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Abstract

Objective

This study clarifies the association between ambiguity tolerance and psychological well-being in physical therapists engaged in geriatric rehabilitation.

Design

Multicentre cross-sectional study.

Setting: Five facilities in Japan.

Methods and Measures

A total of 143 physical therapists (response rate: 58.1%) participated in geriatric rehabilitation. The main outcome measures were the multidimensional attitude scale towards ambiguity, professional quality of life scale and quick inventory of depressive symptomatology.

Results

Hierarchical regression analyses showed associations of need for complexity (β = 0.40) with compassion satisfaction, discomfort with ambiguity (β = 0.30) with compassion fatigue, need for complexity (β = −0.34) and discomfort with ambiguity (β = 0.33) with burnout and discomfort with ambiguity (β = 0.30) with quick inventory of depressive symptomatology (p < .05). Sub-group analyses revealed that in the group with less than five years’ experience, need for complexity was not associated with burnout, and in men, there were no significant variables for compassion fatigue and quick inventory of depressive symptomatology.

Conclusions

Among physical therapists in geriatric rehabilitation, discomfort with ambiguity was associated with compassion fatigue, burnout and depressive symptoms, whereas need for complexity was associated with compassion satisfaction. Management and education that reduces discomfort with ambiguity and increases need for complexity may improve physical therapists’ psychological well-being.

Keywords

Ambiguity tolerance psychological well-being physical therapists geriatric rehabilitation

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References

Cabinet Office, Government of Japan. Annual Report on the Ageing Society: 2023 (Whole Version) [Internet]. Tokyo: Cabinet Office; 2023 [cited 2024 May 16]. Chapter 1 Current Status of Ageing (Section 1-1); [about 5 screens]. Available from: https://www8.cao.go.jp/kourei/whitepaper/w-2023/html/zenbun/s1_1_1.html.

Makizako

Nishita

Jeong

, et al. Trends in the prevalence of frailty in Japan: a meta-analysis from the ILSA-J. J Frailty Aging 2021; 10: 211–218.

Ando

Nishimoto

Hirata

, et al. Association between multimorbidity, self-rated health and life satisfaction among independent, community-dwelling very old persons in Japan: longitudinal cohort analysis from the Kawasaki ageing and Well-being project. BMJ Open 2022; 12: e049262.

Tadaka

. Differences in loneliness and social isolation among community-dwelling older adults by household type: a nationwide survey in Japan. Healthcare (Basel) 2023; 11: 1647.

Morikawa

Okamoto

Kiuchi

, et al. Association between depressive symptoms and metabolic syndrome in Japanese community-dwelling older people: a cross-sectional analysis from the baseline results of the Fujiwara-kyo prospective cohort study. Int J Geriatr Psychiatry 2013; 28: 1251–1259.

Brassil

Gunn

Shenoy

, et al. Unanswered clinical questions: a survey of specialists and primary care providers. J Med Libr Assoc 2017; 105: 4–11.

McLain

. The Mstat-I: a new measure of an individual's tolerance for ambiguity. Educ Psychol Meas 1993; 53: 183–189.

Hancock

Mattick

. Tolerance of ambiguity and psychological well-being in medical training: a systematic review. Med Educ 2020; 54: 125–137.

Gifford

Vickery

Millman

. How physicians’ uncertainty influences clinical decision making: a study of the evaluation and management of early Parkinson’s disease. J Gen Intern Med 1995; 10: 66.

10.

Charles-Leija

Castro

Toledo

, et al. Meaningful work, happiness at work, and turnover intentions. Int J Environ Res Public Health 2023; 20: 3565.

11.

Wright

Cropanzano

. Psychological well-being and job satisfaction as predictors of job performance. J Occup Health Psychol 2000; 5: 84–94.

12.

Yang

Kwak

, et al. The mental health burden of the COVID-19 pandemic on physical therapists. Int J Environ Res Public Health 2020; 17: 3723.

13.

Carroll

Griech

. Impostor phenomenon and ambiguity tolerance in practicing physical therapists: an exploratory correlational study. Int J Med Educ 2023; 14: 168–177.

14.

Dudley-Javoroski

Cooper

Jackson

, et al. Tolerance for ambiguity: correlations with medical and physical therapy student traits and experiences within the learning environment. Acad Med 2024; 99: 644–653.

15.

Brühlmann

Petralito

Aeschbach

, et al. The quality of data collected online: an investigation of careless responding in a crowdsourced sample. Methods Psychol 2020; 2: 100022.

16.

von Elm

Altman

Egger

, et al. The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. Lancet 2007; 370: 1453–1457.

17.

Hitsuwari

Nomura

. Developing and validating a Japanese version of the multidimensional attitude toward ambiguity scale (MAAS). Psychology 2021; 12: 477–497.

18.

Fukumori

Goto

Sato

. Development, reliability, and validity of a Japanese version of the professional quality of life scale for nurses (in Japanese). Jpn J Psychol 2018; 89: 150–159.

19.

Fujisawa

Nakagawa

Tajima

. Cross-Cultural adaptation of the quick inventory of depressive symptomatology-self report (QIDS-SR-J) (in Japanese). Jpn J Stress Sci 2010; 25: 43–52.

20.

Briggs

Weber

Olson-Kellogg

, et al. Factors contributing to physical Therapists’ job and career satisfaction in the United States: results from a national survey. J Phys Ther Educ 2022; 36: 232–241.

21.

DeVahl

Mulligan

Simpkins

, et al. Physical Therapists’ perspectives on lifelong learning. J Allied Health 2020; 49: 215–220.

22.

Juszkiewicz

Dębska

. Coping styles and empathy in professional burnout: a study of physical therapists. Pol J Appl Psychol 2015; 13: 53–72.

23.

Altaf

Zafar

Khan

, et al. Gender based differences of burnout among clinical and academic physical therapists. Rehabil J 2022; 6: 1–6.

24.

Lee

Jung

Kim

, et al. The influencing factors of gender differences on mental burdens in young physiotherapists and occupational therapist. Int J Environ Res Public Health 2021; 18: 2858.

25.

Milojević

Brumini

Crnkovic

. Differences in perception of stress of physiotherapists employed in Various departments. Croat Nurs J 2020; 4: 5–14.

26.

Śliwiński

Starczyńska

Kotela

, et al. Burnout among physiotherapists and length of service. Int J Occup Med Environ Health 2014; 27: 224–235.

27.

Patel

Bartholomew

. Impact of job resources and job demands on burnout among physical therapy providers. Int J Environ Res Public Health 2021; 18: 12521.

28.

Yoon

Moon

. Moderating effect of self-efficacy and social support in the relationship between physical therapist's job stress and psychological burnout. J Korea Soc Comput Inf 2020; 25: 137–144.

29.

Balogun

Titiloye

Balogun

, et al. Prevalence and determinants of burnout among physical and occupational therapists. J Allied Health 2002; 31: 131–139.

30.

Lee

Jones

Mineyama

, et al. Cultural differences in responses to a Likert scale. Res Nurs Health 2002; 25: 295–306.

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