Development, Refinement, and Psychometric Properties of the Attitudes Toward God Scale (ATGS-9)

Perceived relationships with God can be a source of comfort or struggle. To advance the study of spiritual comfort and struggle, we develop the nine-item Attitudes toward God Scale (ATGS-9), and we describe six studies (2,992 total participants) reporting its development and psychometrics. Exploratory and confirmatory factor analyses identified two factors: (1) Positive Attitudes toward God and (2) Disappointment and Anger with God. Subscale scores showed good estimated internal consistency, 2-week temporal stability, and evidence for construct and discriminant validity. Positive Attitudes toward God correlated with measures of religiosity and conscientiousness. Disappointment and Anger with God correlated with negative religious coping, lower religious participation, more distress, higher neuroticism, and entitlement. These results support the ATGS-9 as a brief measure of attitudes toward God

Teleological explanation and positive emotion serially mediate the effect of religion on well‐being

Objective: Previous research has demonstrated a robust relationship between religion and well‐being, and it has been proposed that positive emotions are important mediators of this effect. Yet the mechanism via which religion promotes positive emotions has not been widely studied. We sought to examine whether teleological explanations of daily events and resulting positive emotions serially mediated the effects of religion on well‐being. Method: These hypotheses were tested over three studies. In study 1, participants completed measures of religiousness and well‐being, and explained and described three recent personally significant events and their resulting emotions. Studies 2 and 3 adopted an ecological momentary assessment approach to measure teleological explanations, resulting emotions, and well‐being in almost real time. Results: In study 1, teleological explanations and positive emotions serially mediated the effects of religiousness on well‐being. In study 2, momentary teleological explanations of daily events mediated the positive relationship between religiousness and momentary positive emotions. In Study 3, serial mediation of the relationship between religiousness and momentary well‐being by momentary teleological explanations and positive emotions was observed. Conclusions: These results provide evidence of the importance of teleological explanations of daily events in religious enhancement of well‐being

Theodicy and End-of-Life Care

Acknowledgments The section on Islamic perspective is contributed by information provided by Imranali Panjwani, Tutor in Theology & Religious Studies, King's College London.Peer reviewedPublisher PD

Early Restrictive or Liberal Fluid Management for Sepsis-Induced Hypotension

BACKGROUND: Intravenous fluids and vasopressor agents are commonly used in early resuscitation of patients with sepsis, but comparative data for prioritizing their delivery are limited. METHODS: In an unblinded superiority trial conducted at 60 U.S. centers, we randomly assigned patients to either a restrictive fluid strategy (prioritizing vasopressors and lower intravenous fluid volumes) or a liberal fluid strategy (prioritizing higher volumes of intravenous fluids before vasopressor use) for a 24-hour period. Randomization occurred within 4 hours after a patient met the criteria for sepsis-induced hypotension refractory to initial treatment with 1 to 3 liters of intravenous fluid. We hypothesized that all-cause mortality before discharge home by day 90 (primary outcome) would be lower with a restrictive fluid strategy than with a liberal fluid strategy. Safety was also assessed. RESULTS: A total of 1563 patients were enrolled, with 782 assigned to the restrictive fluid group and 781 to the liberal fluid group. Resuscitation therapies that were administered during the 24-hour protocol period differed between the two groups; less intravenous fluid was administered in the restrictive fluid group than in the liberal fluid group (difference of medians, -2134 ml; 95% confidence interval [CI], -2318 to -1949), whereas the restrictive fluid group had earlier, more prevalent, and longer duration of vasopressor use. Death from any cause before discharge home by day 90 occurred in 109 patients (14.0%) in the restrictive fluid group and in 116 patients (14.9%) in the liberal fluid group (estimated difference, -0.9 percentage points; 95% CI, -4.4 to 2.6; P = 0.61); 5 patients in the restrictive fluid group and 4 patients in the liberal fluid group had their data censored (lost to follow-up). The number of reported serious adverse events was similar in the two groups. CONCLUSIONS: Among patients with sepsis-induced hypotension, the restrictive fluid strategy that was used in this trial did not result in significantly lower (or higher) mortality before discharge home by day 90 than the liberal fluid strategy. (Funded by the National Heart, Lung, and Blood Institute; CLOVERS ClinicalTrials.gov number, NCT03434028)

The Interplay Between Post-Critical Beliefs and Anxiety: An Exploratory Study in a Polish Sample

The present research investigates the relationship between anxiety and the religiosity dimensions that Wulff (Psychology of religion: classic and contemporary views, Wiley, New York, 1991; Psychology of religion. Classic and contemporary views, Wiley, New York, 1997; Psychologia religii. Klasyczna i współczesna, Wydawnictwo Szkolne i Pedagogiczne, Warszawa, 1999) described as Exclusion vs. Inclusion of Transcendence and Literal vs. Symbolic. The researchers used the Post-Critical Belief scale (Hutsebaut in J Empir Theol 9(2):48–66, 1996; J Empir Theol 10(1):39–54, 1997) to measure Wulff’s religiosity dimensions and the IPAT scale (Krug et al. 1967) to measure anxiety. Results from an adult sample (N = 83) suggest that three dimensions show significant relations with anxiety. Orthodoxy correlated negatively with suspiciousness (L) and positively with guilt proneness (O) factor—in the whole sample. Among women, Historical Relativism negatively correlated with suspiciousness (L), lack of integration (Q3), general anxiety and covert anxiety. Among men, Historical Relativism positively correlated with tension (Q4) and emotional instability (C), general anxiety, covert anxiety and overt anxiety. External Critique was correlated with suspiciousness (L) by men

Practicing Imperfect Forgiveness

Forgiveness is typically regarded as a good thing - even a virtue - but acts of forgiveness can vary widely in value, depending on their context and motivation. Faced with this variation, philosophers have tended to reinforce everyday concepts of forgiveness with strict sets of conditions, creating ideals or paradigms of forgiveness. These are meant to distinguish good or praiseworthy instances of forgiveness from problematic instances and, in particular, to protect the self-respect of would-be forgivers. But paradigmatic forgiveness is problematic for a number of reasons, including its inattention to forgiveness as a gendered trait. We can account for the values and the risks associated with forgiving far better if we treat it as a moral practice and not an ideal

Expensive Egos: Narcissistic Males Have Higher Cortisol

Background: Narcissism is characterized by grandiosity, low empathy, and entitlement. There has been limited research regarding the hormonal correlates of narcissism, despite the potential health implications. This study examined the role of participant narcissism and sex on basal cortisol concentrations in an undergraduate population. Methods and Findings: Participants were 106 undergraduate students (79 females, 27 males, mean age 20.1 years) from one Midwestern and one Southwestern American university. Narcissism was assessed using the Narcissistic Personality Inventory, and basal cortisol concentrations were collected from saliva samples in a laboratory setting. Regression analyses examined the effect of narcissism and sex on cortisol (log). There were no sex differences in basal cortisol, F(1,97) =.20, p =.65, and narcissism scores, F(1,97) =.00, p =.99. Stepwise linear regression models of sex and narcissism and their interaction predicting cortisol concentrations showed no main effects when including covariates, but a significant interaction, b =.27, p =.04. Narcissism was not related to cortisol in females, but significantly predicted cortisol in males. Examining the effect of unhealthy versus healthy narcissism on cortisol found that unhealthy narcissism was marginally related to cortisol in females, b =.27, p =.06, but significantly predicted higher basal cortisol in males, b =.72, p =.01, even when controlling for potential confounds. No relationship was found between sex, narcissism, or their interaction on selfreported stress

Coordinated action, communication and creativity in basketball in superdiversity

This paper examines the complex social space of basketball training sessions at a sports centre in superdiverse inner-city Leeds, contextualising the site in relation to stigmatising discourses that suggest disorderliness and a lack of social cohesion. The microanalysis of video data from the training sessions counteracts these discourses by showing how social orderliness, cooperation, and creativity unfold in the details of interaction. The significance of its contribution lies in its analysis of communication that bridges across semiotic modes, extending the concept of translanguaging to encompass embodied practice. This practice contributes to constituting a small culture within the basketball club

Physical and mental health correlates of status incongruence

The report explored the relationship between status incongruence, the degree of similarity of rankings on paired status variables, and diverse interview-based measures of physical and mental health. The subjects in the study were some 169 adult men; one half of them came from a national survey sample, while the other half represented an arthritis clinic sample with patients and controls. Data on education, occupation, income, and perceived social class (PSC) were used to construct several status incongruence indices. The major findings were: 1. Neither rheumatoid arthritis nor ulcer were related to status incongruence. 2. Education-occupation incongruence showed by far the strongest association with poor mental health. Among the two types of incongruence, education > occupation and occupation > education, the former had particularly poor mental health. 3. Education-PSC, occupation-PSC, education-income, and occupation-income types of incongruence showed weaker associations. Direction of incongruence made a difference in the education-PSC comparison: the education > PSC incongruent group had poorer mental health than the PSC > education incongruent group. Ce rapport étudie la relation entre la discordance du status («status incongruence»), le degré de similitude d'évaluation de variables couplées du status et diverses mesures de la santé physique et mentale basées sur des interviews. Les sujets de l'étude étaient 169 hommes adultes dont la moitié provenait d'un échantillon d'une investigation nationale, tandis que l'autre moitié représentait un échantillon d'une clinique d'arthritiques avec des patients et des cas de contrôle. Des données sur l'éducation, l'occupation, le revenu et la classe sociale (perceived social class = PSC) furent utilisées pour l'élaboration de divers indices de discordance de status. Les résultats principaux furent: 1) Ni l'arthrite rhumatoïde ni l'ulcère n'étaient reliés à la discordance du status. 2) La discordance éducation-occupation était de loin la plus étroitement associée à une santé mentale défaillante. Parmi les deux types de discordance, éducation > occupation et occupation > éducation, le premier était caractérisé par une santé mentale particulièrement mauvaise. 3) Les types de discordance éducation-PSC, occupation-PSC, éducation-revenu et occupationrevenu étaient plus faiblement associés. La direction de la discordance faisait une différence dans la comparaison éducationPSC: le groupe de discordance éducation > PSC se distinguait par une santé mentale moins bonne que le groupe de discordance PSC > éducation. Der Bericht gibt die Untersuchung der Beziehung zwischen der Unausgeglichenheit innerhalb des Sozialstands, dem Ausmaß der Ähnlichkeit von Einstufungen durch vorgegebene Gegensatzpaare von Statusmerkmalen und verschiedenen, auf Interviewbasis begründeten Einschätzungen der körperlichen und seelischen Gesundheit wieder. Die Probanden der Studie waren 169 erwachsene Männer; die Hälfte von ihnen stammte aus einer staatlichen Begutachtungsgruppe, die andere Hälfte verkörperten Patienten und Kontrollpersonen aus einer Arthritisklinik. Daten über Erziehung, Beruf, Einkommen und beurteilte Sozialklasse (perceived social class = PSC) wurden verwandt, um mehrere Indices für Statusinkongruenz zu bilden. Die Hauptergebnisse waren: 1) Weder rheumatische Arthritis noch Ulcus standen in Beziehung mit Statusinkongruenz. 2) Ein Mißverhältnis zwischen Erziehung und Beruf zeigte bei weitem die engste Beziehung zu schlechter seelischer Gesundheit. Von den beiden Inkongruenztypen, Erziehung > Beruf und Beruf > Erziehung, hatte der erste eine besonders schlechte seelische Gesundheit. 3) Mißverhältnisse zwischen Erziehung und PSC, Beruf und PSC, Erziehung und Einkommen und Beruf und Einkommen zeigten schwächere Beziehungen. Die Richtung der Inkongruenz bewirkte einen Unterschied im Vergleich zwischen Erziehung und PSC: die inkongruente Gruppe Erziehung > PSC war bei schlechterer seelischer Gesundheit als die inkongruente Gruppe PSC > Erziehung.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/41742/1/127_2004_Article_BF00584107.pd