embitterment level in travesties in terms of various variables and to compare them with healthy men. Materials and Methods: In this study, demographic data form, Childhood Trauma Questionnaire and Post Traumatic Embitterment Disorder Scale were used. The study included a total of 160 people, 80 of whom were transvestite with mean age 36,23±7,97 and 80 of whom healthy men with mean age 36,23±7,97. Findings: As a result of the correlation analysis, the relationship between childhood trauma and post traumatic embitterment was found to be stronger in transvestite individuals. The mean scores of transvestite individuals for childhood trauma and post traumatic embitterment are significantly higher than for healthy men. It has been observed that demographic variables such as educational status, number of siblings, birth order, family structure, place of life, individual and social dimensions of sexual orientation, life satisfaction, self-destructive behavior, traumatic experiences of recall-avoidance and sleep problem affect the childhood trauma and post traumatic embitterment scores. Conclusion: According to the findings of the study, childhood traumas and post traumatic embitterment were effective in individuals with transvestite disorder. A suitable therapy method for the related disorders will be effective in the treatment of transvestite disorder.
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- 2021
46. An exploratory study of embitterment in traumatized refugees
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Matthis Schick, Hansjörg Znoj, Richard A. Bryant, Naser Morina, Julia Spaaij, Ulrich Schnyder, Angela Nickerson, University of Zurich, and Spaaij, Julia
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050103 clinical psychology ,Refugee ,Asylum seekers ,Exploratory research ,610 Medicine & health ,Morals ,Stress Disorders, Post-Traumatic ,03 medical and health sciences ,0302 clinical medicine ,Embitterment ,Prevalence ,Psychology ,Humans ,0501 psychology and cognitive sciences ,Moral injury ,General Psychology ,Self-efficacy ,Refugees ,Displaced person ,Psychological research ,Research ,05 social sciences ,3200 General Psychology ,General Medicine ,Displacement (psychology) ,Mental health ,BF1-990 ,030227 psychiatry ,10057 Klinik für Konsiliarpsychiatrie und Psychosomatik ,Cross-Sectional Studies ,Clinical psychology ,Post-migration living difficulties - Abstract
BackgroundRefugees and asylum seekers are frequently exposed to violence, human rights violations and unstable living conditions before, during, and after their displacement. Elevated prevalence rates of psychiatric disorders in forcibly displaced persons are well documented. However, less is known about other problems related to common refugee experiences, such as embitterment, moral injury, and diminished self-efficacy, and how they are related to trauma exposure and post-migration living difficulties.MethodsA cross-sectional sample of 71 refugees and asylum seekers in treatment were examined regarding exposure to potentially traumatic events, post-migration living difficulties, moral injury appraisals, self-efficacy, and embitterment.ResultsElevated levels of embitterment were reported by 68% of participants. The regression analysis revealed that greater moral injury appraisals and low levels of self-efficacy were significantly associated with higher levels of embitterment.ConclusionThe results provide first insights into embitterment and associated factors in refugee populations. Furthermore, they highlight the significance of moral transgressions and low levels of self-efficacy emerging from displacement and traumatic experiences for the development of mental health problems in a clinical sample of refugees. The findings have implications for future research, policy development and clinical practice.
- Published
- 2020
47. Embitterment: The Nature of the Construct and Critical Issues in the Light of COVID-19
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Avinash De Sousa and Russell D’Souza
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2019-20 coronavirus outbreak ,Psychotherapist ,Coronavirus disease 2019 (COVID-19) ,Leadership and Management ,Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ,lcsh:Medicine ,Health Informatics ,Review ,03 medical and health sciences ,0302 clinical medicine ,Health Information Management ,medicine ,030212 general & internal medicine ,Posttraumatic embitterment disorder ,Health Policy ,pandemic ,Perspective (graphical) ,lcsh:R ,embitterment ,COVID-19 ,medicine.disease ,030227 psychiatry ,Variety (cybernetics) ,psychotherapy ,workplace ,posttraumatic embitterment disorder ,Anxiety ,medicine.symptom ,Construct (philosophy) ,Psychology - Abstract
Embitterment is a construct that is vast and complex and may be seen in a variety of conditions and circumstances. The following paper reviews the construct of embitterment and tries to explain the concept from a psychological perspective. It also looks at the role of embitterment in the genesis of psychiatric disorders like depression, anxiety, and PTSD, while focusing on the nature and factors needed to make a diagnosis of Posttraumatic Embitterment Disorder. Situations due to the current pandemic where embitterment may develop are discussed and this is coupled with a need to manage embitterment when it develops, as it may progress to a chronic condition where its effects may be both physical and psychological. Embitterment and its management from a psychotherapy standpoint is also discussed and the same is done from a workplace perspective.
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- 2020
48. Is post-traumatic embitterment disorder a yet unknown comorbidity of anorexia nervosa?
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Rami Bou Khalil, Sébastien Guillaume, Hôtel-Dieu de France (HDF), Université Saint-Joseph de Beyrouth (USJ), Centre Hospitalier Régional Universitaire [Montpellier] (CHRU Montpellier), Hôpital Lapeyronie [Montpellier] (CHU), Neuropsychiatrie : recherche épidémiologique et clinique (PSNREC), and Université Montpellier 1 (UM1)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Montpellier (UM)
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0301 basic medicine ,media_common.quotation_subject ,[SDV]Life Sciences [q-bio] ,Learned helplessness ,Rage (emotion) ,Trauma ,03 medical and health sciences ,0302 clinical medicine ,Embitterment ,Intervention (counseling) ,medicine ,media_common ,Wisdom ,business.industry ,General Medicine ,Anorexia nervosa ,Post-traumatic embitterment disorder ,medicine.disease ,Comorbidity ,3. Good health ,030104 developmental biology ,Feeling ,Anorexia nervosa (differential diagnoses) ,Intrusive memories ,business ,030217 neurology & neurosurgery ,Clinical psychology ,Psychopathology - Abstract
International audience; Patients with anorexia nervosa (AN) present more frequently a personal history of traumatizing life events than they manifest a comorbid, clinically characterized, post-traumatic stress disorder (PTSD). The psychological impact of traumatic events on patients with AN may also manifest through a post-traumatic embitterment disorder (PTED). In PTED, the traumatic event is perceived as unjust and the patient's response involves feelings of embitterment, rage, and helplessness along with repeated intrusive memories and a persistent negative change in mental well-being. Patients with AN share several psychopathological features with the clinical disturbed dimensions described in PTED. Accordingly, the comorbidity between PTED and AN needs further characterization. Moreover, specific therapeutic intervention known to improve symptoms of PTED such as cognitive-behavioral therapy based on wisdom psychology should be tested in selected patients with AN.
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- 2020
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49. Demoralization and embitterment
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Maria Giulia Nanni, Rosangela Caruso, Luigi Grassi, and Silvana Sabato
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Social Psychology ,Emotions ,Psychological intervention ,MEDLINE ,Socio-culturale ,negative events ,PsycINFO ,Psychological Trauma ,Cochrane Library ,03 medical and health sciences ,0302 clinical medicine ,Quality of life (healthcare) ,Demoralization, embitterment, demoralization syndrome, post-traumatic embitterment disorder, negative events ,medicine ,Humans ,Pathological ,post-traumatic embitterment disorder ,embitterment ,demoralization syndrome ,medicine.disease ,030227 psychiatry ,Clinical Psychology ,Demoralization ,030220 oncology & carcinogenesis ,Psychology ,Morale ,Stress, Psychological ,Clinical psychology ,Psychopathology ,Psychological trauma - Abstract
Objective Individuals may experience a wide range of psychological reactions in response to negative life events. Even if events that threaten life have been always played a central role in research, recent studies have outlined that experiences, considered exceptional but part of the human existence (e.g., divorce, unemployment, or chronic illness) may also lead individuals to experience enduring emotional states of suffering. Demoralization has been substantially described as an important condition occurring in response to stressful events, while a recent interest is growing on embitterment as a common reaction. Method By analyzing the most relevant studies (MEDLINE, EMBASE, PsycLit, and Cochrane Library), this article discusses the main features of embitterment and demoralization, summarizing the similarities as well as the differences detectable between the 2 constructs. Results Some authors have described these phenomena as spectrum or gradients that start with normal human responses until getting to pathological conditions, characterized by prolonged intense psychological distress in relation to stressful events. Both have shown distinct psychopathological features than other stress-related mental disorders and have been recognized as predictors of negative outcomes, such as impairment in work and social functioning, reduction of quality of life, risk for mental and physical disorders, and suicidality. Conclusions Demoralization and embitterment are multidimensional phenomena, connected to each other by bridge dimensions and in the meanwhile characterized by distinct features. Accurately exploring these clinical conditions is an ongoing challenge to clinicians and researchers, who are called for improving their recognition and proper therapeutic interventions that can ameliorate patients quality of life. (PsycINFO Database Record
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- 2018
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50. A combination of illness invalidation from the work environment and helplessness is associated with embitterment in patients with FM.
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Blom, David, Thomaes, Sander, Kool, Marianne B., van Middendorp, Henriët, Lumley, Mark A., Bijlsma, Johannes W. J., and Geenen, Rinie
- Subjects
- *
ATTITUDE testing , *FIBROMYALGIA , *QUESTIONNAIRES , *REGRESSION analysis , *WORK , *SOCIAL support , *DATA analysis software , *PATIENTS' attitudes , *DESCRIPTIVE statistics - Abstract
Objectives. The aim of this study in employed people with FM was to test the hypothesis that embitterment is a function of the joint experience of invalidation from the work environment and helplessness regarding one's illness.Methods. Sixty-four full-time (36%) or part-time (64%) employed patients with FM (60 females, mean age 45 years) completed the Illness Invalidation Inventory (3*I) to assess work-related discounting and lack of understanding, the Illness Cognition Questionnaire (ICQ) to assess helplessness and the Bern Embitterment Inventory (BEI) to assess embitterment. Hierarchical regression analysis was performed.Results. Sixteen percent of the participants experienced embitterment levels in the clinical range. The interaction or combination of discounting and helplessness (P = 0.02) and the combination of lack of understanding and helplessness (P = 0.04) were associated with greater embitterment.Conclusions. The construct of embitterment has substantial face validity and may result from a combination of invalidation and helplessness. Whereas helplessness is a common target of cognitive–behavioural therapy, evidence-based interventions to redress invalidation and embitterment are needed. It is possible, however, to target invalidation by educating people in the work environment about the consequences of FM and patients' valid needs for work that is manageable, given each patient's specific health-related limitations. [ABSTRACT FROM PUBLISHER]
- Published
- 2012
- Full Text
- View/download PDF
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