The relationship between religion and cardiovascular outcomes and all-cause mortality in the women's health initiative observational study

Some studies suggest that religiosity may be related to health outcomes. The current investigation, involving 92,395 Women's Health Initiative Observational Study participants, examined the prospective association of religious affiliation, religious service attendance, and strength and comfort from religion with subsequent cardiovascular outcomes and death. Baseline characteristics and responses to religiosity questions were collected at enrollment. Women were followed for an average of 7.7 years and outcomes were judged by physician adjudicators. Cox proportional regression models were run to obtain hazard ratios (HR) of religiosity variables and coronary heart disease (CHD) and death. After controlling for demographic, socioeconomic, and prior health variables, self-report of religious affiliation, frequent religious service attendance, and religious strength and comfort were associated with reduced risk of all-cause mortality [HR for religious affiliation = 0.84; 95% confidence interval (CI): 0.75–0.93] [HR for service attendance = 0.80; CI: 0.73–0.87] [HR for strength and comfort = 0.89; CI: 0.82–0.98]. However, these religion-related variables were not associated with reduced risk of CHD morbidity and mortality. In fact, self-report of religiosity was associated with increased risk of this outcome in some models. In conclusion, although self-report measures of religiosity were not associated with reduced risk of CHD morbidity and mortality, these measures were associated with reduced risk of all-cause mortality.     

What are we doing to the earth's climate and what are we going to do about it?

Climatic considerations are critical if our planet is to survive. The environment, and in particular the atmosphere, is particularly sensitive to man. The time has come to act in favor of that which gives us life. This is why, in a field which knows no boundaries, only an international strategy can be effective.     

Fathering Self-Efficacy, Marital Satisfaction and Father Involvement in Hong Kong

We examined the predictability of fathering self-efficacy and marital satisfaction on father involvement. The moderating effect of marital satisfaction on the relationship between father efficacy and father involvement was also explored. A cross-sectional survey was conducted using the convenience sampling method. A total of 2,029 valid questionnaires were collected from fathers with children aged 2–6 from 48 nurseries in Hong Kong. The fathers’ mean age is 39.1. 72.9 % of the fathers graduated from secondary school and 86 % had full-time jobs. Measures including self-efficacy subscale in the Parenting Sense of Competency Scale, the Index of Marital Satisfaction, the Inventory of Father Involvement were adopted in the present study. Hierarchical regression analyses showed that fathering self-efficacy and marital satisfaction were significant positive predictors of father involvement, whereas marital satisfaction moderated the effect of fathering self-efficacy on father involvement. It is thus important to improve martial satisfaction and enhance fathering self-efficacy for promoting father involvement. To gain a more comprehensive picture, future studies of father involvement may benefit by adopting a longitudinal research design, including the mothers and children as informants, and addressing other parenting correlates such as parenting stress and spousal support.     

Ultralarge lotteries: Analyzing the Lottery Paradox using non-standard analysis

A popular way to relate probabilistic information to binary rational beliefs is the Lockean Thesis, which is usually formalized in terms of thresholds. This approach seems far from satisfactory: the value of the thresholds is not well-specified and the Lottery Paradox shows that the model violates the Conjunction Principle. We argue that the Lottery Paradox is a symptom of a more fundamental and general problem, shared by all threshold-models that attempt to put an exact border on something that is intrinsically vague. We propose application of the language of relative analysis—a type of non-standard analysis—to formulate a new model for rational belief, called Stratified Belief. This contextualist model seems well-suited to deal with a concept of beliefs based on probabilities ‘sufficiently close to unity’ and satisfies a moderately weakened form of the Conjunction Principle. We also propose an adaptation of the model that is able to deal with beliefs that are less firm than ‘almost certainty’. The adapted version is also of interest for the epistemicist account of vagueness.     

An Integrated Resilience and Ecological Model of Child Abuse (REC-Model)

Much of the theories of child abuse are developed and referenced from the West, while their applications to Chinese society are unclear. It is necessary to examine the cases in Hong Kong to acknowledge the uniqueness in perception and conceptualization of child abuse and the impact of resilience, across different cultural settings. The current study aims to advance an ecological model of child abuse for Hong Kong families by integrating resilience perspective with the ecological systems, namely An Integrated Resilience and Ecological Model of Child Abuse (REC-Model), and to examine the interactions between resilience and risk factors among chronosystemic, microsystemic, marcosystemic, and ontogenic systems on child abuse. Using a cross sectional survey research method and path analysis, 565 families with children studying at ages between 9 and 13 participated and returned self-administered questionnaires in the study. The results showed that Chinese cultural parenting values moderated the influences of risk factors on child abuse, while forgiveness buffered the negative impact of microsystemic factors on child abuse. To prevent child abuse, it is important to decrease the detrimental effects of childhood abuse experiences, reduce marital conflicts, and avoid developing insecure parent-child attachment. Promoting forgiveness, while reducing parents’ rigidity of certain Chinese cultural parenting values, may also help decrease child abuse.     

Spirituality and Coping Among Grieving Children: A Preliminary Study

The death of a family member can have a significant effect on children, depending on their level of development and the kinds of supports available to them. Spirituality has been linked to effective coping with loss by adults. The purpose of this qualitative phenomenological study was to explore how meaning making, linking objects, and containment, themes that have been explored in the literature on adults' use of spirituality as a way of coping, might be used by grieving children. The major difference between children and adults appears to be in how and when children make meaning after loss. The major similarity between adults and children is the essential role of relationships in facilitating grieving. Implications for further research, counselor education, and practicing counselors conclude the article.     

Der Einsatz von Hausaufgaben in der Psychotherapie

Homework is not only an essential part of cognitive-behavioral treatment but is also used in a variety of other therapy approaches. Its positive relation to therapy outcome has been proved. In consequence, patients’ compliance with homework assignments is an important therapeutic goal. In the last years, numerous papers focused on recommendations for enhancing acceptance and completion of homework assignments. The present article provides an overview about existing recommendations. Proposals are summarized and opposed to empirical studies on single homework procedures and their influence on homework compliance. Due to a lack of empirical data, the effectiveness of most recommendations could not yet be proved. General problems in homework study design and possible directions of further research addressing homework use are discussed.     

Effect of Identifiability,Rating Audience,and Conscientiousness on Rating Level

This paper investigated three factors, two related to accountability and one an individual difference factor, which may influence rating level: (1) identifiability, (2) to whom one feels accountable (audience), and (3) conscientiousness. In study 1, results from students who rated their instructors indicated that not only did raters relatively high in conscientiousness report feeling more accountability but also that identifiability and conscientiousness interacted in predicting rating level. Raters relatively low in conscientiousness provided higher ratings when identified but raters relatively high in conscientious did not provide higher ratings. Rating audience did not influence rating level. Study 2 replicated the findings from study 1: Low conscientious raters assigned higher ratings when identified than when anonymous but high conscientious raters did not assign higher ratings when identified. Implications are discussed.     

An Intensive Outpatient Program for Veterans With Posttraumatic Stress Disorder and Traumatic Brain Injury

Post-9/11 service members may return from military service with a complicated set of symptoms and conditions, such as posttraumatic stress disorder (PTSD), depression, substance misuse, and traumatic brain injury (TBI), that interfere with reintegration and impair functioning. Although evidence-based treatments that facilitate recovery exist, their successful delivery at a sufficient dose is limited. Barriers to accessing treatment combined with challenges compiling a comprehensive treatment team further delay delivery of effective evidence-based care for PTSD, TBI, and co-occurring mental health conditions. This paper describes the development of a comprehensive, multidisciplinary, 2-week intensive day program for post-9/11 veterans with complex mental health concerns. The treatment program combines skill building groups, family education, and integrative health approaches with evidence-based individual PTSD or TBI care. Initial results from the first 132 participants were notable for a 97% completion rate, as well as statistically significant and clinically meaningful reductions in PTSD, neurobehavioral, and depression symptom severity for the 107 veterans who completed the PTSD track and the 21 who completed the TBI track. These data suggest the intensive program approach is an effective, well-tolerated model of treatment for post-9/11 veterans with PTSD and/or TBI. Future controlled studies should examine the effectiveness of this intensive model compared to standard evidence-based therapy delivery, as well as longitudinal outcomes.     

Role of employee felt obligation and endorsement of the just world hypothesis: A social exchange theory investigation in an organizational justice context

According to social exchange theory, felt obligation after being treated justly is key to explaining why justice perceptions influence behaviors important to organizations, such as task performance and organizational citizenship behavior (OCB). Perhaps those who believe in a just world (Just World Hypothesis, JWH) are more likely to feel obligated to reciprocate just treatment with behaviors benefiting the organization. Thus, our goal was to investigate whether belief in the JWH influences to what extent people feel obligated after being treated justly and the importance of felt obligation in regard to behavioral outcomes, such as OCB and task performance. Based on 160 university alumni and their supervisors, results provide support that justice perceptions can relate to both job performance and OCB via felt obligation, providing empirical support for the theoretical role of felt obligation in the social exchange theory explanation of how justice perceptions can translate into employee behaviors benefiting the organization. Results also suggest that endorsement of the JWH interacts with procedural and distributive justice perceptions, but not interpersonal justice perceptions, to influence felt obligation and that the indirect effect of distributive and procedural justice perceptions on both OCB and task performance via felt obligation is only significant for individuals with relatively high levels of endorsement of the JWH. Implications are discussed.