Exploring the Spiritual/Religious Dimension of Patients: A Timely Opportunity for Personal and Professional Reflection for Graduating Medical Students

Teaching about spirituality in medical school training is lacking. Spirituality is a dimension of humanity that can put experiences of health and illness into a meaningful context. Medical students might benefit from understanding how spirituality is an important element in learning to care for patients. Spirituality also provides a context for medical students to explore their own motivations for doctoring. This article describes a longitudinal senior elective course at the end of their medical school training to delve into matters of religion/spirituality surrounding patient care. The authors pose their own perspectives on what both students and faculty gained from the experience.     

Obesity-Related Quality of Life and Distorted Self-Body Image in Adults

Quality of life (QOL) is associated with body mass index (BMI). Self-awareness of false body image may influence the behavior of weight control and QOL. This study was conducted to identify the relationships between BMI and QOL, and distortion of self-estimated body image and its impact on QOL and the general health of Korean adults. A total of 229 adults who visited two university hospitals in Seoul and Chungju cities for regular health check-up responded to a questionnaire. To assess QOL, a Korean version of the obesity-related Quality of Life Scale (KOQOL) was used. The results showed that obesity-related quality of life decreased as BMI increased and as alcohol consumption became heavier. In the low weight and normal body weight groups, a portion of the groups had a more obese self-estimated body image than their actual BMI. In the overweight and obese groups, some had a leaner self-estimated body image than their actual BMI. Persons who had a self-body image of being fat had a low QOL. For Korean adults over 20 and under 65, a higher BMI is associated with a lower obesity-related quality of life. Persons who thought themselves fat had a lower QOL, regardless of their real body type.     

I don't believe but I pray: spirituality,instrumentality, or paranormal belief?

These three studies are among the first to systematically compare five Chinese religious groups on intrinsic (spiritual) and extrinsic (instrumental and paranormal) orientation. In Study 1, a Chinese version of the Index of Core Spiritual Experiences was developed. In Studies 2 and 3, spirituality and religious involvement was found to be greatest among Christians, followed in order by Buddhists, Taoists, traditional nones, and other nones. An instrumental purpose for religious activities and paranormal belief was found to be highest among Taoists, followed in order by Buddhists, traditional nones, other nones, and Christians. The results are consistent with the conclusion that Christianity offers the least support for an extrinsic religious orientation and the most support for an intrinsic religious orientation.     

Asian Couples in Negotiation: A Mixed‐Method Observational Study of Cultural Variations Across Five Asian Regions

The purpose of this study was to explore variations in how contemporary couples from five different Asian regions negotiate disagreements. Video recordings of 50 couples (10 each from Japan, Korea, Mainland China, Taiwan, and Hong Kong) discussing unresolved disagreements provided raw data for quantitative and qualitative analyses. First, teams of coders from each region used a common protocol to make quantitative ratings of content themes and interaction patterns for couples from their own region. An interregional panel of investigators then performed in‐depth qualitative reviews for half of these cases, noting cultural differences not only in observed patterns of couple behavior but also in their own perceptions of these patterns. Both quantitative and qualitative analyses revealed clear regional differences on dimensions such as overt negativity, demand‐withdraw interaction, and collaboration. The qualitative results also provided a richer, more nuanced view of other (e.g., gender‐linked) conflict management patterns that the quantitative analyses did not capture. Inconsistencies between qualitative and quantitative data and between the qualitative observations of investigators from different regions were most pronounced for couples from Korea and Japan, whose conflict styles were subtler and less direct than those of couples from the other regions.     

Increased spreading activation in depression

The dopaminergic system is implicated in depressive disorders and research has also shown that dopamine constricts lexical/semantic networks by reducing spreading activation. Hence, depression, which is linked to reductions of dopamine, may be associated with increased spreading activation. However, research has generally found no effects of depression on spreading activation, using semantic priming paradigms. We used a different paradigm to investigate the relationship between depression and spreading activation, one based on word frequencies. Our sample included 97 undergraduates who completed the BDI-II and the Controlled Oral Word Association test as well as the Animal Naming test. The results indicated that the group scoring within the depressed ranged evidenced greater spreading activation as compared to those who scored within the normal range on the BDI-II. The implications of these results as they relate to creativity in depression is discussed.     

The persuasive effects of character presence and product type on responses to advergames

Abstract The use of online video games as an advertising channel has become an integrated part of branding for many marketers in an increasingly fractured media environment. The primary question motivating this research is whether the use of an animated spokes-character embedded in online game affects the persuasiveness of advertising. Specifically, this study looks at how product types moderate the magnitude of such effects. The results show a significant interaction effect between character presence and product type on both brand attitude and purchase intention. The effects of an animated spokes-character on brand evaluation and purchase intention were more pronounced for utilitarian products than for hedonic products.     

The Prevalence of and Psychosocial Risks for Suicide Attempts in Male and Female College Students in Taiwan

The prevalence of and psychosocial risks for suicide attempts was investigated in college students in Taiwan by gender, after controlling for depressive symptoms. Self‐reported data were collected from a nationally representative sample of 2,835 college students; 11.90% of females and 8.87% of males reported they had attempted suicide in the preceding 12 months. After controlling for depression, suicidal ideations were associated with suicide attempts in females, whereas there were fewer positive expectations toward the future associated with suicide attempts in males. Several explanations for the high prevalence of suicide attempts among college students in Taiwan were discussed. In the future, further verification of the findings is necessary.