Coping strategies in obsessive-compulsive patients during Covid-19 lockdown

Background/ObjectiveThe main aim of this study was to compare coping strategies in obsessive-compulsive disorder (OCD) patients and a healthy control group during COVID-19 lockdown and to analyze the relationship with some variables which may influence results (depression, anxiety, comorbidity, subtype of obsession-compulsion). Method: There were 237 participants, 122 OCD and 115 healthy controls, aged 17-61 years old (M = 33.48, SD = 11.13). Results: Groups showed differences in the use of some adaptive strategies (positive reinterpretation, acceptance, humor) and maladaptive (denial, self-blame). Within obsessive-compulsive group, comorbidity affected the greater use of inappropriate strategies (denial, substance abuse and self-blame) while type of obsession-compulsion did not influence use. Anxiety and depression levels were related to the use of less adaptive strategies. Conclusions: These findings strengthen the need for training in the use of effective and adaptive coping strategies, making it necessary to improve clinical follow-up of these patients. It is relevant to be in contact with healthcare professionals, review medication and observe the anxiety and depression levels.     

Hubert's multi-rater kappa revisited

There is a frequent need to measure the degree of agreement among R observers who independently classify n subjects within K nominal or ordinal categories. The most popular methods are usually kappa-type measurements. When R = 2, Cohen's kappa coefficient (weighted or not) is well known. When defined in the ordinal case while assuming quadratic weights, Cohen's kappa has the advantage of coinciding with the intraclass and concordance correlation coefficients. When R > 2, there are more discrepancies because the definition of the kappa coefficient depends on how the phrase ‘an agreement has occurred’ is interpreted. In this paper, Hubert's interpretation, that ‘an agreement occurs if and only if all raters agree on the categorization of an object’, is used, which leads to Hubert's (nominal) and Schuster and Smith's (ordinal) kappa coefficients. Formulae for the large-sample variances for the estimators of all these coefficients are given, allowing the latter to illustrate the different ways of carrying out inference and, with the use of simulation, to select the optimal procedure. In addition, it is shown that Schuster and Smith's kappa coefficient coincides with the intraclass and concordance correlation coefficients if the first coefficient is also defined assuming quadratic weights.     

Construct validation of the Narcissistic Admiration and Rivalry Questionnaire in Spanish-speaking countries: Assessment of the reliability,structural and external validity and cross-cultural equivalence

A recent re-operationalisation of grandiose narcissism has resulted in the distinction of two narcissistic strategies based on the cognitive, affective-motivational and behavioural dynamics: admiration (assertive self-enhancement) and rivalry (antagonistic self-protection). The Narcissistic Admiration and Rivalry Questionnaire (NARQ) was developed to assess this model with two higher-order dimensions. However, cross-validations of the NARQ have not been extensively conducted across diverse population groups and languages. This study aimed to test the internal and external validity (through the relation with envy and self-esteem), reliability and cross-cultural equivalence of the Spanish version of the NARQ. The psychometric properties were evaluated in a Spanish sample (N = 310), and cross-cultural equivalence was tested in participants from Chile (N = 234) and Colombia (N = 256). The results supported the reliability and validity of the Spanish NARQ, as well as the cross-cultural equivalence across Spanish-speaking countries. In addition, we discuss obtained differences across Spanish, Chilean and Colombian sample within two narcissistic strategies.     

“Together towards a Banquet”: The Feast as Promise and Resistance in Together Towards Life and Contemporary Theological Discourse

This article explores the symbol of the feast, as proposed by the 2012 World Council of Churches’ affirmation Together towards Life: Mission and Evangelism in Changing Landscapes (TTL). The feast is introduced as an appropriate hermeneutic tool to account for the multi-layered and dynamic reality of human life in the presence of others and in the presence of God. Interpreting the feast, together with TTL, as a symbol of the liberation and reconciliation of the whole creation and of the celebration of life in response to the outreaching love of God, the article reflects on some contemporary theological voices arguing that God’s invitation to the feast of God’s kingdom is a central element of Christian existence. Such feasting is, among other things, characterized by the dynamics of facing, the presence of the other, the awareness of human corporeality, and the particularization of the other that can overcome the idolatrous power of death. Entering this conversation, the present article will argue that the symbol of the feast can helpfully be understood in its two-fold dynamics of promise and resistance. While giving assurance about the transformation of all reality in the coming reign of justice and peace, the symbol of the feast, with its emphasis on inclusiveness and equality, also empowers people to resist all life-denying forces. Walking with the rest of the creation “together towards a banquet,” Christians are thus enabled, it will be asserted, to discern and actively live their vocation.     

The self and eating disorders

In our review, we focus on self-related constructs in the context of eating disorders with four aims. First, we examine a variety of self-related constructs that have been theoretically and empirically linked to the development and course of eating disorders. In addition to the more well-researched constructs of self-esteem and self-efficacy, we also report on findings related to selflessness, contingent self-worth, self-objectification, ego-syntonicity, self-concept clarity, self-compassion, social comparison, self-oriented perfectionism/self-criticism, and narcissism. Second, we discuss self-related constructs that may be especially relevant to comorbidities common among those with eating disorders. Third, we review intervention and prevention programs where self-related constructs play a prominent role. Lastly, we share future research directions regarding self-related constructs and eating disorders that we believe will advance a deeper understanding of the role of the self in the eating disorders.     

Construct Validity and Dimensionality of the Rosenberg Self-Esteem Scale and Its Association with Spiritual Values Within Irish Population

Until this research, correlation of Rosenberg’s (1965) self-esteem scale (RSES), with religious and spiritual values, was never investigated using the measure as a twofold construct instead of the monolithic form. This research paper explores the prediction of RSES by spiritual values using a twofold structure of: self-esteem-positive (SEP) and self-esteem-negative (SEN), to specify individual and fragmented correlations with spirituality, which until now was unobtainable. Confirmatory factor analysis and structural equation modelling were applied to analyse the data. The survey was conducted among two-hundred and sixty-eight participants from the Republic of Ireland. The research finds that spirituality influences peoples’ self-esteem, but clear and linear correlation between spirituality and self-esteem is difficult to be concluded. People respond oppositely and differently to positive and to negative items in the RSES which indicates that the measure is a combination of two statistically consistent constructs: SEP and SEN. The results of the study confirm that there are many spiritual areas that affect self-esteem.

     

Intercessory Prayer on Spiritual Distress,Spiritual Coping,Anxiety, Depression and Salivary Amylase in Breast Cancer Patients During Radiotherapy: Randomized Clinical Trial

The goal of this study was to assess the effect of intercessory prayer in the psychological, spiritual and biological scores of breast cancer patients who are undergoing radiotherapy. Double-blind RCT comprising a sample of 31 participants (15 in the Control Group and 16 in the Intervention Group). Data collection was performed in three time points (T₀, T₁ and T₂). Significant changes have been identified in the intra-group analysis, concerning the decrease in spiritual distress score; negative religious/spiritual coping prevailed, while the total religious/spiritual coping increased between the posttest T₂ to T₀. Intercessory prayer was effective in religious and spiritual scores.

     

Value and Obligation Once More

In Understanding Moral Obligation (2012), Robert Stern sets out to provide a fresh interpretation of the role of autonomy in Kant's moral philosophy and attempts to rectify J. B. Schneewind's standard account in The Invention of Autonomy (1998). While Stern agrees that Kant's resort to autonomy is at the basis of a constructivist account of moral obligation, he claims that autonomy plays no role in Kant's theory of value, such that, in this respect, Kant remains a realist. Accordingly, Stern characterizes Kant's moral philosophy as a “hybrid” view because he sees it as involving a compromise between realism with regard to value and constructivism with regard to obligation. Stern's interpretation relies on a sharp distinction between value and obligation. The purpose of the present article is to question Stern's reliance on that rigid distinction, which involves intermixing theoretical and practical reason and assumes a distorted view of human agency.     

The dispositional account of credence

Philosophical Studies - In this paper I offer an alternative—the ‘dispositional account’—to the standard account of imprecise probabilism. Whereas for the imprecise...