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Full-Text Articles in Psychology

Understanding Ethical Leadership In Intelligence: Themes In Accountability, Self-Development, And Communication Among Cia Leaders, Caroline Walsh May 2024

Understanding Ethical Leadership In Intelligence: Themes In Accountability, Self-Development, And Communication Among Cia Leaders, Caroline Walsh

Dissertations

This dissertation elucidates the concept of ethical leadership within the Central Intelligence Agency (CIA). Based on interviews with ten former senior-level officers from across different departments, the study analyzes how these leaders understand issues of accountability, self-development, and communication. The research also provides insights into their processes of sense-making and their methodologies for fostering ethical conduct amidst the complexities of intelligence operations.

Against the backdrop of the CIA's mission, structure, and norms, the study sheds light on the challenges and tensions inherent in the organization's operations. Through a thematic analysis of participant narratives, themes of moral cognition, personal values, and …


Pain Interference In Chronic Musculoskeletal Pain: Examining A Resilience Model Of Dispositional Optimism, Coping Responses, And Mind-Body Practices, Trey Heffernan May 2024

Pain Interference In Chronic Musculoskeletal Pain: Examining A Resilience Model Of Dispositional Optimism, Coping Responses, And Mind-Body Practices, Trey Heffernan

Dissertations

Chronic musculoskeletal pain is the leading cause of disability in the United States. Pain interference, or the ways chronic pain negatively interferes with everyday life, is the biggest problem impacting individuals with chronic musculoskeletal pain. Although previous research has targeted risk factors associated with poor health outcomes, the adaptive functioning of some patients with chronic pain highlights a need for research investigating resilience factors. The purpose of this study was to investigate the direct and indirect relationships between resilience factors of optimism, coping responses, and mind-body practices on pain interference for individuals with chronic musculoskeletal pain. Specifically, the resilience model …


California School Psychologists’ Assessment Practices With Cld Students: A Phenomenological Study, Hector Manuel Teran Jr. May 2024

California School Psychologists’ Assessment Practices With Cld Students: A Phenomenological Study, Hector Manuel Teran Jr.

Dissertations

School psychologists are tasked with assessing students to qualify them for special education, typically using standardized tests. Standardized testing, like IQ testing, routinely used in the psycho-educational process, serves to justify prejudices, as they often mark people of color as intellectually inferior to White people. A closer look at school psychologists’ assessment practices with culturally and linguistically diverse (CLD) students is necessary, as these students have historically been placed in special education at a higher percentage, likely due to misperceptions related to their race, ethnicity, or linguistic background. While IQ tests are regarded as tools that identify the needs of …


Perceived Parental Abilities Of Traditional Vs. Non-Traditional Couples Seeking To Adopt, Kaitlyn Boykin May 2024

Perceived Parental Abilities Of Traditional Vs. Non-Traditional Couples Seeking To Adopt, Kaitlyn Boykin

Dissertations

Prejudice towards those that do not conform to stereotypical roles for their given sex remains a pervasive societal problem, particularly among gay and lesbian couples. However, few experimental studies investigating factors that affect prejudice toward such couples have been conducted. The current study sought to better understand the psychological factors driving these prejudices, particularly considering the long-term implications for gay and lesbian couples seeking to expand their families. One basis for this prejudice seems to be a reaction to gay or lesbian couples violating traditional familial and gender norms. To further investigate this prejudice, participants viewed either an opposite- or …


Positive Psychology In The Ncaa: Amplifying The Power And Uplifting The Voices Of Student Athletes In Multiple Mental Health Studies, Ashley C. Green May 2024

Positive Psychology In The Ncaa: Amplifying The Power And Uplifting The Voices Of Student Athletes In Multiple Mental Health Studies, Ashley C. Green

Dissertations

Mental health resources and programming in the National Collegiate Athletics Association (NCAA) continues to expand in research and implementation in collegiate athletic departments of all institutions. This study sought to respond to and expand on dissertation research conducted by Dr. Heather Ryan (2021), an administrator in the athletic department at Duke University, and Dr. Chelsi Day (2011) previously the sport psychologist from Ohio State University athletics, and currently for the National Basketball Association (NBA) team, the Memphis Grizzlies. Both are identified as experts regarding student-athlete research regarding mental health needs and accessibility within the NCAA. Topics of research evaluated for …


Relations Between Prior Racial Microaggressions, Expat Motivation, And Life Satisfaction Among African American Expat Women In Mexico, Patricia Keller Apr 2024

Relations Between Prior Racial Microaggressions, Expat Motivation, And Life Satisfaction Among African American Expat Women In Mexico, Patricia Keller

Dissertations

Microaggressions refer to subtle forms of racism that occur in everyday interactions, often conveying hostile or demeaning messages. These experiences can have a negative impact on the psychological well-being and life satisfaction of African Americans. However, there is a lack of research that explores the relationship between microaggressions and the life satisfaction of African American women who have relocated abroad. Additionally, little is known of the contemporary motivations for expatriation of African American women. A review of African American historical migration, study abroad participation, and tourism lays the framework for examining recent expatriation. The purpose of this study was to …


A Qualitative Case Study Of An Ultra-Brief Trait Emotional Intelligence Intervention For University Student Leaders, Britne K. Bacca-Haupt, Melinda R. Dilley, Fletcher J. Ferguson, Lisa C. Gillis-Davis, Jacqueline M. Schneller Apr 2024

A Qualitative Case Study Of An Ultra-Brief Trait Emotional Intelligence Intervention For University Student Leaders, Britne K. Bacca-Haupt, Melinda R. Dilley, Fletcher J. Ferguson, Lisa C. Gillis-Davis, Jacqueline M. Schneller

Dissertations

Emotional intelligence gained interest in the early 1990s from researchers in hopes of assessing how understanding and developing emotions can help individuals be “healthy, rich, successful, loved, and happy” (Mayer et al., 2001, p. xi). Because of the expanded interest, increasing implications began occurring at the postsecondary level of education (Petrides et al., 2018). Trait emotional intelligence focuses on perceptions of oneself and others, illustrating how we regulate our emotions and recognize them in others. This qualitative study aimed to explore the impact of an ultra-brief intervention on the trait emotional intelligence development of university student leaders and how they …


Is It More State Than Trait? Within-Person Variability And Inter-Rater Agreement Of Feedback Orientation, Timothy J. Bartkoski Apr 2024

Is It More State Than Trait? Within-Person Variability And Inter-Rater Agreement Of Feedback Orientation, Timothy J. Bartkoski

Dissertations

Feedback is a critical component of almost all performance management systems (Aguinis, 2009), and is often positively associated with individual and organizational effectiveness (e.g., Kluger & DeNisi, 1996; Kim et al., 2016). Given this, researchers and practitioners have long sought to understand how and when feedback is likely to be most effective. Some promising new work has explored feedback orientation (FO), which describes a person’s overall receptivity to performance feedback (Linderbaum & Levy, 2010; London & Smither, 2002). Initial research has shown that FO is positively associated with feedback seeking (Dahling et al., 2012; Whitaker et al., 2012) and feedback …


The Effects Of Combined Evaluative And Memo, Matrix, And Graphic Objective Feedback On Performance When Receiving Fixed Pay, Amber L. Derthick Apr 2024

The Effects Of Combined Evaluative And Memo, Matrix, And Graphic Objective Feedback On Performance When Receiving Fixed Pay, Amber L. Derthick

Dissertations

The purpose of this current study was to examine the relative effectiveness of written feedback in the form of a memo that displays the performer’s current performance (memo feedback), written feedback in the form of a matrix that displays the performer’s current performance along with past performance (matrix feedback), and graphic feedback that displays the performer’s current performance along with past performance on a line graph (graphic feedback) when individuals receive fixed pay. The memo, matrix, and graphic feedback displayed “objective” feedback. Participants were 70 undergraduate students who were randomly assigned to one of the four conditions. Participants attended a …


A Qualitative Phenomenological Study Examining The Experiences Of Substance Use Disorder Clients Engaging In Adventure Therapy, Heather Cresswell Apr 2024

A Qualitative Phenomenological Study Examining The Experiences Of Substance Use Disorder Clients Engaging In Adventure Therapy, Heather Cresswell

Dissertations

Drug overdose deaths in the United States continue to rise. In 2019, over 70,000 drug overdose deaths were recorded, marking a 4% increase from the previous year (Centers for Disease Control and Prevention, 2021). More recent estimates suggest the death toll exceeded 100,000 in a twelve-month period ending in April 2021, indicating a significant rise (Johnson, 2021). The high mortality rate linked to addiction highlights the necessity for effective interventions for individuals diagnosed with SUD. The study presented focused on the impact of Adventure Therapy (AT) as an addition to the treatment of adults diagnosed with SUD. The chosen research …


Nonprofit Leader Experiences In Sector-Bending After Lean Six Sigma Training: Tension, Concepts, And Changed Behaviors, Beverly Codallos Mar 2024

Nonprofit Leader Experiences In Sector-Bending After Lean Six Sigma Training: Tension, Concepts, And Changed Behaviors, Beverly Codallos

Dissertations

Government, business, and nonprofit represent three distinct types of organizations governed by different legal frameworks designed to facilitate collective action (DiMaggio & Anheier, 1990). The emergence of hybrid forms and increasing isomorphic pressures in the nonprofit sector (Bromley & Meyer, 2017; McCambridge, 2014) have challenged the traditional separation of organizational forms. This study explored the phenomenon popularized as sector-bending, “a wide variety of approaches, activities, and relationships that are blurring the distinctions between nonprofit and for-profit organizations, either because they are behaving more similarly, operating in the same realms, or both” (Dees & Anderson, 2003, pg. 16). This qualitative study …


An Exploration Of The Effects And Clinical Presentations Of Premature Birth Within The Latinx Population, Diana Hill Mar 2024

An Exploration Of The Effects And Clinical Presentations Of Premature Birth Within The Latinx Population, Diana Hill

Dissertations

There are roughly ten percent, or 15 million, preterm births every year across the world. Therefore, it is vital to understand the impact on their development across cognitive, academic, socioemotional, and behavioral levels. A vast amount of research has shown that children who are born prematurely are more at risk of facing challenges across various areas of their development. However, the majority of the research samples have been limited within their scope, leaving behind a gap in research focused on specific subgroups within the population. By delving into the unique context of the Latinx population, this study endeavors to shed …


Developing An Instrument To Measure Group Dynamics Awareness: A Mixed Methods Study, John Weng Jan 2024

Developing An Instrument To Measure Group Dynamics Awareness: A Mixed Methods Study, John Weng

Dissertations

In a world that is increasingly volatile, uncertain, complex, and ambiguous, adaptive leaders are needed more than ever. Based on group relations programs developed by the Tavistock Institute, a pedagogy known as case-in-point has recently been brought to prominence and incorporated into leadership development programs. These methods claim to develop systems thinking and individuals’ leadership capacity with little prior empirical research.

This mixed methods exploratory study explored individual awareness of group dynamics, a key outcome in case-in-point programs, and adaptive leadership theory. The goal was to create an instrument to measure awareness of group dynamics: the Group Dynamics Awareness Questionnaire …


Understanding Emerging Adult Mental Health And Attachment: The Roles Of Parental Factors In Childhood, Trauma, And Gender, Christiana A. Howell Jan 2024

Understanding Emerging Adult Mental Health And Attachment: The Roles Of Parental Factors In Childhood, Trauma, And Gender, Christiana A. Howell

Dissertations

Problem

The experience of the parental environment growing up, parental psychopathology in childhood, exposure to trauma throughout the lifespan, insecure adult attachment, and social support have been established as factors that influence mental health in adulthood. These factors have not yet been studied together as a complex model of emerging adult mental health and attachment. The purpose of this study was to develop a theoretically and empirically supported model of these factors to understand how these factors interact to influence mental health in emerging adulthood. Additionally, the purpose was to understand if these factors interact differently based on gender.

Method …


Emotional Intelligence And Its Influence On Burnout From Surface Acting In A Seasonal Service Industry, Jeremy Fishman Jan 2024

Emotional Intelligence And Its Influence On Burnout From Surface Acting In A Seasonal Service Industry, Jeremy Fishman

Dissertations

In the world of customer service, it is commonly believed that the customer is always right, even when they may not be or may be. Roles that carry immediate interaction with the consumer have certain expectations that employees must fulfill, necessitating both surface acting and deep acting; tenets of emotional labor (Diefendorff et al., 2006). Previous research has revealed that relying solely on surface acting can lead to emotional exhaustion and burnout, impacting individuals and even spreading through emotional contagion (Mawritz et al., 2012; Totterdell & Holman, 2003). Leaders turn to emotional intelligence to address these challenges, which can potentially …


Coworkers And Leaders: The Relationship Between Trustworthiness, Trust, And Employee Engagement, Lianne Young Dec 2023

Coworkers And Leaders: The Relationship Between Trustworthiness, Trust, And Employee Engagement, Lianne Young

Dissertations

A highly engaged workforce provides numerous organizational and individual benefits (Shuck et al., 2016), the culmination of which leads to a competitive advantage difficult to emulate (Burke et al., 2013). It remains challenging to understand how engagement develops, with little research available explaining the process (Shuck, 2020). High employee engagement levels provide a competitive advantage, but stagnant engagement levels remain a significant obstacle (Shuck, 2020).

Shuck (2020) recommends further research focusing on methods to increase engagement. Trustworthiness and trust are antecedents and drivers of engagement (Chughtai & Buckley, 2008; Federman, 2010; SHRM, 2017). A lack of trust has negative impacts …


Engagement In Mental Health Research: The Role Of Mental Health Awareness And Perceived Intervention Stigma In Clinical Research Engagement Among African American Faith Communities, Camelia Harb Dec 2023

Engagement In Mental Health Research: The Role Of Mental Health Awareness And Perceived Intervention Stigma In Clinical Research Engagement Among African American Faith Communities, Camelia Harb

Dissertations

The dearth of participation in clinical research by marginalized racial and ethnic groups is a commonly cited limitation of research studies. To better understand research engagement among marginalized groups, this study proposed a mixed methods design examining the roles of mental health awareness and perceived intervention stigma on the capacity to engage in clinical research among a sample of African American faith community members. The primary aims were to: 1) examine the associations between and predictive roles of mental health awareness and perceived intervention stigma on clinical research engagement; 2) evaluate the moderating role of perceived intervention stigma; and 3) …


Bisexuality, Biphobia, And Its Effects On Sexual Identity, Religious Identity And Mental Health: Examining Clinical Implications, Diana Ramirez Dec 2023

Bisexuality, Biphobia, And Its Effects On Sexual Identity, Religious Identity And Mental Health: Examining Clinical Implications, Diana Ramirez

Dissertations

Bisexuality is a sexual orientation, sometimes known as “bi,” that includes sexuality in which certain people are attracted to more than one sex and gender. Bisexuality differs from other sexual- and gender-nonconforming experiences (McInnis et al., 2022). According to Ross et al. (2018), bisexuality is frequently described as an invisible sexual orientation, and only in the last 20 years has research on biphobia and bisexuality increased (McInnis et al., 2022). Experiences unique to bisexuality include bisexual invisibility from a societal level (Dyar et al., 2015), bisexuals are more prone to experience sexual orientation instability (Bostwick et al., 2014), and bisexual …


Making Data Meaningful: Stakeholder Perceptions On Data Visualization And Data Management Practices Within A Multi-Tiered System Of Supports (Mtss), Domenick Saia Dec 2023

Making Data Meaningful: Stakeholder Perceptions On Data Visualization And Data Management Practices Within A Multi-Tiered System Of Supports (Mtss), Domenick Saia

Dissertations

Data-driven decision-making and collaboration are core pillars of a multi-tiered system of supports (MTSS); however, timely and accessible data use, as well as data literacy and visualization literacy skills, are challenges school leaders and educators face related to implementing such frameworks. I hypothesized efficient data management systems and data visualization tools enable school teams to predict student learning outcomes, readily communicate, and better understand student data. The purpose of this study design was to highlight a need for more efficient data structures that allow school stakeholders to balance their roles within an MTSS framework more effectively. The context of this …


Ways To Prevent Moral Disengagement For Youtube Content Creators: The Role Of Empathy And Self-Compassion, Nathan Andrew Pennington Nov 2023

Ways To Prevent Moral Disengagement For Youtube Content Creators: The Role Of Empathy And Self-Compassion, Nathan Andrew Pennington

Dissertations

This study sought to assess the role empathy and self-compassion play in lessening the impact of stress and moral disengagement for digital entrepreneurs, specifically, YouTube content creators. The desire for status and the need for venture legitimacy within the content creation economy, while considered mostly positive traits, can be taken to the extreme, leading to a lack of empathy and self-compassion and even degradation and moral disengagement. The study utilized a mixed-methods approach, combining quantitative and qualitative data collection techniques. Quantitative data within the study provides statistical evidence of correlations and trends, while qualitative data discusses the perspectives and lived …


U.S. Military Veterans Transition To Two Midwest Universities: Post-Traumatic Stress Disorder, Moral Injury, And Academic Outcomes, Malychanh T. Bartlett Nov 2023

U.S. Military Veterans Transition To Two Midwest Universities: Post-Traumatic Stress Disorder, Moral Injury, And Academic Outcomes, Malychanh T. Bartlett

Dissertations

Abstract

Objective: To examine the association between posttraumatic stress disorder (PTSD) and moral injury (MI) and the extrinsic factors of the degree of negative patterns of healthy behaviors and negative experiences in an academic setting, the moderating effects of social support on PTSD and MI symptomatology, and the perception of academic success and positive perception of academic experience. Additionally, to examine the mediating effect of intrinsic factors (perceived academic experience) on academic outcomes objectively and subjectively.

Background: Student veterans as non-traditional students face challenges transitioning to the academic environment. Some have underlying mental and psychological complications of PTSD and MI, …


Mixed-Method Study Of Relationship Satisfaction Among African American Males With Or Without History Of Childhood Sexual Abuse, Sandra Webster Brown Nov 2023

Mixed-Method Study Of Relationship Satisfaction Among African American Males With Or Without History Of Childhood Sexual Abuse, Sandra Webster Brown

Dissertations

Relationship satisfaction among African American males is an important and feasible topic and underrepresented among scholarly literature. The purpose of this study was to explore relationship satisfaction and experiences among African American males who may be impacted by history of childhood sexual abuse. The study was guided by the theoretical frameworks of family systems theory. Using a concurrent mixed-methods triangulation design, the researcher collected data quantitatively and qualitatively from an online survey. Data were collected from 43 African American males recruited from Black organizations in the United States. The qualitative data collected by written narratives from the men were used …


The Importance Of Caregivers, Family, And Context For Child Welfare Involved Youth And A National Child Sample: A Structural Equation Modeling Perspective, Nathan Michael Lutz Oct 2023

The Importance Of Caregivers, Family, And Context For Child Welfare Involved Youth And A National Child Sample: A Structural Equation Modeling Perspective, Nathan Michael Lutz

Dissertations

This bundled, three-study dissertation examines how the relationships that children have with adult family members impact mental health outcomes, including internalizing symptoms and externalizing behaviors. The first study examines the moderating effect of relationship satisfaction on the relationship between kin involvement and child psychopathology. The second study uses data from the 2017 National Survey of Children's Health (NSCH), examining the mediating effect of the parent-child relationship on the associations across various systems in which children are embedded and mental health diagnoses. The third paper examined the interactions between both family strengths and caregiver involvement with the parent child relationship and …


The Effectiveness Of A Camp-Based Intervention To Promote Health-Related And Social Functioning In First Time Campers With Spina Bifida, Elicia C. Wartman Oct 2023

The Effectiveness Of A Camp-Based Intervention To Promote Health-Related And Social Functioning In First Time Campers With Spina Bifida, Elicia C. Wartman

Dissertations

Objective: Previous research suggests that tailored summer camp programs for youth with specific medical conditions, such as spina bifida (SB), may help campers improve independence and medical self-management skills. The evidence-based Independence Intervention at Camp Independence is geared towards enhancing the medical self-management skills and social skills of youth with SB, with the goal of improving their independence (O'Mahar et al., 2010). The present study aimed to evaluate the impact of the Independence Intervention at Camp Independence on first-time and veteran campers. This study aimed to (1) explore similarities and differences in first-time and veteran campers on demographics, health-related self-management …


Examining The Bidirectional Associations Between Parenting And Adolescent Coping In The Context Of Exposure To Community Violence, Jenny Phan Oct 2023

Examining The Bidirectional Associations Between Parenting And Adolescent Coping In The Context Of Exposure To Community Violence, Jenny Phan

Dissertations

Coping refers to all the strategies and processes that an individual uses to eliminate, reduce or tolerate stress (Lazarus & Folkman, 1984; Rosario et al., 2003). Within the general coping literature, research has observed that use of approach-oriented coping strategies is associated with positive psychosocial outcomes, and avoidant-oriented coping strategies is associated with negative psychosocial outcomes (e.g., Compas et al., 2001; Wadsworth & Compas, 2002). However, most of these studies have focused exclusively or predominantly on middle-class White participants (e.g., Compas et al., 2001; Wadsworth & Compas, 2002) which may limit the generalizability of these findings to other groups. Further, …


Institutional Experiences Of Justice-Involved Adolescents: Profiles, Predictors, And Post-Release Associations, Elizabeth Sargent Oct 2023

Institutional Experiences Of Justice-Involved Adolescents: Profiles, Predictors, And Post-Release Associations, Elizabeth Sargent

Dissertations

Experiences within juvenile justice placements have long been a topic of concern amongst researchers and policy makers, with institutional violence exposure and harsh treatment being two such reasons for concern. The majority of adolescents who enter the justice system already have extensive violence exposure, which can continue while they are detained through victimization and witnessed violence. One’s adjustment to justice settings is influenced by characteristics and experiences prior to placement, and institutional experiences may also have influences on mental health and behavior after release. In the current study, reports from justice-involved adolescents were used to 1) identify profiles of institutional …


Warmth And Support: The Importance Of Parenting Behaviors On Child Symptoms Among Mexican Immigrant Families, Yvita Bustos Oct 2023

Warmth And Support: The Importance Of Parenting Behaviors On Child Symptoms Among Mexican Immigrant Families, Yvita Bustos

Dissertations

This dissertation seeks to expand research regarding warmth and support among low-income, Latino immigrant families, specifically families of Mexican-origin, and how these parenting behaviors impact child internalizing symptoms and externalizing behaviors. The first study titled, “Effects of Familism, Parenting, and Family Cohesion on Child Internalizing Symptoms among Mexican Immigrant Families” explored how familism may promote warmth and support, in addition to family cohesion, and how these factors may impact child internalizing symptoms during middle childhood among Mexican immigrant families. The second study, titled “Stress and Child Internalizing Symptoms: Examining the Moderating Role of Latino Fathers' Warmth and Support using Mixed …


Parenting And Psychosocial Functioning In Youth With Spina Bifida: Making Connections With Other Cns-Related Chronic Health Conditions, Adrien M. Winning Oct 2023

Parenting And Psychosocial Functioning In Youth With Spina Bifida: Making Connections With Other Cns-Related Chronic Health Conditions, Adrien M. Winning

Dissertations

Parenting practices have been linked to psychosocial outcomes in children who have chronic health conditions that affect the central nervous system (CNS), such as spina bifida (SB). However, there remains a need for (1) more evidence-based assessments that capture parenting in SB, (2) additional research focused on parenting in early childhood in SB, as this is a critical developmental period that has been understudied, and (3) systematic reviews that synthesize parenting research across CNS-related conditions to guide future work. This dissertation includes three papers that aim to address each of these gaps in the current literature. Specifically, the first study …


Disaster Movies And The Perception Of Human Behavior Myths In Disasters, John Carr Oct 2023

Disaster Movies And The Perception Of Human Behavior Myths In Disasters, John Carr

Dissertations

This study explored if disaster movies change the perceptions viewers hold regarding human behavior in disasters, and if so, whether these effects are observable six weeks after watching the disaster movie. The study documented the anticipation of disaster myths in human behavior for 121 respondents, providing data that can better inform the discussion of disaster myths and realities. The study found changes to anticipation of disaster myths in human behavior and realities across multiple categories, with statistically significant results related to the factor of Looting Myth. Limitations for this study include a small sample size, and the external influence of …


With A Little Help At Home: The Impact Of Romantic Partner Support On Daily Burnout And Workplace Incivility, Matthew Aplin-Houtz Sep 2023

With A Little Help At Home: The Impact Of Romantic Partner Support On Daily Burnout And Workplace Incivility, Matthew Aplin-Houtz

Dissertations

With rude and discourteous encounters in the workplace becoming more common, Workplace incivility (WI) is at an all-time high. As such, workers experience levels of burnout from these negative social interactions. The literature concedes that the results of these interactions lead to mounting burnout, causing negative physical and emotional outcomes at the individual and organizational levels. Considering that the literature also supports that employees have the potential to recover from burnout symptoms through rest, obtaining the perception of control of their circumstances, and cognitive reframing, the time and activities a worker spends at home carry the potential for minimizing burnout …