Spiritual care as eHealth: a systematic review

A systematic review was undertaken of the literature on the use of the Internet and other information and communication technologies (ICT's) in the provision and support of religious and spiritual care in healthcare. Indexes such as Medline, PsychoINFO and Proquest Religion were searched. The review found little systematic study of the effectiveness of the Internet and other ICT's in religious and spiritual care. It is believed that the results of this review provide a basis for promise spiri care in the further explora of the potential and of ICT's for tual healthcare.     

Tortured families: a Coordinated Management of Meaning analysis

Torture is known to affect both the individual and the family. The aim of the present study was to reach a better understanding of the significance of communication and information about parental exposure to violence in torture-surviving families. The theoretical background is Social Constructionism and Coordinated Management of Meaning (CMM). In-depth interviews were carried out with 14 members of 3 Middle Eastern refugee families living in Denmark in which the father had been exposed to torture. The 3 families experienced their life stories and situations as refugees in very different ways, ranging from meaninglessness, discontinuance, and alienation to a sense of community, solidarity, and openness. Communications about past events were related to such meaning-providing contexts. The way in which parents talk with their children about torture and organized violence can be understood in terms of "stories told" and "stories lived." When stories told (e.g., the experience of torture and organized violence) are in contradiction to stories lived, a situation of ambiguity and uncertainty is created. The meaning-providing contexts for making sense of the family history of violence and exile can be more or less coherent or contradictory, and might result in a strengthened relationship or confusion, powerlessness, and action paralysis. Clinicians can help traumatized families deal with their past histories of violence by paying attention to such ambiguities and contradictions.     

Relationships between physiological and psychological stress and salivary immunoglobulin A among young female gymnasts

We investigated whether psychological and physical stress induced by training or competition influence the secretory immune system among 12 highly trained young female gymnasts. Salivary levels of secretory IgA and cortisol responses to gymnastic training session or competition were assessed a total of 10 times, immediately before and after two training sessions which had different intensities and just before and after a major competition. These parameters were also measured on two non-training days. The Brunel Mood Scale was also used to assess the gymnasts's overall mood on each test day. IgA:Protein ratio was calculated. Significant decreases in this ratio were found after each exercise session, related to the physiological and psychological stress induced by exercise. Over the 5-mo. training period the presession IgA:Protein ratios were unchanged. Gymnasts registered any episodes of upper respiratory tract infection. Bouts of exercise induce transitory effects on the immune system in relation to the workload and the stress induced by the exercise without any relation to increased susceptibility to illness in children.     

Cross-serial dependencies in dutch: Testing the influence of NP type on processing load

We tested the cross-linguistic generalizability of three models of sentence processing complexity--Lewis (1996), Gibson (1998, 2000), and Gordon (Gordon, Hendrick, & Johnson, 2001; Gordon, Hendrick, & Levine, 2002)--by investigating the on-line processing of cross-serial dependencies in Dutch. The number of subject-verb relations in a clause was manipulated, as well as type of noun phrase (indexical pronouns vs. proper names or full definite NPs). Several of our findings diverged from Gibson's model: Processing difficulty at the verbs was not affected by the use of proper names versus first- and second-person pronouns; an increase at the first verb was seen for full NPs versus pronouns in 3-verb constructions, which was predicted by the Gibson model, but is in contrast to Lewis's model. These findings are best explained within the framework of similarity-based inference models (Gordon et al., 2001; Gordon et al., 2002), according to which the number of similar NPs affects processing difficulty at the point of retrieval, and not specifically their discourse status or syntactic function.     

Diagnostic status and symptomatic behavior of hard-to-manage preschool children in middle childhood and early adolescence

Followed 2 cohorts of hard-to-manage preschool children and comparison children without early problems to middle childhood and early adolescence. Children with early problems, especially problems that were still evident at school entry, were more likely to meet diagnostic criteria for an externalizing diagnosis at follow-up. Hard-to-manage children in Cohort 1 with problems that persisted from ages 3 through 9 years were much more likely to meet diagnostic criteria at age 13 than children whose early problems were less stable in elementary school. Similarly, hard-to-manage boys in Cohort 2 whose problems persisted at age 6 were more likely to meet criteria for an externalizing diagnosis at age 9 than hard-to-manage boys whose problems appeared less stable at age 6. Across cohorts, children with persistent problems had higher levels of symptoms and more varied symptoms at ages 3 and 4 and over the course of development.     

Observations and ratings of tics in school settings

This paper describes the findings of a school-based tic assessment procedure (direct observations, teacher rating scales) for hyperactive children with comorbid tic disorder. Rates of motor tic frequency were found to be moderately stable across both days and school settings. Correlations between direct observations of tics and clinician rating scales were generally in the low to moderate range as were correlations between teacher and clinician rating scales. Overall rates of hyperactive/disruptive behaviors were not associated with rates of motor tic occurrence, and the behavioral symptoms of both disorders were also independent for specific intervals of time.This study was supported, in part, by a research grant from the Tourette Syndrome Association, Inc., and P.H.S. grant MH 45358 from the National Institute of Mental Health. The authors wish to thank Joyce Sprafkin for providing valuable clinical services related to the conduct of the school-based medication evaluations and Joseph Schwartz for assisting with the data analyses. We are particularly indebted to the families and teachers who made this study possible.     

Conditions Under Which a Bogus Pipeline Procedure Enhances the Validity of Self-Reported Cigarette Smoking: A Meta-Analytic Review1

A meta-analysis was conducted to test whether the use of self-report measures within the bogus pipeline (BPL) paradigm yields more valid responses than the use of self-report measures alone for assessing cigarette smoking behavior. The meta-analytic results indicate that, overall, a BPL condition resulted in a larger proportion of subjects reporting that they are frequent smokers, as compared to a self-report measure only (no pipeline) condition. Tests of categorical models indicate that the enhanced validity of self-reports within the BPL paradigm is moderated by the following variables: (a) type of BPL presentation employed, (b) type of self-report measure to which the BPL technique is compared, and (c) whether most participants are smokers (as indicated by a biochemical marker).     

Impulsivity in the eye of the beholder: an analysis of teachers' concepts of impulsive and reflective behaviour

The aim of this research was to investigate teachers' perception of the concept of impulsivity and its relation to the concept of reflectivity. Teacher rating scales for both concepts were constructed by means of the prototype method (Study 1). It appeared that impulsivity refers to social behaviour, whereas reflectivity is more cognitive in character. A Principal Components Analysis (Study 2) showed that the item pools for impulsive and reflective behaviour account for separate components. It is concluded that impulsivity and reflectivity as perceived by teachers are not two extremes of one dimension, but refer to different behavioural domains: social and cognitive.