Exploring the relationships among age,spiritual struggles,and health

The purpose of this study is to address two issues. First, an effort is made to see if there are age differences in the prevalence of spiritual struggles. Second, tests are performed to see if age differences exist in the relationship between spiritual struggles and physical health. Data from a recent nationwide survey reveal that younger adults report that they encounter more spiritual struggles than either middle-aged or older adults. The findings further indicate that the negative relationship between spiritual struggles and health tends to become more pronounced at successively older ages.     

We used to say “Zei gezunt!” (Be well!): Do American Jews still exhibit distinctive health behaviors?

ABSTRACT

A survey that includes a representative sample (n = 3,219) of older persons (age 60+) living in the Philadelphia area was used to determine if health status and health behaviors of older Jews differ from that of non-Jews. The survey includes questions about health status and health behaviors as well as sociodemographic characteristics. Responses of self-identified Jews, Catholics, and Protestants were compared. With only two exceptions there were no differences between Jews and non-Jews on questions about health status. In regard to health behaviors, Jews were more likely to follow standard recommendations such as seeing their physician on a regular basis or yearly screenings for certain cancers. We completed stepwise regressions with measures of socioeconomic status entered first and then Jewish status, as socioeconomic status is closely associated with health outcomes. Being Jewish continued to explain differences in health behaviors even when controlling for socioeconomic status. We also looked at the relation between attending religious services and health behaviors. Self-rated health was correlated with attendance for Protestants and for Catholics; it was not correlated with self-rated health for the Jews. All findings suggest the need for further study of the reason for the relation of health behavior to being Jewish.     

Practice Guidelines for Communicating a Prenatal or Postnatal Diagnosis of Down Syndrome: Recommendations of the National Society of Genetic Counselors

Down syndrome is one of the most common conditions encountered in the genetics clinic. Due to improvements in healthcare, educational opportunities, and community inclusion over the past 30?years, the life expectancy and quality of life for individuals with Down syndrome have significantly improved. As prenatal screening and diagnostic techniques have become more enhanced and widely available, genetic counselors can expect to frequently provide information and support following a new diagnosis of Down syndrome. This guideline was written for genetic counselors and other healthcare providers regarding the communication of a diagnosis of Down syndrome to ensure that families are consistently given up-to-date and balanced information about the condition, delivered in a supportive and respectful manner.     

Effects of daily morphine administration and deprivation on choice and demand for remifentanil and cocaine in rhesus monkeys

Choice procedures have indicated that the relative reinforcing effectiveness of opioid drugs increases during opioid withdrawal. The demand curve, an absolute measure of reinforcer value, has not been applied to this question. The present study assessed whether mild morphine withdrawal would increase demand for or choice of remifentanil or cocaine. Four rhesus monkeys chose between remifentanil and cocaine during daily sessions. Demand curves for both drugs were subsequently obtained. The effects of daily injections of 3.2 mg/kg morphine on both choice and demand for these drugs was assayed 3 and 20.5 hr after each morphine injection, and then during a postmorphine period. Three hours following morphine injections, choice of remifentanil over cocaine decreased and demand for remifentanil--but not cocaine--became more elastic. During morphine withdrawal (20.5 hr postinjection), choice of remifentanil increased and remifentanil demand became more inelastic in 3 of 4 monkeys. Cocaine demand also became more inelastic during this period. Four to five weeks following the morphine regimen, demand for both drugs was more inelastic relative to the initial determination. The results suggest that both the relative and absolute reinforcing effectiveness of remifentanil decreased following morphine administration and increased during morphine withdrawal. The absolute reinforcing effectiveness of cocaine also increased during morphine withdrawal. In addition, extended exposure to drug self-administration and/or exposure to the morphine regimen produced long-term increases in demand for both drugs.     

Bringing forth spirituality dialogues in family therapy education

Our intention in the following article is to bring forth connections with spiritual resources in teaching and supervision. We construct this focus within a collaborative learning approach. Methods and techniques used include curiosity, reflexivity inquiry, deconstruction, outsider witness practices and re‐authoring conversations. We evaluate how the dialogue has transformed our abilities to relate to spirituality.     

Understanding Stability and Change in Psychological Distress and Sense of Coherence: A Four‐Year Prospective Study1

Concerns have been raised repeatedly regarding the temporal stability of sense of coherence measures and their unusually strong correlations with psychological distress measures. To examine these two issues prospectively in a general population sample, we used a structural equation model (SEM) that hypothesizes a stable and a time‐varying component for the Orientation to Life Questionnaire (OLQ), a measure of sense of coherence, and a distress scale. The stable component underlying distress levels was correlated strongly with the stable component of the OLQ. These findings suggest that the status of sense of coherence as a stable protective factor for health that is independent of known risk factors is not well served by the OLQ.     

Neighborhood Characteristics and Depression: An Examination of Stress Processes

ABSTRACT— Neighborhoods with poor-quality housing, few resources, and unsafe conditions impose stress, which can lead to depression. The stress imposed by adverse neighborhoods increases depression above and beyond the effects of the individual's own personal stressors, such as poverty and negative events within the family or workplace. Furthermore, adverse neighborhoods appear to intensify the harmful impact of personal stressors and interfere with the formation of bonds between people, again increasing risk for depression. Neighborhoods do not affect all people in the same way. People with different personality characteristics adjust in different ways to challenging neighborhoods. As a field, psychology should pay more attention to the impact of contextual factors such as neighborhoods. Neighborhood-level mental health problems should be addressed at the neighborhood level. Public housing policies that contribute to the concentration of poverty should be avoided and research should be conducted on the most effective ways to mobilize neighborhood residents to meet common goals and improve the context in which they live.     

When is the gift given? Organ donation,social representations,and an opportunity to register

The gift of life doctrine underpins Australia's approach to organ donation: in legislation, clinical practice, community awareness campaigns, and educational activities. In this paper, we present an approach that situates an understanding of organ donation within a social representation framework as a system of values, ideas, and practices. In cadaveric donation, the final giving‐of‐the‐gift can never be by the donor, leading us to ask where the potential donor's decision to give the gift really lies. We present research from three studies that explored the relationship between what was socially understood about organ donation and the registration of donation intent. Drawing from three socially and culturally diverse populations, we asked people working in a corporate city institution and those attending two football matches in the outer city area to complete a word‐association task and Likert‐scale belief questions about organ donation—followed by an opportunity to register immediately on the Australian Organ Donor Register. Driven by the interdependent themata of life/death and self/other, the gift of life doctrine is inextricably linked with the loss of life emerging as both positive and negative beliefs allowing their relationship to actual registration behaviour to be observed. Our findings suggest that in many instances, the potential donor's genuine desire to give the gift lies in the tension between positive and negative beliefs, manifesting as a consent registration when the positive beliefs about donation prevail and an immediate opportunity to register is available.     

Source monitoring reduces the suggestibility of preschool children

The relation between source monitoring and suggestibility was examined among preschool children. Thirty-two 3- to 5-year-olds were simultaneously presented with a brief story in two different modalities, as a silent video vignette and a spoken narrative. Each modality presented unique information about the story, but the information in the two versions was mutually compatible. The children were then asked a series of questions, including questions about the source (modality) of story details, and leading questions about story details (to assess suggestibility). Performance on the source-monitoring questions was highly correlated with the ability to resist suggestion. In addition, children who were asked source-monitoring questions prior to leading questioning were less susceptible to suggestion than were those who were asked the leading questions first. This study provides evidence that source monitoring can play a causal role in reducing the suggestibility of preschool children.