Divine intervention? New research looks at beliefs about God's influence in everyday life

NewsPsychology (Mar. 9, 2010) — Most Americans believe God is concerned with their personal well-being and is directly involved in their personal affairs, according to new research out of the University of Toronto.

Using data from two recent national surveys of Americans, UofT Sociology Professor Scott Schieman examined peoples' beliefs about God's involvement and influence in everyday life. His research discovers new patterns about these beliefs and the ways they differ across education and income levels.

Schieman's study, published in the March issue of the journal Sociology of Religion, also highlights the following findings:

Overall, most people believe that God is highly influential in the events and outcomes in their lives. Specifically:

  • 82 per cent say they depend on God for help and guidance in making decisions;
  • 71 per cent believe that when good or bad things happen, these occurrences are simply part of God's plan for them;
  • 61 per cent believe that God has determined the direction and course of their lives;
  • 32 per cent agree with the statement: "There is no sense in planning a lot because ultimately my fate is in God's hands."
  • Overall, people who have more education and higher income are less likely to report beliefs in divine intervention.
  • However, among the well-educated and higher earners, those who are more involved in religious rituals share similar levels of beliefs about divine intervention as their less-educated and less financially well-off peers.

According to Schieman: "Many of us might assume that people of higher social class standing tend to reject beliefs about divine intervention. However, my findings indicate that while this is true among those less committed to religious life, it is not the case for people who are more committed to religious participation and rituals."

He adds: "This study extends sociological inquiry into the ways that people of different social strata think about God's influence in everyday life. Given the frequency of God talk in American culture, especially in some areas of political discourse, this is an increasingly important area for researchers to document, describe, and interpret."


Journal Reference:

  1. Scott Schieman. Socioeconomic Status and Beliefs about God's Influence in Everyday Life. Sociology of Religion, 2010; DOI: 10.1093/socrel/srq004

Sleep differences among ethnic groups revealed in new poll

— The 2010 Sleep in America poll by the National Sleep Foundation (NSF) reveals significant differences in the sleep habits and attitudes of Asians, Blacks/African-Americans, Hispanics and Whites. It is the first poll to examine sleep among these four ethnic groups.

NSF's Sleep in America poll found that more than three-fourths of respondents from each ethnic group agree that poor sleep is associated with health problems (76-83%). These new findings echo lessons learned by former President Bill Clinton who recently admitted that he has adopted a new lifestyle regimen to sleep seven or more hours on the advice of his doctors.

The poll also shows that all groups report disturbingly similar experiences missing work or family functions because they were too sleepy (19-24%). Among married people or couples living together, all ethnic groups report being too tired for sex frequently (21- 26% of the time).

"As the leading voice of sleep health, we are committed to better understanding people's sleep needs," says David Cloud, CEO of the National Sleep Foundation. "By exploring ethnic and family sleep practices we have gained new insight into why we sleep the way we do."

Blacks/African-Americans report the busiest bedtime routines.

Blacks/African-Americans are the most likely to report performing activities in the hour before going to bed every night or almost every night, specifically watching TV (75%) and/or praying or doing another religious practice (71%). Whether on weekdays/workdays or non-workdays/weekends, Blacks/African-Americans spend much more time in bed without sleeping than the other ethnic groups (54 minutes on weekdays/workdays and 71 minutes on non-workdays/weekends).

  • Blacks/African-Americans and Hispanics (10% each) are ten times more likely to report having sex every night than Asians (1%) and 2.5 times more likely than Whites (4%).
  • Most Blacks/African-Americans report praying every night (71%); more than four times the reported frequency of Asians (18%), twice the rate of Whites (32%) and 1.5 times the rate of Hispanics (45%).
  • Blacks/African-Americans (17%) and Asians (16%) are more likely than Whites (9%) and Hispanics (13%) to report doing job-related work in the hour before bed, among those employed.
  • Blacks/African-Americans report losing sleep every night over personal financial concerns (12%) and employment concerns (10%) at a higher rate than Whites (6% and 7%) or Asians (1% and 4%). Hispanics are almost equally concerned each night about these two issues (11% and 9%, respectively).

"The hour before bed is an important time to relax and wind-down before going to sleep," says Thomas J. Balkin, Ph.D., Chairman of the National Sleep Foundation. "For those who are having problems sleeping, it's a good idea to consider whether your bedtime routines may be too alerting."

Asians report getting the best sleep, report the least amount of sleep problems and infrequent use of sleep aids.

Asians are the most likely ethnic group (84%) to say that they had a good night's sleep at least a few nights or more a week. In addition, Asians are about half as likely (14%) to discuss their sleep issues with a healthcare professional, and are half as likely (10%) to report having been diagnosed with a sleep disorder. Asians are the least likely to report using sleep medication at least a few nights a week (5% versus 13% Whites, 9% Blacks/African-Americans and 8% Hispanics).

  • Asians are the least likely (9%) to say that they "rarely" or "never" have a good night's sleep, compared with 20% of Whites, 18% of Blacks/African-Americans and 14% of Hispanics.
  • The poll shows that Asians are more than twice as likely to use the Internet every night in comparison to any other group (51% versus 22% Whites, 20% Blacks/African-Americans, 20% Hispanics). They are also the least likely to watch TV an hour before sleep (52% versus 64% Whites, 72% Hispanics and 75% Blacks/African-Americans).
  • Asians report the use of herbal and alternative therapies at rates similar to Hispanics (2% each), but less than Whites (4%).
  • Asians report the lowest rates of losing sleep due to personal financial concerns at least a few nights a week (9% versus 22% Hispanics, 20% Whites and 19% Blacks/African-Americans).

While Blacks/African-Americans report the least amount of sleep, they also say they need less sleep. Blacks/African-Americans report getting the least amount of sleep on workdays/weekdays (6 hours and 14 minutes). Interestingly, they also say that they need only 7 hours and 5 minutes of sleep each night to perform at their best during the day, which is significantly less sleep than Asians and Hispanics (7 hours and 29 minutes each).

  • Blacks/African-Americans report getting an average of 34 minutes less sleep on a work night/weeknight than Asians and 38 minutes less than Whites.

"The finding that Blacks/African-Americans say they need less sleep and get less sleep is instructive for public health professionals," says Jose S. Loredo, MD, MPH, Professor of Medicine at the University of California, San Diego. "Their total sleep time and attitudes regarding sleep may be associated with Blacks/African-Americans' higher rates of sleep apnea, hypertension and diabetes and provide sleep-related insight into how to improve awareness and education programs and, very importantly, how to improve therapy compliance rates."

Hispanics are the most likely to say they are kept awake by financial, employment, personal relationship and/or health-related concerns.

Overall, at least one-third of Hispanics (38%) and Blacks/African-Americans (33%) report that any of these concerns disturb their sleep at least a few nights a week, compared to about one-fourth of Whites (28%) and/or Asians (25%).

  • Moreover, about two in ten Hispanics (19%) and Blacks/African-Americans (19%) say their sleep is disturbed every night or almost every night by at least one of these concerns.
  • Hispanics (16%) are more likely than Blacks/African-Americans (12%), Asians (9%) and Whites (7%) to say that health-related concerns have disturbed their sleep at least a few nights a week.

"So many people are suffering because of economic uncertainty," says Martica Hall, Ph.D., Associate Professor of Psychiatry at the University of Pittsburgh. "If you find yourself lying awake worrying, write a note to yourself to work on these issues the next day so you can dismiss those ideas at bed time. Consider using relaxation techniques and focus on calming activities and thoughts. If your problems persist, you may want to seek out a sleep professional."

Whites are the most likely to report sleeping with their pets and/or their significant other/spouse. Among those married or partnered, Whites are much more likely (14%) than the other ethnic groups (2% each) to say they usually sleep with a pet.

  • Among those married or partnered, 90% of Whites report that they sleep with their significant other compared to 84% of Blacks/African-Americans, 76% of Hispanics and 67% of Asians.
  • Interestingly, among all respondents, Whites are the least likely to say they sleep alone (21% versus 41% Blacks/African-Americans, 37% Asians and 31% Hispanics.)

Among those married or partnered respondents with children, Asians (28%) and Hispanics (22%) are the most likely to report that they sleep in the same room with their children (compared to 15% of Blacks/African-Americans and 8% of Whites).*

"Other studies support the findings that co-sleeping with children is prevalent with Asians," says Sonia Ancoli-Israel, Ph.D., chair of the National Sleep Foundation's Sleep in America Poll Task Force. "If you are having trouble sleeping, and you sleep with your spouse, your child, your pet or all three, remember that may be contributing to sleep disturbances that prevent you from getting a good night's sleep."

*Bed sharing/co-sleeping is a complex and controversial practice. This study did not specifically examine the issue of sleeping with infants, nor does the National Sleep Foundation wish to have these results misconstrued to suggest a position on the practice. Parental counseling about infant sleep environments is strongly suggested.

Sleep disorder diagnosis is uneven among the four ethnic groups.

The 2010 poll found that sleep disorders continue to be very common among the adults surveyed, with specific disorders occurring at different frequency among the four groups.

  • Whites report the highest rate of diagnosis for insomnia (10%), and Blacks/African-Americans have the highest rate of diagnosed sleep apnea (14%) among the four groups.
  • Among those experiencing sleep problems, Whites are the most likely to report using over-the-counter sleep aids at least a few nights a week (7%). Blacks/African-Americans are almost twice as likely to report taking medications prescribed by a doctor (7%) rather than over-the-counter sleep aids (3%). Asians are the least likely to report using any form of sleep medication (5%).

"If you are experiencing problems sleeping," says Balkin, "Take charge of your own sleep. You should critically examine your bedtime routines and pre-sleep activities and make time to ensure your bedroom is conducive to your sleep comfort. You will spend approximately a third of your life in bed, so it's worth it to take time to make sure your bed and bedtime routine are right for you. If you continue having problems sleeping for more than a few weeks, it's advisable to speak with your healthcare professional."

Ethnic groups seek help for sleep problems differently.

When experiencing a specific sleep problem, Blacks/African-Americans say they are more likely to speak with their doctor (16%) or research online (10%) than to get recommendations from friends or family (4%).

  • Asians (15%) are the most likely to say they get advice from family and friends.
  • Respondents were also asked if their healthcare professional or doctor had ever asked them about their sleep during a routine visit. At least four in ten Whites (48%), Blacks/African-Americans (42%) and Hispanics (40%) say yes; however, only 28% of Asians had been asked about sleep by their doctor.

"We are making progress with physicians and patients discussing sleep issues in regular office visits," says Cloud. "But we still have a lot of work to do to make sleep a routine part of every physician-patient interaction."

Adds David G. Davila, MD, Medical Director of the Baptist Health Sleep Center in Little Rock, Arkansas, "Sleep is a vital sign for overall health, therefore, discussing sleep problems should be an important part of health check ups for doctors and patients, especially since sleep disorders can affect many other medical conditions."

Sociodemographic characteristics are related to a patient's willingness to participate in cancer screenings

Boston University School of Medicine's (BUSM) researchers have found that sociodemographic characteristics are related to a patients' willingness to participate in cancer screenings. They found this was more important than both attitudinal barriers and medical facilitators. This study appears in the March issue of the Journal of the National Medical Association.

Prior studies have shown that screenings are crucial in identifying cancer in its early stages and minorities have lower screening rates for certain types of cancer, such as cervical and colorectal cancer. Researchers at BUSM were seeking to find out why the screening rates among racial and ethnic minorities vary compared to those of the white, non-Hispanic community.

Researchers examined patients' agreeability to engage in cancer screening, in the context of varied symptoms and screening settings among a diverse group of individuals from multiple geographic areas. The study assessed the influences of race and ethnicity, relative to sociodemographic factors of both positive and negative attitudes and beliefs concerning cancer screening, as well as the willingness to utilize screenings in general.

A random sample was conducted using telephone interviews from three cities: San Juan, Puerto Rico, Baltimore and New York City. Respondents reported their sociodemographic characteristics and attitudes about barriers and facilitators of cancer screenings. These individuals also reported their amenability to have cancer screening within four scenarios: when done in the community as opposed to one's doctors' office and whether or not they had symptoms.

Less-educated individuals with lower incomes received fewer cancer screenings than those with higher levels of each. These rates may lead to disparities in cancer-related mortality. Racial and ethnic minority status, age and lower income were frequently associated with willingness to receiving a cancer screening. Prior findings suggest that negative attitudes towards screenings include fear of pain or diagnosis, disbelief in the efficiency of the tests or generalized distrust of others were most predominant among racial and ethnic minorities, and accounts for their lower rates of cancer screening.

The researchers also found that individuals were most willing to participate in a screening when they were examined by their personal doctor and had symptoms of cancer. Cancer screening campaigns should affect attitudinal changes whenever possible, and recognize that targeting specific population groups may be necessary.

"It is important to identify barriers for specific subsets of the population for different types of cancer screenings," explained lead author Nancy Kressin, PhD, director of the Healthcare Disparities Research Unit and associate professor, in the section of General Internal Medicine at Boston University School of Medicine. "There is value in understanding general attitudes of patients concerning cancer screenings in general, in order to highlight common barriers for future interventions. With this research, measures will be taken to educate this vulnerable population, allowing us to treat cancer in its early stages when the disease is more amenable to treatment or cure," said Kressin.

Blacks less likely to know they have heart condition or to use treatment for it, study suggests

A large nationwide study that includes neurologists from Mayo Clinic has found that blacks are substantially less likely than whites to know that they have atrial fibrillation or to use warfarin, the most common treatment for the condition. Atrial fibrillation, an abnormal heart rhythm, significantly increases risk of stroke. Warfarin is known to reduce that risk.

Researchers say the findings could help explain why the black population in the U.S. has a higher incidence of both stroke and death from strokes, compared to the white population. They presented their findings at the American Heart Association's 2010 International Stroke Conference in San Antonio. The study will also be simultaneously published in Stroke: Journal of the American Heart Association.

"The reasons for the racial discrepancy are not known," says James Meschia, M.D., Mayo Clinic neurologist and director of the Comprehensive Stroke Center at Mayo's campus in Florida. "But they are consistent with other studies that show blacks are less likely to receive the care they need to treat stroke risk factors such as diabetes and hypertension."

"These findings should lend urgency to focused efforts to improve patient education and medical treatment across the board," says Dr. Meschia, who who is presenting the findings on behalf of investigators participating in the study, known as REGARDS (The Reasons for Geographic and Racial Differences in Stroke).

From 2003 to 2007, REGARDS enrolled 30,239 men and it deliberately "oversampled" blacks (42 percent) as well as residents of the Southeastern "Stroke Belt." Fifty-six percent were from North Carolina, South Carolina, Georgia, Alabama, Mississippi, Tennessee, Arkansas, and Louisiana, and 44 percent were from other areas of the country. All residents of Stroke Belt states are known to have high stroke death rates, but blacks are at even greater risk, Both blacks and residents of these states are known to have high stroke death rates according to the National Institutes of Health.

For this study, atrial fibrillation was diagnosed using an electrocardiogram (ECG) test given to participants in their homes. Before the visit, participants were asked by telephone if a physician or a health professional had ever told them that they had atrial fibrillation, and they were also asked what medications they were using.

Of those participants whose ECG showed atrial fibrillation, 88 (20 percent) were black, and 344 were white. While 60 percent of the total group (black and white) were aware of their diagnosis, the odds that blacks knew they had the condition were less than one-third of those reported for whites, researchers say.

They further found that the odds of blacks being treated with warfarin, which reduces stroke risk by 60 percent, were one-fourth those of whites.

In other words, blacks in this study with atrial fibrillation were two-thirds less likely to know they had the disorder and three-fourths less likely to be treated with warfarin, the standard of care.

Reasons for the racial disparity are not known from this study, but researchers suggest several explanations. Many study participants might have been undiagnosed because atrial fibrillation is often not symptomatic, Dr. Meschia says. Or, participants may have been diagnosed but did not remember or fully appreciate the significance of the condition, he says. Dr. Meschia says other possible reasons could include utilization or delivery of health care, reluctance by physicians to use warfarin in patients with multiple health conditions, or disinclination by patients to use the drug.

Insurance status was not a factor, the researchers add, because the majority of study participants were over age 65 and were covered by Medicare.

"Whatever the reasons behind these observations, it appears that there is a missed opportunity to prevent stroke and other thromboembolic complications from atrial fibrillation because many individuals may fail to have the condition diagnosed and/or fail to receive treatment with warfarin," Dr. Meschia says. "It would benefit public health if future research could tease out the reasons behind this disparity."

The study was funded by a grant from the National Institute for Neurological Disorders and Stroke, a branch of the National Institutes of Health.

Does the devil really wear Prada? The psychology of anthropomorphism and dehumanization

People talk to their plants, pray to humanlike gods, name their cars, and even dress their pets up in clothing. We have a strong tendency to give nonhuman entities human characteristics (known as anthropomorphism), but why? In a new report in Current Directions in Psychological Science, a journal of the Association for Psychological Science, psychological scientists Adam Waytz from Harvard University and Nicholas Epley and John T. Cacioppo from University of Chicago, examine the psychology of anthropomorphism.

The term anthropomorphism was coined by the Greek philosopher Xenophanes when describing the similarity between religious believers and their gods — that is, Greek gods were depicted having light skin and blue eyes while African gods had dark skin and brown eyes. Neuroscience research has shown that similar brain regions are involved when we think about the behavior of both humans and of nonhuman entities, suggesting that anthropomorphism may be using similar processes as those used for thinking about other people.

Anthropomorphism carries many important implications. For example, thinking of a nonhuman entity in human ways renders it worthy of moral care and consideration. In addition, anthropomorphized entities become responsible for their own actions — that is, they become deserving of punishment and reward.

Although we like to anthropomorphize, we do not assign human qualities to each and every single object we encounter. What accounts for this selectivity? One factor is similarity. An entity is more likely to be anthropomorphized the more similar it appears to humans (for example, through humanlike movements or physical features like a face). Various motivations may also influence anthropomorphism. For example, lacking social connections with other people might motivate lonely individuals to seek out connections from nonhuman items. Anthropomorphism helps us to simplify and make more sense of complicated entities. The authors observe that, according to the World Meteorological Organization, "the naming of hurricanes and storms — a practice that originated with the names of saints, sailors' girlfriends, and disliked political figures — simplifies and facilitates effective communication to enhance public preparedness, media reporting, and the efficient exchange of information."

Anthropomorphism in reverse is known as dehumanization — when humans are represented as nonhuman objects or animals. There are numerous historical examples of dehumanization including the Nazis' persecution of Jews during the Holocaust and torture at the Abu-Ghraib prison in Iraq. These examples also suggest that those engaging in dehumanization are usually part of a cohesive group acting against outsiders — that is, individuals who feel socially connected may have an increased tendency towards dehumanization. The authors note, "Social connection may have benefits for a person's own health and well-being but may have unfortunate consequences for intergroup relations by enabling dehumanization."

The authors conclude that few of us "have difficulty identifying other humans in a biological sense, but it is much more complicated to identify them in a psychological sense."


Journal Reference:

  1. . Social Cognition Unbound: Insights into Anthropomorphism and Dehumanization. Current Directions in Psychological Science, (in press)

Liberals and atheists smarter? Intelligent people have values novel in human evolutionary history, study finds

More intelligent people are statistically significantly more likely to exhibit social values and religious and political preferences that are novel to the human species in evolutionary history.  Specifically, liberalism and atheism, and for men (but not women), preference for sexual exclusivity correlate with higher intelligence, a new study finds.

The study, published in the March 2010 issue of the peer-reviewed scientific journal Social Psychology Quarterly, advances a new theory to explain why people form particular preferences and values.  The theory suggests that more intelligent people are more likely than less intelligent people to adopt evolutionarily novel preferences and values, but intelligence does not correlate with preferences and values that are old enough to have been shaped by evolution over millions of years."

"Evolutionarily novel" preferences and values are those that humans are not biologically designed to have and our ancestors probably did not possess.  In contrast, those that our ancestors had for millions of years are "evolutionarily familiar."

"General intelligence, the ability to think and reason, endowed our ancestors with advantages in solving evolutionarily novel problems for which they did not have innate solutions," says Satoshi Kanazawa, an evolutionary psychologist at the London School of Economics and Political Science.  "As a result, more intelligent people are more likely to recognize and understand such novel entities and situations than less intelligent people, and some of these entities and situations are preferences, values, and lifestyles."

An earlier study by Kanazawa found that more intelligent individuals were more nocturnal, waking up and staying up later than less intelligent individuals.  Because our ancestors lacked artificial light, they tended to wake up shortly before dawn and go to sleep shortly after dusk.  Being nocturnal is evolutionarily novel.

In the current study, Kanazawa argues that humans are evolutionarily designed to be conservative, caring mostly about their family and friends, and being liberal, caring about an indefinite number of genetically unrelated strangers they never meet or interact with, is evolutionarily novel.  So more intelligent children may be more likely to grow up to be liberals.

Data from the National Longitudinal Study of Adolescent Health (Add Health) support Kanazawa's hypothesis.  Young adults who subjectively identify themselves as "very liberal" have an average IQ of 106 during adolescence while those who identify themselves as "very conservative" have an average IQ of 95 during adolescence.

Similarly, religion is a byproduct of humans' tendency to perceive agency and intention as causes of events, to see "the hands of God" at work behind otherwise natural phenomena.  "Humans are evolutionarily designed to be paranoid, and they believe in God because they are paranoid," says Kanazawa.  This innate bias toward paranoia served humans well when self-preservation and protection of their families and clans depended on extreme vigilance to all potential dangers.  "So, more intelligent children are more likely to grow up to go against their natural evolutionary tendency to believe in God, and they become atheists."

Young adults who identify themselves as "not at all religious" have an average IQ of 103 during adolescence, while those who identify themselves as "very religious" have an average IQ of 97 during adolescence.

In addition, humans have always been mildly polygynous in evolutionary history.  Men in polygynous marriages were not expected to be sexually exclusive to one mate, whereas men in monogamous marriages were.  In sharp contrast, whether they are in a monogamous or polygynous marriage, women were always expected to be sexually exclusive to one mate.  So being sexually exclusive is evolutionarily novel for men, but not for women.  And the theory predicts that more intelligent men are more likely to value sexual exclusivity than less intelligent men, but general intelligence makes no difference for women's value on sexual exclusivity.  Kanazawa's analysis of Add Health data supports these sex-specific predictions as well.

One intriguing but theoretically predicted finding of the study is that more intelligent people are no more or no less likely to value such evolutionarily familiar entities as marriage, family, children, and friends.


Journal Reference:

  1. Kanazawa et al. Why Liberals and Atheists Are More Intelligent. Social Psychology Quarterly, 2010; DOI: 10.1177/0190272510361602

Belief in a caring god improves response to medical treatment for depression, study finds

— Research suggests that religious belief can help protect against symptoms of depression, but a study at Rush University Medical Center goes one step further.

In patients diagnosed with clinical depression, belief in a concerned God can improve response to medical treatment, according to a paper in the Journal of Clinical Psychology.

A total of 136 adults diagnosed with major depression or bipolar depression at inpatient and outpatient psychiatric care facilities in Chicago participated in the study. The patients were surveyed shortly after admission for treatment and eight weeks later, using the Beck Depression Inventory, the Beck Hopelessness Scale, and the Religious Well-Being Scale — all standard instruments in the social sciences for assessing intensity, severity and depth of disease and feelings of hopelessness and spiritual satisfaction.

Response to medication, defined as a 50-percent reduction in symptoms, can vary in psychiatric patients. Some may not respond at all. But the study found that those with strong beliefs in a personal and concerned God were more likely to experience an improvement. Specifically, participants who scored in the top third of the Religious Well-Being Scale were 75-percent more likely to get better with medical treatment for clinical depression.

The researchers tested whether the explanation for the improved response was linked instead to the feeling of hope, which is typically a feature of religious belief. But degree of hopefulness, measured by feelings and expectations for the future and degree of motivation, did not predict whether a patient fared better on anti-depressants.

"In our study, the positive response to medication had little to do with the feeling of hope that typically accompanies spiritual belief," said Patricia Murphy, PhD, a chaplain at Rush and an assistant professor of religion, health and human values at Rush University. "It was tied specifically to the belief that a Supreme Being cared."

"For people diagnosed with clinical depression, medication certainly plays an important role in reducing symptoms," Murphy said. "But when treating persons diagnosed with depression, clinicians need to be aware of the role of religion in their patients' lives. It is an important resource in planning their care."

George Fitchett, PhD, also a chaplain at Rush and the director of the religion, health and human values program at Rush University, co-authored the study.

Quitting smoking especially difficult for select groups

 With the national trend toward quitting smoking flat, psychologists are finding some success with treatments aimed at helping smokers from underserved groups, including racial and ethnic minorities and those with psychiatric disorders.

In a special section of this month's issue of the Journal of Consulting and Clinical Psychology, published by the American Psychological Association, researchers report on several effective treatments that may help these smokers in an effort to increase national smoking cessation rates. The percentage of American smokers rose from 19.8 percent in 2007 to 20.6 percent in 2008, after a 10-year steady decline in smoking rates, according to the latest s from the Centers for Disease Control and Prevention.

"One of the reasons smoking rates have remained stagnant is because these underserved groups of smokers have not been adequately targeted by research and treatment," said the special section editor, Belinda Borrelli, PhD, who is with the Centers for Behavioral and Preventive Medicine at Brown University Medical School. Underserved smokers include those who have a 10 percent higher smoking rate than the general population, have less access to treatments, and are more likely to be excluded from long-term treatments trials, according to Borelli.

In one article, researchers found that success in stopping smoking differed for different psychiatric disorders. For example, compared to smokers with no psychiatric disorders, smokers who had an anxiety disorder were less likely to quit smoking six months after treatment.

In the same article, researchers found that people's barriers to quitting were directly related to what type of psychiatric disorder they had. For example, smokers who had ever been diagnosed with an anxiety disorder reported a strong emotional bond with their cigarettes while smokers ever diagnosed with a substance use disorder reported that social and environmental influences were especially likely to affect their smoking. "This information may help clinicians gauge relapse risk and identify treatment targets among smokers who have ever had psychological illnesses," said lead author Megan Piper, PhD, from the University of Wisconsin School of Medicine and Public Health.

Evidence-based smoking cessation treatments are addressed in another article in this special section. Researchers from the University of Miami looked at the effect of intensive cognitive-behavioral therapy on African-American smokers. They placed 154 African-American smokers wearing nicotine patches into one of two six-session interventions. Participants in the group using cognitive-behavioral techniques were taught relapse prevention strategies and coping skills, along with other techniques. The other group participated in a health education series that explained general medical conditions that are associated with smoking, such as heart disease and lung cancer.

Compared with general health education, participation in cognitive-behavioral therapy sessions more than doubled the rate of quitting at a six month follow-up, from 14 percent to 31 percent the researchers found. "We know cognitive-behavioral therapy helps people quit, but few studies have examined this treatment's effect on African-American smokers," said the study's lead author, Monica Webb, PhD, of the University of Miami. "Hopefully, our findings will encourage smoking cessation counselors and researchers to utilize cognitive-behavioral interventions in this underserved population."

Borrelli, the section editor, examined another minority group — Latinos. She measured the amount of second-hand smoke in participants' homes and gave feedback to smokers about how much smoke their child with asthma was exposed to. For example, they were told that their child was exposed to as much smoke as if the child smoked 'x' number of cigarettes him- or herself during the week of the measurement — this was the experimental group. Smokers in the control group underwent standard cognitive-behavioral treatment for smoking cessation. Smokers in the experimental group were twice as likely to quit as the control group, Borrelli found. "The child's asthma problems may provide a teachable moment for parents whereby they become more open to the smoking cessation messages," Borrelli said. "Providing treatment that is focused on the health needs of the family, and delivered in a culturally tailored manner, has the potential to address health care disparities for Latino families."


Journal Reference:

  1. . Smoking Cessation — Innovative Treatments and Understudied Populations. Journal of Consulting and Clinical Psychology, Vol. 78, No. 1

Selective brain damage modulates human spirituality, research reveals

New research provides fascinating insight into brain changes that might underlie alterations in spiritual and religious attitudes. The study, published by Cell Press in the February 11 issue of the journal Neuron, explores the neural basis of spirituality by studying patients before and after surgery to remove a brain tumor.

Although it is well established that all behaviors and experiences, spiritual or otherwise, must originate in the brain, true empirical exploration of the neural underpinnings of spirituality has been challenging. However, recent advances in neuroscience have started to make the complex mental processes associated with religion and spirituality more accessible.

"Neuroimaging studies have linked activity within a large network in the brain that connects the frontal, parietal, and temporal cortexes with spiritual experiences, but information on the causative link between such a network and spirituality is lacking," explains lead study author, Dr. Cosimo Urgesi from the University of Udine in Italy.

Dr. Urgesi and colleagues were interested in making a direct link between brain activity and spirituality. They focused specifically on the personality trait called self-transcendence (ST), which is thought to be a measure of spiritual feeling, thinking, and behaviors in humans. ST reflects a decreased sense of self and an ability to identify one's self as an integral part of the universe as a whole.

The researchers combined analysis of ST scores obtained from brain tumor patients before and after they had surgery to remove their tumor, with advanced techniques for mapping the exact location of the brain lesions after surgery. "This approach allowed us to explore the possible changes of ST induced by specific brain lesions and the causative role played by frontal, temporal, and parietal structures in supporting interindividual differences in ST," says researcher Dr. Franco Fabbro from the University of Udine.

The group found that selective damage to the left and right posterior parietal regions induced a specific increase in ST. "Our symptom-lesion mapping study is the first demonstration of a causative link between brain functioning and ST," offers Dr. Urgesi. "Damage to posterior parietal areas induced unusually fast changes of a stable personality dimension related to transcendental self-referential awareness. Thus, dysfunctional parietal neural activity may underpin altered spiritual and religious attitudes and behaviors."

These results may even lead to new strategies for treating some forms of mental illness. "If a stable personality trait like ST can undergo fast changes as a consequence of brain lesions, it would indicate that at least some personality dimensions may be modified by influencing neural activity in specific areas," suggests Dr. Salvatore M. Aglioti from Sapienza University of Rome. "Perhaps novel approaches aimed at modulating neural activity might ultimately pave the way to new treatments of personality disorders."

The researchers include Cosimo Urgesi, Universita` di Udine, Udine, Italy, Istituto di Ricovero e Cura a Carattere Scientifico Eugenio Medea, Pordenone, Italy; Salvatore M. Aglioti, Sapienza Universita` di Roma, Roma, Italy, Istituto di Ricovero e Cura a Carattere Scientifico Fondazione S. Lucia, Roma, Italy; Miran Skrap, Azienda Ospedaliero-Universitaria Santa Maria della Misericordia, Udine, Italy; and Franco Fabbro, Universita` di Udine, Udine, Italy, Istituto di Ricovero e Cura a Carattere Scientifico Eugenio Medea, Pordenone, Italy.

Morality research sheds light on the origins of religion

— The details surrounding the emergence and evolution of religion have not been clearly established and remain a source of much debate among scholars. Now, an article published by Cell Press in the journal Trends in Cognitive Sciences on February 8 brings a new understanding to this long-standing discussion by exploring the fascinating link between morality and religion.

There is no doubt that spiritual experiences and religion, which are ubiquitous across cultures and time and associated exclusively with humans, are ultimately based in the brain. However, there are many unanswered questions about how and why these behaviors originated and how they may have been shaped during evolution.

"Some scholars claim that religion evolved as an adaptation to solve the problem of cooperation among genetically unrelated individuals, while others propose that religion emerged as a by-product of pre-existing cognitive capacities," explains study co-author Dr. Ilkka Pyysiainen from the Helsinki Collegium for Advanced Studies. Although there is some support for both, these alternative proposals have been difficult to investigate.

Dr. Pyysiainen and co-author Dr. Marc Hauser, from the Departments of Psychology and Human Evolutionary Biology at Harvard University, used a fresh perspective based in experimental moral psychology to review these two competing theories. "We were interested in making use of this perspective because religion is linked to morality in different ways," says Dr. Hauser. "For some, there is no morality without religion, while others see religion as merely one way of expressing one's moral intuitions."

Citing several studies in moral psychology, the authors highlight the finding that despite differences in, or even an absence of, religious backgrounds, individuals show no difference in moral judgments for unfamiliar moral dilemmas. The research suggests that intuitive judgments of right and wrong seem to operate independently of explicit religious commitments.

"This supports the theory that religion did not originally emerge as a biological adaptation for cooperation, but evolved as a separate by-product of pre-existing cognitive functions that evolved from non-religious functions," says Dr. Pyysiainen. "However, although it appears as if cooperation is made possible by mental mechanisms that are not specific to religion, religion can play a role in facilitating and stabilizing cooperation between groups."

Perhaps this may help to explain the complex association between morality and religion. "It seems that in many cultures religious concepts and beliefs have become the standard way of conceptualizing moral intuitions. Although, as we discuss in our paper, this link is not a necessary one, many people have become so accustomed to using it, that criticism targeted at religion is experienced as a fundamental threat to our moral existence," concludes Dr. Hauser.


Journal Reference:

  1. Pyysiainen, Hauser et al. The origins of religion Q1 : evolved adaptation or by-product?Trends in Cognitive Sciences, February 8, 2010