Applied Psychology Readings Selected Papers From The Singapore Conference On Applied Psychology 2022 Complete DOCX Download
Applied Psychology Readings Selected Papers From The Singapore Conference On Applied Psychology 2022 Complete DOCX Download
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Conference Chair
Committee Members
Dr. Peter Macaulay, College of Health, Psychology and Social Care, University of
Derby
Dr. Carrie Childs, College of Health, Psychology and Social Care, University of
Derby
Dr. Caroline Harvey, College of Health, Psychology and Social Care, University of
Derby
Dr. W. Quin Yow PhD, Director, Language and Social Cognition Lab, Assistant
Professor (Psychology), Singapore University of Technology and Design
Dr. Lim Yong-Kwan (Joanne), Singapore University of Social Sciences
Dr. Fiona Holland, College of Health, Psychology and Social Care, University of
Derby
Dr. Samuel Chng, Head of Urban Psychology Lab, Lee Kuan Yew Centre for
Innovative Cities, Singapore University of Technology and Design
Dr. Tan Jing Hee, Deputy Chairman of the Management Council, Chairman of East
Asia Institute of Management Academic Board
Dr. Jane Montague, College of Health, Psychology and Social Care, University of
Derby
Dr. Sonya Karabeliova, Professor of Health Psychology, Sofia University, Dean of
Faculty of Philosophy, Sofia University; Member of Management Board of BPS,
Head of the Section of Health Psychology to the BPS
v
vi SCAP Advisory Board
Dr. Snezhana Ilieva, Professor of Work and Organizational Psychology, Sofia Univer-
sity, Head of Center of Leadership and Organization Development, Sofia Univer-
sity; Member of Management Board of BPS, Head of the Section of Work and
Organizational Psychology to the BPS
Dr. Karel Karsten Himawan, Head of Department, Psychology Faculty, Universitas
Pelita Harapan, Indonesia
Dr. Professor Batsukh Shairii, President of the Mongolian Association of
Psychologists
Dr. Purevsuren Davaadorj, Secretary of Mongolian Association of Psychologists
Supporting Journals
Conference Sponsors
vii
viii Conference Organizer
ix
Contents
xi
xii Contents
Mr. Lee-Ming Tan He is the founder of East Asia Research and he obtained his
Master of Applied Finance from The University of Adelaide. He is deeply interested
in how humans function and react with each other. An insight into how people’s minds
think and how they work together is invaluable in just about every field. Outside of
work, Anthony Tan enjoys outdoor activities and the occasional computer game.
xiii
Risk and Protective Factors
of Internalizing and Externalizing
Symptoms Among Mongolian
Adolescents
1 Introduction
© The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd. 2023 1
P. Macaulay and L. Tan (eds.), Applied Psychology Readings,
https://doi.org/10.1007/978-981-99-2613-8_1
2 A. Badrakh et al.
Grist et al., 2019), self-harming (Asarnow & Mehlum, 2019; Mehlum et al., 2019),
eating-related difficulties (Warschburger & Zitzmann, 2018), and the externalizing
symptoms such as alcohol drinking and smoking (Montgomery et al., 2020) and
bullying (Gaffney et al., 2019). Internalizing symptoms are defined as the emotional
discomfort and harmful behaviors that are directed toward one’s self whereas exter-
nalizing symptoms are the delinquency and harmful behaviors directed toward the
outside, and both are usually signs of emotional disturbance and negative reactions
to stressful life events (Achenbach et al., 2016). As these symptoms adversely affect
the adolescents’ wellbeing (Nash & Bowen, 2002), and even result in the tragedy
of suicide in some cases (Davaasambuu et al., 2017), it is becoming increasingly
important to investigate and understand those symptoms and their risk and protec-
tive factors, in the less studied populations such as Mongolia. Mongolia, located
in central Asia, is a developing country with a population of 3.45 million (Kemp,
2022). Mongolia went through three major social structure changes, from traditional
nomad herders to a socialist society under the influence of the Soviet Union, and
to a capitalist, free market society in the early 1990s (Hurst, 2001). Those radical
changes and the economic and political instability created massive public stress,
and mental and behavioral issues among the population (see Hurst, 2001). Previous
studies (e.g., Davaasambuu et al., 2017; Lee et al., 2019) suggest that Mongolian
adolescents are suffering from internalizing and externalizing symptoms, yet, there
is a lack of research on the associated factors of those symptoms. To develop a
successful preventive intervention, it is crucial to identify which risk and protective
factors predict each problem at the individual, family, and peer-school level (Bron-
fenbrenner, 1979). Therefore, this research intended to fill this gap. Broadly defined,
risk factors are the conditions that increase the likelihood of emotional and behav-
ioral negative outcomes, whereas protective factors are the conditions that promote
successful development and decrease the negative outcomes (Deković, 1999).
Bronfenbrenner’s (1979) ecological theory is one of the most influential theories
in understanding adolescents’ development and argues that the multiple levels of
surrounding environments play an important role in adolescents’ development. The
theory proposes five levels of environment, starting from the most immediate envi-
ronment, with which the adolescents interact directly, including the contexts such
as family, school, and peers, to a larger macrosystem, which indirectly influences
the adolescents’ development. The main argument is that to understand adolescents’
emotional and behavioral outcomes, the environmental effects must be considered,
especially the immediate environment. A similar argument was suggested by the
problem behavior theory, which states that not only the individual characteristics
such as self-concept but also the environmental factors, or the relationship quality
with the significant others, particularly family and peers, predict adolescents’ inter-
nalizing and externalizing symptoms (Jessor, 1987). When adolescents do not have
sufficient psychological skills to deal with adverse life events and do not receive
adequate emotional support from their significant others, they display their frus-
tration through such symptoms. According to the latest report from UNICEF on
adolescents’ mental health and wellbeing (Keeley, 2021), 13% of adolescents around
the world are experiencing at least one type of internalizing symptom and the most
Risk and Protective Factors of Internalizing and Externalizing … 3
common ones are depression, anxiety, and eating-related difficulties. The result was
explained regarding the adolescents’ relationship quality with their significant others
in the family and school settings. Moreover, the report stated that more comprehen-
sive data is needed especially from less studied countries (such as Mongolia) to fully
understand how the environment affects adolescents’ wellbeing.
Mongolia is a country of youth and around one in five Mongolians is aged 10–19
(National Statistics’ Commission, 2021). Unfortunately, adolescents’ internalizing
and externalizing symptoms are relatively common in Mongolia. For example, higher
prevalence of suicidal thoughts and attempts (i.e., one in three adolescents reported
they have seriously considered committing suicide (Badarch et al., 2022)), and a
significantly higher prevalence of alcohol drinking (Dashpuntsag et al., 2021) and
smoking (Sodnom, 2020). Moreover, Mongolian adolescents were the least happy,
but the most anxious and lonely ones compared to the adolescents of other low-
and middle-income Asian countries (Lee et al., 2019). However, previous studies in
Mongolia tended to either exclusively focus on the prevalence of the internalizing and
externalizing symptoms (e.g., Vanchindorj et al., 2017), or target a single symptom
such as smoking (Sodnom, 2020), or suicidal ideation (Davaasambuu et al., 2017).
Therefore, there is a need for a more comprehensive study that includes various
externalizing and internalizing symptoms and their risk and protective factors simul-
taneously. By filling this gap, this study intended to explore whether the same risk
and protective factors would be accountable for different externalizing and internal-
izing symptoms and to provide some baseline data for further research projects and
the relevant prevention and intervention program development in Mongolia.
Although numerous personal and relationship-related factors were found to be
accountable for the adolescents’ internalizing and externalizing symptoms in the
studies from high-income countries, this study decided to target self-concept and
life satisfaction as individual-level protective factors, parental physical and verbal
abuse, and parental emotional neglect as family-level risk factors, family cohesion as
a family-level protective factor, bullying victimization and peer pressure as the peer-
and school-level risk factors, and school satisfaction as the peer- and school-level
protective factor. These eight factors were selected for two reasons. First, the modi-
fiable nature of these factors may make them more likely to receive attention from
the decision-makers, and evolve into prevention and intervention programs. Second,
these selected factors significantly predicted suicidal ideation among Mongolian
adolescents (Altangerel et al., 2014). Given the fact that several internalizing and
externalizing symptoms were predicted by shared risk and protective factors concur-
rently in previous studies from other countries (see Monahan et al., 2014), the
same factors from Altangerel and others’ study might have similar effects on other
internalizing and externalizing symptoms.
Also, demographic characteristics such as age, gender, and location tend to have a
significant effect in exhibiting the internalizing and externalizing symptoms. Partic-
ularly, older adolescence was related to an increased level of internalizing and exter-
nalizing symptoms such as depression and anxiety (Chen et al., 2020), smoking
(Choi et al., 2001), and alcohol drinking (Windle, 2003). Moreover, female adoles-
cents tend to exhibit more internalizing symptoms, while externalizing symptoms
4 A. Badrakh et al.
tend to be higher among male adolescents (e.g., Cotter et al., 2016). The reason
was explained as peer pressure and delinquent peer associations are higher among
boys, therefore resulting in more anti-social behaviors than girls. Whereas the more
connection-oriented relationships among girls may produce more anxiety and depres-
sion over peer rejection and conflict. The effect of Mongolian culture may play role
in the gender differences as well. Traditionally, Mongolians value masculinity and
powerfulness in men and submissiveness and softness in women (Hurst, 2001; Rarick
et al., 2014), and this cultural effect might enlarge the internalizing symptoms among
females and externalizing symptoms among males. However, surprisingly, it was also
found that while alcohol drinking was common among male adolescents in most
countries, no such gender difference was observed among Mongolian adolescents
(Azzopardi et al., 2021). Thus, alcohol drinking can be exceptional from the gender
differences, and if supported, this can be a sign that alcoholism might have become
a normative culture in Mongolia (Dashpuntsag et al., 2021).
Lastly, the impact of locational difference is huge in Mongolia as the lifestyles
of the urban city, Ulaanbaatar, and the countryside have a significant difference.
Compared to living in the urban city, living in the countryside might be less harmful
to mental health and wellbeing as it is closer to nature, sparsely populated, and less
polluted (Tillmann et al., 2018). Indeed, according to Davaasambuu et al. (2017),
the suicide risk was higher among adolescents living in Ulaanbaatar city than those
who live in the countryside. Thus, higher levels of internalizing and externalizing
symptoms could be expected those from Ulaanbaatar city. Based on the arguments
above, the following hypotheses were developed.
H1: Internalizing and externalizing symptoms would have shared risk and
protective factors in the individual, family, and school and peer-related domains.
H2: Age would positively predict both internalizing and externalizing symptoms.
H3: Females would demonstrate higher levels of internalizing symptoms and
males would demonstrate higher levels of externalizing symptoms, except for
alcohol drinking.
H4: Participants from Ulaanbaatar city would demonstrate higher levels of both
internalizing and externalizing symptoms.
2 Methodology
and 96% of those adolescents use social media daily in Mongolia (Communications &
Regulatory Commissions of Mongolia, 2021). Ethical approval was received from
the research committee of the School of Social Science of the National University of
Mongolia. The online questionnaire was distributed along with the information sheet,
informed consent (i.e., parental consent for participants who are below 18 years old),
and the debrief. Participants had to obtain consent from their parents and tick the
parental consent box located at the bottom of the informed consent page, if they were
aged below 18. In the debrief, information was provided on receiving mental health
support if they felt distressed during or after the survey. Participants also provided
a pseudonym for withdrawal requests. The pseudonym nickname creation was also
used to mitigate the threats of bots (Pozzar et al., 2020). As 2105 responses were
received, 1667 were included in the data analyses after excluding the incomplete
responses (i.e., responses with at least one missing data were treated as incomplete
and were removed, therefore, yielding a 79.1% response rate). Among the 1667
participants, 28.9% were 14 years old, 23.9% were 15 years old, 17.7% were 16 years
old, 19.6% were 17 years old, 5.5% were 18 years old, and 4.4% were 19 years old.
In terms of gender 54.3% were females and 45.7% were males, 69.7% were from
Ulaanbaatar city and the remaining 30.3% were from the countryside.
2.2 Measures
The original scales were in English. Therefore, a two-way translation was performed
from English into Mongolian by the third and fifth authors who are native Mongolian
speakers with a proficient level of English, and a back-translation by the first author
who is also a native Mongolian speaker and educated in the UK. Smoking and alcohol
drinking were assessed by one-item dichotomous questions. We conducted a pilot
test with 20 participants to check the cultural adaptation of the translated scales. In
the pilot test, some of the respondents complained that the total questionnaire was
too long. Moreover, due to the language and cultural differences, some items of the
translated scales were repetitive, thus, making the respondents feel confused. Thus,
to shorten the number of items, repetitively translated items were excluded. The
internal consistencies of the final scales were in the acceptable range for short scales
(Streiner, 2003).
Life satisfaction. Diener et al.’s (1985) the Satisfaction with Life Scale assessed
general life satisfaction through five items such as “I am satisfied with my life” and
“Conditions of my life are excellent”. Responses range from 1 (strongly disagree) to
7 (strongly agree), thus higher scores indicate higher life satisfaction. The internal
consistency of the original scale was α = 0.87 and the two-month test–retest coeffi-
cient was 0.82 (Diener et al., 1985). The internal consistency of this translated scale
was α = 0.76, or highly consistent.
Self-concept. Self-concept (i.e., beliefs they hold about themselves) was assessed
through six dimensions: perceived behavior, anxiety, intellectual status, popularity,