Belief in omens and superstitions among patients with chronic neurological disorders.

Introduction: Chronic neurological disorders may affect various cognitive processes, including religiosity or superstitious belief. We investigated whether superstitious beliefs are equally prevalent in patients with Parkinson's disease (PD), people with epilepsy (PWE), patients with multiple sclerosis (MS) and healthy controls (HCs). Methods: From late 2014 to early 2023 we conducted a cross-sectional in-person anonymous paper-based survey at the tertiary clinic of Vilnius University Hospital Santaros Klinikos among outpatients and HCs by asking them to ascribe meaning or report belief for 27 culturally adapted statements (9 omens and 18 superstitions). The sum of items that a respondent believes in was labeled the superstition index (SI). The SI was compared between groups by means of the Kruskal-Wallis (H) test and negative binomial regression modeling. A two-step cluster analysis was performed to discern different subgroups based on answers to the items of the SI. Results: There were 553 respondents who completed the questionnaire (183 PWE, 124 patients with PD, 133 with MS and 113 HCs). Complete SI scores were collected for 479 (86.6%) participants and they were lower in patients with PD (n = 96, Md = 1, IQR = 0-5.75) in comparison to those with epilepsy (n = 155, Md = 6, IQR = 1-14), MS (n = 120, Md = 4, IQR = 0-12) or HCs (n = 108, Md = 4.5, IQR = 1-10), H (3) = 26.780, p < 0.001. In a negative binomial regression model (n = 394, likelihood ratio χ2 = 35.178, p < 0.001), adjusted for sex, place of residence, income and education, female sex was the only characteristic associated with the SI (ß = 0.423, OR = 1.526, 95% CI = 1.148 to 2.028). Both female sex (ß = 0.422, OR = 1.525, 95% CI = 1.148 to 2.026) and Parkinson's disease (ß = -0.428, OR = 0.652, 95% CI = 0.432 to 0.984) were significant predictors of the SI when age was removed from the model. Two-step cluster analysis resulted in individuals with PD being grouped into "extreme non-believer," "non-believer" and "believer" rather than "non-believer" and "believer" clusters characteristic for PWE, patients with MS and HCs. Conclusion: Our study suggests that individuals with PD believe in less superstitions than patients with MS, PWE or HCs. The results of this investigation should be independently confirmed after adjusting for PD-specific variables.

A new methodological tool for research on supernatural concepts.

We introduce the first set of stimuli designed to resolve methodological and theoretical issues that have muddled the interpretation of results on the memorability of supernatural concepts (e.g., ghosts, souls, spirits), an important line of research in the cognitive science of religion (Barrett, 2007). We focus here on Boyer's (1994), Boyer, 2001) pioneering minimally counterintuitive (MCI) hypothesis according to which supernatural concepts tap a special memory-enhancing mechanism linked to violations of default intuitive inferences. Empirical tests of the MCI account have given rise to a vexed picture that renders meaningful interpretation difficult. The lack of a common standard of comparison among different studies, coupled with the presence of uncontrolled variables independently known to affect memorability, lie at the heart of these problems. We show that our new stimuli offer the hope of resolving these issues, thereby establishing a more secure foundation for the study of the memorability of supernatural concepts.

Superstitious learning of abstract order from random reinforcement.

Humans and other animals often infer spurious associations among unrelated events. However, such superstitious learning is usually accounted for by conditioned associations, raising the question of whether an animal could develop more complex cognitive structures independent of reinforcement. Here, we tasked monkeys with discovering the serial order of two pictorial sets: a "learnable" set in which the stimuli were implicitly ordered and monkeys were rewarded for choosing the higher-rank stimulus and an "unlearnable" set in which stimuli were unordered and feedback was random regardless of the choice. We replicated prior results that monkeys reliably learned the implicit order of the learnable set. Surprisingly, the monkeys behaved as though some ordering also existed in the unlearnable set, showing consistent choice preference that transferred to novel untrained pairs in this set, even under a preference-discouraging reward schedule that gave rewards more frequently to the stimulus that was selected less often. In simulations, a model-free reinforcement learning algorithm (Q-learning) displayed a degree of consistent ordering among the unlearnable set but, unlike the monkeys, failed to do so under the preference-discouraging reward schedule. Our results suggest that monkeys infer abstract structures from objectively random events using heuristics that extend beyond stimulus-outcome conditional learning to more cognitive model-based learning mechanisms.

Why do pregnant women prefer cesarean birth? A qualitative study in a tertiary care center in Southern Thailand.

BACKGROUND: Increasing worldwide rates of cesarean section are of global concern. In recent years, cesarean births upon maternal request have become a hotly debated issue. Hence, this study aimed to explore maternal reasons for cesarean preference without medical indications. METHODS: A descriptive qualitative study was conducted, using in-depth interviews with 27 pregnant women who preferred cesarean birth, attending antenatal care in Songklanagarind Hospital from September 2018 to June 2019. Data were analyzed using content analysis. RESULTS: Maternal reasons for cesarean preference were classified into six main categories: fear of childbirth, safety concerns related to health risk perceptions, negative previous birth experiences, positive attitudes toward cesarean birth, access to biased information and superstitious beliefs in auspicious birth dates. Most women had more than one reason for opting cesarean birth. CONCLUSION: Several reasons for cesarean birth preference have been elucidated. One striking reason was superstitious beliefs in auspicious birth dates, which are challengable for obstetricians to deal with. Obstetricians should explore the exact reasons why women request cesarean birth in order to prevent or diminish unnecessary cesarean births.

Knowledge, attitude and traditional practices towards epilepsy among relatives of PWE (patients with epilepsy) in Marrakesh, Morocco.

Epilepsy remains one of the most common neurological diseases in the world but seems to be widely misunderstood, especially in low-income countries. Patients with epilepsy (PWE) can face considerable stigma in society, and there have been various studies that evaluate the knowledge and attitude of the population towards epilepsy. However, there was no study of this kind in Morocco. PURPOSE: Our aim was thus to assess knowledge, attitudes, and traditional practices specifically among relatives and caregivers of PWE in our community, in order to better evaluate their educational needs. METHODS: This cross-sectional and descriptive study was carried out over a year long period in the outpatient neurology clinic of the Mohammed 6 University Hospital, a tertiary referral center in Marrakesh, Morocco. The respondents were relatives of PWE (usually parents and siblings) or spouses who attended the outpatient clinic alongside them. The interviews were carried out by the same investigator at the outpatient clinic during patient's visits, face-to-face using Moroccan Arabic or Darija, with an 18-item questionnaire. RESULTS: Responses of 100 participants were analyzed. The mean age was 40 years old and 5 months. Sixty-six percent of the respondents were women, 50% of rural origin and 76 % lived in an urban area. Forty-one percent were illiterate, and 74% were of low income. Only 65% of the participants knew the Arabic term for epilepsy. For 48%, epilepsy was linked with witchcraft or demonic possession. Seventy-five percent of the respondents had at least one prior consultation to a traditional healer. Only 5% in our study knew the first-aid basics to apply in case of a seizure. CONCLUSION: Despite having a relative with epilepsy, our participants' knowledge was very poor. The level of education and income seem to be the two major contributing factors. Cultural beliefs and superstition are very pervasive, and the majority of our sample had already used traditional healing and alternative medicine. Our study highlights the need for a more global intervention in Morocco encompassing healthcare policies, awareness campaigns, and educational reforms.

Uncovering Underlying Processes Before Illusion of Control Begins in Gambling Disorder: A Pilot Study.

Gambling Disorder (GD) is characterized by persistent betting even in face of accruing debts and psychosocial hardship. Gambling Disorder behavior has been linked to conditioning, cognitive distortions and superstitious behavior. Previous studies have demonstrated that during response-outcome analytical tests (ROAT), non-gambling individuals are precluded from response extinction when failure feedback is suppressed, and develop superstitious behaviors and illusion of control instead. Gambling can be regarded as a ROAT paradigm in which disordered gamblers (DGs) fail to compute failure feedback; hence they do not perceive the independence between response and outcome. In order to investigate early phenomena on response and outcome processing in DGs, we developed two short ROAT versions, one with a controllable outcome and one with an uncontrollable outcome, both with explicit failure feedback. Twenty DGs and twenty healthy controls were assessed using this novel paradigm. Compared to controls, DGs reported higher distress during the controllable ROAT, less self-confidence in the uncontrollable ROAT, and more random responses and less use of analytical strategies in both tests, evidencing potential deficits in cognitive control. In contrast to previous findings, DGs did not demonstrate more superstitious beliefs, or illusion of control, and were generally more skeptical than controls regarding the controllability of both ROAT versions. Taken together, our findings provide some support for deficits in cognitive control in GD that precede illusion of control and superstitious behaviors.

Causal illusion as a cognitive basis of pseudoscientific beliefs.

Causal illusion has been proposed as a cognitive mediator of pseudoscientific beliefs. However, previous studies have only tested the association between this cognitive bias and a closely related but different type of unwarranted beliefs, those related to superstition and paranormal phenomena. Participants (n = 225) responded to a novel questionnaire of pseudoscientific beliefs designed for this study. They also completed a contingency learning task in which a possible cause, infusion intake, and a desired effect, headache remission, were actually non-contingent. Volunteers with higher scores on the questionnaire also presented stronger causal illusion effects. These results support the hypothesis that causal illusions might play a fundamental role in the endorsement of pseudoscientific beliefs.

Gamble with Your Head and Not Your Heart: A Conceptual Model for How Thinking-Style Promotes Irrational Gambling Beliefs.

Dual process theory suggests that people use two processing systems to filter information and form judgments that direct a course of action: an intuitive and an analytic system. While the intuitive system is necessary for efficient and effective daily functioning, reliance on fast, intuitive thinking when gambling is likely to result in biased or flawed decision-making. Those who gamble tend to endorse an array of fallacious or irrational beliefs that contribute to risky decision-making and excessive gambling. This paper argues that gambling beliefs may be developed and reinforced through underlying cognitive mechanisms described by dual process theory. More specifically, gamblers tend to apply assumptions and theories developed based on their understanding of the natural world to artificial gambling contexts where such rules do not apply. As a result, gamblers develop biased interpretations and understandings for how gambling works, which tend to align with personal schemas, experiences and gambling motivations. These beliefs are used in future gambling contexts to inform decision-making. Gamblers are often unlikely or unwilling to reflect on the veracity of beliefs as they are often used to justify gambling behaviours. Educating gamblers on how they make decisions and encouraging them to think more analytically may help to reduce the strength with which erroneous beliefs about gambling are endorsed, resulting in safer gambling decisions.

Superstition revisited: Sex, species, and adventitious reinforcement.

Skinner's (1948) 'Superstition' in the Pigeon paper proposed that accidental response-reward contingencies, via adventitious reinforcement, could operantly condition the behaviors of pigeons under fixed-time (response-independent) schedules of food delivery. Skinner likened the behavior of pigeons under these fixed-time schedules to the superstitious behavior of humans and proposed that both response patterns were the result of contiguous pairings of rewards following some response. Alternative explanations of superstitious behavior have included Staddon and Simmelhag's (1971) stimulus substitution account and Timberlake and Lucas's (1985) elicited species-typical appetitive behavior account. Under both these alternative explanations of superstitious behavior, observations of pigeons under fixed-time schedules revealed a lack of idiosyncratic responding, which is a critical element in Skinner's explanation of superstitious behavior via adventitious reinforcement. The following study implemented 4 fixed-time schedule experiments to further study superstition. In Experiment 1, male and female pigeons were compared, which provided support for the disparity in response patterns observed in previous studies. Experiments 2-4 examined the behavior of roller pigeons, ring-necked doves, and bantam chickens. In all the above studies, a lack of idiosyncratic responding and emergence of species-typical foraging behavior was observed. The results provide additional evidence that the 'superstitious' behavior that emerges in pigeons and other organisms under response-independent food schedules is the result of elicited species-typical food getting behaviors, and that these behaviors emerge as a result of frequent food deliveries in environments that support such foraging repertoires.

Black Cat Bias: Prevalence and Predictors.

There is anecdotal and empirical evidence for black cat bias, the phenomenon where cats (Felis silvestris catus) with black coats are viewed more negatively, adopted less often, and euthanized more often than lighter colored cats. Despite the anecdotal claims, there is scarce empirical evidence for black cat bias. Using evaluations of cat photos, the researchers examined differences in people's attitudes toward black and non-black cats of various colorations on measures of perceived aggression, perceived friendliness, and willingness to adopt. The researchers also explored whether participants' levels of religiosity, superstitious beliefs, and prejudicial racial attitudes were related to black cat bias. Finally, the researchers explored whether black cat bias was related to difficulties people had in reading the emotions of black cats compared to non-black cats. This study provided evidence of black cat bias in the sample. People exhibiting higher degrees of black cat bias had higher levels of superstition, but not religiosity or racial prejudice. Additionally, people who had difficulty reading the emotions of black cats tended to exhibit a stronger bias against adopting black cats.

Q fever-the superstition of avoiding the word "quiet" as a coping mechanism: randomised controlled non-inferiority trial.

OBJECTIVE: To determine the validity of the superstition that utterance of the word "quiet" in a clinical setting increases workload. DESIGN: Prospective randomised controlled non-inferiority study. SETTING: Microbiology department of a large teaching hospital in Lancashire, UK. PARTICIPANTS: Two members of the medical microbiology team carried out the duty work on any given week day and an on-call team member on any weekend day. 29 days were assigned in which staff were to say "Today will be a quiet day" and 32 days were assigned in which staff were to refrain from saying the word "quiet" in any context. INTERVENTIONS: Each day was randomly allocated to either saying "Today will be a quiet day" (intervention group) or refraining from saying the word "quiet" (control group) in any context. MAIN OUTCOME MEASURES: The primary outcome was mean overall workload: a composite of number of clinically related telephone calls, clinically significant results, or validated results processed by the duty medical microbiology team during a 24 hour period referred to collectively as "clinical episodes." A difference of 30 clinical episodes was considered as the margin of non-inferiority. Secondary outcomes included the individual components of the primary outcome. RESULTS: Workload was measured each day over a 61 day period (1 May to 30 June 2019). A mean 139.0 clinical episodes occurred on control days compared with 144.9 on days when the experimental intervention was uttered, a difference of 5.9 (95% confidence interval-12.9 to 24.7). The upper bound was less than the specified margin of 30, providing evidence for non-inferiority. No evidence of a difference in workload was found between interventions with any of the four components, whether considering unadjusted or adjusted analyses, or looking at the subgroups of week days or weekends. CONCLUSIONS: The study findings refute the long held superstition that utterance of the word "quiet" impacts on clinical workload, and therefore it should not be avoided. In the era of considerable staff shortages and increased work related stress, doctors should look to other methods to increase resilience and protect their wellbeing and mental health. TRIAL REGISTRATION: Lancashire Teaching Hospitals NHS Foundation Trust's research department SE-259.

The experiences of Iranian patients with epilepsy from their disease: A content analysis.

This qualitative study investigated experiences of patients with epilepsy in Iran regarding stigma. Twenty-two participants were chosen by purposive sampling method. After getting informed consent, we conducted and recorded interviews and then transcribed them verbatim. After that, all the researchers read the texts thoroughly, and the data were analyzed using conventional content analysis method. Seven categories emerged from the analysis including need for support, defense mechanisms, superstitious beliefs, negative feelings, negative reactions of others, imposed deprivations, and spirituality. These results will increase healthcare professionals' knowledge about the problems of Iranian patients with epilepsy and improve the design of healthcare models that can promote successful coping strategies for them.

The influence of quotations uttered in emergency service triage traffic and hospitalization (Quiet).

This study aims to determine whether the use of the word, Quiet increases veterinary emergency service triage traffic or hospital admissions. Days were randomized to be a control or test phrase day. On control days, the phrase, Have a nice day! was announced to the entire hospital staff. On test days, the phrase, Have a quiet day! was announced. No statistical difference in mean number of the patients presenting to the emergency service for triage (test phrase 30.1 ± 10.4 cases vs control phrase 30.3 cases ± 10.5, p = 0.91) or hospital admissions (test phrase 3.5 ± 1.9 cases vs control phrase 4.3 ± 2.4 cases, p = 0.13) was found for 24-h following phrase utterance. No statistical difference in mean number of patients presenting to the emergency service for triage (test phrase 2.7 ± 1.4 cases vs control phrase 2.6 ± 1.9 cases, p = 0.84) or hospital admissions (test phrase 0.3 ± 0.5 cases vs control phrase 0.5 ± 0.8 cases, p = 0.08) was found in the 2-h window immediately following phrase announcement. Despite popular myth, using the word, Quiet does not increase veterinary emergency service triage traffic or hospital admissions.

Do superstitious beliefs affect influenza vaccine uptake through shaping health beliefs?

BACKGROUND: This study examined the impact of superstitious beliefs on influenza vaccine uptake and investigated the role of health beliefs as underlying psychological mechanisms. It is hypothesized that superstitious beliefs predict greater perceived risks in influenza and vaccines, which in turn affect influenza vaccine uptake. METHODS: A cross-sectional survey of Singaporeans and Singapore Permanent Residents aged between 21 and 70 (N = 668) was conducted using computer-assisted telephone interviews. The survey covered beliefs in superstition, health beliefs in influenza and vaccines, and influenza vaccine uptake intention and behavior using the Health Belief Model. Path analysis was adopted to examine the hypothesized model. RESULTS: Approximately 60% of the sample had never obtained influenza vaccination. The path analysis found that superstitious beliefs significantly predicted higher perceived barriers and lower perceived benefits of vaccines, which in turn predicted a lower intention to take influenza vaccine in the next year and/or a lower probability of ever taking influenza vaccine. In contrast, superstitious beliefs predicted higher perceived susceptibility and severity of influenza that in turn predicted higher influenza vaccine uptake intention and/or probability. Examining demographic variables and past experience on influenza as control and confounding factors did not significantly affect the results. CONCLUSION: The findings imply that beliefs in superstitions can have mixed effects on vaccine uptake and intention through shaping beliefs of the disease and vaccines. Significant implications in health education and persuasion on vaccine uptake are discussed.

Prevalence and environmental impact factors of somatization tendencies in eastern Chinese adolescents: a multicenter observational study.

The aim of this study is at examining the prevalence and impact factors of adolescent somatization tendencies (ST) across three eastern Chinese provinces. A multicenter school-based cross-sectional study was conducted in these provinces from 2015 to 2016. The sample included 11,153 middle-school students aged 13-18 years, who were randomly selected using a multi-phase stratified cluster sampling technique. We also designed a multicenter school-based case-control study to evaluate the potential environmental impact of ST factors on this population. The overall positive rate of ST among the eastern Chinese adolescents was 12.1%. Somatic symptoms score (SSS) and positive ST rate were higher in females than males. Additionally, the SSS and positive ST rate for the 18-year-old group were significantly higher than in other age groups. In comparison to those in urban areas, adolescents in rural areas had significantly higher SSS and positive ST rate. Multiple conditional regression analyses revealed that family medical history, anxiety and depression scores; superstitious beliefs; left-behind adolescents; teacher-student support; family conflict; and family independence and achievement orientation were significantly linked to ST in adolescents. The models also indicated family medical history was the strongest impact factor to adolescent ST, even though ST were prevalent in the three studied eastern Chinese provinces. Gender, age, and dwelling differences were very significant in the SSS and positive ST rate in adolescents. This study concludes that adolescent ST are influenced by multiple environments.

Superstition predicts perception of illusory control.

Superstitions are common, yet we have little understanding of the cognitive mechanisms that bring them about. This study used a laboratory-based analogue for superstitious beliefs that involved people monitoring the relationship between undertaking an action (pressing a button) and an outcome occurring (a light illuminating). The task was arranged such that there was no objective contingency between pressing the button and the light illuminating - the light was just as likely to illuminate whether the button was pressed or not. Nevertheless, most people rated the causal relationship between the button press and the light illuminating to be moderately positive, demonstrating an illusion of causality. This study found that the magnitude of this illusion was predicted by people's level of endorsement of common superstitious beliefs (measured using a novel Superstitious Beliefs Questionnaire), but was not associated with mood variables or their self-rated locus of control. This observation is consistent with a more general individual difference or bias to overweight conjunctive events over disjunctive events during causal reasoning in those with a propensity for superstitious beliefs.

Breaking magic: Foreign language suppresses superstition.

In three studies, we found that reading information in a foreign language can suppress common superstitious beliefs. Participants read scenarios in either their native or a foreign language. In each scenario, participants were asked to imagine performing an action (e.g., submitting a job application) under a superstitious circumstance (e.g., broken mirror, four-leaf clover) and to rate how they would feel. Overall, foreign language prompted less negative feelings towards bad-luck scenarios and less positive feelings towards good-luck scenarios, while it exerted no influence on non-superstitious, control scenarios. We attribute these findings to language-dependent memory. Superstitious beliefs are typically acquired and used in contexts involving the native language. As a result, the native language evokes them more forcefully than a foreign language.

¿Los OVNIs son fantasmas? Análisis sobre la concepción psicosocial de las creencias en seres extraterrestres y fenómenos paranormales: justificación estadística del CEU-28 / Are UFOs ghosts? Analysis about the psychosocial conception of beliefs in extraterrestrial beings and paranormal phenomena: CEU-28's statistical justification

Las experiencias ufológicas describen contactos con UFOs, seres extraterrestres, visitas alienígenas encubiertas y abducciones. Aunque la ciencia aporta suficientes avances que apuestan por la existencia de vida fuera de la tierra, estas experiencias han sido relacionadas y equiparadas con las creencias en lo paranormal bajo un modelo integrativo dado el contenido mágico que manifiestan. En el siguiente informe se presenta un estudio psicosocial a partir de la justificación estadística del CEU-28 (Cuestionario de Experiencias Ufológicas), que examina las dimensiones subyacentes de las experiencias-creencias UFO, así como su impacto social en la cultura hispanohablante. La muestra estuvo formada por 309 sujetos seleccionados accidentalmente de la población general española. El Análisis Factorial confirmó que las experiencias UFO pueden ser representadas en base a cuatro dimensiones: Creencias Ufológicas (C1), Contactos UFO (E1), Temor a las Experiencias UFO (T1) y Creencias de Forma (C2). El análisis de los reactivos sugirió que dichas creencias podían presentar concepciones tanto de tipo mágico-divergente (concepciones irracionales) como de tipo crítico-divergente (concepciones racionales), hecho que invita a revisar la validez del modelo integrativo incluyendo la discriminación de ambas concepciones

UFO experiences describe contacts with UFOs, extraterrestrial beings, covert alien visits and abductions. Although science provides enough advances that bet for the existence of life outside the earth, these experiences have been related and equated with beliefs in the paranormal under an integrative model given the magical content they manifest. The following report presents a psychosocial study based on the statistical justification of the CEU-28 (Ufological Experiences Questionnaire), which examines the underlying dimensions of UFO experiences-beliefs, as well as their social impact on the Spanish-speaking culture. The sample consisted of 309 subjects accidentally selected from the Spanish general population. The Factorial Analysis confirmed that UFO experiences can be represented based on four dimensions: Ufological Beliefs (C1), UFO Contacts (E1), Fear of UFO Experiences (T1) and Form Beliefs (C2). The analysis of items suggested that these beliefs could present both models: magical-divergent (irrational conceptions) and critical-divergent (rational conceptions). This result invites us to review the validity of the integrative model including the discrimination of both conceptions

Superstitious knowledge of the phenomena of teeth eruption in rural area of Ferlo in Senegal

Teeth are physiological phenomenon that appears in child and who begins around 6 to 8 months after birth. The aim of this work was to study superstitious knowledge of the phenomena of teeth eruption in the mothers peulhs of Ferlo in Senegal. The research method was a descriptive and qualitative study; comprising questioning the mothers of children in the phase of active teeth eruption by structured, semi-structured interviews and focus groups. Information collected were related to the signs and symptoms of teeth, the superstitions associated with the dental age of eruption, the first type of tooth on the arcade, the rhizalyse and the practices of oral hygiene in the child. Data were analysed manually and presented in framed and of verbatims. From the findings, it is seen that fever, the diarrhoea, the vomiting and the dribbles constituted the principal signs. The native or neonatal tooth and the use of the stick rub-tooth to clean the teeth in the evening and the phenomenon of rhizalyse were related to superstitious interpretations. Programs of information and communication would make it possible to better sensitize the populations to optimize the good practices in the children in active phase of teeth eruption