Human-Friedrich Unterrainer

Religious/Spiritual Well-Being, Personality and Mental Health: A Review of Results and Conceptual Issues

The current paper provides background to the development of the Multidimensional Inventory for Religious/Spiritual Well-being and then summarises findings derived from its use with other measures of health and personality. There is substantial evidence for religiosity/spirituality being positively related to a variety of indicators of mental health, including subjective well-being and personality dimensions. Furthermore, religiosity/spirituality can play an important role in the process of recovering from mental illness as well as providing a protective function against addictive or suicidal behaviours. However, further research is needed to examine the mechanisms through which religiosity/spirituality have an impact on health-related conditions.

Different Types of Religious/Spiritual Well-Being in Relation to Personality and Subjective Well-Being

In this study the authors attempt to present different types of Religious/Spiritual Well-Being (RSWB) and discuss their relation to personality and psychological well-being. The Multidimensional Inventory for Religious/Spiritual Well-Being 48 is employed for this study, which consists of 6 subscales. To find different types of RSWB, an agglomerative cluster analysis on these subscales was performed based on the responses obtained in a nonclinical adult sample (n = 463). A 4-cluster solution was accepted. The clusters were labeled as Religious/Spiritual High, Religiously Oriented, Existentially Oriented, and Religious/Spiritual Low, and were found to be substantially related to Sense of Coherence (n = 263) and Six Factors of Personality (n = 200) in two different subsamples. By presenting a first empirical model for a 4-field typology of RSWB, we hope to further contribute to the ongoing discussion on how to deal with religious/spiritual issues in personality research.

EEG-neurofeedback and psychodynamic psychotherapy in a case of adolescent anhedonia with substance misuse: mood/theta relations.

There is substantial evidence confirming the efficacy of neurofeedback with applications in clinical, educational and optimal performance domains. However, a psychodynamically informed NF-approach needs exploration. A male (19 y), college student whose first year was being seriously compromised after severe, 18-month, polydrug misuse, was treated with 11 sessions including a 2-month follow-up of neurofeedback combined with short-term psychodynamic psychotherapy. Pre/post-treatment and follow-up assessment with the Brief Psychiatric Rating Scale (BPRS) and the Montgomery-Asberg Depression Rating Scale confirmed that levels of psychopathology dropped almost to zero. Correlational evidence disclosed that SMR/theta training was positively associated with reduction in psychopathological ratings, largely due to theta amplitude reduction; the strongest relation being with reduced BPRS activation. Alpha/theta training was not correlated with clinical improvement. The combined treatment was found to be highly effective with the student who learned to deal with feelings of anhedonia and alienation. There was no relapse during the follow-up phase. Further research is recommended.

Differences in Big Five Personality Traits Between Alcohol and Polydrug Abusers: Implications for Treatment in the Therapeutic Community

This pilot study examines personality characteristics using the Five Factor Model combined with measures of Sensation Seeking and religious/spiritual well-being in two Austrian samples of substance abusers. Sixty-three male addicts (33 polydrug dependents, 30 alcohol dependents) treated in a therapeutic community setting were tested with the Neo Personality Inventory Revised Version, the Sensation Seeking Scale, and the Multidimensional Inventory for Religious/Spiritual Well-Being. Results show significant personality differences between alcohol and polydrug abusers. Whereas higher levels of Neuroticism and lower levels of Openness to experience were found in both substance dependents groups, low levels of Conscientiousness and low levels of Agreeableness were merely shown in polydrug abusers. Furthermore, they exhibit less religious/spiritual well-being and high Sensation Seeking. Thus, the results seem to highlight a link between polydrug dependence and problematic personality structure. Findings have implications for understanding differences between various substance abusers and for novel treatment opportunities in the therapeutic community setting.

Religious/Spiritual Well-Being, Coping Styles, and Personality Dimensions in People With Substance Use Disorders

Religiosity and spirituality have been found to be negatively associated with a range of addictions. It has been suggested that religious/spiritual well-being might play an important role in the development, course, and recovery from addictive disorders. A sample of addiction in-patients (N = 389) was assessed using the Multidimensional Inventory for Religious/Spiritual Well-Being (MI-RSWB) and compared with a matched group of nonaddicted community controls (N = 389). RSWB was found to be substantially lower in people with substance use disorders compared to the normal sample. Discriminate functional analysis showed that Experiences of Sense and Meaning, General Religiosity, and Forgiveness were the dimensions of RSWB that strongly distinguished the groups. Within the group of people with substance use disorders, RSWB was strongly positively associated with the personality dimensions of Conscientiousness, Agreeableness, and Openness as well as Sense of Coherence and positive Coping styles. The study suggests that therapeutic intervention programs focusing on building a positive and meaningful personal framework, akin to that of a religious/spiritual orientation, may contribute to positive outcomes in addiction treatment.

The Validation of a Spanish Version of the Multidimensional Inventory of Religious/Spiritual Well-Being in Mexican College Students

After the Multidimensional Inventory for Religious/Spiritual Well-Being (MI-RSWB) was validated as a reliable instrument for the Western European context it is primarily intended in this study to translate the measure into Spanish and adapt it for the Mexican culture. Furthermore we investigate whether spirituality/religiosity has a similar impact on indicators of personality and subjective well-being in Mexico as it does in samples drawn from Western European cultures. 190 students (99 females) from public and private universities in Guadalajara, all Mexican citizens, were involved in this study. We found strong evidential support for the six factor solution of the Original MI-RSWB in this Mexican population. By mirroring previous research the measure showed a highly satisfying internal consistency (α = .91 for the total score and .75 or higher for all six sub dimensions). Furthermore the total RSWB score was observed to be related with Eysencks personality dimensions Extraversion (r = .24, p < .01), and Psychoticism (r = -.28, p < .001), although not with Neuroticism. There was also a positive correlation with Sense of Coherence (r = .31, p < .001). In conclusion, the dimensionality of RSWB and its associations with personality and subjective well-being was well supported in this first application within a Mexican cultural context.

Motivational processing of food cues in anorexia nervosa: a pilot study

Current literature suggests an increased attentional bias toward food stimuli in eating-disordered individuals compared to healthy controls. In line with these research efforts, the present study aims to investigate the processing of food stimuli (enriched by emotional stimuli) between patients diagnosed for anorexia nervosa (AN) and healthy controls by means of electroencephalography. Twenty-two female adolescents (eleven AN patients vs. eleven healthy controls) were investigated. Positive event-related potentials “P300” and “late positive potential” (LPP) reflecting attentional processing (caused by motivationally relevant stimuli) were investigated during passive viewing of the food cue picture stream. This method was used for the first time in a sample of individuals with AN. As a main result, AN patients exhibited a higher amount of attentional bias in P300 and LPP, while watching food stimuli. Moreover, AN patients rated food stimuli as less pleasant. For a conclusion, there is substantial evidence pointing to an abnormal attentional brain reactivity to food pictures in AN. Therefore, food stimuli seem to be more motivationally relevant for AN patients than for healthy controls. By broadening existing knowledge, these findings might bear some implications for the treatment for AN. However, further research is recommended in order to confirm the results coming from rather limited data.

Insecure Attachment Styles and Increased Borderline Personality Organization in Substance Use Disorders

Background: Previous research has linked insecure attachment styles and borderline personality organization to substance use disorder (SUD). However, it still remains unclear whether those impairments apply to different kinds of SUDs to the same extent. Therefore, in this study we sought to investigate potential differences regarding attachment deficits and borderline personality organization in two different SUD inpatient groups and furthermore in comparison to healthy controls. Sampling and Methods: A total of 66 (24 female) inpatients diagnosed with alcohol use disorder (AUD), 57 (10 female) inpatients diagnosed with polydrug use disorder (PUD), and 114 (51 female) healthy controls completed the Borderline Personality Inventory and the Attachment Style Questionnaire. Results: Compared to healthy controls, AUD and PUD inpatients showed significant deficits in all attachment parameters (p < 0.01) as well as a significantly increased amount of borderline personality organization (p < 0.01). No differences between AUD and PUD inpatients were observed (p > 0.05). Conclusions: Our results indicate that the drug(s) of choice cannot be regarded as an indicator for the extent of attachment deficits or personality pathology. These initial findings are mainly limited by the rather small sample size as well as just a single point of measurement. Future research might also consider further covariates such as comorbidity or psychotropic medication.

The relationship between yoga involvement, mindfulness and psychological well-being.

OBJECTIVES The aim of this study was to examine how different levels of yoga involvement are related to different parameters of mental health and illness. DESIGN AND SETTING A total sample of 455 participants (410 females) were investigated by means of an internet survey. 362 yoga practitioners (327 females) rated their degree of yoga involvement on the Yoga Immersion Scale. A control group was comprised of 93 gymnastics practitioners (83 females). MAIN OUTCOME MEASURES All participants completed the Multidimensional Inventory for Religious/Spiritual Well-Being, the Freiburger Mindfulness Inventory and the Brief Symptom Inventory for psychiatric symptoms. RESULTS Highly involved yoga practitioners exhibited a significantly increased amount of mindfulness and religious/spiritual well-being (both p<0.01) and lower psychiatric symptoms such as depression (p<0.01) compared to those who were only marginally/moderately yoga-involved or who were in the gymnastics control group. CONCLUSIONS In accordance with the literature, yoga practice might have its biggest impact on mental health when it is part of a practitioners worldview. Further research focusing on the impact of yoga involvement in clinical groups is encouraged.

EEG neurofeedback effects in the treatment of adolescent anorexia nervosa

ABSTRACT A pre-post design including 22 females was used to evaluate the effectiveness of neurofeedback in the treatment of adolescent anorexia nervosa. Resting EEG measures and a psychological test-battery assessing eating behavior traits, clinical symptoms, emotionality, and mood were obtained. While both the experimental (n = 10) and control group (n = 12) received their usual maintenance treatment, the experimental group received 10 sessions of individual alpha frequency training over a period of 5 weeks as additional treatment. Significant training effects were shown in eating behavior traits, emotion regulation, and in relative theta power in the eyes closed condition. Although the results are limited due to the small sample size, these are the first empirical data demonstrating the benefits of neurofeedback as a treatment adjunct in individuals with anorexia nervosa.