The Role of Spiritual Experiences and Activities in the Relationship Between Chronic Illness and Psychological Well-Being

Our research explores the correlates of spiritual experiences over a 2-year period in a sample of older adults (N = 164; mean age 81.9 years) living in a continuing care retirement community. Utilizing responses to the Daily Spiritual Experiences Scale, scores were analyzed for changes over time and for their hypothesized moderating effect in the relationship between chronic illness impact and markers of psychological well-being (as measured by the Geriatric Depression and Life Satisfaction scales). Repeated measures ANOVA indicated a significant decline (P < .01) in the reported spiritual experiences over a 2-year period of time, and t tests showed a significant difference by gender (P < .01) in years 1 and 2, with women reporting higher levels of spiritual experiences than men. Analyses found low spirituality scores associated with low life satisfaction in all years (baseline: r = ?.288, P < .01; year 1: r = ?.209, P < .05; year 2: r = ?.330, P < .001). Only weak associations were detected between low spirituality and the presence of depressive symptoms at baseline (r = .186, P < .05) and year 2 (r = .254, P < .01). Moderation effects of spirituality on the relationship between chronic illness impact and markers of psychological well-being were explored in all years, with a statistically significant effect found only for the presence of depressive symptoms in year 2. Higher impact of chronic illnesses is associated with more depressive symptoms under conditions of low spirituality. Future research may center upon longer-duration evaluation of reliance upon spiritual practices and their impact in care management models.     

A state level investigation of the associations among intellectual capital, religiosity and reproductive health

The current study examines the degree to which state intellectual capital, state religiosity and reproductive health form a meaningful nexus of ecological relations. Though the specific magnitude of effects vary across outcomes, results from hierarchical regression analyses were consistent with the hypothesized path model indicating that a state's intellectual capital (as indicated by average state IQ and graduation rates at various levels) has a positive overall effect on state reproductive health statistics, whereas state religiosity generally has a negative impact. Specifically, both IQ and education were positively associated with breastfeeding rates, immunization rates, and rates of mammography screening, and negatively associated with teen fertility rates and infant mortality rates. Additionally, results confirm that education rates partially mediate the influence of IQ onto religiosity, and both education and religiosity partially or fully mediate the relation between IQ and state health (depending on specific outcome measure). The current results are consistent with a growing interdisciplinary literature establishing that individual, state and national well-being is substantially related to general mental ability and its covariates.     

Exploring an integrative model of infant behavior: what is the relationship among temperament, sensory processing, and neurobehavioral measures?

Traditionally, developmental psychology, occupational/physical therapy, and behavioral pediatrics view similar infant behaviors from temperament, sensory processing, or neurobehavioral theoretical perspectives. This study examined the relations between similar and unique summary scores of three infant assessments (Early Infancy Temperament Questionnaire - EITQ, the Infant Sensory Profile - ISP, and the NICU Network Neurobehavioral Scale - NNNS) in a healthy sample of 100, one-month-old infants. A Principal Components Analysis of selected subscale scores derived from the three assessments suggested a three-factor model. Temperament and sensory summary scores had the strongest relations on two factors: Sensory-Affective Reactivity and Engagement. A third factor had strong relations between state regulation and motor competence. This new integrative model also validates an existing model and expands explanation of infant behavior across disciplines and methods which have significant implications for assessment, intervention, and management practices.     

Development and Pilot Evaluation of Smartphone-Delivered Cognitive Behavior Therapy Strategies for Mood- and Anxiety-Related Problems: MoodMission

Given the ubiquity and interactive power of smartphones, there are opportunities to develop smartphone applications (apps) that provide novel, highly accessible mental health supports. This paper details the development of a smartphone app, “MoodMission,” that aims to provide evidence-based Cognitive Behavior Therapy (CBT) strategies for mood- and anxiety-related problems, contributing to the prevention of clinically significant depression and anxiety disorders and serving as an adjunct to therapeutic interventions delivered by trained health professionals. MoodMission was designed to deliver strategies in the form of real-time, momentary responses to user-reported low moods and anxiety. The development process involved: (a) construction of a battery of strategies, (b) empirical evaluation, (c) a software and behavioral plan design and testing process, (d) user feedback, and (e) a public launch. A pilot study of 44 participants completed the Mobile Application Rating Scale (MARS; Hides et al., 2014) for usability testing and feedback. MoodMission was rated significantly higher than standardized health app norms on the majority of the domains, including Entertainment, Interest, Customization, Target Group, Graphics, Visual Appeal, Quality of Information, Quantity of Information, Visual Information, Credibility of Source, Recommendation to Use, Estimated Frequency of Use, and Overall Rating (Hedges’s g range 0.57–1.97, p < .006). Case examples illustrate the practical uses of the app. In addition to clinical applications, MoodMission holds promise as a research tool either as an augmentation to clinician-delivered therapy, or as a vehicle for standardizing client access to specific CBT strategies (e.g., in studies intending to study different change processes).     

Self-compassion and responses to negative social feedback: The role of fronto-amygdala circuit connectivity

ABSTRACT

Self-compassion has been shown to have significant relationships with psychological health and well-being. Despite the increasing growth of research on the topic, no studies to date have investigated how self-compassion relates to neural responses to threats to the self. To investigate whether self-compassion relates to threat-regulatory mechanisms at the neural level of analysis, we conducted a functional MRI study in a sample of college-aged students. We hypothesized that self-compassion would relate to greater negative connectivity between the ventromedial prefrontal cortex (VMPFC) and amygdala during a social feedback task. Interestingly, we found a negative correlation between self-compassion and VMPFC-amygdala functional connectivity as predicted; however, this seemed to be due to low levels of self-compassion relating to greater positive connectivity in this circuit (rather than high levels of self-compassion relating to more negative connectivity). We also found significant relationships with multiple subcomponents of self-compassion (Common Humanity, Self-Judgment). These results shed light on how self-compassion might affect neural responses to threat and informs our understanding of the basic psychological regulatory mechanisms linking a lack of self-compassion with poor mental health.     

Resilience,Life Events,and Well-Being During Midlife: Examining Resilience Subgroups

Developmental midlife processes involve resilience, changing challenges, and perceptions of getting older. In Study I and II, the Managing Life Survey resulted in growth, managing uncertainty, objectivity, adversity, and strategy use subscales. In Study II, resilience subgroups were identified. High and non-religious resilience groups had significantly higher averages for MLS subscales, time orientations, grit, life satisfaction; and significantly lower averages for adversity and negative event scores, compared to other groups. Noteworthy findings herein consist of (1) differences across resilience groups, with spiritual strategies emerging as an important discriminator; (2) the role of future perspectives on well-being characterizing early midlife; (3) the influence of growth and purpose on well-being characterizing late midlife; and (4) the cumulative effect of education on life satisfaction in late midlife. The results herein are consistent with the psychological benefits of moderate levels of challenge; with developmental differences across early and late midlife, and with Socioemotional Selectivity Theory.     

Natural Mentors,Social Class,and College Success

Natural mentors provide advice, moral support, and assistance to adolescents who aspire to obtain a postsecondary degree, but past studies of the benefits of having an informal adult mentor have yet to resolve several issues. Our analyses of a national sample of high school graduates test three hypotheses: (H1) natural mentoring increases the odds of college attendance and completion, (H2) guidance and career advice are more important for college success than encouragement or role modeling, and (H3) students from poor and working‐class families benefit more from mentoring than students from middle‐ and upper‐class families. Hypotheses 1 and 3 are clearly supported when examining the odds of attending college, while Hypothesis 2 was not supported—encouragement and role modeling boost attendance, not advice or practical help. None of the hypotheses is supported when predicting degree completion among those who matriculated. As natural mentors do not appreciably increase the odds of completing college, we conclude past studies have overstated the postsecondary educational benefits of natural mentors.     

Attachment styles and clinical correlates in people at ultra high risk for psychosis

Evidence suggests that attachment styles may influence subclinical psychosis phenotypes (schizotypy) and affective disorders and may play a part in the association between psychosis and childhood adversity. However, the role of attachment in the initial stages of psychosis remains poorly understood. Our main aim was to describe and compare attachment styles in 60 individuals at ultra high risk for psychosis (UHR) and a matched sample of 60 healthy volunteers (HV). The HV had lower anxious and avoidant attachment scores than the UHR individuals (p < .001). Sixty-nine percentage of the UHR group had more than one DSM-IV diagnosis, mainly affective and anxiety disorders. The UHR group experienced more trauma (p < .001) and more mood and anxiety symptoms (p < .001). Interestingly, in our UHR group, only schizotypy paranoia was correlated with insecure attachment. In the HV group, depression, anxiety, schizotypy paranoia, and social anxiety were correlated with insecure attachment. This difference and some discrepancies with previous studies involving UHR suggest that individuals at UHR may compose a heterogeneous group; some experience significant mood and/or anxiety symptoms that may not be explained by specific attachment styles. Nonetheless, measuring attachment in UHR individuals could help maximize therapeutic relationships to enhance recovery.     

American Psychiatric Association: Position Statement on Firearm Access,Acts of Violence and the Relationship to Mental Illness and Mental Health Services

The American Psychiatric Association, (“APA”), with more than 36,000 members at present, is the Nation's leading organization of physicians who specialize in psychiatry. APA provides for education and advocacy and develops policy through Position Statements. It promotes enhanced knowledge of particular topics relevant to psychiatric practice and patient care through Resource Documents. Since 1993, the APA has developed various positions and resource materials related to firearms and mental illness, incorporating evolving themes as new issues emerge. This paper reflects the APA's 2014 Position Statement on Firearm Access, Acts of Violence and the Relationship to Mental Illness and Mental Health Services.     

Adjustments to the correction for attenuation

With respect to the often-present covariance between error terms of correlated variables, D. W. Zimmerman and R. H. Williams's (1977) adjusted correction for attenuation estimates the strength of the pairwise correlation between true scores without assuming independence of error scores. This article focuses on the derivation and analysis of formulas that perform the same function for partial and part correlation coefficients. Values produced by these formulas lie closer to the actual true-score coefficient than do the observed-score coefficients or those obtained by using C. Spearman's (1904) correction for attenuation. The new versions of the formulas thus allow analysts to use hypothetical values for error-score correlations to estimate values for the partial and part correlations between true scores while disregarding the independence-of-errors assumption.