Socioeconomic and sociocultural determinants of psychological distress and quality of life among patients with psoriasis in a selected multi-ethnic Malaysian population

Patients with psoriasis may have increased risk of psychological comorbidities. This cross-sectional study aimed at determining associations between sociocultural and socioeconomic factors with the Depression Anxiety Stress Scale (DASS) scores and the Dermatology Life Quality Index (DLQI) scores. Adult patients with psoriasis were recruited from a Dermatology outpatient clinic via convenience sampling. Interviews were conducted regarding socio-demographic factors and willing subjects were requested to complete the DASS and DLQI questionnaires. The Pearson χ² test, Fisher’s exact test and multivariate logistic regression were used for statistical analysis to determine independent predictors of depression, anxiety, stress and severe impairment of quality of life. Unadjusted analysis revealed that depression was associated with Indian ethnicity (p = .041) and severe impairment of quality of life was associated with Indian ethnicity (p = .032), higher education (p = .013), higher income (p = .042), and employment status (p = .014). Multivariate analysis revealed that Indian ethnicity was a predictor of depression (p = .024). For stress, tertiary level of education (p = .020) was an independent risk factor while a higher monthly income was a protective factor (p = .042). The ethnic Indians and Malays were significantly more likely than the ethnic Chinese to suffer reduced quality of life (p = .001 and p = .006 respectively) and subjects with tertiary education were more likely to have severe impairment of quality of life (p = .002). Our study was unique in determining sociocultural influences on psychological complications of psoriasis in a South East Asian population. This has provided invaluable insight into factors predictive of adverse effects of psoriasis on psychological distress and quality of life in our patient population. Future studies should devise interventions to specifically target at risk groups in the development of strategies to reduce morbidity associated with psoriasis.     

Are parrots poor at motor self-regulation or is the cylinder task poor at measuring it?

The ability to inhibit unproductive motor responses triggered by salient stimuli is a fundamental inhibitory skill. Such motor self-regulation is thought to underlie more complex cognitive mechanisms, like self-control. Recently, a large-scale study, comparing 36 species, found that absolute brain size best predicted competence in motor inhibition, with great apes as the best performers. This was challenged when three Corvus species (corvids) were found to parallel great apes despite having much smaller absolute brain sizes. However, new analyses suggest that it is the number of pallial neurons, and not absolute brain size per se, that correlates with levels of motor inhibition. Both studies used the cylinder task, a detour-reaching test where food is presented behind a transparent barrier. We tested four species from the order Psittaciformes (parrots) on this task. Like corvids, many parrots have relatively large brains, high numbers of pallial neurons, and solve challenging cognitive tasks. Nonetheless, parrots performed markedly worse than the Corvus species in the cylinder task and exhibited strong learning effects in performance and response times. Our results suggest either that parrots are poor at controlling their motor impulses, and hence that pallial neuronal numbers do not always correlate with such skills, or that the widely used cylinder task may not be a good measure of motor inhibition.     

Selective reaching in macaques: evidence for action-centred attention

Animal Cognition - When a monkey selects a piece of food lying on the ground from among other viable objects in the near vicinity, only the desired item governs the particular pattern and direction...     

Finding new ways to practise critically: applying a critical reflection model with Australian health promotion practitioners

Greater support is required in health promotion for practitioners to adopt critical approaches to their practice. Despite recognition of the role that critical reflection can play in supporting critical practice, it is underdeveloped in health promotion. This pilot study aimed to explore the use of critical reflection with health promotion practitioners. Critical postmodernism provided the theoretical perspective and critical reflection methodology guided the study. The data collection method involved the application of a critical reflection model via in-depth semi-structured interviews with two health promotion practitioners who were recruited using purposive sampling. Critical postmodernism and critical health promotion values and principles were the thematic frameworks used to analyse the data. Four types of assumptions were identified across both participants’ narratives: binary opposites and dichotomous thinking; identity and othering; professionalism; and power. Two key themes that evidenced these assumptions were conceptualising power as a commodity, and identity in the Aboriginal and Torres Strait Islander context. Both traditional and critical health promotion practice approaches were evident in participants’ practice. The process of engaging in critical reflection resulted in positive outcomes for the practitioners, including the identification of new, more critical ways of practising. Critical reflection provides a process for developing critical health promotion practice. The designation of critical reflection as a core health promotion competency may enhance the development of critical health promotion. Further research is needed to develop and test a critical reflection model incorporating the values and principles of health promotion with a larger sample of practitioners.     

There Are Plenty of Fish in the Sea: The Effects of Choice Overload and Reversibility on Online Daters’ Satisfaction With Selected Partners

Online dating is often lauded for improving the dating experience by giving singles large pools of potential partners from whom to choose. This experiment investigates how the number of choices online daters are given, and whether these choices are reversible, affects romantic outcomes. Drawing on the choice overload and decision reversibility theoretical frameworks, we show that, a week after making their selection, online daters who chose from a large set of potential partners (i.e., 24) were less satisfied with their choice than those who selected from a small set (i.e., 6), and were more likely to change their selection. While choice reversibility did not affect daters’ satisfaction, those who selected from a large pool and had the ability to reverse their choice were the least satisfied with their selected partner after one week. The results advance understanding of how media features related to choice affect interpersonal evaluations.     

Rapid proportion comparison with spatial arrays of frequently used meaningful visual symbols

It has been shown that when two arrays of Arabic numerals were briefly presented, observers could accurately indicate which array contained the larger number of a target numeral. This study investigated whether this rapid proportion comparison can be extended to other meaningful symbols that share some of notable properties of Arabic numerals. We tested mainly several Japanese Kanji letters, each of which represents a meaning and can work as a word. Using physically identical stimulus sets that could be interpreted as different types of letters, Experiment 1 first confirmed the rapid proportion comparison with Arabic numerals for Japanese participants. Experiment 2 showed that the rapid proportion comparison can be extended to Kanji numerals. Experiment 3 successfully demonstrated that rapid proportion judgments can be found with non-quantitative Kanji letters that are used frequently. Experiment 4 further demonstrated the rapid proportion comparison with frequently used meaningful non-letter symbols (gender icons). The rapid processing cannot be attributed to fluent processing of familiar items, because it was not found with familiar phonograms (Japanese Kana letters). These findings suggest that the rapid proportion comparison can be commonly found with frequently used meaningful symbols, even though their meaning is not relevant to the task.     

The Spiritual and Theological Challenges of Stillbirth for Bereaved Parents

Journal of Religion and Health - Stillbirth is recognized as one of the most challenging experiences of bereavement raising significant spiritual and theological questions. Semi-structured...     

Event models and the fan effect

The current study explored the persistence of event model organizations and how this influences the experience of interference during retrieval. People in this study memorized lists of sentences about objects in locations, such as “The potted palm is in the hotel.” Previous work has shown that such information can either be stored in separate event models, thereby producing retrieval interference, or integrated into common event models, thereby eliminating retrieval interference. Unlike prior studies, the current work explored the impact of forgetting up to 2 weeks later on this pattern of performance. We explored three possible outcomes across the various retention intervals. First, consistent with research showing that longer delays reduce proactive and retroactive interference, any retrieval interference effects of competing event models could be reduced over time. Second, the binding of information into events models may weaken over time, causing interference effects to emerge when they had previously been absent. Third, and finally, the organization of information into event models could remain stable over long periods of time. The results reported here are most consistent with the last outcome. While there were some minor variations across the various retention intervals, the basic pattern of event model organization remained preserved over the two-week retention period.     

Make it real: Belief in occurrence within episodic future thought

While the cognitive and neural bases of episodic future thinking are well documented, questions remain as to what gives the sense that an imagined event belongs to one’s personal future. Capitalizing on previous research on metacognitive appraisals in autobiographical remembering, we propose that episodic future thinking involves, in varying degrees, a subjective belief in the potential occurrence of imagined future events and we explore the nature and determinants of such belief. To this aim, participants provided justifications for belief in occurrence for a series of past and future events. For each event, they also assessed their subjective feelings (belief in occurrence, autonoetic experience, and belief in accuracy) and rated various characteristics of mental representations that might contribute to these feelings. Results showed that belief in the occurrence of future events mostly related to their integration in a broader autobiographical context, especially their relevance to personal goals and their personal plausibility. We also found that belief in occurrence, autonoetic experience, and belief in accuracy represented distinct subjective appraisals of future events, which depended in part on different determinants. Based on these findings, we propose a new theoretical model of subjective feelings associated with episodic future thinking that conceives of belief in occurrence as arising from metacognitive appraisals that shape the sense that imagined events belong to one’s personal future.