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Clinical Consultation in the Workplace: Are There Implications for Response Attitudes? Cover

Clinical Consultation in the Workplace: Are There Implications for Response Attitudes?

Open Access
|Jan 2025

Figures & Tables

Table 1

Sociodemographic Variables by Sample and Statistics.

CLINICAL-ORGANIZATIONAL SAMPLE (COS) (N = 238)CLINICAL SAMPLE (CS) (N = 272)STATISTICS
n (%)M (SD)n (%)M (SD)
Genderχ2(2) = 12.34, p < .001
    Female33 (14)72 (26)
    Male205 (86)200 (74)
    Work Situation
    Working211 (89)214 (79)χ2(2) = 9.10, p < .01
    Sick Leave27 (11)58 (21)
Major Clinical Condition
    Anxiety/Mood157 (66)185 (68)χ2(3) = 2.02, p = .567
    Behavior43 (18)44 (16)
    Substances14 (6)22 (8)
    Others/Not identified24 (10)21 (8)
Self-identified problems
    Professional84 (35)94 (35)χ2(3) = 1.05, p = .789
    Relational/Family51 (21)60 (22)
    Physical health65 (27)82 (30)
    Others/Not Identified38 (16)36 (13)
Clinical History
    Psychological/Psychiatric Intervention60 (25)66 (24)χ2(1) = .061, p = .805
    Psychotropic Medication33 (14)38 (14)
Age42.87 (9.18)41.51 (11.61)F(1, 508) = 2.11, p = .147
School Years11.63 (2.15)11.69 (3.17)F(1, 508) = 0.07, p = .791
Table 2

Descriptive Statistic and Cohen’s d for the Validity, Higher-Order, and Restructured Clinical Scales in the Clinical-Organizational and Clinical Samples.

CLINICAL ORGANIZATIONAL SAMPLE (COS) (N = 238)CLINICAL SAMPLE (CS) (N= 272)COHEN’S D (COS VS CS)
MSD95% CIMSD95% CI
LLULLLUL
Validity Scales
F-r56.6415.4054.6858.6165.6414.7063.8967.40–0.60
Fp-r52.1211.8250.6153.6360.1013.2958.5261.69–0.63
Fs54.1812.9352.5355.8459.7413.5358.1261.35–0.42
FBS-r54.5313.0552.8656.1958.5312.3357.0560.00–0.32
RBS55.6614.6153.7957.5260.8013.8059.1562.45–0.36
L-r49.719.8248.4650.9645.969.6044.8147.110.40
K-r48.109.9846.8249.3741.887.6240.9742.790.71
Higher-Order Scales
EID55.2112.9553.5556.8662.7111.3161.3664.06–0.62
THD54.2211.6852.7355.7160.8112.7759.2862.33–0.46
BXD53.4710.3952.1454.8057.8012.0656.3659.24–0.39
Restructured Clinical Scales
RCd55.4012.7453.7857.0363.2910.5962.0364.56–0.68
RC152.8811.0151.4754.2857.999.1856.8959.09–0.51
RC254.8813.3053.1856.5860.4312.0858.9961.87–0.44
RC351.169.7249.9152.4055.1110.1653.8956.32–0.40
RC454.3511.4852.8955.8261.7312.5660.2363.23–0.61
RC656.3112.3154.7457.8861.2012.9559.6562.74–0.40
RC753.5311.6852.0355.0259.6410.1358.4360.85–0.56
RC853.0011.3951.5454.4560.5112.3259.0461.98–0.63
RC951.509.4950.2952.7154.679.9053.4955.85–0.36

[i] Note. CI = confidence interval; LL = lower limit; UL = upper limit. F-r = Infrequent Responses; Fp-r = Infrequent Psychopathology Responses; Fs = Infrequent Somatic Responses; FBS-r = Symptom Validity; RBS = Response Bias Scale; L-r = Uncommon Virtues; K-r = Adjustment Validity; EID = Emotional/Internalizing Dysfunction; THD = Thought Dysfunction; BXD = Behavioral/Externalizing Dysfunction; RCd = Demoralization; RC1 = Somatic Complaints; RC2 = Low Positive Emotions; RC3 = Cynicism; RC4 = Antisocial Behavior; RC6 = Ideas of Persecution; RC7 = Dysfunctional Negative Emotions; RC8 = Aberrant Experiences; RC9 = Hypomanic Activation.

Table 3

Types of Response Attitude in the Clinical-Organizational and the Clinical Samples.

CLINICAL-ORGANIZATIONAL SAMPLE (COS) (N= 238)CLINICALSAMPLE (CS) (N = 272)COS : CS
F%F%OR95% CI
Under-reporting
    Without2038526397
    With3515935.04*[2.37, 10.72]
        Global(5)(0)
        Social Desirability(8)(6)
        Defensiveness(22)(3)
Over-reporting
    Without1948218066
    With441892340.44*[0.29, 0.67]
        Global(20)(35)
        Severe/Rare Complaints(3)(11)
        Somatic/Cognitive Complaints(3)(5)
        Not considered in any specific category§(18)(41)
        Without Under and/or Over-Reporting1596717163

[i] Note. § Participants that present only one type of Severe/Rare Complaint or one type of Somatic/Cognitive Complaint do not fit into any of these specific categories.

* p < .001.

Table 4

Descriptive Statistic and ANOVA for the Substantive Scales in the Clinical-Organizational and Clinical Samples.

SCALESCLINICAL-ORGANIZATIONAL SAMPLE (COS) (N = 238)CLINICAL SAMPLE (CS) (N = 272)OVER-REPORTING COS (n = 44) CS (n = 92) ANOVAUNDER-REPORTING COS (n = 35) CS (n = 9) ANOVA
OVER-REPORTING (n = 44)UNDER-REPORTING (n = 35)OVER-REPORTING (n = 92)UNDER-REPORTING (n = 9)
MSDMSDMSDMSDFηP2FηP2
Higher-Order Scales
EID71.1410.6942.236.6769.8310.7248.564.75.457.11*0.15
THD69.3412.3147.097.5471.4311.6652.789.50.933.67
BXD58.4512.3446.607.0060.5412.2356.4410.83.8611.19**0.21
Restructured Clinical Scales
RCd71.759.8342.745.2970.479.1650.674.56.5616.97***0.29
RC167.828.9543.716.0465.728.5752.676.001.7415.76***0.27
RC267.4514.2544.208.2564.7812.1949.334.121.283.23
RC359.5210.3041.095.3260.309.3851.4413.38.1913.47**0.24
RC461.5211.7846.236.9565.2912.2157.898.982.9117.86***0.30
RC670.2512.9547.119.0070.6012.7655.2210.77.025.37*0.11
RC768.489.2741.716.6267.0710.1150.894.05.0615.62***0.27
RC868.1411.1145.316.9670.4310.9450.676.381.304.64*0.09
RC956.0211.2143.806.5458.3610.1547.674.691.472.76

[i] Note. EID = Emotional/Internalizing Dysfunction; THD = Thought Dysfunction; BXD = Behavioral/Externalizing Dysfunction; RCd = Demoralization; RC1 = Somatic Complaints; RC2 = Low Positive Emotions; RC3 = Cynicism; RC4 = Antisocial Behavior; RC6 = Ideas of Persecution; RC7 = Dysfunctional Negative Emotions; RC8 = Aberrant Experiences; RC9 = Hypomanic Activation.

*p < .05. **p < .01. ***p < .001.

Table 5

Descriptive Statistics for the Substantive Scales in the Clinical-Organizational Subsamples.

CLINICAL-ORGANIZATIONAL SUBSAMPLES
UNDER-REPORTING (n = 35)OVER-REPORTING (n = 44)WITHOUT UNDER- OR OVER-REPORTING (n = 159)
MSD95% CIMSD95% CIMSD95% CI
LLULLLULLLUL
Higher-Order Scales
EID42.236.6739.9444.5271.1410.6967.8974.3953.6510.0252.0855.22
THD47.097.5444.4949.6869.3412.3165.6073.0851.608.3350.3052.91
BXD46.607.0044.2049.0058.4512.3454.7062.2153.609.6252.1055.11
Restructured Clinical Scales
RCd42.745.2940.9344.5671.759.8368.7674.7453.679.9052.1255.22
RC143.716.0441.6445.7967.828.9565.1070.5450.768.1749.4852.04
RC244.208.2541.3747.0367.4514.2563.1271.7953.7511.1852.0055.50
RC341.095.3239.2642.9159.5210.3056.3962.6651.068.0449.8052.32
RC446.236.9543.8448.6261.5211.7857.9465.1054.1610.9852.4455.88
RC647.119.0044.0250.2170.2512.9566.3174.1954.489.3953.0155.95
RC741.716.6239.4443.9968.489.2765.6671.3051.998.7350.6253.35
RC845.316.9642.9247.7168.1411.1164.7671.5150.508.2049.2151.78
RC943.806.5441.5546.0556.0211.2152.6159.4351.948.5350.6153.28
Specific Problems: Somatic Scales
MLS42.915.9540.8744.9668.418.6965.7771.0555.5611.2653.8057.32
GIC45.000.0045.0045.0063.8614.3059.5268.2151.1810.8949.4752.88
HPC43.895.5841.9745.8066.559.0463.8069.2949.889.2248.4451.32
NUC44.946.7642.6247.2666.669.2463.8569.4750.329.2548.8751.77
COG43.836.3341.6546.0070.2011.5166.7173.7052.2611.1950.5154.02
Specific Problems: Internalizing Scales
SUI49.177.3346.6551.6976.6622.1469.9383.3954.6714.7652.3556.98
HPL43.467.3340.9445.9764.5511.3461.1067.9950.879.7549.3452.40
SFD44.744.6543.1546.3465.2510.4862.0668.4451.5411.1549.8053.29
NFC43.548.2640.7146.3862.7510.7759.4866.0251.219.7649.6852.74
STW43.777.7441.1146.4362.5210.1459.4465.6152.099.6050.5953.60
AXY45.147.1242.7047.5970.2711.4166.8073.7451.649.4750.1653.12
ANP42.944.4141.4344.4666.3910.7663.1269.6651.2410.4849.6052.88
BRF45.606.9043.2347.9759.259.8256.2762.2349.227.7848.0050.44
MSF46.067.9643.3248.7950.349.9447.3253.3647.538.0346.2748.79
Specific Problems: Externalizing Scales
JCP48.378.6745.3951.3555.2712.5751.4559.0952.6710.6850.9954.34
SUB47.747.6945.1050.3959.9316.9554.7865.0852.4812.4750.5354.43
AGG43.265.8841.2445.2865.9814.0361.7170.2454.3810.8052.6956.08
ACT46.149.3842.9249.3654.709.5851.7957.6250.368.2949.0751.66
Specific Problems: Interpersonal Scales
FML43.375.9341.3345.4161.8211.6358.2865.3550.849.5149.3552.33
IPP47.468.1244.6750.2556.5914.3652.2260.9649.579.7448.0451.09
SAV47.668.5844.7150.6066.0213.1562.0270.0253.5711.0551.8455.30
SHY44.406.5242.1646.6461.7711.0658.4165.1451.4210.3249.8153.04
DSF47.698.7144.6950.6872.5916.4967.5877.6152.3612.1050.4654.25
Personality Psychopathology Five (PSY-5) Scales
AGGR-r50.637.6947.9953.2751.9116.0247.0456.7852.5510.5350.9054.20
PSYC-r46.147.1843.6848.6168.4810.8465.1871.7749.978.2148.6951.26
DISC-r50.976.7948.6453.3054.2311.3650.7757.6853.308.4351.9854.62
NEGE-r42.806.6440.5245.0867.5010.9964.1670.8451.928.8750.5453.31
INTR-r48.298.7345.2951.2966.7514.0562.4871.0253.9111.1852.1655.66

[i] Note. CI = confidence interval; LL = lower limit; UL = upper limit. EID = Emotional/Internalizing Dysfunction; THD = Thought Dysfunction; BXD = Behavioral/Externalizing Dysfunction; RCd = Demoralization; RC1 = Somatic Complaints; RC2 = Low Positive Emotions; RC3 = Cynicism; RC4 = Antisocial Behavior; RC6 = Ideas of Persecution; RC7 = Dysfunctional Negative Emotions; RC8 = Aberrant Experiences; RC9 = Hypomanic Activation; MLS = Malaise; GIC = Gastrointestinal Complaints; HPC = Head Pain Complaints; NUC = Neurological Complaints; COG = Cognitive Complaints; SUI = Suicidal/Death Ideation; HLP = Helplessness/Hopelessness; SFD = Self-Doubt; NFC = Inefficacy; STW = Stress/Worry; AXY = Anxiety; ANP = Anger Proneness; BRF = Behavior -Restricting Fears; MSF = Multiple Specific Fears; JCP = Juvenile Conduct Problems; SUB = Substance Abuse; AGG = Aggression; ACT = Activation; FML = Family Problems; IPP = Interpersonal Passivity; SAV = Social Avoidance; DSF = Disaffiliativeness; AGGR-r = Aggressiveness-Revised; PSYC-r = Psychoticism-Revised; DISC-r = Disconstraint-Revised; NEGE-r = Negative Emotionality/Neuroticism-Revised; INTR-r = Introversion/Low Positive Emotionality-Revised.

pb-65-1-1346-g1.png
Figure 1

Mean Profiles of Clinical-Organizational Subsamples on the Higher-Order and Restructured Clinical Scales.

Note. Clinical-Organizational Under-Reporting Subsample: n = 35; Clinical-Organizational Over-Reporting Subsample: n = 44; Clinical-Organizational Without Under- or Over-Reporting Subsample: n = 159. EID = Emotional/Internalizing Dysfunction; THD = Thought Dysfunction; BXD = Behavioral/Externalizing Dysfunction; RCd = Demoralization; RC1 = Somatic Complaints; RC2 = Low Positive Emotions; RC3 = Cynicism; RC4 = Antisocial Behavior; RC6 = Ideas of Persecution; RC7 = Dysfunctional Negative Emotions; RC8 = Aberrant Experiences; RC9 = Hypomanic Activation.

pb-65-1-1346-g2.png
Figure 2

Mean Profiles of Clinical-Organizational Subsamples on the Specific Problems: Somatic and Internalizing Scales.

Note. Clinical-Organizational Under-Reporting Subsample: n = 35; Clinical-Organizational Over-Reporting Subsample: n = 44; Clinical-Organizational Without Under- or Over-Reporting Subsample: n = 159. MLS = Malaise; GIC = Gastrointestinal Complaints; HPC = Head Pain Complaints; NUC = Neurological Complaints; COG = Cognitive Complaints; SUI = Suicidal/Death Ideation; HLP = Helplessness/Hopelessness; SFD = Self-Doubt; NFC = Inefficacy; STW = Stress/Worry; AXY = Anxiety; ANP = Anger Proneness; BRF = Behavior -Restricting Fears; MSF = Multiple Specific Fears.

pb-65-1-1346-g3.png
Figure 3

Mean Profiles of Clinical-Organizational Subsamples on the Specific Problems: Externalizing, Interpersonal and Personality Psychopathology Scales.

Note. Clinical-Organizational Under-Reporting Subsample: n = 35; Clinical-Organizational Over-Reporting Subsample: n = 44; Clinical-Organizational Without Under- or Over-Reporting Subsample: n = 159. JCP = Juvenile Conduct Problems; SUB = Substance Abuse; AGG = Aggression; ACT = Activation; FML = Family Problems; IPP = Interpersonal Passivity; SAV = Social Avoidance; DSF = Disaffiliativeness; AGGR-r = Aggressiveness-Revised; PSYC-r = Psychoticism-Revised; DISC-r = Disconstraint-Revised; NEGE-r = Negative Emotionality/Neuroticism-Revised; INTR-r = Introversion/Low Positive Emotionality-Revised.

DOI: https://doi.org/10.5334/pb.1346 | Journal eISSN: 0033-2879
Language: English
Submitted on: Jul 25, 2024
Accepted on: Dec 14, 2024
Published on: Jan 2, 2025
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2025 Bárbara Gonzalez, Rosa F. Novo, Maria João Afonso, Matilde Fernandes, Ana Vieira, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.