Research Article
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Year 2021, Volume: 4 Issue: 2, 69 - 76, 01.05.2021

Mahmut Evli Nuray Şimşek

https://doi.org/10.19127/bshealthscience.813382

Abstract

References

  • Ardıç K, Polatçı S. 2009. Burnout syndrome and the other sıde of medallıon: Engagement. J Erciyes Univ Inst Econ Admin Sci, 32: 21-46.
  • Boren JP. 2014. The relationships between co-rumination, social support, stress, and burnout among working adults. Manag Commun Quart, 28(1): 3-25. DOI: 10.1177/0893318913509283.
  • Brackett MA, Palomera R, Kaja-Mojsa J, Reyes MR, Salovey P. 2010. Emotıon-regulation ability, burnout, and job satisfaction among British secondary-school teachers. Psychology in the Schools, 47(4): 406-417. DOI: 10.1002/pits.20478.
  • Brinker JK, Dozois JA. 2009. Ruminative thinking style and depressed mood. J Clinical Psychol, 5(1): 1-19. DOI: 10.1002/jclp.20542.
  • Carver CS, Scheier MF. 1990. Origins and functions of positive and negative affect: A control-process view. Psychol Rev, 97: 19-35. DOI: 10.1037/0033-295X.97.1.19.
  • Cotter J, Yung AR, Carney R, Drake RJ. 2017. Metacognitive beliefs in the at-risk mental state: A systematic review and meta-analysis. Behav Res Ther, 90: 25-31. DOI: 10.1016/j.brat.2016.12.004.
  • Creedy DK, Sidebotham M, Gamble J, Pallant J, Fenwick J. 2017. Prevalence of burnout, depression, anxiety and stress in Australian midwives: A cross-sectional survey. BMC Preg Childbirth, 17(13): 2-8. DOI: 10.1186/s12884-016-1212-5.
  • Cropley M, Zijlstra FRH. 2011. Work and rumination. In: Langan-Fox J, Cooper C, editors. Handbook of stress in the occupations. Edward Elgar Publishing Inc, Northampton, UK. pp. 487–501.
  • Çapık C. 2014. Use of confirmatory factor analysis in validity and reliability studies. Anatolian J Nursing Health Sci, 17(3): 196-205.
  • Çokluk Ö. 2003. Burnout in organizations. In: . Elma C, Demir K, editors. Contemporary approaches in management. Ani Publishing, Ankara, Turkey, pp. 109-134.
  • Da Silva RM, Goulart CT, Lopes LF, Serrano PM, Costa AL, de Azevedo Guido L. 2014. Hardy personality and burnout syndrome among nursing students in three Brazilian Universities - analytic study. BMC Nurs, 13(1): 9. DOI: 10.1186/1472-6955-13-9.
  • Da Silva RM, Lopes LFD, Beck CLC, Grazziano ES, Costa ALS, Lopes VC. 2018. Demographic and academic characteristics that contribute to burnout occurrence in nursing students - Analytic study. J Nursing Educ Pract, 8(8): 28-33. DOI: 10.5430/jnep.v8n8p28.
  • Ergin C. 1993. Burnout and adaptation of maslach burnout scale in doctors and nurses. In: Proceedings of VII. National Psychology Congress Scientific Studies, Turkish Psychological Association Publication, Hacettepe University, September 22−25, Ankara.
  • Freudenberger HJ. 1977. Burn-Out: Occupational hazard of the child care worker. Child Care Quart, 6(2): 90-99.
  • IBM SPSS Statistics. 2017. Sürüm 25.0. Armonk, NY: IBM Corp.
  • Iskander M. 2019. Burnout, Cognitive Overload, and Metacognition in Medicine. Med Sci Educ, 29(1): 325-328. DOI: 10.1007/s40670-018-00654-5.
  • Jöreskog K, Sörbom D. 2004. LISREL 8.71 (October 2004) Scientific Software International, Inc. Copyright.
  • Karatepe HT, Yavuz FK, Turkcan A. 2013. Validity and reliability of the Turkish version of the Ruminative Thinking Style Questionnaire. Bull Clinical Psychopharm, 23(3): 231-241. DOI: 10.5455/bcp.20121130122311.
  • Kashdan TB, Roberts JE. 2007. Social anxiety, depressive symptoms, and post-event rumination: affective consequences and social contextual influences. J Anxiety Disord, 21(3): 284–301. DOI: 10.1016/j.janxdis.2006.05.009.
  • Kline BR. 2011. Principles and practice of structural modeling. The Guilford Press, New York-London, UK. 3rd ed., pp. 534.
  • Lenzo V, Indelicato F, Grisolia E, Toffle ME, Quattropani MC. 2016. The burnout syndrome in palliative home care workers: The role of coping strategies and metacognitive beliefs. Medit J Clin Psychology, 4(1): 1-12. DOI: 10.6092/2282-1619/2016.4.1120.
  • Luo P, Zhao B. 2013. Affectivity, emotional exhaustion, and service sabotage behavior: The mediation role of rumination. Social Behav Person, 41(4): 651-662. DOI: 10.2224/sbp.2013.41.4.651.
  • Lyubomirsky S, Nolen-Hoeksema S. 1993. Self-perpetuating properties of dysphoric rumination. J Person Soc Psych, 65(2): 339-349. DOI: 10.1037//0022-3514.65.2.339.
  • Maslach C, Jackson SE. 1981. The measurement of experienced burnout. J Occup Behav, 2: 99-113.
  • Maslach C, Schaufeli WB, Leiter MP. 2001. Job burnout. Annual Rev Psych, 52: 397-422.
  • Meyer RJ, Beck B, Riede K. 2009. Relationships between rumination, worry, intolerance of uncertainty and metacognitive beliefs. Person Indiv Differences, 46: 547-551. DOI: 10.1016/j.paid.2008.12.010.
  • Morrison AP, French P, Wells A. 2007. Metacognitive beliefs across the continuum of psychosis: comparisons between patients with psychotic disorders, patients at ultra-high risk and non-patients. Behav Res Ther, 45(9): 2241-246. DOI: 10.1016/j.brat.2007.01.002.
  • Moulds ML, Yap CS, Kerr E, Williams, AD, Kandris E. 2010. Metacognitive beliefs increase vulnerability to rumination. Appl Cogn Psychol, 24: 351–364. DOI: 10.1002/acp.1681.
  • Nolen-Hoeksema S. 1991. Responses to depression and their effects on the duration of depressive episodes. J Abnormal Psych, 100(4): 569-582. DOI: 10.1037//0021-843x.100.4.569.
  • Nolen-Hoeksema S, Wisco BE, Lyubomirsky S. 2008. Rethinking rumination. Perspect Psychol Sci, 3(5): 400-424. DOI: 10.1111/j.1745-6924.2008.00088.x.
  • Nordahl H, Nordahl HM, Vogel PA, Wells A. 2018. Explaining depression symptoms in patients with social anxiety disorder: Do maladaptive metacognitive beliefs play a role? Clin Psychol Psychother, 25(3): 457-464. DOI: 10.1002/cpp.2181.
  • Olstad S, Solem S, Hjemdal O, Hagen R. 2015. Metacognition in eating disorders: Comparison of women with eating disorders, self-reported history of eating disorders or psychiatric problems, and healthy controls. Eating Behav, 16: 17-22. DOI: 10.1016/j.eatbeh.2014.10.019.
  • Preacher KJ, Coffman DL. 2006. Computing power and minimum sample size for RMSEA. URL: http://quantpsy.org/rmsea/rmsea.htm (access date: 18.11.2019).
  • Roelofs J, Papageorgiou C, Gerber RD, Huibers M, Peeters F, Arntz A. 2007. On the links between self-discrepancies, rumination, metacognitions, and symptoms of depression in undergraduates. Behav Res Ther, 45(6): 1295-305. DOI: 10.1016/j.brat.2006.10.005.
  • Rudman A, Gustavsson JP. 2012. Burnout during nursing education predicts lower occupational preparedness and future clinical performance: A longitudinal study. Int J Nursing Stud, 49(8): 988-1001. DOI: 10.1016/j.ijnurstu.2012.03.010.
  • Simpson C, Papageorgiou C. 2003. Metacognitive Beliefs about rumination in anger. Cogn Behav Pract, 10: 91-94. DOI: 10.1016/S1077-7229(03)80012-3.
  • Smith JM, Alloy LB. 2009. A roadmap to rumination: A review of the definition, assessment, and conceptualization of this multifaceted construct. Clin Psych Rev, 29: 116-128. DOI: 10.1016/j.cpr.2008.10.003.
  • Sun J. 2005. Assessing goodness of fit in confirmatory factor analysis. Measur Eval Counseling and Deuelopmeni, 37: 240-256.
  • Vandevala T, Pavey L, Chelidoni O, Chang NF, Creagh-Brown B, Cox A. 2017. Psychological rumination and recovery from work in intensive care professionals: associations with stress, burnout, depression and health. J Inten Care, 5(16): 2-8. DOI: 10.1186/s40560-017-0209-0.
  • Waltz CF, Strickland OL, Lenz ER. 2017. Measurement in nursing and health research. Springer Publishing Company, New York, USA, fifth edition, pp. 632.
  • Wasmuth SL, Outcalt J, Buck K, Leonhardt BL, Vohs J, Lysaker PH. 2015. Metacognition in persons with substance abuse: Findings and implications for occupational therapists. Can J Occup Ther, 82(3): 150-159. DOI: 10.1177/0008417414564865.
  • Watson R, Deary I, Thompson D, Li G. 2008. A study of stress and burnout in nursing students in Hong Kong: A questionnaire survey. Int J Nurs Stud, 45: 1534-542. DOI: 10.1016/j.ijnurstu.2007.11.003.
  • Wells A, Cartwright-Hatton S. 2004. A short form of the metacognitions questionnaire: Properties of the MCQ-30. Behav Res Therapy, 42: 385-396. DOI: 10.1016/S0005-7967(03)00147-5.
  • Wells A. 2011. Metacognitive therapy for anxiety and depression. Guilford Press, New York, USA, first edition pp. 316.
  • Wells A. 2013. Advances in metacognitive therapy. Int J Cognitive Ther, 6 (2): 186-201. DOI: 10.1521/ijct.2013.6.2.186.
  • Zaghini F, Biagioli V, Proiettic M, Badolamenti S, Fiorini J, Sili A. 2020. The role of occupational stress in the association between emotional labor and burnout in nurses: A cross-sectional study. App Nursing Res, 151277. DOI: 10.1016/j.apnr.2020.151277.

Metacognition and Ruminative Thinking as Predictors of Burnout: A Structural Equation Modelling

Year 2021, Volume: 4 Issue: 2, 69 - 76, 01.05.2021

Mahmut Evli Nuray Şimşek

https://doi.org/10.19127/bshealthscience.813382

Abstract

Nursing education is a difficult process with both theoretical and clinical practice. This difficult process creates pressure and stress in nursing students. Therefore, students cannot notice emotions and thinking and may experience rumination. In this case, it can occur in burnout in addition to many mental illnesses. The aim of this study was to investigate whether metacognition and rumination had a predictive effect on burnout. The sample of the study consisted of 280 nursing students who volunteered to participate in the study, and it was completed with 261 nursing students who completed the measurement tools completely. Data were collected using an introductory information form, Ruminative Thinking Style Scale, Metacognitions Questionnaire 30, and Maslach Burnout Inventory. Correlation analysis and structural equation modeling were used to analyze the data. It was determined Ruminative Thinking averages of the participants was 87.61 ± 2.59, Total Metacognitions averages 73.96 ± 11.80, Emotional Exhaustion averages 24.63 ± 5.55, Depersonalization averages 9.58 ± 2.79, Personal average 28.54 ± 5.34. In this study, it is seen that high metacognitions and ruminative thinking styles of students affect burnout. But ruminative thinking has not a mediating role in the relationship between metacognitions and burnout.

Keywords

Metacognition Ruminative Thinking Burnout Structural equation modelling

References

  • Ardıç K, Polatçı S. 2009. Burnout syndrome and the other sıde of medallıon: Engagement. J Erciyes Univ Inst Econ Admin Sci, 32: 21-46.
  • Boren JP. 2014. The relationships between co-rumination, social support, stress, and burnout among working adults. Manag Commun Quart, 28(1): 3-25. DOI: 10.1177/0893318913509283.
  • Brackett MA, Palomera R, Kaja-Mojsa J, Reyes MR, Salovey P. 2010. Emotıon-regulation ability, burnout, and job satisfaction among British secondary-school teachers. Psychology in the Schools, 47(4): 406-417. DOI: 10.1002/pits.20478.
  • Brinker JK, Dozois JA. 2009. Ruminative thinking style and depressed mood. J Clinical Psychol, 5(1): 1-19. DOI: 10.1002/jclp.20542.
  • Carver CS, Scheier MF. 1990. Origins and functions of positive and negative affect: A control-process view. Psychol Rev, 97: 19-35. DOI: 10.1037/0033-295X.97.1.19.
  • Cotter J, Yung AR, Carney R, Drake RJ. 2017. Metacognitive beliefs in the at-risk mental state: A systematic review and meta-analysis. Behav Res Ther, 90: 25-31. DOI: 10.1016/j.brat.2016.12.004.
  • Creedy DK, Sidebotham M, Gamble J, Pallant J, Fenwick J. 2017. Prevalence of burnout, depression, anxiety and stress in Australian midwives: A cross-sectional survey. BMC Preg Childbirth, 17(13): 2-8. DOI: 10.1186/s12884-016-1212-5.
  • Cropley M, Zijlstra FRH. 2011. Work and rumination. In: Langan-Fox J, Cooper C, editors. Handbook of stress in the occupations. Edward Elgar Publishing Inc, Northampton, UK. pp. 487–501.
  • Çapık C. 2014. Use of confirmatory factor analysis in validity and reliability studies. Anatolian J Nursing Health Sci, 17(3): 196-205.
  • Çokluk Ö. 2003. Burnout in organizations. In: . Elma C, Demir K, editors. Contemporary approaches in management. Ani Publishing, Ankara, Turkey, pp. 109-134.
  • Da Silva RM, Goulart CT, Lopes LF, Serrano PM, Costa AL, de Azevedo Guido L. 2014. Hardy personality and burnout syndrome among nursing students in three Brazilian Universities - analytic study. BMC Nurs, 13(1): 9. DOI: 10.1186/1472-6955-13-9.
  • Da Silva RM, Lopes LFD, Beck CLC, Grazziano ES, Costa ALS, Lopes VC. 2018. Demographic and academic characteristics that contribute to burnout occurrence in nursing students - Analytic study. J Nursing Educ Pract, 8(8): 28-33. DOI: 10.5430/jnep.v8n8p28.
  • Ergin C. 1993. Burnout and adaptation of maslach burnout scale in doctors and nurses. In: Proceedings of VII. National Psychology Congress Scientific Studies, Turkish Psychological Association Publication, Hacettepe University, September 22−25, Ankara.
  • Freudenberger HJ. 1977. Burn-Out: Occupational hazard of the child care worker. Child Care Quart, 6(2): 90-99.
  • IBM SPSS Statistics. 2017. Sürüm 25.0. Armonk, NY: IBM Corp.
  • Iskander M. 2019. Burnout, Cognitive Overload, and Metacognition in Medicine. Med Sci Educ, 29(1): 325-328. DOI: 10.1007/s40670-018-00654-5.
  • Jöreskog K, Sörbom D. 2004. LISREL 8.71 (October 2004) Scientific Software International, Inc. Copyright.
  • Karatepe HT, Yavuz FK, Turkcan A. 2013. Validity and reliability of the Turkish version of the Ruminative Thinking Style Questionnaire. Bull Clinical Psychopharm, 23(3): 231-241. DOI: 10.5455/bcp.20121130122311.
  • Kashdan TB, Roberts JE. 2007. Social anxiety, depressive symptoms, and post-event rumination: affective consequences and social contextual influences. J Anxiety Disord, 21(3): 284–301. DOI: 10.1016/j.janxdis.2006.05.009.
  • Kline BR. 2011. Principles and practice of structural modeling. The Guilford Press, New York-London, UK. 3rd ed., pp. 534.
  • Lenzo V, Indelicato F, Grisolia E, Toffle ME, Quattropani MC. 2016. The burnout syndrome in palliative home care workers: The role of coping strategies and metacognitive beliefs. Medit J Clin Psychology, 4(1): 1-12. DOI: 10.6092/2282-1619/2016.4.1120.
  • Luo P, Zhao B. 2013. Affectivity, emotional exhaustion, and service sabotage behavior: The mediation role of rumination. Social Behav Person, 41(4): 651-662. DOI: 10.2224/sbp.2013.41.4.651.
  • Lyubomirsky S, Nolen-Hoeksema S. 1993. Self-perpetuating properties of dysphoric rumination. J Person Soc Psych, 65(2): 339-349. DOI: 10.1037//0022-3514.65.2.339.
  • Maslach C, Jackson SE. 1981. The measurement of experienced burnout. J Occup Behav, 2: 99-113.
  • Maslach C, Schaufeli WB, Leiter MP. 2001. Job burnout. Annual Rev Psych, 52: 397-422.
  • Meyer RJ, Beck B, Riede K. 2009. Relationships between rumination, worry, intolerance of uncertainty and metacognitive beliefs. Person Indiv Differences, 46: 547-551. DOI: 10.1016/j.paid.2008.12.010.
  • Morrison AP, French P, Wells A. 2007. Metacognitive beliefs across the continuum of psychosis: comparisons between patients with psychotic disorders, patients at ultra-high risk and non-patients. Behav Res Ther, 45(9): 2241-246. DOI: 10.1016/j.brat.2007.01.002.
  • Moulds ML, Yap CS, Kerr E, Williams, AD, Kandris E. 2010. Metacognitive beliefs increase vulnerability to rumination. Appl Cogn Psychol, 24: 351–364. DOI: 10.1002/acp.1681.
  • Nolen-Hoeksema S. 1991. Responses to depression and their effects on the duration of depressive episodes. J Abnormal Psych, 100(4): 569-582. DOI: 10.1037//0021-843x.100.4.569.
  • Nolen-Hoeksema S, Wisco BE, Lyubomirsky S. 2008. Rethinking rumination. Perspect Psychol Sci, 3(5): 400-424. DOI: 10.1111/j.1745-6924.2008.00088.x.
  • Nordahl H, Nordahl HM, Vogel PA, Wells A. 2018. Explaining depression symptoms in patients with social anxiety disorder: Do maladaptive metacognitive beliefs play a role? Clin Psychol Psychother, 25(3): 457-464. DOI: 10.1002/cpp.2181.
  • Olstad S, Solem S, Hjemdal O, Hagen R. 2015. Metacognition in eating disorders: Comparison of women with eating disorders, self-reported history of eating disorders or psychiatric problems, and healthy controls. Eating Behav, 16: 17-22. DOI: 10.1016/j.eatbeh.2014.10.019.
  • Preacher KJ, Coffman DL. 2006. Computing power and minimum sample size for RMSEA. URL: http://quantpsy.org/rmsea/rmsea.htm (access date: 18.11.2019).
  • Roelofs J, Papageorgiou C, Gerber RD, Huibers M, Peeters F, Arntz A. 2007. On the links between self-discrepancies, rumination, metacognitions, and symptoms of depression in undergraduates. Behav Res Ther, 45(6): 1295-305. DOI: 10.1016/j.brat.2006.10.005.
  • Rudman A, Gustavsson JP. 2012. Burnout during nursing education predicts lower occupational preparedness and future clinical performance: A longitudinal study. Int J Nursing Stud, 49(8): 988-1001. DOI: 10.1016/j.ijnurstu.2012.03.010.
  • Simpson C, Papageorgiou C. 2003. Metacognitive Beliefs about rumination in anger. Cogn Behav Pract, 10: 91-94. DOI: 10.1016/S1077-7229(03)80012-3.
  • Smith JM, Alloy LB. 2009. A roadmap to rumination: A review of the definition, assessment, and conceptualization of this multifaceted construct. Clin Psych Rev, 29: 116-128. DOI: 10.1016/j.cpr.2008.10.003.
  • Sun J. 2005. Assessing goodness of fit in confirmatory factor analysis. Measur Eval Counseling and Deuelopmeni, 37: 240-256.
  • Vandevala T, Pavey L, Chelidoni O, Chang NF, Creagh-Brown B, Cox A. 2017. Psychological rumination and recovery from work in intensive care professionals: associations with stress, burnout, depression and health. J Inten Care, 5(16): 2-8. DOI: 10.1186/s40560-017-0209-0.
  • Waltz CF, Strickland OL, Lenz ER. 2017. Measurement in nursing and health research. Springer Publishing Company, New York, USA, fifth edition, pp. 632.
  • Wasmuth SL, Outcalt J, Buck K, Leonhardt BL, Vohs J, Lysaker PH. 2015. Metacognition in persons with substance abuse: Findings and implications for occupational therapists. Can J Occup Ther, 82(3): 150-159. DOI: 10.1177/0008417414564865.
  • Watson R, Deary I, Thompson D, Li G. 2008. A study of stress and burnout in nursing students in Hong Kong: A questionnaire survey. Int J Nurs Stud, 45: 1534-542. DOI: 10.1016/j.ijnurstu.2007.11.003.
  • Wells A, Cartwright-Hatton S. 2004. A short form of the metacognitions questionnaire: Properties of the MCQ-30. Behav Res Therapy, 42: 385-396. DOI: 10.1016/S0005-7967(03)00147-5.
  • Wells A. 2011. Metacognitive therapy for anxiety and depression. Guilford Press, New York, USA, first edition pp. 316.
  • Wells A. 2013. Advances in metacognitive therapy. Int J Cognitive Ther, 6 (2): 186-201. DOI: 10.1521/ijct.2013.6.2.186.
  • Zaghini F, Biagioli V, Proiettic M, Badolamenti S, Fiorini J, Sili A. 2020. The role of occupational stress in the association between emotional labor and burnout in nurses: A cross-sectional study. App Nursing Res, 151277. DOI: 10.1016/j.apnr.2020.151277.
There are 46 citations in total.

Details

Primary Language English
Subjects Nursing
Journal Section Research Article
Authors

Mahmut Evli 0000-0002-5113-7619

Nuray Şimşek 0000-0003-2325-791X

Publication Date May 1, 2021
Submission Date October 20, 2020
Acceptance Date December 21, 2020
Published in Issue Year 2021 Volume: 4 Issue: 2

Cite

APA Evli, M., & Şimşek, N. (2021). Metacognition and Ruminative Thinking as Predictors of Burnout: A Structural Equation Modelling. Black Sea Journal of Health Science, 4(2), 69-76. https://doi.org/10.19127/bshealthscience.813382
AMA Evli M, Şimşek N. Metacognition and Ruminative Thinking as Predictors of Burnout: A Structural Equation Modelling. BSJ Health Sci. May 2021;4(2):69-76. doi:10.19127/bshealthscience.813382
Chicago Evli, Mahmut, and Nuray Şimşek. “Metacognition and Ruminative Thinking As Predictors of Burnout: A Structural Equation Modelling”. Black Sea Journal of Health Science 4, no. 2 (May 2021): 69-76. https://doi.org/10.19127/bshealthscience.813382.
EndNote Evli M, Şimşek N (May 1, 2021) Metacognition and Ruminative Thinking as Predictors of Burnout: A Structural Equation Modelling. Black Sea Journal of Health Science 4 2 69–76.
IEEE M. Evli and N. Şimşek, “Metacognition and Ruminative Thinking as Predictors of Burnout: A Structural Equation Modelling”, BSJ Health Sci., vol. 4, no. 2, pp. 69–76, 2021, doi: 10.19127/bshealthscience.813382.
ISNAD Evli, Mahmut - Şimşek, Nuray. “Metacognition and Ruminative Thinking As Predictors of Burnout: A Structural Equation Modelling”. Black Sea Journal of Health Science 4/2 (May 2021), 69-76. https://doi.org/10.19127/bshealthscience.813382.
JAMA Evli M, Şimşek N. Metacognition and Ruminative Thinking as Predictors of Burnout: A Structural Equation Modelling. BSJ Health Sci. 2021;4:69–76.
MLA Evli, Mahmut and Nuray Şimşek. “Metacognition and Ruminative Thinking As Predictors of Burnout: A Structural Equation Modelling”. Black Sea Journal of Health Science, vol. 4, no. 2, 2021, pp. 69-76, doi:10.19127/bshealthscience.813382.
Vancouver Evli M, Şimşek N. Metacognition and Ruminative Thinking as Predictors of Burnout: A Structural Equation Modelling. BSJ Health Sci. 2021;4(2):69-76.
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