Attitudes towards complementary and alternative medicine among medical and psychology students

The use of complementary and alternative medicine (CAM) is increasing in Europe as well as in the USA, but CAM courses are infrequently integrated into medical curricula. In Europe, but also especially in the USA and in Canada, the attitudes of medical students and health science professionals in various disciplines towards CAM have been the subject of investigation. Most studies report positive attitudes. The main aim of this study was to compare the attitudes towards CAM of medical and psychology students in Germany. An additional set of questions concerned how CAM utilisation and emotional and physical condition affect CAM-related attitudes. Two hundred thirty-three medical students and 55 psychology students were questioned concerning their attitudes towards CAM using the Questionnaire on Attitudes Towards Complementary Medical Treatment (QACAM). Both medical students and psychology students were sceptical about the diagnostic and the therapeutic proficiency of doctors and practitioners of CAM. Students' attitudes towards CAM correlated neither with their experiences as CAM patients nor with their emotional and physical condition. It can be assumed that German medical and psychology students will be reluctant to use or recommend CAM in their professional careers. Further studies should examine more closely the correlation between attitudes towards CAM and the students' worldview as well as their existing knowledge of the effectiveness of CAM.     

Acceptance and commitment therapy versus tinnitus retraining therapy in the treatment of tinnitus: a randomised controlled trial

The study compared the effects of Acceptance and Commitment Therapy (ACT) with Tinnitus Retraining Therapy (TRT) on tinnitus impact in a randomised controlled trial. Sixty-four normal hearing subjects with tinnitus were randomised to one of the active treatments or a wait-list control (WLC). The ACT treatment consisted of 10 weekly 60 min sessions. The TRT treatment consisted of one 150 min session, one 30 min follow-up and continued daily use of wearable sound generators for a recommended period of at least 8 h/day for 18 months. Assessments were made at baseline, 10 weeks, 6 months and 18 months. At 10 weeks, results showed a superior effect of ACT in comparison with the WLC regarding tinnitus impact (Cohen’s d = 1.04), problems with sleep and anxiety. The results were mediated by tinnitus acceptance. A comparison between the active treatments, including all assessment points, revealed significant differences in favour of ACT regarding tinnitus impact (Cohen’s d = 0.75) and problems with sleep. At 6 months, reliable improvement on the main outcome measure was found for 54.5% in the ACT condition and 20% in the TRT condition. The results suggest that ACT can reduce tinnitus distress and impact in a group of normal hearing tinnitus patients.     

The reproduction of intelligence

Although a negative relationship between fertility and education has been described consistently in most countries of the world, less is known about the relationship between intelligence and reproductive outcomes. Also the paths through which intelligence influences reproductive outcomes are uncertain. The present study uses the NLSY79 to analyze the relationship of intelligence measured in 1980 with the number of children reported in 2004, when the respondents were between 39 and 47 years old. Intelligence is negatively related to the number of children, with partial correlations (age controlled) of ?.156, ?.069, ?.235 and ?.028 for White females, White males, Black females and Black males, respectively. This effect is related mainly to the g-factor. It is mediated in part by education and income, and to a lesser extent by the more “liberal” gender attitudes of more intelligent people. In the absence of migration and with constant environment, genetic selection would reduce the average IQ of the US population by about .8 points per generation.     

Management der Parkinson-Demenz und Demenz mit Lewy-Körperchen

Idiopathisches Parkinson-Syndrom mit Demenz (PDD) und Demenz mit Lewy-K?rperchen (DLB) sind partiell unterschiedliche Manifestationen des Spektrums der Lewy-K?rperchen- und Alzheimer-Erkrankungen. Die Kombination von motorischer Parkinsonsymptomatik mit Demenz, affektiven St?rungen (Depression, Angst), Verhaltensst?rungen (wie REM-Sleep Behaviour Disorder) und psychotischen Episoden (Halluzinationen, Wahn, Delir) neben einer Reihe vegetativer Symptome und zunehmendem Nebenwirkungsrisiko erfordern eine ma?geschneiderte, sorgf?ltige, kombinierte Pharmakotherapie (L-Dopa mit Decarboxylasehemmer, gegebenenfalls Entacapone oder Tolcapone, neuere Antidepressiva wie SSRI, NaSSA, SNRI, Clozapin, Clonazepam, Therapie vegetativer St?rungen) und engmaschige klinische Kontrollen.     

Internet Versus Group Cognitive-Behavioral Treatment of Distress Associated With Tinnitus: A Randomized Controlled Trial

Tinnitus distress can be reduced by means of cognitive-behavior therapy (CBT), and the treatment can be delivered in different ways. The most recent format is Internet-based self-help. The aim of this study was to compare this treatment (n = 26) with standard group-based CBT (n = 25) in a randomized controlled trial. Outcomes on self-report inventories measuring tinnitus distress were evaluated immediately after and 1 year after treatment. Results showed that both groups had improved, and there were few differences between them. The effect size for the Internet treatment was d = 0.73 (95% CI = 0.16–1.30) and for the group treatment was d = 0.64 (95% CI = 0.07–1.21). The Internet treatment consumed less therapist time and was 1.7 times as cost-effective as the group treatment. At pretreatment patients rated the Internet treatment as less credible than the group treatment. In conclusion, Internet treatment for tinnitus distress merits further investigation, as the outcomes achieved are promising.     

Is it the sound or your relationship to it? The role of acceptance in predicting tinnitus impact

Tinnitus is an experience of sound in the absence of an appropriate external source. A symptom that can accompany most central or peripheral dysfunctions of the auditory system, tinnitus can lead to significant distress, depression, anxiety, and decreases in life quality. This paper investigated the construct of psychological acceptance in a population of tinnitus patients. First, a cross-sectional study (N = 77) was conducted in which a tinnitus specific acceptance questionnaire was developed. Results showed that a Tinnitus Acceptance Questionnaire (TAQ) generated good internal consistency. A factor solution was derived with two factors: activity engagement and tinnitus supression. Second, a longitudinal study (N = 47) investigated the mediating role of acceptance on the relationship between tinnitus distress at baseline and tinnitus distress, anxiety, life quality, and depression at a 7-month follow-up. The results showed full mediation of activity engagement for depression and life quality at follow-up, partial mediation for tinnitus distress, and no mediation for anxiety. The role of acceptance in the negative impact of tinnitus distress merits further investigation.     

Coordination of a discrete response with periodic finger tapping: additional experimental aspects for a subtle mechanism

The authors investigated the coordination of periodic right-hand tapping with single stimulus-evoked discrete lefthand taps to check for task interactions and a possible relationship between phase resetting (see tapping literature; e.g., J. Yamanishi, M. Kawato, & R. Suzuki, 1979) and phase entrainment (see tremor literature; e.g., R. J. Elble, C. Higgins, & L. Hughes, 1994). The experimental paradigm employs a dual-task condition as used by K. Yoshino, K. Takagi, T. Nomura, S. Sato, and M. Tonoike (2002), and it includes normal tapping and isometric tapping with the authors recording finger positions and ground contact forces. Four different types of coordination schemes were observed in tapping behavior: marginal tapping interaction (MTI), periodic tap retardation (PTR), periodic tap hastening (PTH), and discrete tap entrainment (DTE); MTI and PTR correspond to the phase-resetting effect for the coordination of periodic tapping with single discrete taps. The novel aspect of the study described in this article includes the impact of the periodic tapping on the discrete tap timing and the hastening of the periodic tapping due to the discrete tap behaviors resulting in a synchronized execution of the two concurrent tapping tasks. All participants showed a dominant tapping behavior, but they all used the other nondominant forms of the four reported coordination schemes in some trials too, which reflects possible constraints of the sensorimotor system in handling two competing tasks.     

Chronic Pain and Praying to a Higher Power: Useful or Useless?

In the present study a Swedish sample of 118 persons with chronic pain completed online tests on two occasions in association with treatment trials. A three item subscale measuring praying as a coping strategy was derived from the Coping Strategies Questionnaire (CSQ), but adapted to refer to “a higher power” instead of “God”. Measures of pain and anxiety/depression were also included. Results revealed significant associations between praying and pain interference and impairment. Praying was also associated with anxiety and depression scores. Results also showed that prayer predicted depression scores at follow-up, and that follow-up prayer was predicted by pain interference at first measurement occasion. Overall, if prayer had any relation with the other variables it was in the negative direction of more distress being associated with more praying both concurrently and prospectively.

Self,Sin, and the Sacred: Some Elements of a Select Psychology for the Care of Souls

Many pastors feel that their work in the secular sphere can best be described as an exploration of the meaning of life: as spiritual care. However, the idea that it is possible and easy to find such a thing as “the meaning of life,” as well as the concurrent idea that this meaning will help to make life more agreeable, should not be taken for granted but, rather, should be considered to be open for further exploration. To get a better understanding of the difference between spiritual care and the care of souls, I will discuss three central themes in any pastoral practice: sin, sense, and sorrow, together with three related constructs: soul, self, and the sacred. My exposition will result in a plea for revaluing two traditional but ever relevant modes of religious leadership: the modes of shepherd and teacher, of tutor and theologian, which are performed either in the context of the church or the secular institutional environment.