Health anxiety and hypochondriasis in the light of DSM-5

Background: In the DSM-5, the diagnosis of hypochondriasis was replaced by two new diagnositic entities: somatic symptom disorder (SSD) and illness anxiety disorder (IAD). Both diagnoses share high health anxiety as a common criterion, but additonal somatic symptoms are only required for SSD but not IAD. Design: Our aim was to provide empirical evidence for the validity of these new diagnoses using data from a case–control study of highly health-anxious (n = 96), depressed (n = 52), and healthy (n = 52) individuals. Results: The individuals originally diagnosed as DSM-IV hypochondriasis predominantly met criteria for SSD (74%) and rarely for IAD (26%). Individuals with SSD were more impaired, had more often comorbid panic and generalized anxiety disorders, and had more medical consultations as those with IAD. Yet, no significant differences were found between SSD and IAD with regard to levels of health anxiety, other hypochondriacial characteristics, illness behavior, somatic symptom attributions, and physical concerns, whereas both groups differed significantly from clinical and healthy controls in all of these variables. Conclusion: These results do not support the proposed splitting of health anxiety/hypochondriasis into two diagnoses. Further validation studies with larger samples and additional control groups are warranted to prove the validity of the new diagnoses.     

Stereotypical thinking as a mediating factor in the association between exposure to terror and post-traumatic stress disorder symptoms among Israeli youth

Background and Objectives: The negative impact of exposure to terror on mental health, as well as on the perceptions of each side of the conflict toward the other, is well-documented. However, the association between stereotyping, concomitant with perceived threat, and anxiety, was rarely investigated. The current study examined information processing attributes and exposure to terror as predictors of PTSD symptoms among youth at inter-group conflict, with stereotypical thinking toward a threatening out-group as a possible mediator. Design: Cross-sectional, with exposure to terror, need for cognitive structure (NCS), efficacy at fulfilling the need for closure (EFNC) and self-esteem, predicting stereotypical thinking and PTSD symptoms. Method: Ninth graders (N?=?263) from two residential areas in Israel, varying in their degree of exposure to terror, responded to a self-report questionnaire tapping the above variables. Results: Stereotypical thinking was found to mediate the association between exposure to terror and PTSD symptoms, but not the association between the NCS and EFNC interaction and PTSD symptoms. Conclusions: The findings support terror management theory, so that a negative and rigid perception makes it difficult to construct coherent world-view, thus contributing to aggregation of existential anxiety and PTSD symptoms.     

Harry Potter and Contemporary Magic: Fantasy Literature,Popular Culture,and the Representation of Religion

This article discusses the reasons for the religious reactions to the Harry Potter novels, arguing that the books contribute to, and reflect, the reconfiguration of religion in contemporary society. The article analyses the media qualities of fantasy literature and the specific representation of magic in the novels and argues that these aspects form an important part of the reasons for the religious reactions. Fantasy literature and other popular culture that represents and mediates religious expressions and phenomena actively contribute to the reconfiguration of, and communication about, religion in contemporary society and are thus of consequence for what we understand ‘religion’ to be in the study of religions.     

Negotiating motherhood as a refugee: experiences of loss,love, survival and pain in the context of forced migration

The mental health of refugees has been an increasingly researched area, but has been criticised for having an individualised and symptom-focused approach to understanding the experience of forced migration. This paper attempts to respond to calls to address this culturally limited and incomplete way of conceptualising responses to experiences of persecution and terror bound up within global hegemony and power inequalities. Interpretative phenomenological analysis was employed to analyse semi-structured interviews undertaken with six refugee mothers, with the aim of exploring how participants made sense of, and created meaning around parenting and family life in the UK. Three main themes emerged from the data analysis (a) loss as a constant companion to parenting; (b) a shifting view of the self as a mother; and (c) taking the good with the bad in family life. Methodological limitations, as well as implications for future research and clinical practice are discussed.     

The relationship between perceived organizational support and proactive behaviour directed towards the organization

Numerous studies have shown that perceived organizational support has positive consequences on both employees and organizations. However, no study has examined the causal relationship between perceived organizational support and proactive behaviour directed towards the organization and few studies have identified potential mechanisms underlying this relationship. We first investigated the direction of causality between perceived organizational support and proactive behaviour, and hypothesized that perceived organizational support leads to proactive behaviour directed towards the organization. Second, based on social exchange and motivational perspectives, we examined two potential mechanisms underlying this relationship, i.e., felt obligation and work engagement. Employees from a Belgian Federal Public Service were invited to take part in a three-wave longitudinal survey. Using a cross-lagged panel design, our results (N = 1963) revealed that Time 2 perceived organizational support was positively related to Time 3 proactive behaviour towards the organization, whereas the reverse was not true. Additionally, our results (N = 1293) showed that Time 2 felt obligation and Time 2 work engagement mediated the positive relationship between Time 1 perceived organizational support and Time 3 proactive behaviour directed towards the organization.     

Job demands,coping, and impacts of occupational stress among journalists: a systematic review

This paper systematically reviews empirical research published from 2002 to July 2015 investigating journalists’ occupational stressors, coping strategies, and the impacts of these variables on the health and well-being of such professionals, whether on their daily work or as special envoys to critical scenarios. A meta-analytic approach was displayed to analyse the association between exposure to traumatic events during work and journalists’ symptoms of post-traumatic stress disorder (PTSD). Twenty eight articles met the inclusion criteria and revealed that very few studies distinguish (and none compare) the distress of journalists in their daily work from the distress of reporting major disasters, not a single study addressed positive emotional responses and only one research study focused on an in-depth analysis of the most commonly used coping strategies by journalists. The impacts of occupational stress among these professionals were sorely negative (e.g., burnout, PTSD), and no study was found to address the design and assessment of preventive interventions for these impacts on the health and well-being of journalists. Thirteen studies were included in a random-effects model meta-analysis and a small to moderate effect size (r = 0.272) between exposure to traumatic events during assignments and PTSD was found. The article closes with directions for future studies.     

Cross-sex versus same-sex experience and relationship satisfaction: addressing diverse social networks among Orthodox Jews

Romantic experiences in adolescence often predict relationship stability and marital status in adulthood. Religious practice and belief also have been linked to increased marital satisfaction and overall wellbeing. However, certain religions limit cross-sex interaction in areas of education, social and romantic relationships. Although gender segregation has been studied in educational and occupational contexts, no previous research has addressed religious gender segregation and its impact on relationship development, marital satisfaction, and overall wellbeing. The present study addressed the generalisability of data on cross-sex experience derived from normative populations to a religious subculture, outlining predictors for marital satisfaction and wellbeing in an Orthodox Jewish sample. Results showed some similarities between the general population and the Orthodox Jews represented by the study sample. However, some factors illustrated divergent paths and outcomes for this sample. This study demonstrates the influence of societal norms and the importance of addressing cultural context when evaluating marital satisfaction.     

A spectrum of belief: a qualitative exploration of candid discussions of clergy on mental health and healing

Since clergy are often first responders to mental health issues, it is important to understand clergy views on handling such issues. A discussion occurred in 2012 amongst clergy involved in a popular social utility network clergy’s group. One clergyperson asked peers: “If the church is where we are to come for healing, how do we handle people who are depressed, suicidal, suffering from PTSD or anxiety?” Over 140 comments were made during 13 days, and 35 clergy from the United States, Africa, and India contributed to the discussion. Data from this conversation were examined via classic grounded theory. Analysis revealed a spectrum of beliefs that clergy hold regarding the causes and best treatments for emotional issues. Findings shed light on the candid thoughts clergy have about mental health care. The findings provide greater understanding for mental health practitioners with clients who rely on their church for emotional support.     

Muslim Distress Mobilization Hypothesis: complex roles of Islamic Positive Religious Coping and Punishing Allah Reappraisal in Iranian students

Muslim religious coping may include distress mobilisation effects that explain why adaptive and maladaptive forms of religious coping correlate positively rather than nonsignificantly, as they usually do in the West. In this study, 147 Iranian university students responded to Islamic Positive Religious Coping (IPRC) and Punishing Allah Reappraisal (PAR) Scales along with Religious Orientation, Perceived Stress, and mental health measures. IPRC and PAR correlated positively, and procedures accounting for their covariance were essential in disambiguating their implications. IPRC predicted stronger Intrinsic and Extrinsic Personal Religious Orientations, but PAR displayed no relationship with religious motivations. PAR pointed toward broadly negative mental health influences with IPRC displaying limited ties with adjustment. PAR partially mediated some Perceived Stress relationships with poorer mental health. These data offered some support for a Muslim Distress Mobilization Hypothesis, but also uncovered issues that require further clarification.