Does Rumination Mediate the Association of Private Prayer,Stress, and Their Interaction with Depression among Christians? A Cross-Sectional Study

Mechanisms underlying significant associations between different types of prayer and depression are unknown. Based on the conceptualization of prayer as stress buffering coping style and the Response Style Theory, we proposed that rumination mediates the association of prayer types and stress with depression. This cross-sectional study (N?=?227 Christians, M_age 41.74, SD 14.82, age range 18–82 years, 76% female) used path modeling to test whether rumination mediated the associations between prayer types and prayer types by stress interactions with depression. Rumination fully mediated the associations of the colloquial and ritual prayer by stress interactions with depressive symptoms, while meditative and petitionary prayer was directly associated with depressive symptoms. Further, petitionary prayer and the ritual prayer by stress interaction were associated with more and not with less rumination and depressive symptoms, respectively. Summarized, first empirical evidence supports an integration of prayer, stress, and rumination into one model of depression. However, the exact nature of their interplay depends on the prayer type. If replicated, our findings allow the integration of prayer into cognitive-behavioral treatment of depression in religious and spiritual clients.     

Internetbasierte Gesundheitsinterventionen

Background

Internet-based health interventions can serve as a useful supplement to regular face-to-face therapy only if they are accepted by the clients.

Objective

This aim of the current study was to examine the attitudes and opinions of potential users on internet-based health interventions in Germany. This information could make a useful contribution to the development and promotion of measures which target their requirements.

Material and methods

To address this issue psychotherapy patients and persons on a waiting list for outpatient psychotherapy were interviewed about their attitudes towards internet-based interventions and compared with the results from a matched control group.

Results

Compared with the control group, waiting list candidates in particular declared a reduced interest in engaging in internet-based interventions and both patient groups perceived few advantages. All groups appreciated the enhanced flexibility associated with internet-based interventions, but both patient groups thought that the increased anonymity and reduced inhibition threshold for seeking treatment were less advantageous than the control group. Compared to the controls, both patient groups worried more about privacy issues and a possible misinterpretation of their written statements. Both patient groups considered internet-based psychotherapy as conceivable for the treatment of fewer kinds of psychopathological symptoms than the control group. Patients considered that internet-based treatment of panic disorder, posttraumatic stress disorder, depression and generalized anxiety disorder was least imaginable although, to date, relatively many internet-based options are available for these disorders. There appears to be interest in the treatment of sexual dysfunctions through the internet.

Conclusion

To address the reservations concerning privacy protection, paper and pencil registration procedures could be provided. In addition, by clearly emphasizing that there is the possibility of establishing personal contact to a therapist either face to face or by video conference, internet-based services could also be more useful in satisfying patient needs.

     

Avner Baz on the ‘Point’ of a Question

Abstract

Avner Baz claims that questions philosophers ask about hypothetical cases lack the kind of ‘point’ possessed by ‘everyday’ questions. He concludes from this that there is something wrong with the philosophical practice of asking questions about hypothetical cases. This paper defends the practice from Baz’s criticism.     

Development and use of behavior and social interaction software installed on Palm handheld for observation of a child’s social interactions with the environment

In settings in developing countries, children often socialize with multiple socializing agents (peers, siblings, neighbors) apart from their parents, and thus, a measurement of a child’s social interactions should be expanded beyond parental interactions. Since the environment plays a role in shaping a child’s development, the measurement of child-socializing agents’ interactions is important. We developed and used a computerized observational softwareBehavior and Social Interaction Software (BASIS) with a preloaded coding scheme installed on a handheld Palm device to record complex observations of interactions between children and socializing agents. Using BASIS, social interaction assessments were conducted on 573 preschool children for 1 h in their natural settings. Multiple screens with a set of choices in each screen were designed that included the child’s location, broad activity, state, and interactions with child-socializing agents. Data were downloaded onto a computer and systematically analyzed. BASIS, installed on Palm OS (M-125), enabled the recording of the complex interactions of child-socializing agents that could not be recorded with manual forms. Thus, this tool provides an innovative and relatively accurate method for the systematic recording of social interactions in an unrestricted environment.     

The linguistic and embodied nature of conceptual processing

Recent theories of cognition have argued that embodied experience is important for conceptual processing. Embodiment can be contrasted with linguistic factors such as the typical order in which words appear in language. Here, we report four experiments that investigated the conditions under which embodiment and linguistic factors determine performance. Participants made speeded judgments about whether pairs of words or pictures were semantically related or had an iconic relationship. The embodiment factor was operationalized as the degree to which stimulus pairs were presented in the spatial configurations in which they usually occur (i.e., an iconic configuration, e.g., attic presented above basement). The linguistic factor was operationalized as the frequency of the stimulus pairs in language. The embodiment factor predicted error rates and response time better for pictures, whereas the linguistic factor predicted error rates and response time better for words. These findings were modified by task, with the embodiment factor being strongest in iconicity judgments for pictures and the linguistic factor being strongest in semantic judgments for words. Both factors predicted error rates and response time for both semantic and iconicity judgments. These findings support the view that conceptual processing is both linguistic and embodied, with a bias for the embodiment or the linguistic factor depending on the nature of the task and the stimuli.     

Systems Training for Emotional Predictability and Problem Solving (STEPPS) in the United Kingdom: A Preliminary Report

The authors report the results of a pilot project to introduce the STEPPS (systems training for emotional predictability and problem solving) treatment program for persons with borderline personality disorder (BPD) to the United Kingdom. STEPPS combines cognitive-behavioral principles and skills training with a systems component that includes family members and significant others. STEPPS was developed to supplement the patient’s ongoing treatment program (e.g. medication, individual therapy, case management) and boost its effectiveness, but not replace it. Thirty-eight subjects agreed to participate at six sites in West Sussex, England. A pre- and post-intervention comparison design was used, and over the 20 week program were found to have significant improvement in their mood, BPD-related symptoms (including affective, cognitive, and impulsive domains), and both negative and positive affectivity. Subjects reported high levels of satisfaction with the program. This study provides further evidence that STEPPS, a relatively brief fully manualized group treatment program, may be used in other countries and achieves high levels of acceptance from patients and therapists.