Celebrity worship and incidence of elective cosmetic surgery: evidence of a link among young adults.

Purpose: The purpose of the current study was to explore among young adults whether celebrity worship predicted the incidence of elective cosmetic surgery within the period of 8 months after controlling for several known predictors of elective cosmetic surgery. Methods: A total of 137 young adults completed questionnaire measures of attitudes toward a celebrity whose body image they admired, previous and vicarious experience of elective cosmetic surgery, attitudes toward cosmetic surgery, and a range of psychological and demographic measures at time 1. Participants were then asked to report whether they had undergone elective cosmetic surgery 8 months later. Results: After controlling for several known predictors of elective cosmetic surgery, intense-personal celebrity worship of a celebrity whose body shape was admired by the participant predicted the incidence of elective cosmetic surgery within an 8-month period. Conclusions: The current findings suggest that the type of para-social relationship that young adults form with celebrities, particularly with those whose body shape is admired, may need to be considered by those when speaking to, and educating, young people about their choices around elective cosmetic surgery

Prayer and subjective well-being : the application of a cognitive-behavioural framework

The aim of the present study was to examine the relationship between a model of prayer and a measure of subjective well-being within the context of a cognitive-behavioural framework. A community sample of 173 (77 males and 96 females) British adults completed measures of prayer activity and the General Health Questionnaire-28. The present findings suggest that meditative prayer, frequency of prayer, and prayer experience account for unique variance (among other measures of prayer) in a general measure of subjective well-being. The results demonstrate the potential usefulness of a cognitive-behavioural framework to help better understand the relationship between prayer and subjective well-being

Religion and health : the application of a cognitive-behavioural framework

The empirical examination of the relationship between religion and health has often lacked theoretical direction. The aim of the study was to examine the relationship between dimensions of religiosity and health within the context of James and Wells’ cognitive-behavioural framework of religion. A community sample of 177 UK adults completed measures of religious orientation, religious coping, and prayer activity alongside the SF-36 Health Survey. Consistent with the cognitive-behavioural framework of religion, intrinsic religiosity and meditative prayer scores accounted for unique variance in both physical and mental health scores over a number of religious measures. These findings suggest the potential usefulness and importance of a cognitive-behavioural framework to understand the relationship between religion (as measured by meditative prayer and intrinsic religiosity) and health

A theory of commitment to belief and its positive effects on well being.

The aim of the present research was to provide a theoretical, research, and measurement context to the notion that a commitment to belief leads to a positive outcome, particularly in terms of mental health. The present work seeks to test a number of hypotheses derived from a Jungian theoretical framework, but seeks to draw on modem personality, individual difference, cognitive and social psychological theory to critically examine findings.A total of 14 studies (10 which use original data) are carried out that (1) develop a measure of commitment to belief (Chapter 2), (2) examine the reliability and validity of the commitment to belief measure (Chapters 2 and 3), (3) examine psychological correlates of the commitment to belief measure against measures thought to reflect Jungian descriptions (Chapters 4, 5 and 6), and (4) examine the relationship between commitment to belief and mental health within the context of modem theories of stress appraisal and coping style (Chapter 7 and 8).The present findings suggest it may be possible to measure commitment to belief, and that a person scoring high on the commitment to belief scale tends to report: fewer depressive symptoms, less anxiety, less social dysfunction, fewer somatic symptoms, liking words that suggest completeness or wholeness, sometimes higher levels of extraversion, higher levels of optimism, using challenging primary appraisals, using a positive reinterpretation and growth coping style, and using their beliefs to deal with major life events.Such findings suggest the development and measurement of a construct that has a relationship to a number of variables that can be interpreted within a Jungian framework of ideas. Future research is needed to examine the applied nature of the measurement of commitment to belief

Beliefs around luck : confirming the empirical conceptualization of beliefs around luck and the development of the Darke and Freedman beliefs around luck scale

The current study developed a multi-dimensional measure of beliefs around luck. Two studies introduced the Darke and Freedman beliefs around luck scale where the scale showed a consistent 4 component model (beliefs in luck, rejection of luck, being lucky, and being unlucky) across two samples (n = 250; n = 145). The scales also show adequate reliability statistics and validity by ways of comparison with other measures of beliefs around luck, peer and family ratings and expected associations with measures of personality, individual difference and well-being variables

Personality predictors of levels of forgiveness two and a half years after the transgression

The aim of the present study was to explore whether the domains and facets of the five-factor model of personality predicted motivational states for avoidance and revenge following a transgression at a second temporal point distant from the original transgression. A sample of 438 university students, who reported experiencing a serious transgression against them, completed measures of avoidance and revenge motivations around the transgression and five-factor personality domains and facets at time 1, and measures of avoidance and revenge motivations two and a half years later. The findings suggest that neuroticism, and specifically anger hostility, predicts revenge and avoidance motivation

Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study

Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection. Methods: This international, multicentre, cohort study at 235 hospitals in 24 countries included all patients undergoing surgery who had SARS-CoV-2 infection confirmed within 7 days before or 30 days after surgery. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. The main secondary outcome measure was pulmonary complications, defined as pneumonia, acute respiratory distress syndrome, or unexpected postoperative ventilation. Findings: This analysis includes 1128 patients who had surgery between Jan 1 and March 31, 2020, of whom 835 (74·0%) had emergency surgery and 280 (24·8%) had elective surgery. SARS-CoV-2 infection was confirmed preoperatively in 294 (26·1%) patients. 30-day mortality was 23·8% (268 of 1128). Pulmonary complications occurred in 577 (51·2%) of 1128 patients; 30-day mortality in these patients was 38·0% (219 of 577), accounting for 81·7% (219 of 268) of all deaths. In adjusted analyses, 30-day mortality was associated with male sex (odds ratio 1·75 [95% CI 1·28–2·40], p\textless0·0001), age 70 years or older versus younger than 70 years (2·30 [1·65–3·22], p\textless0·0001), American Society of Anesthesiologists grades 3–5 versus grades 1–2 (2·35 [1·57–3·53], p\textless0·0001), malignant versus benign or obstetric diagnosis (1·55 [1·01–2·39], p=0·046), emergency versus elective surgery (1·67 [1·06–2·63], p=0·026), and major versus minor surgery (1·52 [1·01–2·31], p=0·047). Interpretation: Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery. Funding: National Institute for Health Research (NIHR), Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, NIHR Academy, Sarcoma UK, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research

Effect of angiotensin-converting enzyme inhibitor and angiotensin receptor blocker initiation on organ support-free days in patients hospitalized with COVID-19

IMPORTANCE Overactivation of the renin-angiotensin system (RAS) may contribute to poor clinical outcomes in patients with COVID-19. Objective To determine whether angiotensin-converting enzyme (ACE) inhibitor or angiotensin receptor blocker (ARB) initiation improves outcomes in patients hospitalized for COVID-19. DESIGN, SETTING, AND PARTICIPANTS In an ongoing, adaptive platform randomized clinical trial, 721 critically ill and 58 non–critically ill hospitalized adults were randomized to receive an RAS inhibitor or control between March 16, 2021, and February 25, 2022, at 69 sites in 7 countries (final follow-up on June 1, 2022). INTERVENTIONS Patients were randomized to receive open-label initiation of an ACE inhibitor (n = 257), ARB (n = 248), ARB in combination with DMX-200 (a chemokine receptor-2 inhibitor; n = 10), or no RAS inhibitor (control; n = 264) for up to 10 days. MAIN OUTCOMES AND MEASURES The primary outcome was organ support–free days, a composite of hospital survival and days alive without cardiovascular or respiratory organ support through 21 days. The primary analysis was a bayesian cumulative logistic model. Odds ratios (ORs) greater than 1 represent improved outcomes. RESULTS On February 25, 2022, enrollment was discontinued due to safety concerns. Among 679 critically ill patients with available primary outcome data, the median age was 56 years and 239 participants (35.2%) were women. Median (IQR) organ support–free days among critically ill patients was 10 (–1 to 16) in the ACE inhibitor group (n = 231), 8 (–1 to 17) in the ARB group (n = 217), and 12 (0 to 17) in the control group (n = 231) (median adjusted odds ratios of 0.77 [95% bayesian credible interval, 0.58-1.06] for improvement for ACE inhibitor and 0.76 [95% credible interval, 0.56-1.05] for ARB compared with control). The posterior probabilities that ACE inhibitors and ARBs worsened organ support–free days compared with control were 94.9% and 95.4%, respectively. Hospital survival occurred in 166 of 231 critically ill participants (71.9%) in the ACE inhibitor group, 152 of 217 (70.0%) in the ARB group, and 182 of 231 (78.8%) in the control group (posterior probabilities that ACE inhibitor and ARB worsened hospital survival compared with control were 95.3% and 98.1%, respectively). CONCLUSIONS AND RELEVANCE In this trial, among critically ill adults with COVID-19, initiation of an ACE inhibitor or ARB did not improve, and likely worsened, clinical outcomes. TRIAL REGISTRATION ClinicalTrials.gov Identifier: NCT0273570

A theory of commitment to belief and its positive effects on well being

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