Effectiveness of Acceptance–Commitment Therapy on Craving Beliefs in Patients on Methadone Maintenance Therapy: A Pilot Study

The present study is designed to evaluate the efficacy of acceptance–commitment therapy (ACT) on craving beliefs in opioid dependent patients on methadone maintenance treatment (MMT). Twenty-eight opioid dependent participants, aged 18–50 years, who were on MMT based on Iran’s Ministry of Health and Medical Education published protocol, were evaluated in Mashhad during 2011–2012. The treatment group comprised fourteen participants, who received eight sessions of individual ACT alongside MMT while fourteen participants of the control group received just MMT. The effectiveness of the intervention was assessed by the craving beliefs questionnaire (CBQ), the action and acceptance questionnaire (AAQ-I) and the mean dosage of methadone the participants consumed in the last 3 days. Assessment was performed three times; the first was before the initiation of ACT (as pretest), the second was 2 weeks after ACT was terminated (as posttest), and the third one was 12 weeks after the termination of ACT (as follow-up). The extracted data were analyzed by two way ANOVA and ANCOVA using SPSS-20. While there was no significant difference in the mean methadone dosage between the treatment and the control group at pretest (p = 0.067), patients in the treatment group had a significantly lower methadone dosage at posttest (p < 0.001) and follow-up (p < 0.001) compared to the control group. There was a significant reduction in the CBQ scores between treatment and control groups at posttest (p = 0.047) and follow-up (p = 0.014). There was also a significant difference in AAQ-I score between treatment and control at posttest (p < 0.001) and follow-up (p < 0.001). It seems that short-term individual ACT is associated with a significant decline in craving beliefs in substance-dependent patients, which lasts for at least 12 weeks after the termination of ACT.     

Using the Structure of Evaluative Components as a basis for comparing the oral narratives of schizophrenics and healthy individuals

Journal of Psycholinguistic Research - In this study, evaluative language in narratives of 15 healthy and 15 schizophrenic females was compared using the Structure of Evaluative Components. The two...     

Spiritual Health and Outcomes in Muslim ICU Patients: A Nationwide Cross-Sectional Study

The aim of the present study is to describe how religiosity and spirituality affect the psychiatric morbidity of Muslim intensive care unit (ICU) patients. We conducted a prospective nationwide cross-sectional study of ICU patients discharged from 45 medical centers spanning 31 proivinces in Iran. Adults (age ≥ 18 years) admitted to the ICU and treated with invasive mechanical ventilation were eligible. Nine validated survey tools were administered to detect direct and indirect associations between spiritual health (SH) and depression, anxiety, and post-traumatic disorder. The Hospital Anxiety and Depression Scale (HADS), Impact of Event Scale—Revised (IES-R), Post-Traumatic Stress Syndrome 14 question (PTSS-14) quality-of-life (QoL), and quality of patient to physician or nurse communication (PP-QoC and PN-QoC) scales were modeled through two mediators by structural equation modeling (SEM). Sex, ICU type, LOS, and APACHE II score were added in the independent variable list. 338 eligible patients were discharged from the ICUs during the study period. 56 were excluded (clinical status), and 282 were administered the survey. 278 returned it, with 272 complete and 6 partial responses. SH displayed no direct or indirect association to QoL. SH was indirectly associated with decreased depression and anxiety (B = ? 0.081, p < 0.05) via PP-QoC mediator. Both direct and indirect positive associations were observed between SH and IES-R (B = 0.293, p < 0.05; via PP-QoC) and PTSS-14 scores (B = 0.267, p < 0.001; via PP-QoC). Medical ICU location was associated with decreased PTSS-14 scores via the same mediator. In this survey of Muslim ICU patients treated with invasive mechanical ventilation, SH correlated with decreased depression and anxiety, but paradoxically increased post-traumatic stress. The most influential mediator was patient–physician quality-of-communication.     

Visual attention and its intimate links to spatial cognition

It is almost universal to regard attention as the facility that permits an agent, human or machine, to give priority processing resources to relevant stimuli while ignoring the irrelevant. The reality of how this might manifest itself throughout all the forms of perceptual and cognitive processes possessed by humans, however, is not as clear. Here, we examine this reality with a broad perspective in order to highlight the myriad ways that attentional processes impact both perception and cognition. The paper concludes by showing two real-world problems that exhibit sufficient complexity to illustrate the ways in which attention and cognition connect. These then point to new avenues of research that might illuminate the overall cognitive architecture of spatial cognition.     

Contents Just Are In The Head

The purpose of the paper is to show that semanticexternalism – the thesis that contents are notdetermined by ``individualistic' features of mentalstates – is mistaken. Externalist thinking, it isargued, rests on two mistaken assumptions: theassumption that if there is an externalist wayof describing a situation the situation exemplifiesexternalism, and the assumption that cases in which adifference in the environment of an intentional stateentails a difference in the state's intentional objectare cases in which environmental factors determine thestate's content. Exposing these mistakes leads to seethat the conditions that are required for thetruth of externalism are inconsistent.     

Hypnosis: a twilight zone of the top-down variety Few have never heard of hypnosis but most know little about the potential of this mind-body regulation technique for advancing science

An early form of psychotherapy, hypnosis has been tarnished by a checkered history: stage shows, movies and cartoons that perpetuate specious myths; and individuals who unabashedly write 'hypnotist' on their business cards. Hypnosis is in the twilight zone alongside a few other mind-body exemplars. Although scientists are still unraveling how hypnosis works, little is mystical about this powerful top-down process, which is an important tool in the armamentarium of the cognitive scientist seeking to unlock topical conundrums.     

When customers exhibit verbal aggression, employees pay cognitive costs

In 4 experimental studies, we show that customer verbal aggression impaired the cognitive performance of the targets of this aggression. In Study 1, customers' verbal aggression reduced recall of customers' requests. Study 2 extended these findings by showing that customer verbal aggression impaired recognition memory and working memory among employees of a cellular communication provider. In Study 3, the ability to take another's perspective attenuated the negative effects of customer verbal aggression on participants' cognitive performance. Study 4 linked customer verbal aggression to quality of task performance, showing a particularly negative influence of aggressive requests delivered by high-status customers. Together, these studies suggest that the effects of even minor aggression from customers can strongly affect the immediate cognitive performance of customer service employees and reduce their task performance. The implications for research on aggression and for the practice of customer service are discussed. (PsycINFO Database Record (c) 2012 APA, all rights reserved).     

Further investigation of the validity and reliability of the photographic figure rating scale for body image assessment

Previous studies have not fully investigated the psychometric properties of the Photographic Figure Rating Scale (PFRS). In 2 studies, we report on the test-retest reliability and convergent validity of ratings derived from the PFRS. In Study 1, 322 female university students in Britain provided self-ratings on the PFRS and objectively measured body mass index (BMI); a subsample of 132 women also completed the task after 5 weeks. In Study 2, 243 women from the community in Austria completed the PFRS along with a battery of other body image scales. Results of Study 1 showed that ratings on the PFRS had good test-retest reliability (all rs > .87) and good convergent validity in relation to BMI. Results of Study 2 showed that PFRS-derived body dissatisfaction scores were significantly correlated with a range of body image variables. These results provide evidence for the convergent validity and good test-retest reliability of the PFRS.     

Psychometric Properties of the Persian Spiritual Coping Strategies Scale in Hemodialysis Patients

Spiritual strategies may provide an effective way of coping with disease. This study sought to investigate the validity and reliability of the Persian version of the spiritual coping strategies (SCS) scale among Iranian hemodialysis patients. A convenience sample of 204 hemodialysis patients was recruited to participate in the study. A forward–backward translation method was used to produce the Persian version of the scale. Internal consistency was assessed by Cronbach’s alpha and item–total score correlation. Two-week test–retest reliability was also assessed. The convergent and divergent validity of the scale was evaluated using the Duke University Religion Index and a visual analogue scale for health status. Exploratory and confirmatory factor analyses were used to assess the factor structure. Participants consisted of 113 males and 91 females (mean age 57.2 [SD = 9.7]). Cronbach’s alpha was acceptable (0.87). We found two underlying factors similar to the original scale. The correlations between the study scales confirmed the convergent and divergent validity of the SCS. Confirmatory factor analysis showed a good fit to the data (GFI = 0.923, CFI = 0.948 and RMSEA = 0.068). The Persian version of the SCS has sound psychometric properties in Iranian hemodialysis patients. Future research should consider applying the scale to populations with other religious/cultural backgrounds.     

Is She an Expert or Just a Woman? Gender Differences in the Presentation of Experts in TV Talk Shows

In order to explore gender differences in the presentation of experts on television this study used a content analysis of 238 h of 64 Israeli talk shows from 2012 where 495 experts took part. Men experts outnumbered women experts in a 1.7:1 ratio. These men were significantly older than the women and tended to have a higher academic rank. The topics on which the experts commentated reflect familiar gender stereotypes with men more likely to talk about security and self defense, politics and economy and women more often talk about body grooming and child care. The results, which partly accord with feminist criticisms that blame the popular media with symbolic annihilation of scholarly women and partly reflect an actual over-representation of men in senior academic ranks, are also analyzed in relation to the findings of studies that looked at the gender of scientists and scholars in fictional TV programming.