Effects of cognitive behavioural therapy and return-to-work intervention for patients on sick leave due to stress-related disorders: Results from a randomized trial

The aim of this study was to evaluate specific effects for patients with adjustment or exhaustion disorder, the Stress subgroup (n = 152), regarding symptom severity and sick leave after CBT, a return-to-work intervention (RTW-I), and a combination of them (COMBO), using data from a randomized trial. In the original study, primary care patients on sick leave (N = 211) were randomized to CBT (n = 64), RTW-I (n = 67), or COMBO (n = 80). Blinded Clinician Severity Rating (CSR) of symptoms and sick leave registry data were primary outcomes. Subgroup analyses showed that for the Stress subgroup, CBT led to greater reduction of symptoms than RTW-I posttreatment, but COMBO did not differ from CBT or RTW-I. Regarding sick leave, there was no difference between treatments in the Stress subgroup. An exploratory analysis of the treatment effects in a subgroup of patients with depression, anxiety or insomnia indicates that RTW-I reduced sick leave faster than CBT. We conclude that CBT may be promising as an effective treatment of stress and exhaustion disorder.     

Do changes in threat salience predict the moral content of sermons? The case of Friday Khutbas in Turkey

We analyzed the content of “Friday Khutbas” delivered in Turkish mosques between January 2001 and December 2018 to test the prediction of moral foundations theory (MFT) literature that threat salience would lead to an increased endorsement of binding moral foundations. As societal-level indicators of threat, we examined (a) historical data on the proportion of terrorism-related news published in a Turkish newspaper, (b) the geopolitical risk score of Turkey as measured by Geopolitical Risk Index, and (c) Google Trends data on the search frequency of words “terror”, “terrorism”, or “terrorist”. To measure the endorsement of moral foundations, we built a Turkish Moral Foundations Dictionary and counted the relative frequency of morality-related words in the khutbas delivered in Istanbul, Turkey. Time series analyses showed that risk salience in a certain month was positively related to endorsement of the loyalty/betrayal foundation in that month’s Friday Khutbas. There were mixed results for the other moral foundations.     

NARROW HEDONISM

Narrow hedonism is defined and defended, as a view according to which pleasurable states are individuated as concrete and total experiential situations of a sentient being at a time. Typical of such situations is that, when we are in them, we are at a certain hedonic level. They feel in a certain way for the creature in them. On this understanding of narrow hedonism, which is the only one making good sense of the theory and which was probably also intended by classical hedonists such as Bentham and Edgeworth, standard objections to hedonism, based on the claim that different pleasures have nothing in common, can be set to one side as misplaced and irrelevant. It is also hard to see how this kind of hedonism can be refined, or revised, in the direction indicated by J.S. Mill, when he wants to distinguish “higher” pleasures from “lower” ones. On this understanding of hedonism, we must claim that, those who want to follow Mill will have to rely on non-hedonistic intuitions and thus desert the hedonist camp altogether.     

Stability and prediction of parenting stress

The study focused on stability and prediction of parenting stress experiences over a 6‐year period. Mothers (N=93) who had received a clinical intervention for feeding or sleeping problems during infancy (Time 1; T 1) were followed‐up when the children were 5–10 years old (Time 2; T 2). An age‐ and sex‐of‐child matched normal group was used for comparison of stress levels at T 2. Parenting stress was measured by the Swedish Parenthood Stress Questionnaire, which consists of a general parenting stress scale and sub‐scales tapping different aspects of parenting stress experiences. T 1 predictors were clinical assessments of child problem load, maternal unresponsiveness, and family psychosocial problems. T 2 predictors were mother‐reported concurrent child problem load and psychosocial problems. The individual stability in stress experiences was moderate. Effect sizes indicated that mothers with early clinical contacts had reduced their stress to levels close to those in the normal sample. Parenting stress at T 2 could be predicted from early and from concurrent child and family problems. The results point to the relevance of early clinical assessments and to the importance of a sub‐area approach in parenting stress research, as there were differences between stress sub‐areas regarding both prediction and stability. Copyright © 2007 John Wiley & Sons, Ltd.     

Emotional responses in spider fear are closely related to picture awareness

Theories of emotion propose that responses to emotional pictures can occur independently of whether or not people are aware of the picture content. Because evidence from dissociation paradigms is inconclusive, we manipulated picture awareness gradually and studied whether emotional responses varied with degree of awareness. Spider fearful and non-fearful participants viewed pictures of spiders and flowers at four levels of backward masking while electrodermal activity and heart rate were measured continuously. Recognition ratings confirmed that participants’ picture awareness decreased with masking. Critically, effects of spider fear on emotion ratings and heart rate also decreased with masking. These findings suggest that effects of spider fear on emotion ratings and heart rate are closely related to picture awareness.     

Would you post that picture and let your dad see it? Culture,honor, and Facebook

Honor means “high respect; esteem,” but it has different associations for different cultures. In honor cultures (Turkey), esteem depends on one's own perception of self‐worth and on other people's opinions. In those cultures, honor is easily lost and difficult to regain. In dignity cultures (northern America), esteem mainly depends on the individual and cannot be taken away by others. One way to lose honor in Turkey is through behaviors that may be seen as “potentially improper.” Thus, we expected that posting pictures of such behaviors on Facebook (e.g., at a party; with one's boyfriend/girlfriend) and letting others see them would be less likely in Turkey than in the northern United States. Moreover, we investigated whether honor endorsement was the reason for this difference. We examined participants' posting intentions and actual Facebook behaviors. As expected, Turkish participants were less willing to post and let others (especially their relatives) see their potentially improper pictures compared with northern Americans. Moreover, honor endorsement negatively predicted the willingness to post such pictures only in Turkey, especially for women. This suggests that in honor cultures, the concern for losing honor could be the underlying reason for avoiding social media postings that could be potentially perceived as improper. Copyright © 2015 John Wiley & Sons, Ltd.