The Coronary Health Improvement Project (CHIP) for lowering weight and improving psychosocial health

This study extends previous research evaluating the association between the CHIP intervention, change in body weight, and change in psychological health. A randomized controlled health intervention study lasting 4 wk. was used with 348 participants from metropolitan Rockford, Illinois; ages ranged from 24 to 81 yr. Participants were assessed at baseline, 6 wk., and 6 mo. The Beck Depression Inventory (BDI) and three selected psychosocial measures from the SF-36 Health Survey were used. Significantly greater decreases in Body Mass Index (BMI) occurred after 6 wk. and 6 mo. follow-up for the intervention group compared with the control group, with greater decreases for participants in the overweight and obese categories. Significantly greater improvements were observed in BDI scores, role-emotional and social functioning, and mental health throughout follow-up for the intervention group. The greater the decrease in BMI through 6 wk., the better the chance of improved BDI score, role-emotional score, social functioning score, and mental health score, with odds ratios of 1.3 to 1.9. Similar results occurred through 6 mo., except the mental health variable became nonsignificant. These results indicate that the CHIP intervention significantly improved psychological health for at least six months afterwards, in part through its influence on lowering BMI.     

The impact of empathy on burnout in medical students: new findings

Introduction: Research on medical students has shown they are at a higher risk for burnout and that this burnout may become more prevalent as they advance in medical school. The literature, thus far, has not explored the construct of ,emotional empathy and whether this can impact burnout in medical students. Objective: To understand the relationship between empathy (Empathic Concern [EC] and Personal Distress [PD]) and burnout in medical students. Method: Five successive classes of medical students enrolled at a new medical school were given the Maslach Burnout Inventory and Davis’ Interpersonal Reactivity Index over the course of three successive years (n = 353). Two dimensions of empathy were evaluated to determine if they have an impact on three dimensions of burnout (Emotional Exhaustion/EE, Depersonalization/DP, Personal Accomplishment/PA). Results: data was analyzed using a linear mixed model for each of the three components of burnout based on gender, age, year in medical school, and two types of empathy: EC, and PD. Conclusion: It was discovered that students with high levels of EC had statistically lower scores of burnout over time while students with high levels of PD empathy showed statistically higher scores of burnout over three years. Implications for these findings are discussed.     

Natural theology

If the theological virtues are supernatural they must be said to be in some sense not natural. This suggests the possibility that they are not only not natural but positively unnatural, in that they postulate either an inhumanly high level of achievement or a divine takeover of human life. The solution proposed draws on Peter Forrest’s work inGod Without the Supernatural: A Defence of Scientific Theism, and suggests a naturalistic account of the virtues in question.     

Rise of Pilgrims on the Camino to Santiago: Sign of Change or Religious Revival?

There is a renewed interest amongst scholars in the practice of pilgrimage. Over the past two decades, pilgrim numbers have risen significantly, whilst forms of “implicit” or “alternative” spirituality have gained visibility and now coexist with organised religions, sometimes sharing the same ritualistic space. There is probably no better place to look at the coexistence of old and new forms of ritual expression than in the Camino to Santiago. To better understand the meanings attributed to this pilgrimage, we undertook a survey with over 470 pilgrims at various locations along the Camino. The findings confirm that individuals with various, often contrasting, motivations and expectations walk side by side on this pilgrimage route. We suggest that the results cannot be read simplistically as either confirming a “post-secularisation” trend or a religious revival.     

Cognitive-behavioural health-promotion intervention increases fruit and vegetable consumption and physical activity among South African adolescents: a cluster-randomised controlled trial

Rates of chronic diseases are high among Black South Africans but few studies have tested cognitive-behavioural health-promotion interventions to reduce this problem. We tested the efficacy of such an intervention among adolescents in a cluster-randomised controlled trial. We randomly selected 9 of 17 matched pairs of schools and randomised one school in each pair to the cognitive-behavioural health-promotion intervention designed to encourage health-related behaviours and the other to a human immunodeficiency virus (HIV)/sexually transmitted disease (STD) risk-reduction intervention that served as the control. Interventions were based on social cognitive theory, the theory of planned behaviour and qualitative data from the target population. Data collectors, blind to participants' intervention, administered confidential assessments at baseline and 3, 6 and 12 months post-intervention. Primary outcomes were fruit and vegetable consumption and physical activity. Participants were 1057 grade 6 learners (mean age = 12.4 years), with 96.7% retained at 12-month follow-up. Generalised estimating equations revealed that averaged over the follow-ups, a greater percentage of health-promotion intervention participants than HIV/STD control participants met 5-a-Day fruit and vegetable and physical activity guidelines. The intervention also increased health-promotion knowledge, attitude and intention, but did not decrease substance use or substance-use attitude and intention. The findings suggest that theory based and contextually appropriate interventions may increase health behaviours among young adolescents in sub-Saharan Africa.     

Obituary: William Kevin Presa

In this obituary, I detail the life and contribution of William Kevin Presa.     

Free-flying honeybees extrapolate relational size rules to sort successively visited artificial flowers in a realistic foraging situation

Learning and applying relational concepts to solve novel tasks is considered an indicator of cognitive-like ability. It requires the abstraction of relational concepts to different objects independent to the physical nature of the individual objects. Recent research has revealed the honeybee’s ability to rapidly learn and manipulate relations between visual stimuli such as ‘same/different’, ‘above/below’, or ‘larger/smaller’ despite having a miniature-sized brain. While honeybees can solve problems using rule-based relative size comparison, it remains unresolved as to whether bees can apply size rules when stimuli are encountered successively, which requires reliance on working memory for stimuli comparison. Additionally, the potential ability of bees to extrapolate acquired information to novel sizes beyond training sets remains to be investigated. We tested whether individual free-flying honeybees could learn ‘larger/smaller’ size rules when visual stimuli were presented successively, and whether such rules could then be extrapolated to novel stimulus sizes. Honeybees were individually trained to a set of four sizes such that individual elements might be correct, or incorrect, depending upon the alternative stimulus. In a learning test, bees preferred the correct size relation for their respective learning group. Bees were also able to successfully extrapolate the learnt relation during transfer tests by maintaining the correct size relationships when considering either two smaller, or two larger, novel stimulus sizes. This performance demonstrates that an insect operating in a complex environment has sufficient cognitive capacity to learn rules that can be abstracted to novel problems. We discuss the possible learning mechanisms which allow their success.     

Phonological, visual, and semantic coding strategies and children's short-term picture memory span

Three experiments addressed controversies in the previous literature on the development of phonological and other forms of short-term memory coding in children, using assessments of picture memory span that ruled out potentially confounding effects of verbal input and output. Picture materials were varied in terms of phonological similarity, visual similarity, semantic similarity, and word length. Older children (6/8-year-olds), but not younger children (4/5-year-olds), demonstrated robust and consistent phonological similarity and word length effects, indicating that they were using phonological coding strategies. This confirmed findings initially reported by Conrad (1971), but subsequently questioned by other authors. However, in contrast to some previous research, little evidence was found for a distinct visual coding stage at 4 years, casting doubt on assumptions that this is a developmental stage that consistently precedes phonological coding. There was some evidence for a dual visual and phonological coding stage prior to exclusive use of phonological coding at around 5-6 years. Evidence for semantic similarity effects was limited, suggesting that semantic coding is not a key method by which young children recall lists of pictures.     

Psychology of learning: a new approach to study behavior of Rhodnius prolixus stal under laboratory conditions

Conditioning methodologies associated with the psychology of learning are suggested as a new strategy to investigate behavior of the assassin bug Rhodnius prolixus, which is the main vector of Chagas disease in Venezuela. Chagas disease is the fourth leading cause of death in Latin America, as it causes severe chronic illness and approximately 43,000 deaths per year. To illustrate this strategy, two preliminary experiments are reported. In the first, Pavlovian conditioning was examined by pairing an olfactory conditioned stimulus with a temperature unconditioned stimulus. A temperature of 42 degrees C elicits a complex behavioral sequence in R. prolixus consisting of proboscis extension and crawling. Over the course of 12 training trials, this behavioral sequence was not elicited by an olfactory conditioned stimulus. In the second experiment, a latent inhibition paradigm was used to pre-expose R. prolixus to an olfactory conditioned stimulus before pairing the odor with temperature. Over the course of training, an effect of pre-exposure was found. Suggestions for research are discussed and potential conditioned and unconditioned stimuli identified.