Dispositional resilience in treatment‐seeking patients with obsessive‐compulsive disorder and its association with treatment outcome

There is a lack of research on the relation between obsessive‐compulsive disorder (OCD) and resilience. Dispositional resilience, as described and defined in literature on hardiness, consists of three facets, namely beliefs about having control in everyday living, having a sense of purpose or commitment, and a positive attitude toward challenges. This study explores associations between dispositional resilience (measured with the Dispositional Resilience Scale (DRS‐15‐R)), symptom severity, and treatment outcome in a sample of 89 patients treated with concentrated exposure therapy (cET), and compares the findings with scores from two reference groups (students and soldiers). The patient group had significantly lower resilience scores than the two reference groups. Weak correlations were observed between dispositional resilience and OCD symptoms. Differences in dispositional resilience were weakly related to remission status at follow‐up (odds ratio of 1.11). Furthermore, resilience improved from pre‐ to post‐treatment (Cohen's d of 0.65). Our results imply that patients’ initial resilience score does not hinder nor facilitate treatment effects to a great extent in this format of ERP treatment.     

When Beliefs Lead to (Im)Moral Action: How Believing in Torture's Effectiveness Shapes the Endorsement of Its Use

Does believing in torture's effectiveness shape the endorsements of its use? Using a multimethod approach across six studies, we provide converging evidence that efficacy beliefs can help increase understanding of individual differences and situational influences on torture support. Studies 1a and 1b found that torture opinions contained more efficacy‐based language than other types of harm and that people relied more on torture efficacy than torture's inherent morality when conveying their views. Study 2 assessed predictors of torture favorability including effectiveness and other key covariates, revealing that efficacy beliefs strongly predicted torture favorability—an association that retained its predictive validity above and beyond individual differences known to influence torture support. Mediation analyses further showed that efficacy beliefs explained key associations with torture support. Studies 3 and 4 used moral dilemmas requiring decisions about torture versus other harm. Results showed that individuals who believed harm would be effective were more likely to endorse its use; this was especially evident for torture judgments. Study 5 replicated the torture‐efficacy effect while also revealing efficacy effects for other interrogation techniques, thus suggesting the effect is driven more by the instrumental objective of torture than harm or moral violations. Theoretical and practical implications are discussed.     

Cognitive,behavioral and psychological functioning in children with metopic synostosis: a meta-analysis examining the impact of surgical status

Neurodevelopmental delays are known to occur in children with metopic synostosis, but it is presently unclear whether the cognitive, behavioral and psychological outcomes of children with metopic synostosis differ to those of their healthy peers. This meta-analysis consolidated data from 17 studies (published prior to August 2017) that examined the cognitive, behavioral and psychological outcomes of children (n = 666; aged ≤19 yrs) with metopic synostosis. Hedges’g (g_w) effect sizes compared the outcomes of samples with metopic synostosis (unoperated, operated) to healthy controls or normative data and, where available, the prevalence of problems/disorders was calculated. Children with unoperated metopic synostosis performed significantly worse than their healthy peers on measures of: general cognition (g_w = ?.38), motor functioning, (g_w = ?.81), and verbal (g_w = ?.82) and visuospatial (g_w = ?.92) abilities. Children with operated metopic synostosis performed significantly worse on measures of motor functioning (g_w = ?.45), visuospatial skills (g_w = ?.32), attention (g_w = ?.50), executive functioning (g_w = ?.36), arithmetic ability (g_w = ?.37), and behavior (g_w = ?.34). Cognitive, behavioral, and psychological problems were prevalent, but variable. Overall, the cognitive, behavioral, and psychological outcomes of children with metopic synostosis are generally worse than their healthy peers, regardless of surgical status. However, research is sparse, samples small, controls are rarely recruited, and the severity of metopic synostosis often not stated. Nevertheless, the findings suggest that children with metopic synostosis are likely to experience a variety of negative outcomes and should therefore receive ongoing monitoring and support.     

Meta‐Analysis of Integrated Primary and Behavioral Health Care Interventions for Treating Substance Use Among Adults

This meta‐analysis detected low effects in reducing substance use (Hedges's g = –0.11) in favor of using integrated primary and behavioral health care (IPBH) compared with treatment‐as‐usual approaches for adult patients with substance use. The impact of IPBH was limited.     

Religious education and spiritual development as a cultural component of the lifelong learning policy in Romania. The example of orthodox Christianity

In a context of growing globalisation and European integration, Christian religious education seems to be more and more neglected within the social debate. Given the differences between European countries, the question may arise: What is the relevant situation in Romania? The article analyses the religious education and spiritual development as a cultural component of lifelong learning policy in Romania, based on more than 20 semi-structured interviews conducted with Romanian professionals, research workers, teachers and experts in education. In order to describe the role played by religious education in Romania three main aspects may be quoted: (1) Spiritual development completes the economic and social development of people; (2) The national culture and values contribute to the promotion of life models in accordance with Christian orthodox religion; and (3) The integral development of the person is part of the lifelong learning policy in Romania and includes orthodox spirituality. These aspects are analysed on the basis of the answers given by national experts in lifelong learning and religious education.     

Towards an evidence‐base for student wellbeing and mental health: Definitions,developmental transitions and data sets

Against a background of huge changes in the world of university and college students since the turn of the millennium, together with a multitude of reports on student mental health/wellbeing, this article argues that the field of student mental health is hampered by the imprecise use of terms, a rush to action by universities in the absence of a robust evidence‐base, and a lack of overall coordination and collaboration in the collection and use of data. In response, we argue for clearer and more consistent use of definitions of, as well as differentiations between, student wellbeing and mental health, for a longitudinal approach to the student body that captures their developmental transitions to and through university, and a strategic and systematic approach to the use of bona fide measures in the collection of data on wellbeing and on the process of outcomes in embedded university counselling services. Such a coordinated approach will provide the necessary evidence‐base upon which to develop and deliver appropriate support and interventions to underpin and enhance the quality of students’ lives and learning while at university or college.     

Walk the Talk: Financial Fairness in European Club Football

UEFA’s Financial Fair Play (FFP) regulations represent the most restrictive regulatory intervention European club football has ever seen. Put simply, it demands from clubs to operate on the basis of their own football-related incomes. While the policy has attracted considerable attention from the economic and social sciences, very few contributions systematically investigate it from a philosophical-ethical perspective. The present paper fills this research gap by posing questions on FFP in relation to fair play as a normative concept. We draw on sport economic assessments concerning potential outcomes of FFP and argue that the policy should go beyond the mere pragmatic goal of promoting financial sustainability and truly aim for creating a level playing field, otherwise it should not be labeled ‘fair play’.     

Spirituality and religion in psychiatry: the impact of policy

ABSTRACT

Research and debate on the importance of spirituality and religion in psychiatry has led to a number of national and international policy initiatives, intended to clarify the boundaries of good practice and improve the way in which such matters are managed for the benefit of patients. Significant amongst these is the 2015 position statement of the World Psychiatric Association, the only such policy statement to date which has been internationally agreed. Preliminary evidence available suggests that this is having good effect in generating professional debate and further national policy initiatives in different countries. There is a need for further research on such policy initiatives to confirm whether or not they have the intended impact upon clinical practice and whether or not this in turn is beneficial for patients.