Resilience,religiosity and treatment adherence in hemodialysis patients: a prospective study

Resilience and religiosity have received attention as an important process in the experience and management of chronic comorbidities; however, there is no study evaluating resilience in hemodialysis patients and its association with other psychological dimensions or with treatment adherence. This observational prospective study assessed resilience (25 item Wagnild and Young Resilience Scale), religiosity under three dimensions (organizational, non-organizational and intrinsic) using DUREL scale, depressive symptoms (Patient Health Questionnaire-9) and health-related quality of life (Short Form-36 questionnaire). The main outcomes were medication adherence using the Morisky Medication Adherence Scale-8 (MMAR-8) and the missing/shortened dialysis sessions in the following six months. Of 208 patients approached, 202 (97.1%) agreed to participate. One hundred twenty-three patients (60.9%) were males and mean age was 52.8 ± 14.8 years-old. The median time on hemodialysis was 36 months (IQR, 12, 84). 82 (40.6%) patients obtained a MMAS-8 score <6 and were considered as having ‘poor adherence’. Overall, the mean score of medication adherence was low (5.7 ± 2.1). About adherence to hemodialysis sessions, patients missed a total of 234 (1.6%) hemodialysis sessions. Forty-eight patients (23.7%) missed an average of at least three sessions in six months. Regarding adherence to medication, there was no association in the uni- or multivariate analysis between religiosity dimensions and MMAS-8 score. After adjustment, resilience was positively associated with MMAS-8 score (standardized β coefficient .239, p = .016). Organized and intrinsic religiosity were associated with adherence to dialysis sessions (standardized β coefficient .258, p = .004 and .231, p = .026, respectively). Interestingly, opposite to medication adherence, more resilient patients were associated with less adherence to hemodialysis sessions (standardized β coefficient ?.296, p = .001). Religiosity was associated with dialysis adherence but not with medication adherence. Resilience was associated with higher medication adherence but lower adherence to dialysis sessions.     

“Building Hope for the Future”: A Program to Foster Strengths in Middle-School Students

The authors investigated the effectiveness of a 5-week hope-based intervention designed to enhance hope, life satisfaction, self-worth, mental health and academic achievement in middle school students. The study includes a sample of 31 students from a community school, a matched comparison group of 31 students, and 2 secondary groups—guardians and teachers of the students’ intervention group. Students completed a questionnaire packet that included demographic information, the Portuguese versions of the Children’s Hope Scale, Students’ Life Satisfaction Scale, Mental Health and Self-Worth Scales. Academic achievement was obtained from school records. At baseline, groups are statistically similar on the variables of interest. At post-test the intervention group had enhanced hope, life satisfaction and self-worth. In the intervention group, benefits in hope, life satisfaction and self-worth were maintained at the 18-month follow up. Results suggest that a brief hope intervention can increase psychological strengths, and participants continue to benefit up to 1-year and 6-months later.     

Mental Health of Parents of Children with Congenital Zika Virus Syndrome in Brazil

This study aims to analyze the potential impact of taking care of a child with congenital Zika virus syndrome (CZS) on the mental health of parents. Specifically, three objectives were formulated: (a) to assess the level of mental health of the parents; (b) to examine the influence of subjective well-being and fatigue as predictors of parents’ mental health; and (c) to identify the impact of sociodemographic variables on parents’ mental health. Sixty-nine mothers (M_age?=?26.38; SD?=?6.23) and 17 fathers (M_age?=?31.41; SD?=?7.57) of children diagnosed with CZS took part in this study. They answered a questionnaire containing measures of positive and negative affects, life satisfaction, fatigue, mental health, as well as sociodemographic questions. The results indicated that approximately 7% of the participants had low levels of mental health and probable emotional disorder. In addition, higher levels of fatigue and negative affects and lower levels of life satisfaction significantly predict a lower level of mental health. Finally, comparative analysis showed significant differences between fathers and mothers: mothers reported experiencing fewer positive and more negative affects, a lower level of satisfaction with life, a higher level of fatigue and worse mental health. In summary, this article presents an overview of the mental health of mothers and fathers of children with CZS and points the way to devising strategies for psychological intervention that promote the adaptation of parents to this kind of developmental disability in the family.     

Transthyretin influences spatial reference memory

Transthyretin (TTR) is a plasma and cerebrospinal fluid carrier for thyroxine and retinol, described also to sequester the amyloid beta peptide. TTR levels have been described as decreased in the cerebrospinal fluid of patients with Alzheimer's disease. In order to investigate the role of TTR in learning and memory, we studied young adult and old TTR-null 129/Sv mice for cognitive performance. In the absence of TTR, 5-month-old mice display spatial reference memory impairment when compared to age-matched wild-type mice. Interestingly, while aging in wild-type mice is associated with a worsening reference memory performance, TTR-null mice show no further impairment with increasing age. As a result, no significant differences were found in this spatial reference task in old mice. Our data show that the absence of TTR seems to accelerate the poorer cognitive performance normally associated with aging.     

Sensitivity and salience of form–function correlations of objects: Evidence from feature tasks

The present research evaluates the sensitivity and salience of form-function correlations in contrast with other types of feature correlations (function-function, form-form) in adults and using real object features (from tools and utensils). In Experiment 1, the participants judged the relation between the form and function features of tools. In Experiment 2, participants were asked to generate a second feature related to a given form or function feature. In Experiment 3, participants were asked to make a lexical decision in which form and function features were used as primes and targets. The results showed that even though participants were sensitive to form-function correlations, these were not particularly salient when compared with other feature-type correlations, notably function-function correlations. Our data underline the overall importance of function information to object representations and the impact of the statistical co-occurrence of features when processing object features.     

The contributions of language and experience to the representation of abstract and concrete words: Different weights but similar organizations

In the present studies, we evaluated the contributions of language and sensorimotor information to the representation of abstract and concrete words and the possibility that the organizations of the two types of concepts follow different organizational principles: association, for abstract concepts, and semantic similarity, for concrete concepts. In Study 1, we examined the two strongest associates of concrete and abstract words from published free association norms. Study 2 then extended this analysis to individual data collected with a free association task. Language associations were more important for abstract than for concrete words, but for sensorimotor information no differences were observed between the two types of concepts. Also, no clear evidence was found for different qualitative organizational principles for abstract and concrete concepts. Multiple representational systems thus seem to be engaged in the conceptual processing of abstract and concrete concepts, while it remains to be investigated whether their representations follow different organizational principles.     

The phenomenology of self-reported body dysmorphic disorder by proxy

Body dysmorphic disorder by proxy (BDDBP), a preoccupation with a perceived defect in another person's appearance may represent a variant of BDD. However, BDDBP has received little empirical attention. We present here the phenomenology of 11 individuals with self-reported BDDBP. Participants completed an internet-based survey that assessed symptoms, psychosocial impact, and treatment history. Participants (8 females, 3 males) reported preoccupation with a wide array of individuals (e.g., spouse, stranger). Body parts of concern most commonly involved the face and head. Most participants spent several (e.g., 3–8) hours per day preoccupied by perceived defects in the person of concern (POC). All participants engaged in rituals to try to alleviate distress or improve the POC's appearance. Most avoided social/occupational activities, including contact with the POC. The impact of BDDBP was profound, particularly on relationships. Findings may help elucidate diagnostic criteria, course, and treatment.     

Disagreement about Taste: Commonality Presuppositions and Coordination

This paper confronts the disagreement argument for relativism about matters of taste, defending a specific form of contextualism. It is first considered whether the disagreement data might manifest an invariantist attitude that speakers have pre-reflectively. Semantic and ontological enlightenment should then make the impressions of disagreement vanish, or at least leave them as lingering ineffectual Müller-Lyer-like illusions; but it is granted to relativists that this does not fully happen. López de Sa's appeal to presuppositions of commonality and Sundell's appeal to metalinguistic disagreement are discussed, and it is argued that, although they help to clarify the issues, they do not fully explain why such impressions remain under enlightenment. To explain it, the paper develops a suggestion that other writers have made, that the lingering impression of disagreement is a consequence of a practical conflict, appealing to dispositions to practical coordination that come together with presuppositions of commonality in axiological matters.     

Memory and conceptual learning of relevant and non-relevant items in item-method directed forgetting

The present research investigates the fate of non-target information when people are trying to either intentionally memorise or forget target information. By using an object-based attentional manipulation within a directed forgetting paradigm (item-method), we show a directed forgetting effect (DFE, i.e., better memory for to-be-remembered (TBR) than for to-be-forgotten (TBF) items) for items that participants are explicitly instructed to attend but not for irrelevant items that happen to be part of the context. Alongside the classic DFE, we investigate how the category of the attended and unattended items are learned. The results obtained in three experiments, show that people can successfully learn only the category of the TBR attended items and that the DFE extends to new items that are related to the old TBR and TBF items (an effect that we call conceptual DFE). These results give us new insight about how TBR and TBF items are processed and conceptually learned.