Acceptability of virtual reality interoceptive exposure for the treatment of panic disorder with agoraphobia

Interoceptive exposure (IE) is a standard component of cognitive-behavioural therapy (CBT) for panic disorder and agoraphobia. The virtual reality (VR) program ‘Panic-Agoraphobia’ has several virtual scenarios designed for applying exposure to agoraphobic situations; it can also simulate physical sensations. This work examines patients' acceptability of the IE component as applied in two different ways: using VR versus traditional IE. Additionally, it explores the relationship between users' treatment expectations and satisfaction and clinically significant change. Results showed that VR and traditional IE were well accepted by all participants. Furthermore, treatment expectations predicted efficacy.     

Perceived sources and levels of stress,general self-efficacy and coping strategies in preclinical dental students

Dental education programs are known to be highly stressful and stress can affect general health. The aims were to identify sources of stress among preclinical students and to evaluate their perceived levels of stress, self-efficacy and effective coping strategies in a private dental school. One hundred preclinical students in a Turkish private dental school were surveyed using dental environment stress (DES), perceived stress (PSS), general self-efficacy (G-SES) and brief coping scales (Brief-COPE). Age, gender, history of psychiatric treatment, factors that affected the choice of dentistry, choice rank of dental school, scholarship and income was recorded. ‘Exams and grades’ followed by ‘Fear of failing course or year’ were found to be the most stressprovoking factors. The most and the least stressprovoking DES domains were ‘Workload’ and ‘Social stressors’, respectively. ‘Social stressors’ affected male more than female (p < .05). The most and the least common coping strategies were found to be ‘Planning’, and ‘Drug’, respectively. Female used ‘Instrumental support’ more than male (p < .05). Demographic factors had impact on the perceived stress factors and levels, as well as coping strategies. Unlike previous studies establishing high stress levels in dental students, preclinical students displayed moderate level of stress. Clinical dental education might be more responsible for creating stress.     

Gender diversity and motivation in collaborative learning groups: the mediating role of group discussion quality

Collaborative learning is often used in higher education to help students develop their teamwork skills and acquire curricular knowledge. In this paper we test a mediation model in which the quality of group discussions mediates the impact of gender diversity and group motivation on collaborative learning effectiveness. Our results show that the proportion of women in groups, and the group level need for cognition and core self-evaluations (within group average) positively predict discussion quality that in turn predicts group (academic) performance. Our results show that discussion quality fully mediates the effects of need for cognition and core self-evaluations on group performance. The effect for gender diversity on group performance is only partly mediated by discussion quality.     

The Effect of Religious Belief and Forgiveness on Coping with Diabetes

We aimed to investigate the relationship of religious beliefs and forgiveness in diabetic patients with various sociodemographic characteristics, emotional problems and glycaemic control. The study comprises 100 patients diagnosed with type 2 DM. We used a data collection form, the Scale of Forgiveness and Religiosity (SFR), Problem Areas in Diabetes Scale (PAID), Beck Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI) and the Audit of Diabetes-Dependent Quality of Life (ADDQoL). We also recorded blood glucose and HbA1c test results. A statistically significant relationship was determined only between the scores of the STAI-I and the religious belief scales (r = 0.198, p = 0.049). A statistically significant negative relationship was determined between the forgiveness scale points and the BDI (r = 0.326, p = 0.001), the STAI-II (r = 0.308, p = 0.002) and PAID (r = 0.313, p = 0.001) and a positive correlation with ADDQoL (r = 0.284, p = 0.004). To conclude, forgiveness by patient himself or others reduced the emotional problems which were experienced related to diabetes by reducing stress levels and could increase quality of life.     

On Quantitative and Qualitative Parsimony

The distinction between quantitative and qualitative parsimony is supposed to allow David Lewis to dismiss one of the charges against his modal realism: that is, the charge of bloated ontology. The aim of this paper is to undermine Lewis's response to this objection. In order to do this, a distinction between multipliable and nonmultipliable objects is introduced. Based on this it is argued that the acceptance of Lewis's response requires one to believe in modal realism in the first place—that is, one has to believe in the view that the existence of nonactual spatiotemporal worlds does not affect the quality of the ontological commitment. Although the paper focuses on the problem of the metaphysics of possible worlds, this should be regarded merely as a case study. Accordingly, the results of this analysis should find applications in other metaphysical debates as well.     

Directional preferences in turning behavior of girls and boys

Turning biases in humans and animals are known to be related to dopaminergic asymmetry between the brain hemispheres. A laboratory method, in which turning preference was evaluated, was adapted based upon the turning of the subject toward a particular sound in a square room. One of the aims of this study was to investigate the reliability of this method with children, and the other aim was to research the turning preference in boys and girls. 31 children between 7 and 13 yr. old volunteered as subjects, and 17 subjects were retested. The subjects tended significantly to turn leftward (60.1%), and fewer girls (53.7%) turned to the left than boys (66.2%). The correlation between the test and the retest was significant (r=.79, p< .01). Most studies have indicated that humans in childhood and adulthood exhibit left-turning preference, but conflicts between the results obtained on different types of rotation tasks have suggested that hemispheric dopaminergic activity might affect preference. That needs study.