The Effects of Work-Related and Boundary-Related Stress on the Emotional and Physical Health Status of Ordained Clergy

This research is the second component of a three-part series that explores the relationship between stress and health in the clerical profession. The first article (Wells, Journal of Religion and Health 51(1):215–30, 2012) determined that there is an association between two different sources of stress in the clerical profession (work-related stress and boundary-related stress). This research explores the association between these two sources of stress and two different measures of health (emotional health and physical health). Utilizing the same dataset from the previous research (Wells, Journal of Religion and Health 51(1):215–30, 2012), and simple and multiple regression, this research determined that there is a positive association between the two sources of stress (work-related stress and boundary-related stress) and the two measures of health (physical health and emotional health). African-American and obese clergy exhibited lower levels of physical health as stress increased. Clergy with children and those with higher levels of education exhibited lower levels of emotional health as stress increased. African-American clergy consistently exhibited higher levels of emotional health than their White colleagues did. Finally, age and length of time in ministry are associated with higher levels of emotional health but lower physical health status.     

Psychometric properties of the Norwegian version of the Childhood Trauma Questionnaire in high‐risk groups

The Childhood Trauma Questionnaire ‐ Short Form (CTQ‐SF) is widely used to measure childhood abuse of all types. In the present study, we examined the psychometric properties of the Norwegian version of the instrument. The participants constituted four subsamples (n = 517): substance abusers (n = 126), psychiatric patients (n = 210), prisoners (n = 109) and adolescents in out‐of‐home placements (n = 72). Confirmatory factor analysis revealed a reasonable fit of the data to the original five‐factor structure of the CTQ‐SF. Measurement invariance was found across gender and the four subsamples. It was concluded that the Norwegian version of the CTQ‐SF has acceptable psychometric properties, with good reliability and satisfactory accuracy, to assess different dimensions of childhood trauma.     

Process Evaluation of A Physical Activity Self-Management Program For Children: Spark

Abstract

SPARK is a controlled field study of a multi-component elementary school program to promote physical activity. One component is a weekly classroom-based self-management program, with the goal of increasing physical activity outside of school. The curriculum included goal setting, behavioral skills training, a reward system, and parent involvement. An evaluation of curriculum implementation and association between process and outcome was conducted using direct observation of lessons, subjective ratings by 24 teachers and 391 parents, and participation records of 549 students. Teachers viewed the self-management curriculum less positively than the physical education curriculum. Teachers were observed implementing an average of 65% of curriculum elements, which may have contributed to the limited effects of the self-management program. Student participation in the program, measured by points earned for doing out of school physical activity, was correlated significantly with changes in body mass index and multiple psychosocial variables among boys but not girls. Barriers to full program implementation were identified, and a remaining challenge is to improve self-management curriculum implementation by teachers.     

Two sides of the same coin? On the history and phenomenology of chronic fatigue and burnout

Background: Burnout and chronic fatigue syndrome (CFS) are two fatigue syndromes which have developed largely independently from each other, yet whose similarities in symptoms can be a source of confusion. We aim to explore the phenomenology of burnout and CFS in a historical context as this may provide some insight into the links and relationship between these conditions. Method: A narrative review based on literature in the fields of history, social science and medicine. Results: The origins of CFS lie within medicine, whereas burnout developed in a psychological setting. As well as symptoms, burnout and CFS also share similar themes such as an overload process triggering illness onset, the need for restoration of depleted energy, external causal attributions and the characteristics of people suffering from these illnesses. However, these themes are expressed in either psychological or medical terms according to the historical background. Conclusion: Despite their similarities, there have been few direct comparisons of the two concepts. Culture, illness perceptions and accountability are important issues in both conditions and could contribute to their differences. Comparing burnout and CFS within one sample frame, thus looking beyond the psychology/medicine divide, could be a useful first step towards understanding their relationship.     

The influence of external stimulation on airflow detection by children with asthma

Abstract

The relevance and significance of the concept of a ‘competition of cues’ for the understanding of symptom perception in childhood asthma was investigated during detection of externally applied resistive loads on breathing. The concept predicts that subjects would respond less frequently and less accurately during external stimulation. The sample consisted of 36 children with and 36 without asthma, aged 7-18 years. Detection of airflow was measured in a neutral and in an external stimulation condition. The children breathed through a facemask and responded to changes in airflow by pressing a button. The stimulus presented and withdrawn was analogous to a decrease in lung function (Forced Expiratory Volume in one second) of 39%. Accuracy of detection of airflow was defined as correct minus false positive responses to load stimuli.

The results showed that children with and without asthma responded significantly less frequently during external stimulation than in the neutral condition. However, the accuracy of detection among non-asthmatics was not affected by external stimulation. Children with asthma responded significantly more accurately during external stimulation. The results are discussed in the light of children's accuracy to perceive actual airways obstruction.     

Zen Buddhism and the intrinsic value of nature

Part IIt is a perennial theme in the literature on environmental ethics that the exploitation of the environment is the result of a blindness to (or perhaps a refusal to recognize) the intrinsic value of natural beings. The general story here is that Western traditions of thought have tended to accord natural beings value only to the extent that they prove useful to humans, that they have tended to see nature as only instrumentally valuable. By contrast, it is said that a new, environmentally friendly understanding of the world would value nature ‘for its own sake’, would conceive natural beings as having intrinsic value. In the light of such an understanding, the oak tree, for instance, would be seen not merely as a source of timber or shade or as a decoration for the front lawn, but as valuable ‘in itself’, as having an intrinsic value that ought to be respected (see further, O'Neill 1993, chapter 2).     

The Lieberman Syndrome: Public and Private Jewishness in American Political Culture

Shortly after the Second World War, Jewish communities in the Czech lands began to remember the Jewish victims of the conflict through a ceremony called the “tryzna”. This article investigates the structure and timing of tryzny to understand how Czech‐Jews memorialized the tragedy that had recently befallen their community. By 1952, it became standard practice for Jewish communities to host a tryzna in March to commemorate the Nazi liquidation of the so‐called “Czech family camp” at Auschwitz‐Birkenau in 1944. The proliferation of tryzny ensured that Czech‐Jews mourned and commemorated the dead of the Second World War in a religious and then increasingly public way. What began as small community events, coalesced and grew into national mourning ceremonies. Tryzny link a national story of loss and an awareness of the larger Jewish genocide with Jewish funerary practices. These tryzny evolved within a communist state, in a world where the concept of the “Holocaust” had not yet entered international consciousness.     

Physicians' Silent Decisions: Because Patient Autonomy Does Not Always Come First

Physicians make some medical decisions without disclosure to their patients. Nondisclosure is possible because these are silent decisions to refrain from screening, diagnostic or therapeutic interventions. Nondisclosure is ethically permissible when the usual presumption that the patient should be involved in decisions is defeated by considerations of clinical utility or patient emotional and physical well-being. Some silent decisions—not all—are ethically justified by this standard. Justified silent decisions are typically dependent on the physician's professional judgment, experience and knowledge, and are not likely to be changed by patient preferences. We condemn the inappropriate exclusion of the patient from the decision-making process. However, if a test or treatment is unlikely to yield a net benefit, disclosure and discussion are at times unnecessary. Appropriate silent decisions are ethically justified by such considerations as patient benefit or economy of time.     

A multi-dimensional measure of worry: Development and preliminary validation of the anxious thoughts inventory

This paper reports the development of a dispositional self-report measure of multiple dimensions of generalised worry. Factor analyses demonstrated a replicable three factor structure indicating that this measure of worry comprises three basic dimensions: social worry, health worry, and meta-worry. The first two factors reflect different content dimensions whereas the meta-worry factor consists of both content and process dimensions of worry. Individual differences in subscale scores show moderate stability over time, and the subscales possess good psychometric properties. Significant correlations were found between worry subscales and personality dimensions of self-consciousness and EPI scores. The role of multi-dimensional measurement in the exploration of worry is discussed.