Religiosity and Spirituality: Influence on Quality of Life and Perceived Patient Self-Efficacy among Cardiac Patients and Their Spouses

The purpose of this study was to determine the influence of spirituality, religiosity, and religious coping on quality of life and self-efficacy among couples following a first time cardiac event. There was no significant association between measures for spirituality and religiosity and couples’ ratings for quality of life and self-efficacy. Negative forms of religious coping were associated with lower levels of quality of life and decreased confidence in the patient’s ability to perform physical tasks. Spouses’ measures for quality of life, self-efficacy, spirituality, religiosity, and religious coping were associated with patients’ measures for the same study variables. Joan F. Miller, RN, Ph.D., is Assistant Professor of Nursing, Bloomsburg University, Bloomsburg, Pennsylvania 17815 and Director of the Bloomsburg University Nursing Wellness Center. The author gives special thanks to Timothy R. McConnell, Ph.D., and Troy A. Klinger, M.S., for their research support and helpful feedback.     

Ministers’ Perceptions of Depression: A Model to Understand and Improve Care

While depression is a significant worldwide health problem, fewer than half of individuals seek care. Faith-based communities may play an important role in improving the knowledge of and linkage to depression care. Focus groups of Caucasian and African-American clergy were conducted to explore these issues. Using a grounded theory approach five themes emerged, including explanatory models of depression, barriers and facilitators to care, and recommendations for involving religious communities. A model of depression care pathways was constructed that integrates secular and spiritual approaches. The findings highlight the need for targeted interventions to build trust between clergy and mental health professionals. Teresa L. Kramer, Ph.D., is Chief Psychologist and Associate Professor of Psychiatry in the College of Medicine, University of Arkansas for Medical Sciences in Little Rock. She has conducted research in child, adolescent and adult mental health assessment, outcomes, and quality of care. Her current research on adolescent depression is funded through a Research Career Development Award from the National Institute of Mental Health. She is currently developing faith-based programs to educate ministers and their congregations about depression-related illness. Dean Blevins, Ph.D., teaches in the Department of Psychiatry, College of Medicine, at the university and is associated with the Center for Mental Health & Outcomes Research, Central Arkansas Veterans Healthcare System, and the South Central Mental Illness, Research, and Clinical Center in Little Rock. Terri L. Miller, Ph.D., also teaches in the Department of Psychiatry. Martha Phillips, Ph.D., is at the Department of Human Services in Little Rock. Vanessa Davis and Billy Burris are employed at the Division of Behavioral Health Services, also in Little Rock.     

Collaborate and share: an experimental study of the effects of task and reward interdependencies in online games.

Today millions of players interact with one another in online games, especially massively multiplayer online role-playing games (MMORPGs). These games promote interaction among players by offering interdependency features, but to date few studies have asked what interdependency design factors of MMORPGs make them fun for players, produce experiences of flow, or enhance player performance. In this study, we focused on two game design features: task and reward interdependency. We conducted a controlled experiment that compared the interaction effects of low and high task-interdependency conditions and low and high reward-interdependency conditions on three dependent variables: fun, flow, and performance. We found that in a low task-interdependency condition, players had more fun, experienced higher levels of flow, and perceived better performance when a low reward-interdependency condition also obtained. In contrast, in a high task-interdependency condition, all of these measures were higher when a high reward-interdependency condition also obtained.     

VR-based conversation training program for patients with schizophrenia: a preliminary clinical trial.

Schizophrenia is a devastating mental illness and is characterized by hallucinations and delusions as well as social skills deficits. Generally, social skills training designed to help patients develop social skills includes role-playing, but this form of training has typical shortcomings, which are largely due to a trainer's difficulties to project emotion. Virtual reality (VR)-based techniques have the potential to solve these difficulties, because they provide a computer-generated but realistic three-dimensional world and humanlike avatars that can provide emotional stimuli. In this paper, we report on a method of implementing virtual environments (VEs) in order to train people with schizophrenia to develop conversational skills in specific situations, which could overcome the shortcomings of or complement conventional role-playing techniques. The paper reports the efficacy of the proposed approach in a preliminary clinical trial with 10 patients with schizophrenia.     

Mortality and Re-enchantment: Conscious Dying as Individualized Spirituality

The emergence of conscious dying in modern society suggests that the redefinition of death as consciousness transference not only challenges the fear of death, but also empowers a personal approach to dying moments. It can be considered a form of individualized spirituality, because the meaning of consciousness transference is not exclusively rooted in institutionalized meanings of the sacred, but redefines the sacred in highly individualistic terms. This change in attitudes towards death reflects a process of re-enchantment concomitant with the individualism of the New Age.     

Effects of classroom context on university students’ judgments about cheating: mediating and moderating processes

Hypothetical vignettes were used to examine the effects of classroom context variables (pedagogical quality and classroom goal structure) on undergraduate (study 1) and graduate (study 2) students’ judgments about cheating. Consistent with attribution theory and previous findings, poor (versus good) pedagogy and performance (versus mastery) goals structures resulted in more teacher blame and less student blame for cheating, and cheating was rated as more acceptable and more likely in these situations. Participants’ own prior cheating history but not their experience as a classroom teacher also affected these judgments. Relations between classroom context variables and assigned blame for cheating were mediated by students’ assessments of the fairness of the classroom situation.     

Stability and Change in Personality Disorder

ABSTRACT— The standard view of personality disorder is that it is a maladaptive expression of personality traits, which are relatively stable and unchanging. Thus, personality disorder has been considered to have its roots in childhood and adolescence, to persist in adulthood, and to be difficult to change. However, recent research has challenged this view, revealing that personality continues to change, albeit more slowly, well into adulthood, and that the maladaptive manifestations of personality disorder are much less stable than previously believed. These research findings are described, and factors that influence stability and change in personality disorder are discussed. The emerging view of personality disorder has important implications for diagnosis, assessment, and treatment of personality pathology.     

Examining the Relations Among Narcissism, Impulsivity, and Self-Defeating Behaviors

ABSTRACT A recent meta-analysis ( S. Vazire & D. C. Funder, 2006 ) suggested that narcissism and impulsivity are related and that impulsivity partially accounts for the relation between narcissism and self-defeating behaviors (SDB). This research examines these hypotheses in two studies and tests a competing hypothesis that Extraversion and Agreeableness account for this relation. In Study 1 , we examined the relations among narcissism, impulsivity, and aggression. Both narcissism and impulsivity predicted aggression, but impulsivity did not mediate the narcissism–aggression relation. In Study 2 , narcissism was related to a measure of SDB and manifested divergent relations with a range of impulsivity traits from three measures. None of the impulsivity models accounted for the narcissism–SDB relation, although there were unique mediating paths for traits related to sensation and fun seeking. The domains of Extraversion and low Agreeableness successfully mediated the entire narcissism–SDB relation. We address the discrepancy between the current and meta-analytic findings.