The development and validation of a Fear of Death Scale based on the cognitive approach of Avicenna

ABSTRACT

The aim of this study was to develop a culturally sensitive approach assessment instrument that measures cognitive beliefs related to Iranian Muslim salient fear of death. This paper discusses the development and validation of Avicenna Fear of Death Scale (AFDS). The results of confirmatory factor analysis resulted in an instrument (AFDS) consisting of five cognitive concerns related to the fear of death including complete annihilation, severe pain of death, consequences of sins, interpersonal attachment, and attachment to estate. Twenty-two statements overall were offered using a Likert scale to measure related cognitive beliefs. Results from a convenience sample of 291 college students, showed the AFDS to have favourable psychometric properties (e.g., adequate reliability and validity). The total alpha coefficient was .85, suggesting that the items have relatively high internal consistency and the item-total correlation between .28 and .63 (p<.001) indicates that the items are discriminating well. Overall, results suggest that cross-cultural differences render a culturally sensitive approach to assessment and diagnosis essential, and therefore a culture-based scale like Avicenna AFDS might be fruitful extensions of the current death anxiety scales like Templer Death Anxiety Scale within the context of Iranian-Islamic culture. This diagnostic tool can help in the cognitive treatment of fear of death.     

Alterations in error-related brain activity and post-error behavior over time

This study examines the relation between the error-related negativity (ERN) and post-error behavior over time in healthy young adults (N=61). Event-related brain potentials were collected during two sessions of an identical flanker task. Results indicated changes in ERN and post-error accuracy were related across task sessions, with more negative ERN associated with greater improvements in post-error accuracy. This relationship was independent of any cross-sectional relationships between overall task performance, individual difference factors, including personality and self-efficacy, and indices of self-regulatory action monitoring. These results indicate that the relation between ERN and post-error accuracy remains intact and consistent regardless of variation in this set of individual difference factors previously associated with both of these indices of self-regulatory action monitoring, providing support for the strength, robustness, and persistence of this relationship in the process of adaptively controlling behavior to enhance task performance.     

AGREEING TO DISAGREE: Indigenous Pluralism from Human Rights to Bioethics

David Hollenbach, working within the context of human rights theory, has developed the notion of "indigenous pluralism" as a means of coping with the problems that arise when different religious traditions hold distinct or incompatible interpretations of human rights. It will be argued that indigenous pluralism is a theoretically and practically useful concept for bioethics as well and hence should be incorporated into bioethical methodology and processes of bioethical policy formation. Subsequently, the notion of indigenous pluralism will be discussed in relation to determinations of death as a means of illustrating this concept's applicability to bioethical inquiry.     

Nursing Home Adaptation in Visually Impaired Older Adults Using a Narrative Approach1,2

This study used a narrative approach to examine the difficulties that older visually impaired people experience when adapting to life in a nursing home. The interview data were collected from one blind aged person (n = 1), focusing on the adaptation process from moving into the nursing home to the present and maintaining context of narrative that included the life history. Subcategories were extracted based on a framework of temporal coherence, causal coherence, thematic coherence, and situational coherence. This study revealed three factors related to adaptation to life in a nursing home for a visually impaired person, including psychological adaptation: becoming accustomed to life in the facility after changes in the living environment, having gratitude and maintaining “moderating human relationships,” and participating in activities connected to one's purpose in life. He was able to psychologically adapt and came to accept his death through an awareness of aging.     

Creative thinking and brain network development in schoolchildren

Fostering creative minds has always been a premise to ensure adaptation to new challenges of human civilization. While some alternative educational settings (i.e., Montessori) were shown to nurture creative skills, it is unknown how they impact underlying brain mechanisms across the school years. This study assessed creative thinking and resting-state functional connectivity via fMRI in 75 children (4–18 y.o.) enrolled either in Montessori or traditional schools. We found that pedagogy significantly influenced creative performance and underlying brain networks. Replicating past work, Montessori-schooled children showed higher scores on creative thinking tests. Using static functional connectivity analysis, we found that Montessori-schooled children showed decreased within-network functional connectivity of the salience network. Moreover, using dynamic functional connectivity, we found that traditionally-schooled children spent more time in a brain state characterized by high intra-default mode network connectivity. These findings suggest that pedagogy may influence brain networks relevant to creative thinking—particularly the default and salience networks. Further research is needed, like a longitudinal study, to verify these results given the implications for educational practitioners. A video abstract of this article can be viewed at https://www.youtube.com/watch?v=xWV_5o8wB5g .

Research Highlights

• Most executive jobs are prospected to be obsolete within several decades, so creative skills are seen as essential for the near future.
• School experience has been shown to play a role in creativity development, however, the underlying brain mechanisms remained under-investigated yet.
• Seventy-five 4–18 years-old children, from Montessori or traditional schools, performed a creativity task at the behavioral level, and a 6-min resting-state MR scan.
• We uniquely report preliminary evidence for the impact of pedagogy on functional brain networks.