Experimental Manipulation of Guided Attention to the Shoulder Movement Task in Clinical Dohsa-hou Induces Shifts in the Reactive Mode and Indicates Flexible Cognitive Control Performance.

The empirical basis for self-control in Dohsa-hou as it relates to effects on cognitive processes has been explored in a few studies of the Japanese psychotherapy, but not under standardized conditions with a strong predictive theory of control. This study reports on a series of experiments with the Dual Mechanisms of Control framework to clarify the possible regulatory mechanism of Dohsa-hou by focusing on shoulder movement, a key body movement task used by practitioners across applied settings. Cognitive control was operationalized with the AX version of Continuous Performance Test (AX-CPT) paradigm for proactive control and a modified Stroop task paradigm for reactive control in a 3-arm parallel group trial study design. Healthy Japanese university students were assigned to a Dohsa-hou group that performed a shoulder movement task for few minutes, an active control group that performed a similar task, or a passive control group comprised of a resting condition. A total of 55 participants performed the AX-CPT and 57 participants performed the modified Stroop task before and after the group manipulation. In the AX-CPT, an increase in the error rate of AY (true cue-false probe) trial from pre- to post-test was observed in the passive control group only, and found to be marginally higher in the passive control group relative to Dohsa-hou group at post-test. This indicated that Dohsa-hou moderated the activation of proactive control by repeated AX-CPT performance. The error rate of the Proactive Behavioral Index did not differ from zero at post-test only in the Dohsa-hou group, indicating flexible cognitive control. In the modified Stroop task, there was no difference between congruent and incongruent trials at post-test for the Dohsa-hou group only, indicating the facilitation of reactive control. The evidence for a balancing effect for the Dohsa-hou-based shoulder movement task indicates that clients experience a form of continuous self-monitoring, which might reduce mind-wandering from their focus on movement execution combined with iterative verbal feedback from the therapist. Overall, the results of the present study suggest that the self-regulatory mechanism promoted in clinical Dohsa-hou emphasizes guided shifts in attention to the reactive mode toward a balance of cognitive control.

Modeling personality antecedents and second language self-efficacy constructs with emerging adults in Japan: Domain-specific matching for assessing global competence in applied contexts.

Introduction: Research on self-efficacy in intercultural communication (SEIC) provided validity evidence for second language (L2) self-efficacy domains. However, it lacked (1) an analysis of individual differences in personality as antecedents, (2) divergent validity from anxiety variables (i.e., foreign language classroom anxiety; FLCA), and (3) disambiguation from speaking (S-SE) and listening (L-SE) skill-specific self-efficacy types. Methods: We conducted structural equation modeling of L2 self-efficacy and anxiety as response variables predicted by the Big Five model of personality in the context of Japanese undergraduate students at three university sites (n = 373), and a geographically diverse online survey of emerging adults (n = 1,326) throughout Japan. Results: The final model for the nationally representative sample showed that SEIC was predicted by all identified personality factors. Differentially supported paths were observed linking L-SE with Conscientiousness (ß = 0.24) and Extraversion (ß = 0.16), and S-SE with Extraversion (ß = 0.24) and Neuroticism (ß = -0.12). The fear of failure factor of FLCA was predicted positively by Neuroticism (ß = 0.25) and, surprisingly, Conscientiousness (ß = 0.10), and negatively by Extraversion (ß = -0.13). Relationships to Openness to Experience were only supported for SEIC (ß = 0.17) and S-SE (ß = 0.12). Discussion: These findings provide specificity matching for personality and L2 self-efficacy domains as empirical advances for assessing global competence within the context of Japan. Implications for cultural influences on self-efficacy and applied educational practices in language and intercultural learning are discussed.

Connection in Youth Development Key to the Mental Health Continuum in Ghana: A Structural Equation Model of Thriving and Flourishing Indicators.

Practitioners from sub-Saharan Africa are working to provide evidence-based intervention programs to address the mental health of established adults in poor rural communities in Ghana. However, institutions in Ghana also pursue youth policy for training human capital that can contribute to national development as a strategy to leverage its heavy demographic makeup of adolescents and emerging adults. Positive Youth Development (PYD) is a framework for measuring indicators of thriving for such youthful populations. Studies have recently examined PYD in terms of developmental assets with mental illness, but less is known about their interaction with the continuum of mental health, which poses strength-based theoretical distinctions about the conditions of human flourishing. Investigating positive mental health in terms of well-being, along with developmental indicators from another conception of PYD with strong theoretical grounding known as the 5Cs, represents a salient cross-section of Ghana's current trajectory along these policies and evaluations of culturally attuned well-being toward youth-focused efforts. Thus, the aim of this study was to clarify whether developmental constructs could predict positive mental health outcomes for indications of adaptive regulation processes and cultural concepts of well-being. We used structural equation modeling of the PYD domains (i.e., the 5Cs) to provide novel insights into individual differences in factors of thriving with flourishing-languishing indicators from the mental health continuum (MHC; i.e., factors of Emotional, Social, and Psychological Well-being) for 710 youth and emerging adults (M age=19.97, SD=1.93) attending a university in Ghana. The results showed supported paths for Connection, which was associated with all three MHC well-being domains (ßs=0.34-0.41), and Caring, which was associated with Psychological Well-being (ß=0.27), as factors to consider for youth who are expected to underwrite Ghana's development under economically challenged conditions. These findings support evidence-based program outcomes and prior work that situates social relations as a key route to maintaining well-being, advancing research on the specificity of predictors for positive mental health factors among young people in an enterprising Ghana.

Survey and comparison of psychological factors between descendants and non-descendants of survivors of the atomic bomb: Generational differences in mental health indicators.

BACKGROUND: The effects of the atomic bomb experience on survivors and their children have been a topic of human and research interest since early in the postwar era. The topic has centered around knowledge of physical health and studies on germline genetic effects in the second-generation offspring of survivors. However, comparatively little has been done to understand the psychological impact. PURPOSE: The present study focuses on generational factors related to the psychological makeup of second and third generation descendants of atomic bomb survivors. Specifically, this study takes depressive symptoms and factors related to health anxiety into consideration as mental health indicators to offer preliminary evidence that addresses this gap. OBJECTIVE: Data was collected from participants with and without familial affiliation to atomic bomb survivors stratified by age. This resulted in 50 participants that reported having at least one parent who was an atomic bomb survivor categorized as second-generation descendants, 50 participants with at least one grandparent that was an atomic bomb survivor, 50 unrelated participants within an age range of 50-69, and 50 unrelated participants within an age range of 30-49. METHOD: Depressive symptom severity among participants was examined with the Center for Epidemiologic Studies Depression Scale (CES-D), and health anxiety was examined using the Sense of Health Anxiety Scale (SHAS). RESULT: A significant difference was observed for participants without relatives who experienced the atomic bomb such that depressive symptom scores for second generation participants were higher than third generation participants (F (1, 197) = 8.38, p < .01, η2 = 0.04). A between-group difference for third generation participants with and without relatives who experienced the atomic bomb was observed such that third-generation participants with relatives had higher CES-D scores (F (1, 197) = 6.36, p < .01, η2 = 0.03). The levels of health anxiety did not differ between generations with or without relatives of atomic bomb survivors. CONCLUSION: Our findings indicated a difference in depressive symptom tendencies between second and third generation individuals related to atomic bomb survivors. These results suggest that future studies examine the difference in psychological effects between generations as they relate to possible processes that lead to an increase in depressive symptoms.

Promoting Self-Regulatory Management of Chronic Pain Through Dohsa-hou: Single-Case Series of Low-Functioning Hemodialysis Patients.

Hemodialysis patients suffer from long-term pain that drains their energy and contributes to behavioral interference and other negative effects on their daily lives that result in or exacerbate functional limitations. In addition, they deal with dietary restrictions, symptoms such as itching, lack of energy, and psychological stressors like the loss of self-concept and self-esteem. Self-regulation involves the capacity to notice, inform, and modulate responses and behavior, and research indicates that it promotes rehabilitation in chronic pain patients. Research on the aspects of self-regulation afforded by the Japanese psychotherapy Dohsa-hou correspond to psychological processes tied to the sense of self-control that clients realize over their body movements. This study pilot tested a hospital-integrated implementation of Dohsa-hou relaxation tasks as a chronic pain management behavioral intervention for five female hemodialysis patients between the ages of 59-62 years. We conducted an ABABABA single-case design to compare baseline A-phases (treatment-as-usual: TAU) taken at recurring 1 week intervals (three sessions per week for a total of 4 weeks, 12 total recordings) with an intervention of Dohsa-hou B-phases every 4 weeks (three sessions per week for 12 weeks, 36 total recordings) over the span of 4 months to compare effectiveness. Visual Analogue Scale (VAS) pain scores between phases were taken and self-regulatory progress was tracked and summarized from a series of semi-structured interviews. Visual analysis of scores for each participant as single cases indicated decreases for the Dohsa-hou phase compared to baseline treatment-as-usual. As a result, participants reported using Dohsa-hou to reduce pain and experienced improvements in quality of life associated with greater self-regulatory capacity to attend to personal care and domestic activities. These preliminary findings suggest that Dohsa-hou body movement relaxation tasks were feasible as a coping skill in a hospital-integrated setting and at home and show promise for promoting quality of life vis-a-vis the management of severe and chronic bodily pain associated with end-stage renal disease and its treatment, particularly by improving aspects of pain-mediated self-regulatory fatigue.