Trends in geriatric psychiatry relevant to pastoral counselors

This article is a general overview of mental disorders in the aged that stresses the complementary roles that religious and mental health professionals can play in meeting the psychological and spiritual needs of elders. Chaplains and pastoral counselors should be competent in recognizing serious psychiatric disorders in older adults and able to differentiate them from the more common and benign emotional disturbances. Both counseling and biological treatments have distinct but often overlapping roles in the treatment of mental disorders in the aged. When treating emotionally disturbed elders, religious professionals should be aware of new trends in psychotherapy and biological psychiatry that are now making the integration of secular and religious techniques more and more feasible.Funding for this study was provided by the Center for the Study of Aging and Human Development at Duke University Medical Center and by the Geriatric Research, Education, and Clinical Center of the Veterans Administration Medical Center in Durham, North Carolina.     

Religious Beliefs Affect Grieving After Pregnancy Loss

Religious beliefs and practices may aid in coping with bereavement and grief after pregnancy loss. Data from 103 women enrolled in the original Lehigh Valley Perinatal Loss Project, and who were followed-up for at least 1 year, were evaluated for the impact of initial religious practices and beliefs on the course and severity of grief. Religious practices corresponding to standard scales of religiosity and agreement with specific beliefs were rated by the women on a Likert scale of 1–5. Neither agreement with statements corresponding to extrinsic and intrinsic religiosity or to positive religious coping, nor frequency of religious service attendance was predictive of follow-up scores on the Perinatal Grief Scale. Religious struggle, agreement with statements classified as negative religious coping, and continued attachment to the baby were all associated with more severe grief.     

Analogical transfer in the THOG task

The influences of surface and structural similarity on analogical transfer were examined with 318 undergraduate participants in four experiments using Needham and Amado's (1995) Pythagoras THOG problem as the source problem and Wason's standard abstract THOG task as the target problem. In Experiments 1-3, systematic changes in surface similarity between the source and target problems were introduced by changing the named exemplar, the dimensional values, and the dimensions, respectively, in the target problem. Significant transfer was obtained in all three experiments. In Experiment 4, we explored the basis of this transfer by examining three versions of the Pythagoras THOG problem, factorially combining its facilitating features as source problems. Results indicated that the inclusion of a hypothesis generation request was necessary for significant transfer. The implications of our findings for using transfer versus facilitation as the performance criterion for deductive reasoning are considered.     

The role of specificity in the lexical encoding of participants

In addition to information about phonology, morphology and syntax, lexical entries contain semantic information about participants (e.g., Agent). However, the traditional criteria for determining how much participant information is lexically encoded have proved unreliable. We have proposed two semantic criteria (obligatoriness and selectivity) that jointly identify the participants that are lexically encoded in verbs. We tested whether one of these criteria, semantic selectivity, makes psychologically real distinctions between participant information that is lexically encoded and participant information that is not. We examined how readers integrated syntactically optional WH-constituents in filler-gap sentences when the participant information conveyed by the WH-filler was specific to a restricted class of verbs (i.e., source locations) and when it was not (i.e., event locations). Our results provide support for the role of specificity in the lexical encoding of participant information of syntactically optional constituents.     

Psychometric Properties of the Persian Spiritual Coping Strategies Scale in Hemodialysis Patients

Spiritual strategies may provide an effective way of coping with disease. This study sought to investigate the validity and reliability of the Persian version of the spiritual coping strategies (SCS) scale among Iranian hemodialysis patients. A convenience sample of 204 hemodialysis patients was recruited to participate in the study. A forward–backward translation method was used to produce the Persian version of the scale. Internal consistency was assessed by Cronbach’s alpha and item–total score correlation. Two-week test–retest reliability was also assessed. The convergent and divergent validity of the scale was evaluated using the Duke University Religion Index and a visual analogue scale for health status. Exploratory and confirmatory factor analyses were used to assess the factor structure. Participants consisted of 113 males and 91 females (mean age 57.2 [SD = 9.7]). Cronbach’s alpha was acceptable (0.87). We found two underlying factors similar to the original scale. The correlations between the study scales confirmed the convergent and divergent validity of the SCS. Confirmatory factor analysis showed a good fit to the data (GFI = 0.923, CFI = 0.948 and RMSEA = 0.068). The Persian version of the SCS has sound psychometric properties in Iranian hemodialysis patients. Future research should consider applying the scale to populations with other religious/cultural backgrounds.     

Religion and the Survival of 1010 Hospitalized Veterans

Objective: To examine the effects of religious affiliation and religious coping on survival of acutely-hospitalized medically-ill male veterans following discharge. Sample and Methods: Between 1987 and 1989, comprehensive psychosocial and physical-health evaluations were performed on a consecutive sample of 1010 patients ages 20–39 and 65–102 years admitted to the general medicine and neurology services of the Veterans Administration (VA) Medical Center in Durham, North Carolina. Religious affiliation and religious coping (the degree to which a patient relied on his religious faith for comfort and strength) were among the variables assessed. Subjects or surviving family members were contacted by telephone in 1996–97 to determine vital status; dates of death were confirmed by the Veterans Administration's Beneficiary Identification and Records Locator Subsystem (BIRLS), death certificate, or the National Death Index. Cox proportional-hazards regression was used to model the effects of religious variables on time to death, controlling for demographic, social, psychiatric, and physical-health covariates. Results: Follow-up was obtained on all 1010 patients. During the observation period, 673 patients died. While a higher proportion of conservative Protestants than members of other religious groups died during this time (70.5% vs. 64.3%, p = .04), the association disappeared once covariates were controlled. Religious coping was unrelated to survival in both bivariate and multivariate analyses (hazard ratio 1.00, 95% CI 0.99–1.01). Conclusions: Neither religious affiliation nor dependence on religion as a coping behavior predicted survival in this sample of medically-ill male veterans. Several reasons for the absence of an effect are explored, notably the fact that the mortality force exerted by age, medical diagnosis, and severity of physical-health problems overwhelmed the weaker effects of psychosocial variables.     

Christianity,Family, Students,and COVID-19

Journal of Religion and Health - Four substantial topics are explored in this issue of the Journal of Religion and Health, namely: (1) Christianity, (2) family and faith dynamics, (3) the spiritual...     

Integration of Spiritual Care in Hospital Care System in Iran

There is a growing body of evidence on the positive effects of religion and spirituality on recovery from cancer and the ability to cope with it. Most spiritual interventions carried out in Iranian research are based on care and support models that have been developed in the West. With the unique cultural and religious features of the Iranian context, a more refined look at spiritual care in the hospital care system of Iran is called for. This paper examines how to implement the spiritual care of cancer patients in hospitals and oncology wards in Iran. A consensus panel of experts was used to develop guidelines for spiritually integrated care consisting of 18 primary areas, which are described in detail in this report. Health care policy makers and managers of health care in Iran and possibly other areas of the Middle East should consider implementing these guidelines. Using indigenous models and programs specific to the religion and the cultural of a region should be considered when providing spiritual care for cancer patients.