Technology Delivered Interventions for Depression and Anxiety in Children and Adolescents: A Systematic Review and Meta-analysis

Depression and anxiety are common during adolescence. Whilst effective interventions are available treatment services are limited resulting in many adolescents being unable to access effective help. Delivering mental health interventions via technology, such as computers or the internet, offers one potential way to increase access to psychological treatment. The aim of this systematic review and meta-analysis was to update previous work and investigate the current evidence for the effect of technology delivered interventions for children and adolescents (aged up to 18 years) with depression and anxiety. A systematic search of eight electronic databases identified 34 randomized controlled trials involving 3113 children and young people aged 6–18. The trials evaluated computerized and internet cognitive behavior therapy programs (CBT: n = 17), computer-delivered attention bias modification programs (ABM: n = 8) cognitive bias modification programs (CBM: n = 3) and other interventions (n = 6). Our results demonstrated a small effect in favor of technology delivered interventions compared to a waiting list control group: g = 0.45 [95% CI 0.29, 0.60] p < 0.001. CBT interventions yielded a medium effect size (n = 17, g = 0.66 [95% CI 0.42–0.90] p < 0.001). ABM interventions yielded a small effect size (n = 8, g = 0.41 [95%CI 0.08–0.73] p < 0.01). CBM and ‘other’ interventions failed to demonstrate a significant benefit over control groups. Type of control condition, problem severity, therapeutic support, parental support, and continuation of other ongoing treatment significantly influenced effect sizes. Our findings suggest there is a benefit in using CBT based technology delivered interventions where access to traditional psychotherapies is limited or delayed.

     

Investigation of the Relationship Between Anxiety Levels of Patients Before Plastic Surgery Operation and Worship Practices in Muslims

There is an increasing interest in the effects of preoperative anxiety on the course and outcomes of surgical treatments and also in the studies about the anxiety-decreasing interventions. The present study aims to identify the relationship between the preoperative anxiety level of the individuals prior to aesthetic surgery operations such as nose, ear, eyelid, and mammoplasty and religious rituals such as performing prayers, fasting, and going to pilgrimage. The frequency of performing the religious rituals was identified through a questionnaire. The questionnaire included questions about the religious rituals such as performing prayers, going to a pilgrimage, and fasting as well as questions about sociodemographic features such as gender, age, and education level of the patients. Preoperative anxiety level was measured using the “Anxiety Specific to Surgery Questionnaire.” The nonparametric Mann–Whitney U test was used for the scale score comparisons of the two independent groups. The scale score comparisons of more than two groups were performed using the Kruskal–Wallis test. The relationships between age and scale scores were analyzed using the Spearman’s correlation coefficient. The study involved 117 patients who were planned to undergo an aesthetic surgery operation. The scale scores were significantly different according to the pilgrimage groups (p = 0.004). The scale scores were significantly different according to the level of fasting (p = 0.022). No significant differences were found between the scales scores of the groups who reported the frequency of performing prayer as never, sometimes or five times (p = 0.515). In conclusion, the present study found that Muslim people who performed religious rituals more often experienced less preoperative anxiety levels in plastic surgeries, which indicates that the belief level is an effective factor in preoperative anxiety levels. The findings of the present study indicate that patients’ beliefs and worship practices should be taken into consideration by doctors, operating room personnel, and even all health workers in order to decrease the anxiety levels of patients who will undergo surgery.

     

Global Scientific Outputs of Brain Death Publications and Evaluation According to the Religions of Countries

In 1950s, the concept of brain death, which began to be discussed primarily in terms of medicine and then in terms of religion, law, and ethics, became a central topic in all world countries as it was an early diagnosis of death. Despite the fact that brain death (BD) diagnosis is of importance for benefitting from organ and tissue transplantation of patients in the world, the literature still involves no bibliometric studies that made a holistic evaluation of the publications about this issue. The present study aims to investigate the top-cited articles about BD published between 1980 and 2018, identify the citation collaboration of the journals, demonstrate the collaboration between the countries, define the relationship between organ transplantation and BD, and reveal the latest developments and trend topics about this issue. In addition, this study aims to investigate the relationship between religions of countries and brain death publication productivity. Documents for bibliometric analysis were downloaded from Web of Science. The literature search was performed using the keywords “brain death/dead” during 1980–2018. The correlations between gross domestic product (GDP), Human Development Index (HDI) and publication productivity of the countries on BD were investigated with Spearman’s correlation coefficient. There was a high-level, statistically significant correlation between the number of publications and GDP, and HDI and the number of publications about BD (r = 0.761, p < 0.001; r = 0.703, p < 0.001). The USA was the top country in terms of publication productivity, which was followed by developed countries such as Germany, Japan, France, and Spain. However, the contribution of the undeveloped or developing countries such as China, Brazil, Turkey, Iran, and South Africa was found to be considerably important. While many people in the world die with undamaged organs, many other people die needing those organs. Therefore, it is considered that the collaborations and thus multidisciplinary studies about BD should be increased in the world countries, and the countries should be involved in bigger collaborations instead of little clusters. Especially, Muslim countries should be encouraged to do research and publish studies about the issues of brain death and organ transplantation.

     

Does Positive Wellbeing Predict Job Performance Three Months Later?

The present study examines the relationship between wellbeing and work performance in a twotime model. The model was based on the happy-productive worker hypothesis. Labour wellbeing (Time 1, T1) was measured with three constructs: job satisfaction, personal satisfaction, and organizational commitment, and showed good one dimensional adjustment in the second-order confirmatory factor analysis performed. We use a stratified sampling strategy, controlling for sex, age and whether workers were employed in the public or private sector. Of the 235 employees analysed in T1, 205 responded in Time 2 (T2). Results obtained through SEM analysis establish a positive and significant relationship between positive wellbeing and job performance. Likewise, job satisfaction and organizational commitment were the variable that most influenced the unidimensional welfare construct (0.902, p < 0.001 and 0.750, p < 0.001, respectively). Personal satisfaction showed a lower value (0.234, p < 0.01), and was the only one of the three variables that was context-free level. The article looks at the theoretical and professional implications of the results.

     

A Structural Model for Adjustment to Aging among Older Women in Breast Cancer Remission

This study aims to build a structural model to explore the predictors of adjustment to aging (AtA) reported by older women in breast cancer remission. A community-dwelling sample of 771 older women in breast cancer remission aged between 75 and 98 years answered a questionnaire to determine socio-demographic (age, income, marital status, education, household, and living setting), and health-related characteristics (self-reported functional limitations and disabilities, time since remission, other type of cancer, breast reconstruction, perceived health, recent disease and medication). Several measures were employed to assess AtA, sense of coherence and subjective well-being. Structural equation modeling was used to explore a structural model of the self-reported AtA, encompassing all variables. Significant predictors of AtA are self-reported disability (β = .404; p < .001), time since remission (β = .371; p < .001), perceived health (β = .257; p < .001), other type of cancer (β = .231; p < .001), breast reconstruction (β = .153; p = .008), marital status (β = .141; p < .001), sense of coherence (β = .140; p < .001), and living setting (β = .139; p = .006). These variables accounted for 84.3% of the variability of AtA. Self-reported disability and time since remission were the strongest predictors of AtA. Our findings suggest that health care interventions with older women in breast cancer remission still living in the community may benefit from clearly including these predictors of AtA, as they are relevant for promoting older women’ s aging well.

     

The Effect of Spiritual Self-care Training on the Quality of Life of Mothers of Preterm Infants: A Randomized Controlled Trial

The present study was carried out with the aim of determining the effect of spiritual self-care training on the quality of life of mothers of preterm infants. This trial was carried out on 60 mothers with premature infants. Mothers were randomly divided into two intervention and control groups. Training for increasing awareness about the condition of the infants was carried out in both groups. In the intervention group, spiritual self-care training was also done. Data were completed in both groups before, immediately after, and two weeks after the intervention by using the standard WHO quality of life questionnaire. Data were analysed using statistical tests, including ANOVA and Repeated Measures. The results showed that the average quality of life of mothers under study was significantly different at different points of measurement in the intervention group (first, second, and third time-points) (P = 0.016). An increase was observed in the intervention group at the second time-point compared to the first time-point (84.2–88.4, P < 0.001) and in the third time-point compared to the first time-point, (87.9), which was also statistically significant (P < 0.001). According to the results of post hoc tests, there was a decrease in quality of life in the control group at the second time-point compared to the first time-point and the average score of mothers decreased from 82.9 to 75.3, which was statistically significant (P < 0.001). Spiritual self-care training can increase the quality of life and can be used as a form of holistic nursing care for mothers with premature infants in neonatal intensive care units.

     

Living Well in Later Life: The Influence of Sense of Coherence,and Socio-Demographic,Lifestyle and Health-Related Factors on Older Adults’ Satisfaction with Life

This study aims at exploring a structural model of satisfaction with life’s (SWL) predictors in a cross-national sample of older adults. A quantitative approach was followed with a cross-sectional study design. A community-dwelling sample of 1,234 older adults from four different nationalities residing in Portugal, was assessed regarding SWL, sense of coherence (SOC) and socio-demographic, lifestyle and health-related characteristics. Sampling was performed in lifelong learning centres’ message boards and local community centres’ list-serves in the Lisbon metropolitan area and in the Algarve region. Structural equation modeling was used to investigate a structural model of the self-reported SWL, comprising SOC, socio-demographic characteristics (age, sex, education, marital and professional status, household, adult children, income, living setting and religion), as well as lifestyle and health-related characteristics (physical activity, recent disease and medication). Significant predictors are SOC (β?=?0.733; p?<?0.001), religion (β?=?0.725; p?<?0.001), income (β?=?0.551; p?<?0.001), adult children (β?=?0.546; p?<?0.001), education (β?=??0.403; p?<?0.001), living setting (β?=??0.292; p?<?0.001) and medication (β?=??. 197; p?<?0.001). The variables accounted for 24.8 % of the variability of SWL. Moreover, differences between the four nationality groups (F _{(3, 671)}?=?3.671, p?=?0.066) were not found concerning SWL. Sense of coherence is the strongest predictor of self-reported SWL. Other predictors are religion, income, adult children, education, living setting and medication. The four nationalities did not present significant differences, concerning SWL. This study points out the potential factors that influence older adults’ SWL, in particular SOC, religion and income, as promoters of aging well, within a salutogenic model of health for older populations.     

Views of individuals with gender dysphoria and disorders of sex development on sexism: An Iranian study

ABSTRACT

Background: Ambivalent sexist attitudes have been previously measured regarding several factors such as sex, race and religion.

Aims: In this study, we evaluated the ambivalent sexism among Iranian individuals with gender dysphoria with or without disorders of sex development (DSD).

Methods: Attitudes towards gender stereotypes were investigated using Ambivalent Sexism Inventory (ASI) among three groups of participants with varying psychosexual outcome. These groups were transpeople (N = 152, M = 25.44, SD = 6.52), people with DSD (N = 40, M = 21.2, SD = 2.24) and cisgender people (N = 195, M = 25.9, SD = 5.59).

Results: Significant differences in both types of sexism, benevolent (F (2,383) = 134.217, p < .001) and hostile (F (2,383) = 93.765, p < .001), were found between transpeople, participants with DSD and controls. While scores of transpeople and people with DSD were not significantly different from each other (p = 0.191, Cohen's d = 0.38), both groups were significantly more sexist than controls on hostile sexism (p < 0.001, Cohen's d = 1.4 and 1.1). In benevolent sexism, there were significant differences between the scores of the trans, DSD and control groups, with individuals with DSD being most sexist followed by transgender people (p < 0.001) and controls showing the least degree of sexism (p < 0.001).

Conclusion: Using the Gender Self-Socialization Model (GSSM), we propose that increased scores of ASI among individuals whose gender identity is incongruent with all or some of their physical features are attempts to attain gender typicality. This may lead to a higher degree of sexist beliefs than when all sex and gender characteristics are congruent.     

Brief Trust/Mistrust in God Scale: psychometric properties of the Farsi version in Muslims

In Iran, a Middle Eastern Islamic country, far too little attention has been paid to the validation and cultural adaptation of measures of religion/spirituality. This has limited the potential for research in this area. The objective of the paper is to assess the psychometric properties of the Farsi version of the Brief Trust/Mistrust in God Scale (BTMGS). After translation of the original English version of the measure into Farsi using a standard forward–backward method, the BTMGS along with the Duke University Religion Index (DUREL) and Hoge Intrinsic Religiosity (Hoge IR) Scale was administered to 720 medical students, physicians, and nurses at Tehran University of Medical Sciences and affiliated hospitals. Internal consistency (α), test–retest reliability, concurrent validity, and construct validity were determined for the BTMGS. The Farsi version of the BTMGS had high internal consistency (α = 0.90 and 0.92 for trust and mistrust subscales, respectively) and test–retest reliability (intraclass correlation coefficient = 0.89 and 0.95 for trust and mistrust subscales, respectively), and was adequately correlated with other established measures of religiosity (i.e., the DUREL [r = 0.64, p < 0.001] and Hoge IR [r = 0.54, p < 0.001]) indicating support for the concurrent validity of the measure. A confirmatory factor analysis indicated that the Farsi version has two factors (i.e., Trust in God and Mistrust in God) consistent with the original scale. These findings suggest that the Farsi version of BTMGS is a valid and reliable measure in Farsi-speaking populations that may be used to assess relationships with health and well-being.     

Holy Movement and Holy Place: Christian Pilgrimage and the Hajj

Abstract : This article uses a comparative theological model to explore the concept of pilgrimage—holy movement and holy place. It examines Christian pilgrimage exemplified by John Paul II's pilgrimage to Jerusalem in 2000 and Islamic pilgrimage exemplified by the Hajj. It then re‐visions Christian pilgrimage by suggesting how three features of the Hajj (danger and hardship, ritual nature, and gathering) can be used to deepen the Christian experience and understanding of pilgrimage.     

Sex Selection Technology: A Prediction of Its Use and Effect

We surveyed 281 undergraduates to assess their sexual preference for a firstborn child and their willingness to use sex selection technology. Results indicated overall preference for a boy among these respondents whether or not they indicated a willingness to use reproductive technology. Black women reported a greater willingness to use technology than did White women (p < .05), and older respondents (p < .10) also reported a greater intention to use the technology. Catholics were less willing to use technology than all other religious sects (p < .05). Of the 51 respondents who indicated their willingness to use technology, 73% preferred sons (p < .01). This finding held across sex, race, religion, age, and income levels. Support for the women's movement was unrelated to either preference or projected use of sex selection technology.     

Distancing oneself from God: relationships with borderline personality symptomatology

Self-harm behaviour traditionally has been associated with borderline personality disorder. In this study, we examined the relationship between borderline personality symptomatology and intentionally distancing oneself from God as self-punishment, based on the assumption that such self-punishment may represent a form of self-harm behaviour. Data from four previous samples of primary care outpatients collected over a two-year period were combined (N?=?1511). Borderline personality was assessed with two measures: the borderline personality scale of the Personality Diagnostic Questionnaire-4 (PDQ-4) and the Self-Harm Inventory (SHI). Point-biserial correlation coefficients revealed that those who endorsed distancing oneself from God as punishment scored relatively higher on both the PDQ-4 (r?=?0.40, p?<?0.001) and the SHI (r?=?0.46, p?<?0.001). Similarly, when compared to respondents who denied ever having distanced themselves from God as punishment, those who did were more likely to exceed the clinical cut-off score on the PDQ-4 (47.3% vs. 10.9%, X^{2 ?}=?152.53, p?<?0.001) and the SHI (57.3% vs. 11.4%, X^{2 ?}=?224.12, p?<?0.001). Findings support our hypothesis that distancing oneself from God as punishment may be a form of self-harm behaviour associated with borderline personality symptomatology.     

Hare Krishna and Sanatan Dharm in Britain: The Campaign for Bhaktivedanta Manor

Bhaktivedanta Manor, the main centre for ISKCON (the ‘Hare Krishna movement') in Britain, has been under threat of closure for over ten years. The centre—which is a place of pilgrimage for many thousands of Indian Hindus in Britain—is considered by its local authority to be used inappropriately, since it does not have the required planning permission to be a place of public worship. In their view, Bhaktivedanta Manor should be used only as a theological college. ISKCON have challenged this position, and through a series of legal and political battles have tried to prevent the local authority from taking enforcement action. The campaign against closure by ISKCON demonstrates the large support this ‘new’ religion has among the Hindu population of Britain, and indeed has played an important part in developing the relationship between Hindus and the Hare Krishna movement. But the campaign also demonstrates a key point about the role of religious freedom within British law, as the series of legal challenges by ISKCON have highlighted how the right to religious worship is subject to other factors, such as planning regulations.     

Religion and politics among Arab seafarers in Britain in the early twentieth century

For the communities of Arab seafarers who settled at British ports, religion and politics were two domains that remained closely intermeshed throughout the first half of the twentieth century. A number of international Islamic organizations were active among the Arab seafarers during this time. The Islamic Society and the Western Islamic Association were active among these Arab seafaring communities during periods of acute tension and unrest. After the 1919 race riots, the Islamic Society called for reconciliation and understanding rather than resistance, and in 1930 the Western Islamic Association sought to counter the activities of those Arabs who chose resistance and solidarity with the Communist‐led Seamen's Minority Movement. The North African‐based ^c Alawi tariqa creaud something of a religious revival among the Arab seafarers during the 1930s and 1940s. Its efforts appear to have been welcomed and supported by the British authorities as a useful counter to Communist propaganda.     

Examining the help-seeking intentions of Chinese individuals in the United States

The underutilization of mental health services by Chinese individuals in the United States is concerning. In this study, we examined Chinese individuals’ help-seeking intentions utilizing the theory of planned behavior. Two hundred fifty-one participants were recruited for this study. The results revealed that help-seeking attitudes (β = 0.28, p < 0.001), perceived behavioral control (β = 0.21, p < 0.001), and subjective norms (β = 0.13, p < 0.001) were found to be significant predictors of help-seeking intentions. The implications of the results are discussed.     

The Association Between Religious Beliefs and Practices and End-of-Life Fears Among Members of the Presbyterian Church (U.S.A)

This study examines the association between various religious beliefs and practices and fears pertaining to death and dying in a national sample of liberal Protestant U.S. adults. Data were analyzed from a 2002 survey of members and elders of the Presbyterian Church (U.S.A) (N = 935). Four measures of religion were tested together in models predicting four end-of-life fears. Church attendance (p < .01), other church involvement (p < .05), and belief in life after death (p < .001) had negative associations with the fear of what happens after death. Private devotion was inversely related to the fear of dying in pain (p < .05). Involvement in church activities (p < .05), aside from religious services, was inversely related to the fear of leaving loved ones behind. Females tended to be more fearful than males of dying alone and dying in pain and older adults tended to be less fearful than younger adults of the unknown and of leaving loved ones behind.     

Implicit theories of intellectual virtues and vices: A focus on intellectual humility

Psychological science has consistently highlighted links between gratitude and religion, however mediating pathways by which religion relates to gratitude remain ambiguous. Further, it is unclear whether religious gratitude (e.g., gratitude to God) is more related to well-being than general gratitude. To address these gaps, we assessed for both religious and general dimensions of gratitude alongside measures of religious commitment and mental/physical well-being in a diverse sample of n?=?405 adult individuals. Consistent with previous research, gratitude was positively correlated with religious commitment (r?=?0.45, p?<?0.001). This relationship, however, was fully mediated by gratitude towards God. Using hierarchical linear regression, results further found that the interaction of religious commitment and religious gratitude added unique variance in predicting mental well-being, over and above general gratitude. This suggests that being grateful to God enhances the psychological benefits of gratitude in accordance with one's level of religious commitment.