Examining the role of positive and negative metacognitive beliefs in depression

Many psychological models have been developed to explain the development and maintenance of depression. The most widely evaluated model is the cognitive model of depression, and it is against this model that emerging models should be compared. Accordingly, this cross‐sectional study examined whether metacognitive beliefs, as specified in the metacognitive model of depression, would explain additional variance in depressive symptoms over dysfunctional attitudes; the core feature of the cognitive model. Moreover, mediational relationships between metacognitive beliefs, rumination, and depressive symptoms, predicted by the metacognitive model were also explored, whilst controlling for dysfunctional attitudes. A sample of 715 students completed self‐report questionnaires measuring depressive symptoms, rumination, dysfunctional attitudes, and metacognitive beliefs. Regression analyses showed that metacognitive beliefs made a significant statistical contribution to depressive symptoms, after controlling for age, gender, rumination and dysfunctional attitudes. Furthermore, as predicted by the metacognitive model, the relationship between positive metacognitive beliefs and depressive symptoms was fully mediated by rumination, whilst the relationship between negative metacognitive beliefs about uncontrollability and danger and depressive symptoms was partially mediated by rumination. The results provide further empirical support for the metacognitive model of depression and indicate that positive and negative metacognitive beliefs play an integral role in the maintenance of depressive symptoms.     

Adolescent Egocentrism and the Illusion of Transparency: Are Adolescents as Egocentric as we Might Think?

The illusion of transparency, or people’s tendency to believe their thoughts and feelings as more apparent to others than they actually are, was used to investigate adolescent egocentrism. Contrary to previous research demonstrating heightened adolescent egocentrism, adolescents exhibited similar levels of egocentrism to adults. In experiment 1, 13-14 year-olds and adult participants both truthfully described and lied about a series of pictures. Both adolescent and adult liars indicated that they were more confident that other participants would know when they were lying, than other participants actually indicated. In experiment 2, 13-14 year-olds, 15-16 year-olds and adult participants read to an audience. The illusion of transparency effect manifested itself differently according to gender: Female participants indicating that they looked more nervous than audiences thought, whilst male participants indicating that they were more entertaining than audiences thought. Results were interpreted using simulation theory, and suggested that adolescents might not be as egocentric as previously thought.     

Psychological Inflexibility and Child Anxiety

Psychological flexibility is the main outcome of acceptance commitment therapy. Insight into the usefulness of measuring psychological flexibility is an important step to enable studies on the effectiveness of acceptance commitment therapy in middle-aged children (8–10 years). For this purpose, we examined the factor structure, the construct validity and the reliability of the Avoidance and Fusion Questionnaire for Youth. The Avoidance and Fusion Questionnaire for Youth taps psychological inflexibility (the opposite of psychological flexibility) in children and adolescents. Although the questionnaire has been extensively validated in older children, this is not the case for middle-aged children. The Avoidance and Fusion Questionnaire for Youth contains 17 items and is constituted of the subscales cognitive fusion, experiential avoidance and behavioral ineffectiveness. A shortened 8-item version also exists, the Avoidance and Fusion Questionnaire for Youth-8, which does not distinguish between these subscales. We performed a confirmatory factor analysis. Additionally, we assessed the relationship between psychological flexibility and child anxiety. Children, aged 8–10 years, were recruited via regular primary schools. Of the 459 approached children, 267 (58?%) parents signed informed consents for their children (Age: M?=?9.18; SD?=?.79; Sex: n _boys?=?137, 51?%). Children completed the questionnaires during regular classes. In this sample, the 17-item version of the Avoidance and Fusion Questionnaire for Youth was less appropriate for measuring psychological inflexibility than the 8-item version. Furthermore, we found a significant positive relationship between psychological inflexibility and child anxiety. We argue that acceptance commitment therapy would be an interesting candidate for intervening early on in dysfunctional child anxiety, as acceptance commitment therapy’s cognitive elements require cognitive skills that children are likely to master early on.     

Assessing the perceived limitations of Reflexive Groups for supporting clergy in the Church of England

For this research, eight Church of England Bishops’ Advisors for Pastoral Care and Counselling were interviewed to ascertain the limitations of Reflexive Groups (RGs). The data were analysed using a thematic analysis. One superordinate theme emerged: Hindrances, along with 10 subordinate themes. An online survey was then sent to RG participants (n?=?64), to see if their experiences matched those limitations identified by the Bishops’ Advisors. The data reveal that RGs are perceived as limited by the inability of clergy to commit to the time; it was scary for participants to be vulnerable with others; sometimes the needs of some participants were too big and could sabotage the group; dual relationships could cause complexity and hinder sharing; prayer; being sent by a Bishop or Archdeacon; the open agenda and style of facilitation does not suit some people; and sometimes there are struggles with expectations.     

Job characteristics,well-being and risky behaviour amongst pharmacists

Healthcare practitioners’ fitness to practise has often been linked to their personal and demographic characteristics. It is possible that situational factors, such as the work environment and physical or psychological well-being, also have an influence on an individual’s fitness to practise. However, it is unclear how these factors might be linked to behaviours that risk compromising fitness to practise. The aim of this study was to examine the association between job characteristics, well-being and behaviour reflecting risky practice amongst a sample of registered pharmacists in a region of the United Kingdom. Data were obtained from a cross-sectional self-report survey of 517 pharmacists. These data were subjected to principal component analysis and path analysis, with job characteristics (demand, autonomy and feedback) and well-being (distress and perceived competence) as the predictors and behaviour as the outcome variable. Two aspects of behaviour were found: Overloading (taking on more work than one can comfortably manage) and risk taking (working at or beyond boundaries of safe practice). Separate path models including either job characteristics or well-being as independent variables provided a good fit to the data-set. Of the job characteristics, demand had the strongest association with behaviour, while the association between well-being and risky behaviour differed according to the aspect of behaviour being assessed. The findings suggest that, in general terms, situational factors should be considered alongside personal factors when assessing, judging or remediating fitness to practise. They also suggest the presence of different facets to the relationship between job characteristics, well-being and risky behaviour amongst pharmacists.     

Sanctification of life and health: insights from the landmark spirituality and health survey

The purpose of this study is to examine the relationship between sanctification of life and health. Sanctification is defined as a process through which aspects of life are perceived as having divine character and significance. A latent variable model was created to test the following hypotheses that link sanctification with health: (1) people who attend worship services more often are more likely to develop a sanctified view of life; (2) individuals who develop a sanctified view of life are likely to be more compassionate, (3) people who are more compassionate will provide more emotional support to others, (4) providing more support to others will be associated with a greater sense of meaning in life, and (5) people who have derived a deeper sense of meaning in life will enjoy better health. Data from a new cross-sectional nationwide survey (N?=?2932) provide support for each of these hypotheses.