A systematic review of psychoneuroimmunology-based interventions

Psychoneuroimmunology-based interventions are used to attenuated disease progression and/or side effects of pharmacological treatment. This systematic review evaluates the different therapeutic and/or clinical psychoneuroimmunology-based interventions associated to both psychological, neuroendocrine and immunological variables. The review was conducted for all English, Portuguese and Spanish language articles published between 2005 and 2015. Independent investigators analyzed 42 studies concerning human psychoneuroimmunology-based interventions. Decreased levels of cortisol, epinephrine and norepinephrine (stress-related hormones) were associated to interventions like yoga, meditation, tai chi, acupuncture, mindfulness, religious/spiritual practices, cognitive behavior therapy, coping and physical exercises. Moreover, those interventions were also associated to reductions in inflammatory processes and levels of pro-inflammatory cytokines in cancer, HIV, depression, anxiety, wound healing, sleep disorder, cardiovascular diseases and fibromyalgia. Despite the associations between PNI variables and clinical/therapeutic interventions, only one study evidenced significant effects on a disease progression.     

Does message framing affect changes in behavioural intentions in people with psoriasis? A randomized exploratory study examining health risk communication

Message framing is important in health communication research to encourage behaviour change. Psoriasis, a long-term inflammatory skin condition, has additional comorbidities including high levels of anxiety and cardiovascular disease (CVD), making message framing particularly important. This experimental study aimed to: (1) identify whether health messages about psoriasis presented as either gain- or loss-framed were more effective for prompting changes in behavioural intentions (BI), (2) examine whether BI were driven by a desire to improve psoriasis or reduce CVD risk; (3) examine emotional reactions to message frame; and (4) examine predictors of BI. A two by two experiment examined the effects on BI of message frame (loss vs. gain) and message focus (psoriasis symptom reduction vs. CVD risk reduction). Participants with psoriasis (n = 217) were randomly allocated to one of four evidence-based health messages related to either smoking, alcohol, diet or physical activity, using an online questionnaire. BI was the primary outcome. Analysis of variance tests and hierarchical multiple regression analyses were conducted. A significant frame by focus interaction was found for BI to reduce alcohol intake (p = .023); loss-framed messages were more effective for CVD risk reduction information, whilst gain-framed messages were more effective for psoriasis symptom reduction information. Message framing effects were not found for BI for increased physical activity and improving diet. High CVD risk was a significant predictor of increased BI for both alcohol reduction (β = .290, p < .01) and increased physical activity (β = ?.231, p < .001). Message framing may be an important factor to consider depending on the health benefit emphasised (disease symptom reduction or CVD risk reduction) and patient-stated priorities. Condition-specific health messages in psoriasis populations may increase the likelihood of message effectiveness for alcohol reduction.     

Spirituality and mental health status among Northern Plain tribes

Spirituality measures often show positive associations with preferred mental health outcomes in the general population; however, research among American Indians (AIs) is limited. We examined the relationships of mental health status and two measures of spirituality – the Midlife Development Inventory (MIDI) and a tribal cultural spirituality measure – in Northern Plains AIs, aged 15–54 (n?=?1636). While the MIDI was unassociated with mental health status, the tribal cultural spirituality measure showed a significant relationship with better mental health status. Mental health conditions disproportionately affect AIs. Understanding protective factors such as cultural spirituality that can mitigate mental health disorders is critical to reducing these health disparities.     

Religion and mental health among Nepal earthquake survivors in temporary tent villages

The aim of this study was to explore the relationship between mental health and the perceived importance of religion and the frequency of prayer among 200 children ages 10–18 years who lived in temporary camps for earthquake survivors in Nepal. The participants were examined using the Child Behavior Checklist (CBCL) 6–18 and were asked about the importance of religion in their lives. In contrast to expectation that high perceived importance of religion and prayer frequency have positive impacts on mental health after earthquakes, the results indicated significantly higher levels of withdrawal/depression. The group that prayed less frequently after the earthquakes had significantly higher scores for somatic symptoms, withdrawal/depression, anxiety/depression, social immaturity, internalising problems, and total CBCL scores. However, the clinical risk group (T score of 65 or higher in the CBCL total score), no significant difference according to the importance of religion showed and frequency of daily prayer.     

Mental health counselling in the Black American Church: reflections and recommendations from counsellors serving in a counselling ministry

The goal of this study was to examine the relationship between “The Black Church”, the mental health needs of its members, and addressing those needs from the perspective of counsellors within the church. Four in-depth interviews were conducted with members of the mental health counselling team at one large, African American-serving church in the Midwest to explore their thoughts about their church pastor’s desire to expand their current ministry to a fully operating counselling centre. The findings suggest that “the Black Church” not only has a role and responsibility in addressing the mental health needs of African Americans within and outside of the church but can also use religiosity as a facilitator rather than a barrier to mental health service use among African Americans.     

Forensic psychology and Islamic jurisprudence

Islamic jurisprudence is the most widely used system of religious law in the world today. However, how forensic psychology may operate within this system has been largely unexplored. The current review sets out to explore the relationship between Islamic jurisprudence and forensic psychology by examining the Islamic legal concepts of evidence, competence, insanity, psychological disorder and intellectual disability and their implications for forensic practice. Also discussed are the potential barriers to forensic psychological practice in countries using a system of Islamic law.     

Much ado about nothing? Why going non-semantic is not merely semantics

This paper argues that deciding on whether the cognitive sciences need a Representational Theory of Mind matters. Far from being merely semantic or inconsequential, the answer we give to the RTM-question makes a difference to how we conceive of minds. How we answer determines which theoretical framework the sciences of mind ought to embrace. The structure of this paper is as follows. Section 1 outlines Rowlands’s (2017) argument that the RTM-question is a bad question and that attempts to answer it, one way or another, have neither practical nor theoretical import. Rowlands concludes this because, on his analysis, there is no non-arbitrary fact of the matter about which properties something must possess in order to qualify as a mental representation. By way of reply, we admit that Rowlands’s analysis succeeds in revealing why attempts to answer the RTM-question simpliciter are pointless. Nevertheless, we show that if specific formulations of the RTM-question are stipulated, then it is possible, conduct substantive RTM debates that do not collapse into merely verbal disagreements. Combined, Sections 2 and 3 demonstrate how, by employing specifying stipulations, we can get around Rowlands’s arbitrariness challenge. Section 2 reveals why RTM, as canonically construed in terms of mental states exhibiting intensional (with-an-s) properties, has been deemed a valuable explanatory hypothesis in the cognitive sciences. Targeting the canonical notion of mental representations, Section 3 articulates a rival nonrepresentational hypothesis that, we propose, can do all the relevant explanatory work at much lower theoretical cost. Taken together, Sections 2 and 3 show what can be at stake in the RTM debate when it is framed by appeal to the canonical notion of mental representation and why engaging in it matters. Section 4 extends the argument for thinking that RTM debates matter. It provides reasons for thinking that, far from making no practical or theoretical difference to the sciences of the mind, deciding to abandon RTM would constitute a revolutionary conceptual shift in those sciences.     

La thèse du travailleur heureux-productif revisitée : une analyse par profils

This study aims to identify worker profiles in terms of psychological well-being at work, burnout and contextual performance, based on the two-dimensional conceptualization of psychological health (Keyes, 2009) and the job performance model of Borman and Motowidlo (1993). To do so, 1037 Quebec workers responded to self-reported questionnaires. Cluster analyzes revealed four profiles of workers: two convergent profiles, representing high psychological health and performance at work (32%), and low psychological health and performance at work (17%), as well as two paradoxical profiles, one presenting low psychological health and high contextual performance (23%), and one presenting high psychological health and low contextual performance (28%). These profiles were compared quantitatively and qualitatively. In the light of the conservation of resources theory (Hobfoll, 1989, 2001), these results extend and nuance the existing scientific literature on the health-performance relationship.     

Mental health practitioners' attitudes towards transgender people: A systematic review of the literature

Background: A systematic review was conducted to critically evaluate and synthesize literature investigating mental health practitioners' attitudes towards transgender people.

Objective: Three primary objectives were outlined; first, establish whether overall attitudes are positive or negative. Second, explore whether training, education or experience influences attitudes and finally, examine participant demographics in relation to attitude trends.

Method: A systematic electronic search was carried out in March 2017 using Medline, PsycINFO, PsycArticles, CINAHL, ASSIA, and Web of Science electronic databases. Manual citation and ancestral searches were conducted on identified papers. Qualitative, quantitative and mixed method studies were eligible for inclusion. A total of 13 papers of mixed quality were identified.

Results: Existing literature is limited to cross-sectional, quantitative data and fails to investigate differences between implicit and explicit attitudes. Small to moderate convenience samples reduce the generalizability of data. Overall attitudes were positive although negative attitudes were more frequent in male, Caucasian, heterosexual, religious, conservative mental health professionals.

Conclusions: Refined scales are needed to address the unique heterogeneity within transgender populations. Future research should focus on how attitudes impact care provided and employ longitudinal designs to explore the sustainability of targeted attitudinal training.